ACCURATE
A -- Answer --A nurse is caring for a client who has a new prescription for disulfiram for
treatment of alcohol use disorder. The nurse informs the client that this medication can cause
nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this
method an example?
A) Aversion therapy
B) Flooding
C) Biofeedback
D) Dialectical behavior therapy
A -- Answer --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
A -- Answer --A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality disorder?
A) I'm scared that you're going to leave me
,B) I'll go to group therapy if you'll let me smoke
C) I need to feel that everyone admires me
D) I sometimes feel better if I cut myself
A -- Answer --A nurse is caring for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
A) Assessing the client's risk for self harm
B) Instilling hope for positive outcomes
C) Encouraging the client to participate in group therapy sessions
D) Encouraging the client to participate in treatment decisions
A -- Answer --A nurse is planning care for the termination phase of a nurse-client relationship.
Which of the following actions should the nurse include in the plan of care?
A) Discussing ways to use new behaviors
B) Practicing new problem-solving skills
C) Developing goals
D) Establishing boundaries
A -- Answer --A nurse is preparing to provide an educational seminar on stress to other nursing
staff. Which of the following information should the nurse include in the discussion?
A) Excessive stressors cause the client to experience distress
B) The body's initial adaptive response to stress is denial
,C) Absence of stressors results in homeostasis
D) Negative, rather than positive, stressors produce a biological response
A -- Answer --A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?
A) Cognitive reframing will help me change by irrational thoughts to something positive
B) Progressive muscle relaxation uses a mechanical device to help me gain control over my
pulse rate
C) Biofeedback causes my body to release endorphins so that I feel less stress and anxiety
D) Mindfulness allows me to prioritize the stressors that I have in my life so that I have less
anxiety
A -- Answer --A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place.
A -- Answer --A nurse wants to use democratic leadership with a group whose purpose is to learn
appropriate conflict resolution techniques. The nurse is correct in implementing this form of
group leadership when she demonstrates which of the following actions?
A) Observes group techniques without interfering with the group process
, B) Discusses a technique and then directs members to practice the technique
C) Asks for group suggestions of techniques and then support discussion
D) Suggests techniques and asks group members to reflect on their use
E) Democratic leadership supports group interaction and decision making to solve
A -- Answer --A nurse working on an acute mental health unit is admitting a client who has
major depressive disorder and comorbid anxiety disorder. Which of the following actions is the
nurse's priority?
A) Placing the client on one-to-one observation
B) Assisting the client to perform ADLs
C) Encouraging the client to participate in counseling'
D) Teaching the client about medication adverse effects
A, B, C -- Answer --A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an understanding
of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by sevens.
B) To assess affect, I should observe the client's facial expression
C) To assess language ability, I should instruct the client to write a sentence.
D) To assess remote memory, I should have the client repeat a list of objects.