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QUESTION
A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is
eager to return to school and participate in social events. The mother tells the nurse she is
afraid to let him take part in physical activities at school. Which of the following responses
should the nurse make?
- Correct answer-
✓ "Tell me more about how you are feeling about your son's activities."
QUESTION
A nurse is caring for a 48-year-old client who is grieving following the death of her husband
seven months ago. The client reports that she has lost 30 lb, and is having difficulty sleeping.
Which of the following factors indicate the client is experiencing maladaptive grieving?
- Correct answer-the client's husband died seven months ago
QUESTION
A nurse at a college campus mental health counseling center is caring for a student who just
failed an examination. The student spends the session berating the teacher and the course.
The nurse should recognize this behavior as which of the following defense mechanisms? -
Correct answer-projection
QUESTION
pg. 1
,A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me
all the time and they are trying to poison my food." Which of the following statements
should the nurse make?
- Correct answer-you seem to be having very frightening thoughts
QUESTION
A nurse is caring for an adolescent who is experiencing indications of depression. Which of
the following findings should the nurse expect? (Select all that apply.)
- Correct answer-irritability, insomnia,low self esteem, chronic pain
QUESTION
A nurse is caring for a young adult client who says he is experiencing increased anxiety and
an inability to concentrate. Which of the following responses should the nurse make?
- Correct answer-it sounds like you're having a difficult time
QUESTION
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and
will be discharged with a prescription for lithium. The nurse's discharge teaching should
include information cautioning against which of the following factors that may cause lithium
toxicity?
- Correct answer-experiencing diarrhea
QUESTION
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following
statements by the client indicates understanding of the goals of treatment?
pg. 2
,- Correct answer-"I plan to sit on a park bench for a few minutes each day."
QUESTION
A home health nurse is speaking to a group of acute care nurses about domestic violence.
Which of the following statements by one of the acute care nurses indicates a need for
clarification?
- Correct answer-"I have heard that abusers think of themselves as important and have high
self esteem."
QUESTION
A nurse is assessing a client who is withdrawing from alcohol. Which of the following
findings should the nurse expect? (Select all that apply).
- Correct answer-insomnia, tremors, visual hallucinations
QUESTION
A nurse in a psychiatric unit is caring for several clients. Which of the following clients
should the nurse recommend for group therapy? - Correct answer-A client who has been
taking amitriptyline for 3 months for depression
QUESTION
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart
attack. Which of the following responses should the nurse make? - Correct answer-"Tell me
more about these fears of dying from a heart attack
QUESTION
pg. 3
, A charge nurse is providing teaching to a staff nurse about assisting the provider with
electroconvulsive therapy (ECT). Which of the following responses by the staff nurse
indicates understanding of the teaching? - Correct answer-"Informed consent should be
obtained prior to ECT."
QUESTION
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD).
Which of the following actions should the nurse take first?
- Correct answer-identify precipitating factors for ritualistic behaviors
QUESTION
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients
on the unit frequently complain to the nursing staff about the client's disruptive behaviors.
Which of the following initial actions should the nurse take?
- Correct answer-Talk to the client and identify the specific limits that are required of the
client's behavior.
QUESTION
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The
client tells the nurse that she is scared and wishes she had never smoked. Which of the
following responses should the nurse make?
- Correct answer-"It's okay to feel scared. Let's talk about what you are afraid of."
QUESTION
pg. 4