2025 – Best for Exam Practice
RELIABLE STUDY GUIDE
1. A nurse is caring for a client who is prescribed massage therapy to treat
panic disorder. The client states “I can't stand to be touched by another
person”. Which of the following response should the nurse make?
a. Why don't you like to be touched by others? (don’t ask “why” questions)
b. I will request that the massage therapist wear gloves during your
treatment (till being touched)
c. I will tell your provider know that you would like a treat other
than a message (avoid triggers)
d. Don't worry about it. Your anxiety will lessen once the massage begins
(false reassurance, minimizing feelings)
2. A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing belongings from
the other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety
b. Aversion therapy to provide distraction (Pairing of a maladaptive
behavior with a punishment or unpleasant stimuli to promote a change in the behavior)
c. Systematic desensitization to extinguish the behavior (Anxiety)
d. Positive reinforcement to increase desired behavior
3. A nurse in a mental facility is caring for a newly admitted client. Which
of the following resources should the nurse recommend to help the client
adapt to the healthcare setting?
a. A Community meeting
b. A Mediation group
c. A Symptom management group
d. A Self-help meeting
4. A nurse is teaching the caregiver of a client who has advanced
Alzheimer’s disease about home safety. Which of the following
statements by the caregiver indicates an understanding of the teaching?
a. I will give his most recent photo to the police
b. I will place a sliding bolt lock just above the doorknob (locks
prevent wandering outside)
c. I will ensure the bedroom is dark while he is sleeping at night (well lit
environment)
d. I will notify law enforcement within 2 hours if he cannot be found
,5. A nurse is beginning a therapeutic relationship with a client. The nurse
should plan to accomplish which of the following tasks during the working
phase?
a. Establish boundaries between the nurse and the client
b. Evaluate progress toward predetermined goals
c. Inform the client about confidentiality rights
d. Set short- and long-term objective for the future
6. A nurse Is planning care for a client who has anorexia nervosa and is
admitted to an inpatient eating disorder unit. Which of the following is an
appropriate intervention? (p. 167)
a. Use systematic desensitization to address the client’s fears regarding
weight gain
b. Allow the client to select meal times (A structured and inflexible eating schedule
at the start of therapy, only permitting food during scheduled times, promotes new eating
habits and discourages binge or binge-purge behavior.)
c. Initiate a relationship built on trust with the client.
d. d. Negotiate with the client the opportunity to reweigh.
Systematic desentization: planned, progressive, or graduated exposure to anxiety-provoking stimuli -
Gradually expose the client to a food starting with small amounts, stay with them to assist with
relaxation
I guess C is more right though?? EWAN
7. A nurse is providing discharge teaching about manifestations of
relapse to the family of a client who has schizophrenia. Which of the
following information should the nurse include in the teaching?
a. The client develops an inability to concentrate
b. The client increases participation in social activities
c. The client exhibits an inflated sense of self
d. The client begins sleeping more than usual
8. A nurse in a mental health facility is caring for a client. Which of the
following actions should the nurse take during the working phase of the
nurse-client relationship?
a. Summarize goals and objectives.
b. Address confidentiality.
c. Promote problem-solving skills.
, d. Establish a participation contract
9. A nurse is planning care for a client who has dementia. Which of the
following interventions should the nurse include in the plan?
a. Remove clocks from the client’s room (no want to orient to time)
b. Confront the client when he exhibits inappropriate behavior (avoid
confrontation)
c. Give detailed instructions for completion of self-care activities (break
instructions into short time frames)
d. Provide finger food to enhance caloric intake (ensure adequate food/fluid
intake)
10. A nurse is developing a teaching plan for the family of an older adult
client who is to receive transcranial magnetic stimulation. Which of the
following information should the nurse include in the teaching plans?
e. The client might have a headache after treatment (a/e mild discomfort
and tingling sensation at the site of the electromagnet)
f. The client will require intubation after treatment (client is alert during the
procedure)
g. The client is at risk for aspiration during treatment (nothing is placed in the
mouth, only a noninvasive magnet in the head)
h. The client will experience a seizure during treatment (RARE) (ECT)
11. A nurse overhears a client saying, “I am a spy, a spy for the FBI. I am an
I, an eye for an eye, an eye in the sky. Sky is up high. The nurse should
document the client’s statement as which of the following speech
alterations?
i. Clang association Meaningless rhyming of words, often forceful, such as, “Oh fox,
box, and lox.”
j. Echolalia Repeating words spoken to him
k. Word salad Words jumbled together with little meaning or significance to the listener, such
as, “Hip hooray, the flip is cast and wide-sprinting in the forest.”
l. Neologism Made-up words that have meaning only to the client, such as, “I tranged and
flittled.”
12. A nurse is assessing a client who has neuroleptic malignant
syndrome. Which of the following clinical findings should the nurse
expect?
m.Hypotonicity (muscle rigidity)