with Correct Answers
A nurse in an acute mental health facility is planning care for a client who has dissociative fugue.
Which of the following interventions should the nurse add to the plan of care?
A. Teach the client to recognize how stress brings on a personality change in the client
B. Repeatedly present the client with information about past events
C. Make decisions for the client regarding routine daily activities
D. Work with the client on grounding techniques ✔️✔️D. Work with the client on grounding
techniques
A nurse working in an acute mental health facility is caring for a 35-year-old female client who
has manifestations of depression. The client lives at home with her partner and two young
children. She currently smokes and has a history of chronic asthma. Which of the following
factors put the client at risk for depression? (Select all that apply)
A. Age
B. Gender
C. History of chronic asthma
D. Smoking
E. Being married ✔️✔️A. Age
B. Gender
,C. History of chronic asthma
E. Being married
A nurse working on an acute mental health unit is admitting a client who has major depressive
disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority?
A. Placing the client on one-to-one observation
B. Assisting the client to perform ADLs
C. Encouraging the client to participate in counseling'
D. Teaching the client about medication adverse effects ✔️✔️A. Placing the client on one-to-
one observation
A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis
of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client
indicates understanding of the teaching?''
A. "I can expect my problems with PMDD to be worst when I'm menstruating."
B. "I will use light therapy 30 min a day to prevent further recurrences of PMDD."
C. "I am aware that my PMDD causes me to have rapid mood swings."
D. "I should increase my caloric intake wi ✔️✔️C. "I am aware that my PMDD causes me to
have rapid mood swings."
,A charge nurse is discussing the care of a client who has MDD with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an understanding of the
teaching?
A. "Care during the continuation phase focuses on treating continued manifestations of MDD.
"B. "The treatment of MDD during the maintenance phase lasts for 6-12 weeks.
"C. "The client is at greatest risk for suicide during the first weeks of an MDD episode.
"D. "Medication and psychotherapy are most ✔️✔️C. "The client is at greatest risk for suicide
during the first weeks of an MDD episode.
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthymic disorder.
Which of the
following findings should the nurse expect?
A. Wide fluctuations of mood
B. Report of a minimum of 5 clinical findings of depression
C. Presence of manifestations for at least 2 years
D. Inflated sense of self-esteem ✔️✔️C. Presence of manifestations for at least 2 years
A nurse is planning care for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following interventions should the nurse include in the plan of care?
(Select all that apply
)'
, A. Provide flexible client behavior expectations '
B . Offer concise explanations
C. Establish consistent limits
D. Disregard client complaints
E. Use a firm approach with communication ✔️✔️B. Offer concise explanations
C. Establish consistent limits
E. Use a firm approach with communication
A nurse is teaching a newly licensed nurse about the use of ECT for the treatment of bipolar
disorder. Which of the following statements by the newly licensed nurse indicates
understanding?
''A. "ECT is the recommended initial treatment for bipolar disorder.
B. "ECT is contraindicated for clients who have suicidal ideation"
C. "ECT is effective for client's who are experiencing severe mania."''
D. "ECT is prescribed to prevent relapse of bipolar behavior." ✔️✔️"ECT is effective for
client's who are experiencing severe mania."'
A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I
feel I must give my money to you." Which of the following responses should the nurse make?
A. "Why do you think you feel the need to give money away?"
B. "I am here to provide care and cannot accept this from you"