Version | 2025/2026 | Correct & Verified
A nurse is caring for a client experiencing a panic attack. What is the priority nursing action?
✔✔ A. Remain with the client and speak in a calm voice
B. Leave the client to allow privacy
C. Offer food and water
D. Ask the client to describe the panic trigger
A client tells the nurse, "I feel hopeless and I can't go on." What is the most appropriate
response?
A. “Things will get better soon.”
✔✔ B. “Tell me more about what you're feeling right now.”
C. “You shouldn’t think like that.”
D. “Everyone feels that way sometimes.”
Which of the following medications is most appropriate for treating generalized anxiety
disorder?
✔✔ A. Buspirone
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,B. Haloperidol
C. Lithium
D. Clozapine
A nurse is reinforcing education to a client who is prescribed lithium. Which statement indicates
understanding?
A. “I should take my lithium on an empty stomach.”
✔✔ B. “I need to maintain consistent salt and fluid intake.”
C. “I can double my dose if I miss one.”
D. “I should avoid all carbohydrates.”
Which behavior is an example of the defense mechanism displacement?
A. Blaming others for personal mistakes
✔✔ B. Yelling at a coworker after being criticized by a supervisor
C. Forgetting a traumatic event
D. Acting younger than one’s age
A client with schizophrenia states, “I hear voices telling me I’m worthless.” What is the nurse’s
best initial response?
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,✔✔ A. “What are the voices saying to you?”
B. “That’s not real. Don’t listen to them.”
C. “Why do you think that?”
D. “You know that’s not true, right?”
Which of the following is an example of therapeutic communication?
✔✔ A. “It sounds like you’re feeling overwhelmed.”
B. “You need to calm down now.”
C. “Let me give you some advice.”
D. “Why do you feel that way?”
A nurse is reinforcing teaching for a client who has been prescribed fluoxetine. Which client
statement indicates a need for further teaching?
✔✔ A. “I will feel better in 2 days.”
B. “I will let my provider know if I have suicidal thoughts.”
C. “I may have decreased libido while on this medication.”
D. “I should take this medication every day.”
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, Which statement by a client taking sertraline requires immediate follow-up?
A. “I feel a little nauseated after taking it.”
✔✔ B. “I have been thinking about hurting myself.”
C. “My mouth feels dry.”
D. “I sometimes feel sleepy during the day.”
A nurse is caring for a client with bipolar disorder during a manic episode. Which intervention is
appropriate?
A. Encourage participation in group activities
✔✔ B. Provide frequent rest periods in a low-stimulus environment
C. Allow unlimited access to the dayroom
D. Offer detailed explanations for all rules
Which of the following is an expected finding in a client experiencing moderate anxiety?
✔✔ A. Difficulty concentrating
B. Hallucinations
C. Complete disorientation
D. Disorganized speech
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