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1. 1. A nurse is caring for a school-aged child who has a. Place the child in seclu-
conduct disorder and is being physically aggressive to- sion
ward other children in the unit. Which of the following
actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2. 2• A nurse is caring for a client who has a new diagnosis b. ECG
of bulimia nervosa. Which of the following diagnosis
procedures should the nurse anticipate the provider
should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
3. 3. A nurse is caring for a client who exhibits exces- a. Dependent
sive compliance, passivity, and self-denial. The nurse
should recognize that these findings are associated
with which of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
4. 4. A nurse is caring for a client who is involuntarily c. Offer the client the med-
admitted for major depressive disorder and refuses to ication at the next sched-
take prescribed antianxiety medication. Which of the uled dose time
following actions should the nurse take?
a. Inform the client that he does not have the right to
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refuse medication
b. Administer the medication to the client via IM injec-
tion
c. Offer the client the medication at the next scheduled
dose time
d. Implement consequences until the client take the
medication
5. 5. A nurse is caring for a client in the emergency d. Offer prophylactic med-
department who states she was beaten and sexually ication to prevent STI's
assaultby her partner. After a rapid assessment, which
of the following actions should the nurse plan to take
next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's
6. 6. A nurse is caring for a client who has major depres- b. Cancel the scheduled
sive disorder. After discussing the treatment with his ECT procedure
partner, the client verbally agrees to electroconvulsive
therapy (ECT) but will not sign the consent form. Which
of the following actions should the nurse take?
a. Request that the client's partner sign the consent
formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on im-
plied consent
d. Inform the client about the risks of refusing the ECT
7. 7. A nurse is caring for a client who reports that he is d. Displacement
angry with his partner because she thinks he is just
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trying to gain attention. When the nurse attempts to
talk to the client, he becomes angry and tells her to
leave. Which of the following defense mechanisms is
the client demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement
8. 8. A nursing is advising an assistive personnel (AP) on b. It's important that the
the care of a client who has major depressive disorder. client feel safe verbalizing
The AP states that he is irritated by the client's depres- how she is feeling
sion. Which of the following statements by the nurse
is appropriate?
a. Please don't take what the client said seriously when
she is depressedb.
b. It's important that the client feel safe verbalizing
how she is feeling
c. Everybody feels that way about this client so don't
worry about it
d. I'll change your assignment to someone who
doesn't have depressive disorder
9. 9. A nurse is assessing a child in the emergency de- d. The child has cystic fi-
partment. Which of the following findings places the brosis
childat the greatest risk for physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis
10.