A nurse is caring for a school-aged child who has conduct disorder and is being physically
aggressive toward 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
a. Place the child in seclusion
A nurse is caring for a client who has a new diagnosis 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
b. ECG
A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar
disorder. Which of the following laboratory results should the nurse report to the provider?
a. Urine specific gravity 1.029
b. Platelets 90,000/mm3
c. urine pH 5.6
d. RBC 4.7/mm3
b. Platelets 90,000/mm3
A nurse is caring for a client who has schizophrenia and started taking clozapine two months
ago. Which of the following laboratory results should the nurse report to the provider?
a. WBC 3,000/mm3
b. Potassium 4.2 mEq/L
c. Hgb 16 g/dL
d. Platelets 300,000/mm3
WBC 3,000/mm3
A nurse is caring for a client who exhibits excessive 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
a. Dependent
A nurse is performing a mental status examination for a client who has schizophrenia. The nurse
should recognize that which of the following actions requires the client to think abstractly?
a. Explain what to do if he misses the bus
b. Determine the meaning of a proverb
c. Name the last three presidents of the United States of America
d. Count by adding sevens consecutively
b. Determine the meaning of a proverb
A nurse is developing a plan of care for a school age child who has ADHD. Which of the
following interventions should the nurse include in the plan?
a. Administer olanzapine
b. Institute consequences for deliberate behaviors
c. Provide a stimulating environment
d. Encourage thought stopping techniques
c. Provide a stimulating environment
A nurse in a mental health facility is making plans for a client's discharge. Which of the
following interdisciplinary team members should the nurse contact to assist the client with
housing placement?
a. Clinical nurse specialist
b. Recreational therapist
c. social worker
d. Occupational therapist
c. social worker
A nurse is providing crisis intervention for a client who was involved in a violent mass casualty
situation in the community. Which of the following actions should the nurse take during the
initial session with the client?
a. Encourage the client to display anger toward the cause of the crisis
b. Tell the client that his life will soon return to normal
c. Identify the client's usual coping style
d. Help the client focus on a wide variety of topics regarding the crisis
c. Identify the client's usual coping style