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1. b The term "sandwich generation" best describes
adults: Select one:
a. Caught between adulthood and late adulthood
b. Caring for their children and aging parents
c. Caring for their children and grandchildren
d. Caught between young adulthood and adulthood
2. c A male client is in the process of being admitted to a mental health
facility. He is sure that the nurse is the administrator of the
hospital, despite the nurse's insistence that he is a statt nurse on
the unit. This client is experiencing: Select one:
a. Acute confusion
b. Visual hallucinations
c. Delusions
d. Auditory hallucinations
3. b A client with the diagnosis of depersonalization disorder notices that
he experi- ences periods of depersonalization when confronted with
certain stressors. When developing the care plan, the nurse is aware that
one of the most helpful activities in self-control for this client is for the
client to:
Select one:
a. Contact a treatment team member to discuss his thoughts and
feelings every time he is confronted with a stressor.
b. Keep a daily journal of his thoughts and feelings, paying special
attention to thoughts and feelings during stressful times.
c. Recall periods of stressful times in his life during his clinic visit.
d. Join an exercise program that will help to decrease his stress level.
4. c For children older than 4 years, separation anxiety should last for no longer
than: Select one:
a. A few days
b. A few weeks
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c. A few months
d. 1 year
5. b The nurse begins discharge planning measures with a
hospitalized client: Select one:
a. Near the time of discharge
b. At the time of admission
c. 3 days into the hospital stay
d. On the day before discharge
6. c During a crisis assessment due to the diagnosis of a terminal illness,
the nurse is trying to determine what the client's history is with
regard to losses. Which question will best assess this area?
Select one:
a. "How easily do you adapt to new situations?"
b. "What is your understanding of the current situation?"
c. "Who or what has helped you through crisis situations in the past?"
d. "How is this situation attecting your family?"
7. c While performing a search of an adult male's home based on suspicion
of criminal activity, the police find pictures of him with young children
between the ages of 5 and 10. The pictures are sexual in nature. The
man is suspected of:
Select one:
a. Voyeurism
b. Sexual sadism
c. Pedophilia
d. Necrophilia
8. c Toddlers often express their anger
through: Select one:
a. Crying
b. Manipulation
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c. Temper tantrums
d. Direct aggression
9. b The client was injured in a work accident. He now has a fused spine
and moves with diflculty. He wonders if he will ever be able to be intimate
with his wife. What is the nurse's most accurate response?
Select one:
a. "You will not be able to engage in sexual activity."
b. "You can enjoy a satisfying sex life with some adaptation."
c. "You eventually will return to the preinjury level of functioning."
d. "You will become more sexually active after you recover from the
injuries."
10. a The CMA is administering an antianxiety medication to a client.
Monitoring side ettects is the responsibility of which member of the
health care team?
Select one:
a. Nurse
b. CMA
c. Physician
d. Therapist
11. b A client response to the termination phase of the therapeutic
relationship is withdrawal. This response most often is manifested by
client behaviors such as: Select one:
a. Bringing up new problems
b. Being absent from appointments
c. Returning to maladaptive behavior
d. Having increased anxiety
12. A When reviewing the nursing notes from the previous shift, the nurse
notices notations indicating that the client was experiencing a somnolent
level of con- sciousness. The client's behavior would be described
as:
Select one:
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a. Falling asleep easily and only awakening with strong verbal stimuli