UPDATED QUESTIONS
A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder
and is experiencing acute mania. Which of the following client goals should the nurse identify as
the priority? - CORRECT ANSWER>>>>Maintaining adequate hydration
A nurse is collecting data from a client who has binge-eating disorder. Which of the following
findings should the nurse expect? - CORRECT ANSWER>>>>Abdominal pain
A nurse is collecting data from a client who has moderate cognitive decline due to Stage 4
Alzheimer's disease. Which of the following findings should the nurse expect? - CORRECT
ANSWER>>>>The client is able to identify the names of family members.
A nurse is collecting admission data from a client who has anorexia nervosa. Which of the
following findings should the nurse expect? - CORRECT ANSWER>>>>Strenuous exercise
regimen
A nurse is assisting with the collection of admission data for a client who has anorexia nervosa.
The client has lost 11.4 kg (25 lb) over the past month and currently weighs 38.6 kg (85 lb). The
nurse should expect which of the following findings? - CORRECT ANSWER>>>>Amenorrhea
A nurse is reinforcing teaching with a client who has agoraphobia about systematic
desensitization. Which of the following comments should the nurse include in the teaching? -
CORRECT ANSWER>>>>"You will slowly be exposed to increasing levels of public spaces."
A nurse in a substance use disorder treatment facility is reviewing the medication records for a
group of clients. The nurse should expect to administer methadone for a client who has a
substance use disorder for which of the following substances? - CORRECT
ANSWER>>>>Opiates
A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease about
donepezil. Which of the following statements should the nurse include? - CORRECT
ANSWER>>>>Donepezil can improve cognitive functioning during the earlier stages of the
disease."
A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the nurse
expect? - CORRECT ANSWER>>>>Dreams about the assault
A nurse is reviewing the medical history of a client who has a new prescription for
electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as
the priority? - CORRECT ANSWER>>>>Cardiac arrhythmia
, A nurse is collecting data from a client who has cocaine intoxication. Which of the following
findings should the nurse expect? - CORRECT ANSWER>>>>Increased mental alertness
A nurse in an acute mental health facility is participating in a nursing staff discussion about the
legal aspects of involuntary admissions. Which of the following information should the nurse
include? - CORRECT ANSWER>>>>An involuntary admission is justified if the client is a
danger to others.
A nurse in the emergency room is collecting data from a client who has heroin intoxication.
Which of the following findings should the nurse expect? - CORRECT
ANSWER>>>>Respiratory depression
A nurse is caring for a client who has depression. The client states, "I am too tired and depressed
to attend group therapy today." Which of the following responses should the nurse make? -
CORRECT ANSWER>>>>Attending group therapy, even if you're tired, is an important part of
your treatment."
A nurse is contributing to the plan of care for a client who has borderline personality disorder
and self-mutilates. Which of the following treatment approaches should the nurse recommend? -
CORRECT ANSWER>>>>Maintain close observation of the client.
A nurse is collecting data from a client who takes an MAOI for the treatment of depression.
Which of the following findings is the priority for the nurse to report to the provider? -
CORRECT ANSWER>>>>Elevated blood pressure
A nurse in an acute mental health facility is caring for a client who is experiencing an acute
manic episode. Which of the following actions is the nurse's priority? - CORRECT
ANSWER>>>>Protect the client from impulsive behavior.
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of
the following findings should the nurse expect? - CORRECT ANSWER>>>>Ascites
A nurse is assisting with a community presentation about Alzheimer's disease. The nurse should
conclude that a member of the group requires further reinforcement of teaching when she
identifies which of the following findings as a manifestation of Alzheimer's disease? -
CORRECT ANSWER>>>>Sudden confusion
A nurse is caring for a client who has major depressive disorder and is severely withdrawn.
Which of the following techniques should the nurse use to facilitate communication with the
client? - CORRECT ANSWER>>>>Speak to the client using simple and concrete terminology.
A nurse in an acute substance disorder unit is collecting data from a client who received
treatment in the emergency department for an opioid overdose. Which of the following findings
should the nurse anticipate during opioid withdrawal? - CORRECT ANSWER>>>>Anxiety