ANSWERS.
y
Aynurseyisyreviewingytheymedicalyrecordyofyayclientywhoyreportsydrinkingythreeytoyfo
uryglassesyofywineyeachynightyandytakingy3,000ymgyofyacetaminophenydaily.yWhichyof
ytheyfollowingylaboratoryyvaluesyisytheypriorityyforytheynurseytoyassess?
A)yAmylase
B)yCreatinine
C)yAspartateyaminotransferasey(AST)
D)yAntidiureticyhormoney(ADH)y-yCORRECTyANSWER-
C)yAspartateyaminotransferasey(AST)
Aynurseyatyaycollegeycampusymentalyhealthycounselingycenteryisycaringyforyaystudenty
whoyjustyfailedyanyexamination.yTheystudentyspendsytheysessionyberatingytheyteache
ryandytheycourse.yTheynurseyshouldyrecognizeythisybehavioryasywhichyofytheyfollowin
gydefenseymechanisms?
A)yConversion
B)yProjection
C)yUndoing
D)yRegressiony-yCORRECTyANSWER-B)yProjection
Aynurseyinytheyemergencyydepartmentyisycaringyforyayclientywhoyreportsychestypain,y
headache,yandyshortnessyofybreath.yHeycontinuesytoystate,y"Iydon'tyknowywhyymyywif
eyleftyme."yTheyclientyreceivesyaydiagnosisyofyanxiety.yTheynurseyrealizesytheyclient'syf
indingsysupportywhichylevelyofyanxiety?
A)yMild
B)yModerate
C)ySevere
D)yPanicy-yCORRECTyANSWER-C)ySevere
Aynurseyonytheypsychiatricyunityisyassessingyayclientywhoyhasymoderateyanxietyydisor
der.yWhichyofytheyfollowingyfindingsyshouldytheynurseyexpect?
A)yRapidyspeech
B)yChills
C)yDistortedyperceptualyfield
D)yUrinaryyfrequencyy-yCORRECTyANSWER-D)yUrinaryyfrequency
Aynurseyisycaringyforyayclientywhoyhasybeenydiagnosedywithyobsessiveycompulsiveydi
sordery(OCD)yandyisyconstantlyypickingyupyafteryothersyinytheydayyroom.yTheynurseys
houldyrecognizeythatytheyclientyusesythisybehaviorytoydoywhichyofytheyfollowing?
A)yLimitytheyamountyofytimeyavailableytoyinteractywithyothers.
B)yFocusyattentionyonymeaningfulytasks.y
C)yManipulateyandycontrolyothers'ybehaviors.y
, D)yDecreaseyanxietyytoyaytolerableylevel.y-yCORRECTyANSWER-
D)yDecreaseyanxietyytoyaytolerableylevel.
Aynurseyinyanyacuteymentalyhealthyfacilityyisycaringyforyayclientywhoyjumpsyoutyofyher
ychairyandybeginsytoyshoutyangrilyyatytheyclientsyaroundyher.yWhichyofytheyfollowingy
actionsyshouldytheynurseytakeyfirst?
A)yCallyforyassistanceytoyplaceytheyclientyinyrestraints.y
B)yEscortytheyclientytoyanyunlockedyseclusionyroom.y
C)yOfferytheyclientyayPRNyantianxietyymedication.
D)ySpeakytoytheyclientycalmly,ygivingysimpleydirections.y-yCORRECTyANSWER-
D)ySpeakytoytheyclientycalmly,ygivingysimpleydirections.
Aynurseyisycaringyforyanyadolescentyfemaleywhoyhasyanyeatingydisorder.yTheyclientyisy
162.6ycmy(64yin)ytallyandyweighsy38.56ykgy(85ylb).yUponyassessment,ywhichyofytheyfo
llowingymanifestationsyshouldytheynurseyexpect?y(Selectyallythatyapply.)
A)yAmenorrhea
B)yVerbalizedydesireytoygainyweight
C)yAlteredybodyyimage
D)yHyperactivity
E)yBradycardiay-yCORRECTyANSWER-A)yAmenorrhea
C)yAlteredybodyyimage
D)yHyperactivity
E)yBradycardia
Aynurseyisyplanningycareyforyayclientywhoyhasygeneralizedyanxietyydisorder.yWhichyof
ytheyfollowingyinterventionyshouldytheynurseyimplementytoypromoteyrelaxation?
A)yAssistytheyclientyinypracticingymeditation.
B)yRecognizeytheyclient'syspiritualypreferences.
C)yEncourageytheyclientytoyidentifyyhisypositiveyqualities.y
D)yHelpytheyclientytoyidentifyyhisypreviousyaccomplishments.y-yCORRECTyANSWER-
A)yAssistytheyclientyinypracticingymeditation.
Aynurseyisycaringyforyayclientywhoyprofessesyaydeepyandyeverlastingyloveyforyhisygirlfr
iendyoneyday,yandytheynextydayyrefusesytoyspeakytoyheryoryallowyherytoyvisit.yTheynur
seyrecognizesythisyclientybehaviorywhichyofytheyfollowingydefenseymechanisms?
A)yRepression
B)ySplitting
C)ySublimation
D)yUndoingy-yCORRECTyANSWER-D)yUndoing
Aynurseyisycaringyforyayclientywhoyisyexperiencingyalcoholywithdrawal.yWhichyofytheyf
ollowingyfindingsyshouldytheynurseyexpect?
A)yMuscleyachesyandychills
B)yFatigueyandydepression
C)yAnxietyyandydiaphoresis