NGN 2025-2026..docx
A nurse in a mental heath unit is contributing to the plan of care for a client who is
receiving treatment for self-inflicted injuries. The nurse should identify which of the
following interventions as the priority for this client.
A) Promoting and maintaining the client safety
B) Discussing reasons for the client's behavior
C) Assisting the client to recognize feelings
D) Reinforcing teaching with the client about alternative coping strategies -
ANSWERSA) Promoting and maintaining the client safety
A nurse is reinforcing teaching with the parents of a school-age child who has
attention deficit hyperactivity disorder (ADHD). Which of the following instructions
should the nurse include?
A) Ignore your child's attention-seeking behaviors that are not dangerous
B) Administer ADHD medications within 30 min of your child's bedtime
C) Continue with an activity as planned even if your child becomes frustrated
D) Expect your child to gain weight after starting ADHD medications - ANSWERSA)
Ignore your child's attention-seeking behaviors that are not dangerous
A nurse is contributing to the plan of care for a newly admitted client who has bipolar
disorder and is experiencing acute mania. Which of the following client goals should
the nurse identify as the priority?
A) Practicing problem solving skills
B) Understanding of medication regimen
C) Identifying indications of relapse
D) Maintaining adequate hydration - ANSWERSD) Maintaining adequate hydration
A nurse is reinforcing teaching with the family of a client who has Alzheimer's
disease about donepezil. Which of the following statements should the nurse
include?
A) Donepezil can improve cognitive functioning during the earlier stages of the
disease
B) Donepezil cures the disease process if it is started upon first recognition of
dementia
C) Donepezil provides long term reversal of memory loss in the last phase of the
brain disease
D) Donepezil accelerates the breakdown of acetylcholine within the client's brain -
ANSWERSA) Donepezil can improve cognitive functioning during the earlier stages
of the disease
A nurse in an acute mental health facility is caring for a client who is experiencing an
acute manic episode. Which of the following actions is the nurse's priority?
A) Maintain the client's contact with her family
, B) Discourage the client's use of vulgar language
C) Protect the client from impulsive behavior
D) Redirect excessive energy to creative tasks - ANSWERSC) Protect the client from
impulsive behavior
A nurse is contributing to the plan of care for a client who has borderline personality
disorder and self mutilates. Which of the following treatment approaches should the
nurse recommend?
A) Restrict participation in group therapy sessions
B) Establish consequences for self-mutilation
C) Maintain close observation of the client
D) Provide an unstructured environment - ANSWERSC) Maintain close observation
of the client
A nurse in an acute mental health facility is assisting with the plan of care for a client
who has obsessive-compulsive disorder (OCD). Which of the following actions
should the nurse recommend?
A) Encourage the client to focus on personal hygiene
B) Limit the hours the client sleeps each day
C) Instruct the client to practice thought stopping
D) Make negative statements about the client's behavior - ANSWERSC) Instruct the
client to practice thought stopping
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. The nurse should explain that the provider will routinely
prescribe which of the following tests while the client is taking valproic acid?
A) Electrocardiogram
B) Chest X-ray
C) Thyroid function tests
D) Liver function levels - ANSWERSD) Liver function levels
A nurse in the emergency room is collecting data from a client who has heroin
intoxication. Which of the following findings should the nurse expect?
A) Seizure activity
B) Respiratory depression
C) Hypersensitivity to pain
D) Increased mental alertness - ANSWERSB) Respiratory depression
A nurse is assisting with a community presentation about Alzheimer's disease. The
nurse should conclude that a member of the group requires further reinforcement of
teaching when she identifies which of the following findings as a manifestation of
Alzheimer's disease?
A) Impaired judgment
B) Sudden confusion
C) Decreased attention span