Question 1
While interviewing a client, the nurse takes notes to assist with accurate documentation
later. Which statement is most accurate regarding note-taking during an interview?
A. The nurse' ability to directly observe the client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client's comfort level is increased when the nurse breaks eye contact to take note to
take note.
D. The interview process is enhanced with note taking and allows the client speak at normal
pace.
CORRECT ANSWER
A
Question 2
An adolescent male receives a prescription for an antidepressant drug because he is
exhibiting a depressed affect. While the client is taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
CORRECT ANSWER
B
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,Question 3
A nurse is providing education about strategies for a safety plan for a female client who is
a victim of intimate partner violence. Which strategies should be included in the safety
plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a bag ready that has extra clothes for self and children
CORRECT ANSWER
BCD
Question 4
While sitting in the dayroom of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the nurse. The
two trade places, and the nurse demonstrate the client's behavior. What is the main goal
of this therapeutic techniques?
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)
CORRECT ANSWER
B
Question 5
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,A client with depression remains in bed most of the day, and declines activities. Which
nursing problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
CORRECT ANSWER
C
Question 6
The RN is preparing medications for a client with bipolar disorder and notices that the
client discontinued antipsychotic medication for several days. Which medication should
also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
CORRECT ANSWER
B
Question 7
A female client requests that her husband be allowed to stay in the room during the
admission assessment. When interviewing the client, the RN notes a discrepancy between
the client's verbal and nonverbal communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client's verbal messages.
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, D. Integrate the verbal and nonverbal messages and interpret them as one.
CORRECT ANSWER
A
Question 8
A male client approaches the RN with an angry expression on his face and raises his voice,
saying "My roommate is the most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
CORRECT ANSWER
B
Question 9
A male client with bipolar disorder who began taking lithium carbonate five days ago is
complaining of excessive thirst, and the RN finds him attempting to drink water from the
bathroom sink faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
CORRECT ANSWER
A
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While interviewing a client, the nurse takes notes to assist with accurate documentation
later. Which statement is most accurate regarding note-taking during an interview?
A. The nurse' ability to directly observe the client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client's comfort level is increased when the nurse breaks eye contact to take note to
take note.
D. The interview process is enhanced with note taking and allows the client speak at normal
pace.
CORRECT ANSWER
A
Question 2
An adolescent male receives a prescription for an antidepressant drug because he is
exhibiting a depressed affect. While the client is taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
CORRECT ANSWER
B
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,Question 3
A nurse is providing education about strategies for a safety plan for a female client who is
a victim of intimate partner violence. Which strategies should be included in the safety
plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a bag ready that has extra clothes for self and children
CORRECT ANSWER
BCD
Question 4
While sitting in the dayroom of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the nurse. The
two trade places, and the nurse demonstrate the client's behavior. What is the main goal
of this therapeutic techniques?
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)
CORRECT ANSWER
B
Question 5
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,A client with depression remains in bed most of the day, and declines activities. Which
nursing problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
CORRECT ANSWER
C
Question 6
The RN is preparing medications for a client with bipolar disorder and notices that the
client discontinued antipsychotic medication for several days. Which medication should
also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
CORRECT ANSWER
B
Question 7
A female client requests that her husband be allowed to stay in the room during the
admission assessment. When interviewing the client, the RN notes a discrepancy between
the client's verbal and nonverbal communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client's verbal messages.
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, D. Integrate the verbal and nonverbal messages and interpret them as one.
CORRECT ANSWER
A
Question 8
A male client approaches the RN with an angry expression on his face and raises his voice,
saying "My roommate is the most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
CORRECT ANSWER
B
Question 9
A male client with bipolar disorder who began taking lithium carbonate five days ago is
complaining of excessive thirst, and the RN finds him attempting to drink water from the
bathroom sink faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
CORRECT ANSWER
A
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