VERSION 2023-2024.
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1.A client is fearful of driving and enters a behavioral therapy program to help him overcome his
anxiety. Using systematic desensitization, he is able to drive down a familiar street without
experiencing a panic attack. The nurse should recognize that to continue positive results, the
client should participate in which of the following?
a. Biofeedback
b. Therapist modeling
c. Frequent pacing
d. Positive reinforcement
2. A nurse is counseling a client following the death of the client’s partner 8 months ago. Which
of the following client statements indicates maladaptive grieving?
a. “I am so sorry for the times I was angry with my partner.”
b. “I like looking at his personal items in the closet.”
c. “I find myself thinking about my partner often.”
d. “I still don’t feel up to returning to work.”
3A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is
taking haloperidol (anti-psychotic, 1st gen). Which of the following clinical findings is the
nurse’s priority?
a. Headache
b. Insomnia
c. Urinary hesitancy
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d. High fever
4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
following recommendations should the nurse include in the client’s plan of care?
a. Reality Orientation therapy
b. Operant Conditioning
c. Thought Stopping
d. Validation Therapy 4. A nurse is providing teaching to the daughter of an older client who has
obsessive-compulsive disorder. Which of the following statements by the daughter indicates an
understanding of the teaching?
a. “I will provide my mother with detailed instructions about how to perform
self-care.”
“I will limit my mother’s clothing choices when she is getting dressed.”
“I will wake my mother up a couple of times in the night to check on her.”
b. “I will discourage my mother from talking about her physical complaints.”
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take?
a. Provide in depth explanation of nursing expectations
b. Encourage the client to participate in group activities
c. Avoid power struggles by remaining neutral
d. Allow the client to set limits for his behavior