A nurse is planning overall strategies to address problems for a
client who has a borderline personality disorder. Which of the
following strategies is the priority for the nurse to incorporate into
the plan of care?
a.discuss the appropriate use of assertive behavior with the client
b.encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and
feelings
d.implement measures to prevent intentional self-inflicted injury -
correct answers -
d. implement measures to prevent intentional self-inflicted injury
A nurse is admitting a client who has a generalized anxiety disorder.
Which of the following actions should the nurse plan to take first?
e.Provide the client with a quiet environment
f. Determine how the client handles stress.
g.Teach the client to use guided imagery.
h.Ask the client to identify her strengths - correct answers - a.
Provide the client with a quiet environment
A nurse is conducting an admission interview with a client who is
experiencing mania. Which of the following should the nurse report to the
provider?
i. States that he hasn't bathed in 2 days
j. Reports eating twice in the past two weeks.
k.Makes inappropriate sexual comments.
l.Speaks in rhyming sentences. - correct answers - b. Reports eating
twice in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive
disorder. Which of the following recommendation should the nurse include
in the client's plan of care?
m.Validation therapy
n.Thought stopping
GRADED
A+
o.Operant conditioning
p.Reality orientation therapy - correct answers - b. Thought stopping
,A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should
the nurse take?
a.Encourage the client to join group activities
b.Dim the lights in the client's room
c. Provide detailed explanations to the client
d.Administer methylphenidate - correct answers - b. Dim the lights in
the client's room
A nurse is leading a crisis intervention group for adolescents who
witnessed the suicide of a classmate. Which of the following actions
should the nurse take first?
e.Initiate referrals
f. Review community resources
g.Identify prior coping skills
h.Discuss the importance of confidentiality - correct answers - c.
Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an
I,an eye for an eye in the sky. Sky is up high." The nurse should
document the client's statement as which of the following speech
alterations?
i. Echolalia
j. Word salad
k.Neologism
l. Clang association - correct answers - d. Clang association
An older adult client is brought to the mental health clinic by her
daughter. The daughter reports that her mother is not eating and seems
uninterested in routine activities. The daughter states "Im so worried
that my mother is depressed" which of the following responses should
the nurse make?
m.Everyone gets depressed from time to time.
n.You shouldn't worry about this because the depressive disorder is
easily treated.
o.Older adults are usually diagnosed with the depressive disorder as they
age.
p.Tell me the reasons you think your mother is depressed. - correct
answers - d. Tell me the reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum
disorder. Which of the following outcomes should the nurse include in the
GRADED
plan
A+ care?
q.Meets own needs without manipulating others.
r. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - correct answers - b.
Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are
locked at night. Which of the following instructions should the nurse give
the client when using thought stopping technique?
a.Snap a rubber band on your wrist when you think about checking the
locks.
b.Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d.Keep a journal of how often you check the locks each night. - correct
answers - a. Snap a rubber band on your wrist when you think about
checking the locks.
A nurse is caring for a client who is starting treatment for substance use
disorder. Which of the following actions indicates the nurse is practicing
the ethical principle of nonmaleficence?
e.Provide the client with quality care regardless of their ability to pay for
treatment.
f. Educating the client about legal rights concerning treatment.
g.Withholding the prescribed medication that is causing adverse effects
for the client.
h.Being truthful with the client about the manifestations of withdrawal. -
correct answers - c. Withholding the prescribed medication that is causing
adverse effects for the client.
A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing belongings from
other clients. Which of the following techniques should the nurse use?
i. Crisis intervention to decrease anxiety.
j. Aversion therapy to provide distraction
k.Positive reinforcement to increase desired behavior.
l.Systematic desensitization to extinguish the behavior. - correct
answers - c. Positive reinforcement to increase desired behavior.
A nurse is caring for a client who is experiencing a panic attack. Which of
the following actions should the nurse take?
m.Ask the client to discuss precipitating events
n.Speaks to the client in a high-pitched voice.
o.Place the client in seclusion
p.Have the client breathe into a paper bag. - correct answers - d.
GRADED
Have
A+ the client breathe into a paper bag.
client who has a borderline personality disorder. Which of the
following strategies is the priority for the nurse to incorporate into
the plan of care?
a.discuss the appropriate use of assertive behavior with the client
b.encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and
feelings
d.implement measures to prevent intentional self-inflicted injury -
correct answers -
d. implement measures to prevent intentional self-inflicted injury
A nurse is admitting a client who has a generalized anxiety disorder.
Which of the following actions should the nurse plan to take first?
e.Provide the client with a quiet environment
f. Determine how the client handles stress.
g.Teach the client to use guided imagery.
h.Ask the client to identify her strengths - correct answers - a.
Provide the client with a quiet environment
A nurse is conducting an admission interview with a client who is
experiencing mania. Which of the following should the nurse report to the
provider?
i. States that he hasn't bathed in 2 days
j. Reports eating twice in the past two weeks.
k.Makes inappropriate sexual comments.
l.Speaks in rhyming sentences. - correct answers - b. Reports eating
twice in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive
disorder. Which of the following recommendation should the nurse include
in the client's plan of care?
m.Validation therapy
n.Thought stopping
GRADED
A+
o.Operant conditioning
p.Reality orientation therapy - correct answers - b. Thought stopping
,A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should
the nurse take?
a.Encourage the client to join group activities
b.Dim the lights in the client's room
c. Provide detailed explanations to the client
d.Administer methylphenidate - correct answers - b. Dim the lights in
the client's room
A nurse is leading a crisis intervention group for adolescents who
witnessed the suicide of a classmate. Which of the following actions
should the nurse take first?
e.Initiate referrals
f. Review community resources
g.Identify prior coping skills
h.Discuss the importance of confidentiality - correct answers - c.
Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an
I,an eye for an eye in the sky. Sky is up high." The nurse should
document the client's statement as which of the following speech
alterations?
i. Echolalia
j. Word salad
k.Neologism
l. Clang association - correct answers - d. Clang association
An older adult client is brought to the mental health clinic by her
daughter. The daughter reports that her mother is not eating and seems
uninterested in routine activities. The daughter states "Im so worried
that my mother is depressed" which of the following responses should
the nurse make?
m.Everyone gets depressed from time to time.
n.You shouldn't worry about this because the depressive disorder is
easily treated.
o.Older adults are usually diagnosed with the depressive disorder as they
age.
p.Tell me the reasons you think your mother is depressed. - correct
answers - d. Tell me the reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum
disorder. Which of the following outcomes should the nurse include in the
GRADED
plan
A+ care?
q.Meets own needs without manipulating others.
r. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - correct answers - b.
Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are
locked at night. Which of the following instructions should the nurse give
the client when using thought stopping technique?
a.Snap a rubber band on your wrist when you think about checking the
locks.
b.Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d.Keep a journal of how often you check the locks each night. - correct
answers - a. Snap a rubber band on your wrist when you think about
checking the locks.
A nurse is caring for a client who is starting treatment for substance use
disorder. Which of the following actions indicates the nurse is practicing
the ethical principle of nonmaleficence?
e.Provide the client with quality care regardless of their ability to pay for
treatment.
f. Educating the client about legal rights concerning treatment.
g.Withholding the prescribed medication that is causing adverse effects
for the client.
h.Being truthful with the client about the manifestations of withdrawal. -
correct answers - c. Withholding the prescribed medication that is causing
adverse effects for the client.
A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing belongings from
other clients. Which of the following techniques should the nurse use?
i. Crisis intervention to decrease anxiety.
j. Aversion therapy to provide distraction
k.Positive reinforcement to increase desired behavior.
l.Systematic desensitization to extinguish the behavior. - correct
answers - c. Positive reinforcement to increase desired behavior.
A nurse is caring for a client who is experiencing a panic attack. Which of
the following actions should the nurse take?
m.Ask the client to discuss precipitating events
n.Speaks to the client in a high-pitched voice.
o.Place the client in seclusion
p.Have the client breathe into a paper bag. - correct answers - d.
GRADED
Have
A+ the client breathe into a paper bag.
