Question 1
A client with bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admitted to an acute care hospital for uncontrolled hypertension. What dietary choices
should the RN instruct the client to avoid?
A. Pan-seared catfish
B. Deep fried shrimp
C. Pepperoni pizza
D. Beef trips with gravy
CORRECT ANSWER
C
Question 2
A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the metal health worker warrants immediate intervention by the RN?
A. Is attempting to physically restrain the patient
B. Remains at a distance of 4 feet from the client
C. Tells the client to go to quiet area of the unit
D. Is using a loud voice to talk to the the client
CORRECT ANSWER
A
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@THE STUDY VAULT
,Question 3
A client who is recently experienced a death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be
with the deceased significant other, had been eating very little, and has not slept in several
days. Which client statement is most important for the RN to explore at this time?
A. No sleeping for several days
B. Wishing to be with spouse
C. Lack of interest in usual activities
D. Eating very little
CORRECT ANSWER
A
Question 4
A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning
this client to a normal level of functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily structured activities.
C. Suggest that the client develop a list of pleasurable activities.
D. Encourage the client to exercise.
CORRECT ANSWER
B
Question 5
When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has
the highest priority?
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, A. Impaired comfort
B. Risk for injury
C ineffective breathing pattern
D ineffective copping
CORRECT ANSWER
C
Question 6
A female client on a psychiatric unit is sweating profusely while she vigorously does push
ups and then runs the length of the corridor several times before crashing into furniture in
the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to
sit in. When another client objects to the disturbance, the client shouts "I am the boss
here. I do what i want" Which nursing problem best supports these observations?
A. Deficient diversional activity related to excessive energy
B. Risk for other related violence related to disruptive behavior
C. Risk for activity intolerance related to disruptive behavior.
D. Disturbance personal identity related to grandiosity
CORRECT ANSWER
B
Question 7
A RN is preparing the physical environment to interview a new client for admission to the
unite. Which environmental setting facilitates the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm
B. Sit within 2 feet of the client to enhance level of safety & security
C. Reduce the noise level in the room by turning off the television and radio
D. Position table between the client and the RN for extra personal space
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@THE STUDY VAULT
A client with bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admitted to an acute care hospital for uncontrolled hypertension. What dietary choices
should the RN instruct the client to avoid?
A. Pan-seared catfish
B. Deep fried shrimp
C. Pepperoni pizza
D. Beef trips with gravy
CORRECT ANSWER
C
Question 2
A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the metal health worker warrants immediate intervention by the RN?
A. Is attempting to physically restrain the patient
B. Remains at a distance of 4 feet from the client
C. Tells the client to go to quiet area of the unit
D. Is using a loud voice to talk to the the client
CORRECT ANSWER
A
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@THE STUDY VAULT
,Question 3
A client who is recently experienced a death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be
with the deceased significant other, had been eating very little, and has not slept in several
days. Which client statement is most important for the RN to explore at this time?
A. No sleeping for several days
B. Wishing to be with spouse
C. Lack of interest in usual activities
D. Eating very little
CORRECT ANSWER
A
Question 4
A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning
this client to a normal level of functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily structured activities.
C. Suggest that the client develop a list of pleasurable activities.
D. Encourage the client to exercise.
CORRECT ANSWER
B
Question 5
When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has
the highest priority?
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@THE STUDY VAULT
, A. Impaired comfort
B. Risk for injury
C ineffective breathing pattern
D ineffective copping
CORRECT ANSWER
C
Question 6
A female client on a psychiatric unit is sweating profusely while she vigorously does push
ups and then runs the length of the corridor several times before crashing into furniture in
the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to
sit in. When another client objects to the disturbance, the client shouts "I am the boss
here. I do what i want" Which nursing problem best supports these observations?
A. Deficient diversional activity related to excessive energy
B. Risk for other related violence related to disruptive behavior
C. Risk for activity intolerance related to disruptive behavior.
D. Disturbance personal identity related to grandiosity
CORRECT ANSWER
B
Question 7
A RN is preparing the physical environment to interview a new client for admission to the
unite. Which environmental setting facilitates the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm
B. Sit within 2 feet of the client to enhance level of safety & security
C. Reduce the noise level in the room by turning off the television and radio
D. Position table between the client and the RN for extra personal space
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@THE STUDY VAULT
