Question 1
A nurse is caring for a client who has a new prescription for disulfiram for
treatment of alcohol use disorder. Which of the following client statements
indicates an understanding of the teaching?
A. "I can drink a small amount of alcohol while taking this medication."
B. "I should avoid using alcohol-based mouthwash."
C. "This medication will prevent me from craving alcohol."
D. "I will feel better within a few hours of taking this medication."
Correct Answer(s):
B. I should avoid using alcohol-based mouthwash.
Question 2
A nurse is caring for a client who has borderline personality disorder. The
client says, "The nurse on the evening shift is always nice! You are the
meanest nurse ever!" The nurse should recognize the client's statement as
an example of which of the following defense mechanisms?
A. Regression.
B. "Splitting."
C. Undoing.
D. Identification.
Correct Answer(s):
B. Splitting.
Question 3
,A nurse is planning care for a client who has a mental health disorder. Which
of the following actions should the nurse include as a psychobiological
intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. "Monitor the client for adverse effects of the medications."
Correct Answer(s):
D. Monitor the client for adverse effects of the medications.
Question 4
A nurse is discussing acute vs prolonged stress with a client. Which of the
following effects should the nurse identify as an acute stress response?
(Select all that apply.)
A. Chronic pain.
B. Depressed immune system.
C. "Increased blood pressure."
D. "Panic attacks."
E. "Unhappiness."
Correct Answer(s):
C. Increased blood pressure.
D. Panic attacks.
E. Unhappiness.
Question 5
A nurse is teaching a client who has an anxiety disorder and is scheduled to
begin classical psychoanalysis. Which of the following client statements
,indicates an understanding of this form of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6
weeks."
B. "The therapist will focus on my past relationships during our
sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my
behaviors."
D. "This therapy will address my conscious feelings about stressful
experiences."
Correct Answer(s):
B. The therapist will focus on my past relationships during our sessions.
Question 6
A nurse is caring for a client who has acute stress disorder and is
experiencing severe anxiety. Which of the following statements should the
nurse make?
A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease your
anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Let's discuss the medications your provider is prescribing to decrease
your anxiety."
Correct Answer(s):
A. Tell me about how you are feeling right now.
Question 7
, A nurse is completing an admission assessment for a client who has
schizophrenia. Which of the following findings should the nurse document as
positive symptoms? (Select all that apply.)
A. "Auditory hallucination."
B. Lack of motivation.
C. "Use of clang association."
D. "Delusion of persecution."
E. Constantly waving arms.
F. Flat affect.
Correct Answer(s):
A. Auditory hallucination.
C. Use of clang association.
D. Delusion of persecution.
Question 8
A nurse is caring for a client who has anorexia nervosa. Which of the
following findings requires immediate intervention by the nurse?
A. Blood pH 7.40.
B. "Heart rate 44/min."
C. Blood pressure 110/70 mm Hg.
D. Serum potassium 3.8 mEq/L.
Correct Answer(s):
B. Heart rate 44/min.
Question 9
A nurse is discussing relapse prevention with a client who has bipolar
disorder. Which of the following information should the nurse include in the