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ANSWERS HIGHLITED STUDY GUIDE
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1. A nurse is planning overall strategies to address problems for a client who has
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borderline personality disorder. Which of the following strategies is the priority
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for the nurse to incorporate in the plan of care?
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a. discuss the appropriate use of assertive behavior with the client V V V V V V V V V
b. encourage the client to attend weekly support group meetings V V V V V V V V
c. assist the client to maintain awareness of her thoughts and feelings
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d. implement measures to prevent intentional self-inflicted injury V V V V V V
2) A nurse is admitting a client who has generalized anxiety disorder. Which of
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the following actions should the nurse plan to take first?
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a. Provide the client with a quiet environment V V V V V V
b. Determine how the client handles stress. V V V V V
c. Teach the client to use guided imagery. V V V V V V
d. Ask the client to identify her strengths V V V V V V
3) A nurse is conducting an admission interview with a client who is
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experiencing mania. Which of the following should the nurse report to the
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provider?
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a. States that he hasn’t bathed in 2 days V V V V V V V
b. Reports eating twice in the past two weeks. V V V V V V V
c. Makes inappropriate sexual comments. V V V
d. Speaks in rhyming sentences. V V V
4) A nurse is planning care for a client who has obsessive-compulsive disorder.
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Which of the following recommendation should the nurse include in the clients
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plan of care?
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a. Validation therapy V
b. Thought stopping V
c. Operant conditioning V
d. Reality orientation therapy V V
5) A nurse is caring for a client who has bipolar disorder and is experiencing a
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manic episode. Which of the following actions should the nurse take?
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a. Encourage the client to join group activities V V V V V V
b. Dim the lights in the client’s room V V V V V V
c. Provide detailed explanations to the client V V V V V
d. Administer methylphenidate V
6) A nurse is leading a crisis intervention group for adolescents who witnessed
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the suicide of a classmate. Which of the following actions should the nurse take
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first?
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a. Initiate referrals V
b. Review community resources V V
c. Identify prior coping skills V V V
, d. Discuss the importance of confidentiality V V V V
7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an
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eye for an eye in the sky. Sky is up high." The nurse should document the
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client’s statement as which of the following speech alterations?
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a. Echolalia
b. Word salad V
c. Neologism
d. Clang association V
8) An older adult client is brought to the mental health clinic by her daughter. The
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daughter reports that her mother is not eating and seems uninterested in
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routine activities. The daughter states "Im so worried that my mother is
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depressed" which of the following responses should the nurse make?
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a. Everyone gets depressed from time to time. V V V V V V
b. You shouldnt worry about this because depressive disorder is easilyV V V V V V V V V
treated.
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c. Older adults are usually diagnosed with depressive disorder as they V V V V V V V V V
age.
d. Tell me the reasons you think your mother is depressed. V V V V V V V V V
9) A nurse is planning care for an adolescent who has autism spectrum
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disorder. Which of the following outcomes should the nurse include in the
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plan care?
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a. Meets own needs without manipulating others. V V V V V
b. Initiates socialinteractions with caregivers. V V V V
c. Changes behavior as a result of peer pressure. V V V V V V V
d. Acknowledges his delusions are not real. V V V V V
10) A nurse is providing behavior therapy for a client who has obsessive-
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compulsive disorder. The client repeatedly checks that the doors are locked at
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night. Which of the following instructions should the nurse give the client when
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using thought stopping technique?
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a. Snap a rubber band on your wrist when you think about checking the V V V V V V V V V V V V
locks.
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b. Ask a family member to check the locks for you at night. V V V V V V V V V V V
c. Focus on abdominal breathing whenever you go to check the locks. V V V V V V V V V V
d. Keep a journal of how often you check the locks each night. V V V V V V V V V V V
11) A nurse is caring for a client who is starting treatment for substance use
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disorder. Which of the following actions indicate the nurse is practicing the
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ethical principle of nonmaleficence?
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a. Provide the client with quality care regardless of their ability to pay for V V V V V V V V V V V V
treatment. V
b. Educating the client about legal rights concerning treatment. V V V V V V V