exams
During the mental status examination, the nurse observes that the
client rapidly changes from one idea to another related thought. Which
disordered thinking process is the client displaying?
a. Delusions
b. Perseveration
c. Confabulation
d. Flight of ideas - ✔ ✔ d
Studies of families, twins, and relatives with personality disorders have
demonstrated that the developing personality is influenced by:
a. Genetics
b. Order of birth
c. Financial factors
d. Number of siblings - ✔ ✔ a
As the caregiver for a male client whose mental retardation level is
classified at a moderate level, the nurse's most appropriate action is to:
a. Encourage him to work in a supervised setting at a fast food
restaurant.
b. Persuade him to look for an apartment in which he can live on his
own.
,c. Find a group home that he would adjust well to.
d. Seek placement for him in a long-term setting for clients with
cognitive disabilities. - ✔ ✔ a
During an episode of binge eating, what type of food is usually taken in
large amounts?
a. Fruits
b. Red meat
c. Fried or high fat content foods
d. Cakes, donuts, or sweets - ✔ ✔ d
An order written by a physician is reviewed by the nursing staff, and no
one is familiar with the treatment instructions. A nurse who was
recently hired knows that this treatment is covered by the state's nurse
practice act. What is the nurse's best course of action?
a. Call the physician to ask for clarification.
b. Check the state's nurse practice act again.
c. Contact the nursing supervisor for approval to carry out the
treatment.
d. Refer to the facility's policy and procedure to determine the course
of action. - ✔ ✔ d
Bob drives fast everywhere he goes, especially when he is drinking. Last
night, he was arrested for gambling and loud behavior. Bob is engaging
in ____ behavior.
a. Adaptive
,b. Suicidal
c. Direct self-destructive
d. Indirect self-destructive - ✔ ✔ d
A female client is 3 days postoperative and has been receiving
meperidine (Demerol) for pain control. The family mentions to the
nurse that the client has been taking phenelzine (Nardil) for years for
her depression. The client did not list this medication on admission.
What signs and symptoms should the nurse look for in case of reaction
between these two medications?
a. Increased pulse and respirations
b. Hyperactivity and difficulty concentrating
c. Increased tearing and increased urinary output
d. Sedation, disorientation, and hallucinations - ✔ ✔ d
A client is continually late for his appointment at the mental health
clinic. What is a likely reason for his lack of punctuality?
a. Need for environmental control
b. Time orientation
c. Space comfort zone
d. Territorial needs - ✔ ✔ b
When reviewing the nursing notes from the previous shift, the nurse
notices notations indicating that the client was experiencing a
somnolent level of consciousness. The client's behavior would be
described as:
, a. Falling asleep easily and only awakening with strong verbal stimuli
b. Frequently sleeping and awakening only to strong physical stimuli
c. Unresponsive to any verbal or painful stimuli
d. Having alternating periods of excitability and drowsiness - ✔ ✔ a
Betty Neuman developed the nursing theory that promotes nursing
interventions to assist individuals in reaching and maintaining the
highest level of wellness possible. What is this theory known as?
a. Adaptation model
b. Interpersonal model
c. Systems model
d. Self-care deficit model - ✔ ✔ c
A client with major depressive disorder is scheduled for
electroconvulsive therapy (ECT). Which point will the nurse teach the
client?
a. "ECT treatments take about 1 hour."
b. "You will most likely receive between 6 and 12 treatments over
several weeks."
c. "ECT often is used as one of the first treatments for major
depression."
d. "ECT treatments help your depression by decreasing levels of the
neurotransmitter norepinephrine." - ✔ ✔ b