1.
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which
of the following findings should the nurse suspect?
A) Acrocyanosis
B) Arrhythmias
C) Ascites
D) Weight gain
Answer: C) Ascites
2.
A nurse is collecting data from a client who has binge-eating disorder. Which of the following
findings should the nurse expect?
A) Amenorrhea
B) Abdominal pain
C) Restricted caloric intake
D) Frequent use of laxatives
Answer: B) Abdominal pain
3.
A nurse is assisting with the collection of admission data for a client who has anorexia
nervosa. The client has lost 11.4 kg (25 lb.) over the past month and currently weighs 38.6 kg
(85 lb.). The nurse should expect which of the following findings?
A) Flushed extremities
B) Hyperkalemia
C) Loose stools
D) Amenorrhea
Answer: D) Amenorrhea
4.
A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which of the
following medications should the nurse expect to administer to the client during maintenance?
A) Methadone
, B) Disulfiram
C) Chlordiazepoxide
D) Naloxone
Answer: B) Disulfiram
5.
A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the nurse
expect?
A) Increased hours of sleep each day
B) Repeatedly talking about the assault
C) Dreams about the assault
D) Decreased responsiveness to stimuli
Answer: C) Dreams about the assault
6.
A nurse in an acute mental health facility is participating in a nursing staff discussion about
the legal aspects of involuntary admissions. Which of the following information should the
nurse include?
A) A client who is involuntarily admitted must take prescribed medications
B) An involuntary admission of a client is limited to 2 weeks
C) A client who is involuntarily admitted can leave the facility against medical advice
D) An involuntary admission is justified if the client is a danger to others
Answer: D) An involuntary admission is justified if the client is a danger to others
7.
A nurse in a mental health 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
Answer: A) Promoting and maintaining the client safety