x x x
EXAM 1
x x x x
2024 x
x
A xcharge xnurse xis xdiscussing xmental xstatus xexams xwith xa xnewly xlicensed xnurse.
xWhich xof xthe xfollowing xstatements xby xthe xnewly xlicensed xnurse xindicates xan
xunderstanding xof xthe xteaching? x(Select xall xthat xapply). x
-"To xassess xcognitive xability, xI xshould xask xthe xclient xto xcount xbackward xby
xsevens." x-"To xassess xaffect, xI xshould xobserve xthe xclient's xfacial xexpression. x
-"To xassess xlanguage xability, xI xshould xinstruct xthe xclient xto xwrite xa xsentence." x
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xa xmental xhealth xdisorder. xWhich xof
xthe xfollowing xactions xshould xthe xnurse xinclude xas xa xpsychobiological
xintervention? xMonitor xthe xclient xfor xadverse xeffects xof xthe xmedications. x
x
A xnurse xin xan xoutpatient xmental xhealth xclinic xis xpreparing xto xconduct xan xinitial
xclient xinterview. xWhen xconducting xthe xinterview, xwhich xof xthe xfollowing xactions
xshould xthe xnurse xidentify xas xthe xpriority? x
Identify xthe xclient's xperception xof xher xmental xhealth xstatus. x
x
A xnurse xis xtold xduring xchange xof xshift xreport xthat xa xclient xis xstuporous. xWhen
xassessing xthe xclient, xwhich xof xthe xfollowing xfindings xshould xthe xnurse xexpect?
xThe xclient xarouses xbriefly xin xresponse xto xa xsternal xrub. x
x
A xnurse xis xplanning xa xpeer xgroup xdiscussion xabout xthe xDSM-5. xWhich xof xthe
xfollowing xinformation xis xappropriate xto xinclude xin xthe xdiscussion? x(Select xall xthat
xapply) x-The xDSM-5 xestablishes xdiagnostic xcriteria xfor xindividual xmental xhealth
xdisorders. x-The xDSM-5 xassists xnurses xin xplanning xcare xfor xclient's xwho xhave
xmental xhealth xdisorders. x
-The xDSM-5 xindicates xexpected xassessment xfindings xof xmental xhealth xdisorders. x
x
A xnurse xin xan xemergency xmental xhealth xfacility xis xcaring xfor xa xgroup xof xclients.
xThe xnurse xshould xidentify xthat xwhich xof xthe xfollowing xclients xrequires xa
xtemporary xemergency xadmission? x
A xclient xwho xhas xborderline xpersonality xdisorder xand xassaulted xa xhomeless xman
xwith xa xmetal xrod x
x
A xnurse xdecides xto xput xa xclient xwho xhas xa xpsychotic xdisorder xin xseclusion
xovernight xbecause xthe xunit xis xvery xshort-staffed, xand xthe xclient xfrequently
xfights xwith xother xclients. xThe xnurse's xactions xare xan xexample xof xwhich xof xthe
xfollowing xtorts? xFalse ximprisonment x
x
A xclient xtells xa xnurse, x"Don't xtell xanyone xbut xI xhid xa xsharp xknife xunder xmy
xmattress xin x
order xto xprotect xmyself xfrom xmy xroommate, xwho xis xalways xyelling xat xme
xand xthreatening xme." xWhich xof xthe xfollowing xactions xshould xthe xnurse
xtake? xReport xthe xincident xto xthe xhealth xcare xteam, xbut xdo xnot xinform xthe
xclient xof xthe xintention xto xdo xso. x
x
,A xnurse xis xcaring xfor xa xclient xwho xis xin xmechanical xrestraints. xWhich xof xthe
xfollowing x
,statements xshould xthe xnurse xinclude xin xthe xdocumentation? x(Select xall xthat xapply)
x
-"Client xwas xoffered x8 xoz xof xwater xevery xhr." x
-"Client xshouted xobscenities xat xassistive xpersonnel." x
-"Client xreceived xchlorpromazine x15 xmg xby xmouth xat x1000. x
A xnurse xhears xa xnewly xlicensed xnurse xdiscussing xa xclient's xhallucinations xin xthe
xhallway xwith xanother xnurse. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake
xfirst? x
Tell xthe xnurse xto xstop xdiscussing xthe xbehavior x
x
A xnurse xis xcaring xfor xthe xparents xof xa xchild xwho xhas xdemonstrated xchanges xin
xbehavior xand xmood. xWhen xthe xmother xof xthe xchild xasks xthe xnurse xfor
xreassurance xabout xher xson's xcondition, xwhich xof xthe xfollowing xresponses xshould
xthe xnurse xmake? x"I xunderstand xyou're xconcerned. xLet's xdiscuss xwhat xconcerns
xyou xspecifically." x
x
A xnurse xis xcaring xfor xa xclient xwho xsmokes xand xhas xlung xcancer. xThe xclient
xreports, x"I'm xcoughing xbecause xI xhave xthat xcold xthat xeveryone xhas xbeen xgetting."
xThe xnurse xshould xidentify xthat xthe xclient xis xusing xwhich xof xthe xfollowing xdefense
xmechanisms? xDenial x
x
A xnurse xis xproviding xpreoperative xteaching xfor xa xclient xwho xwas xjust xinformed
xthat xshe xrequires xemergency xsurgery. xThe xclient xhas xa xrespiratory xrate x30/min
xand xsays, x"This xis xdifficult xto xcomprehend. xI xfeel xshaky xand xnervous." xThe xnurse
xshould xidentify xthat xthe xclient xis xexperiencing xwhich xof xthe xfollowing xlevels xof
xanxiety? xModerate x
x
A xnurse xis xcaring xfor xa xclient xwho xis xexperiencing xmoderate xanxiety. xWhich xof xthe
xfollowing xactions xshould xthe xnurse xtake xwhen xtrying xto xgive xnecessary
xinformation xto xthe xclient? x(Select xall xthat xapply.) x
-Discuss xprior xuse xof xcoping xmechanisms xwith xthe xclient. x
-Demonstrate xa xcalm xmanner xwhile xusing xsimple xand xclear xdirections. x
x
A xnurse xis xtalking xwith xa xclient xwho xis xat xrisk xfor xsuicide xfollowing xthe xdeath
xof xhis xspouse. xWhich xof xthe xfollowing xstatements xshould xthe xnurse xmake?
x"Losing xsomeone xclose xto xyou xmust xbe xvery xupsetting." x
x
A xcharge xnurse xis xdiscussing xthe xcharacteristics xof xa xnurse-client xrelationship
xwith xa xnewly xlicensed xnurse. xWhich xof xthe xfollowing xcharacteristics xshould xthe
xnurse xinclude xin xthe xdiscussion? x(Select xall xthat xapply) x-It xis xgoal-directed. x
-Behavioral xchange xis xencouraged. x
-A xtermination xdate xis xestablished. x
x
A xnurse xis xin xthe xworking xphase xof xa xtherapeutic xrelationship xwith xa xclient xwho
xhas xmethamphetamine xuse xdisorder. xWhich xof xthe xfollowing xactions xindicates
xtransference xbehavior? x
The xclient xaccuses xthe xnurses xof xtelling xhim xwhat xto xdo xjust xlike xhis xex-girlfriend. x
x
A xnurse xis xplanning xcare xfor xthe xtermination xphase xof xa xnurse-client xrelationship. x
Which xof xthe xfollowing xactions xshould xthe xnurse xinclude xin xthe xplan xof xcare? x
, Discussing xways xto xuse xnew xbehaviors x