Exam | 60 NGN Questions and answers .
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Question 60 of 60
A nurse in a mental health facility is contributing to the plan of care for a
new client. Which of the following activities should the nurse include in
the working phase of the nurse-client relationship?
A. Establish a regular meeting time with the client.
B. Collect data about the client's current mental health status.
C. Determine whether the client's goals are met.
D. Provide the client with opportunities to problem-solve.
Correct Answer: D. Provide the client with opportunities to
problem-solve.
Rationale: The working phase focuses on helping the client identify
problems, develop coping strategies, and work toward behavioral
change. Providing opportunities for problem-solving promotes these
therapeutic goals.
Question 59 of 60
A nurse is caring for a client who has generalized anxiety disorder.
Which of the following interventions should the nurse implement first?
,A. Encourage the client to participate in group activities.
B. Ask the client to identify the source of the anxiety.
C. Teach the client several relaxation techniques.
D. Reduce environmental stimuli and remain with the client.
Correct Answer: D. Reduce environmental stimuli and remain with
the client.
Rationale: During acute anxiety, reducing stimuli and providing a calm,
supportive presence helps decrease anxiety and promotes safety before
teaching or problem-solving.
Question 58 of 60
A nurse is assessing a client who has major depressive disorder. Which
finding requires immediate intervention?
A. The client reports having no appetite.
B. The client states, “My family would be better off without me.”
C. The client reports difficulty sleeping.
D. The client avoids participating in recreational activities.
Correct Answer: B. The client states, “My family would be better off
without me.”
Rationale: Statements suggesting hopelessness, worthlessness, or being
a burden can indicate suicidal thinking and require immediate
assessment of suicide risk.
Question 57 of 60
A nurse is caring for a client experiencing a panic attack. Which action
should the nurse take?
, A. Stay with the client and use short, simple statements.
B. Ask the client to describe the cause of the panic attack.
C. Encourage the client to participate in a group discussion.
D. Leave the client alone until the panic subsides.
Correct Answer: A. Stay with the client and use short, simple
statements.
Rationale: During severe anxiety or panic, the client's ability to process
information is impaired. Remaining with the client and using simple
statements promotes safety and reduces stimulation.
Question 56 of 60
A client who has schizophrenia tells the nurse, “The voices are telling
me that I am evil.” Which response should the nurse make?
A. “The voices are not real, so you should ignore them.”
B. “Why do you think the voices are saying that?”
C. “I understand that you hear the voices, but I do not hear them.”
D. “You should try talking back to the voices.”
Correct Answer: C. “I understand that you hear the voices, but I do
not hear them.”
Rationale: This response acknowledges the client's experience without
validating the hallucination. The nurse should present reality in a calm,
nonjudgmental manner.
Question 55 of 60
A nurse is teaching a client about lithium therapy. Which statement by
the client indicates an understanding of the teaching?