1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which
of the following statements should the nurse include in the teaching?
a. "You should continue this medication if you develop muscle rigidity".
b. "You will experience weight loss while taking this medication."
c. "You will notice your symptoms improve within 24 hours of taking this medication."
d. "You should increase your consumption of complex carbohydrates." - ----CORRECT ANSWER---a
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions
should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths - ----CORRECT ANSWER---a
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the
following should the nurse report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ----CORRECT ANSWER---b
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the clients plan of care?
,a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ----CORRECT ANSWER---b
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of
the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate - ----CORRECT ANSWER---b
6. 6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a
classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - ----CORRECT ANSWER---c
7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the sky.
Sky is up high." The nurse should document the clients statement as which of the following speech
alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ----CORRECT ANSWER---d
8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that
her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried
that my mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
,b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - ----CORRECT ANSWER---d
9. 9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - ----CORRECT ANSWER---b
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client
repeatedly checks that the doors are locked at night. Which of the following instructions should the
nurse give the client when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - ----CORRECT ANSWER---a
11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the
following actions indicate the nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawl. - ----CORRECT ANSWER---c
12. 12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client
has been stealing belongings from other clients. Which of the following techniques should the nurse
use?
a. Crisis intervention to decrease anxiety.
, b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. - ----CORRECT ANSWER---c
13. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions
should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag. - ----CORRECT ANSWER---d
14. 14) The nurse is caring for a client following a physical assault. The client states "I don't remember
what happened to me." The nurse should recognize that the client is using which of the following
defense mechanisms?
a. Repression
b. Displacement c. Rationalization d. Denial - ----CORRECT ANSWER---a
15. 15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require
immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60 - ----CORRECT ANSWER---d
16. 16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to
harm herself and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the clients behavior - ----CORRECT ANSWER---d
of the following statements should the nurse include in the teaching?
a. "You should continue this medication if you develop muscle rigidity".
b. "You will experience weight loss while taking this medication."
c. "You will notice your symptoms improve within 24 hours of taking this medication."
d. "You should increase your consumption of complex carbohydrates." - ----CORRECT ANSWER---a
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions
should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths - ----CORRECT ANSWER---a
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the
following should the nurse report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ----CORRECT ANSWER---b
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the clients plan of care?
,a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ----CORRECT ANSWER---b
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of
the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate - ----CORRECT ANSWER---b
6. 6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a
classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - ----CORRECT ANSWER---c
7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the sky.
Sky is up high." The nurse should document the clients statement as which of the following speech
alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ----CORRECT ANSWER---d
8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that
her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried
that my mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
,b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - ----CORRECT ANSWER---d
9. 9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - ----CORRECT ANSWER---b
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client
repeatedly checks that the doors are locked at night. Which of the following instructions should the
nurse give the client when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - ----CORRECT ANSWER---a
11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the
following actions indicate the nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawl. - ----CORRECT ANSWER---c
12. 12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client
has been stealing belongings from other clients. Which of the following techniques should the nurse
use?
a. Crisis intervention to decrease anxiety.
, b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. - ----CORRECT ANSWER---c
13. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions
should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag. - ----CORRECT ANSWER---d
14. 14) The nurse is caring for a client following a physical assault. The client states "I don't remember
what happened to me." The nurse should recognize that the client is using which of the following
defense mechanisms?
a. Repression
b. Displacement c. Rationalization d. Denial - ----CORRECT ANSWER---a
15. 15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require
immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60 - ----CORRECT ANSWER---d
16. 16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to
harm herself and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the clients behavior - ----CORRECT ANSWER---d
