with NGN Questions and Verified Rationalized Answers,
100% Grade A+ Guaranteed 2024/2025
With 70+ multiple choices questions and answers
1. 1.A client is fearful of driving and enters a behavioral therapy program
to help him overcome his anxiety. Using systematic desensitization, he is
able to drive down a familiar street without experiencing a panic attack.
The nurse should recognize that to continue positive results, the client
should participate in which ofthe following?
a. Biofeedback
b. Therapist modeling
c. Frequent pacing
d. Positive reinforcement: a. Biofeedback
2. 2. A nurse is counseling a client following the death of the client'spartner 8
months ago. Which of the following client statements indicates maladaptive
grieving?
a. "I am so sorry for the times I was angry with my partner."
b. "I like looking at his personal items in the closet."
c. "I find myself thinking about my partner often."
,d. "I still don't feel up to returning to work.": d. "I still don't feel up to returning towork."
Rationale: 8 months too long Maladaptive Grief: . Distorted or exaggerated griefresponse -
unable to
perform activities of daily living.
RISK FACTORS FOR MALADAPTIVE GRIEVING
ÏÏ Being dependent upon the deceased
ÏÏ Unexpected death at a young age, through violence, or by a socially unacceptablemanner
ÏÏ Inadequate coping skills or lack of social support
ÏÏ Pre-existing mental health issues, such as depression or substance use disorder
3. 3./21 A nurse in an inpatient mental health facility is assessing a client who
has schizophrenia and is taking haloperidol (antipsychotic,1st gen).
Which of the following clinical findings is the nurse's priority?
a. Headache
b. Insomnia (sedation)
c. Urinary hesitancy (Complication ’ ANTIcholinergic effects)
d. High fever (Complication ’ agranulocytosis): d. High fever (Complication ’
agranulocytosis)
,Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive dysk-inesia,
Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual irregularities),NMS,
Orthostatic Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver impair-ment
4. 4. A nurse is planning care for a client who has obsessive
compulsive disorder. Which of the following recommendationsshould
the nurse include in the client's plan of care?
a. Reality Orientation therapy (re-orient to reality)
b. Operant Conditioning (receives positive rewards for positive behavior)
c. Thought Stopping (say "stop" when compulsive behaviors arise & substi-tute
w/ positive thought)
d. Validation Therapy (acknowledging pt's feelings): c. Thought Stopping (say"stop"
when compulsive behaviors arise & substitute
w/ positive thought)
5. 5. A nurse is caring for a client who is in the manic phase ofbipolar
disorder. Which of the following actions should the nurse take?
a. Provide in depth explanation of nursing expectations
(inability to focus - give concise explanations)
b. Encourage the client to participate in group activities
(decrease stimulation)
c. Avoid power struggles by remaining neutral (do not react
personally to pt's comments)
d. Allow the client to set limits for his behavior (nurse sets limits): c. Avoidpower
struggles by remaining neutral (do not react
, personally to pt's comments)
6. 6. A nurse is providing behavioral therapy for a client who hasOCD.
The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse givethe client when using
thought stopping technique?
a. "Keep a journal of how often you check the locks eachnight."
b. "Ask a family member to check the locks for you at night."
c. "Focus on abdominal breathing whenever you go tocheck
the locks."