QUESTIONS AND CORRECT ANSWERS|AGRADE 2024
UPDATE
1. A nurse is planning overall strategies to address problems for a client who has a borderline personality
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disorder.Which of the following strategies is the priority for the nurse to incorporate into the plan of care?
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a. discuss the appropriate use of assertive behavior with the client
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b. encourage the client to attend weekly support group meetings f f f f f f f f
c. assist the client to maintain awareness of her thoughts and feelings
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d. implementmeasurestopreventintentionalself-inflictedinjury f f f f f f
..ANSWER>>d.implement measures to prevent intentional self-inflicted injury
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2. Anurse is admitting a clientwho has a generalized anxietydisorder.Which of the following actions
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should the nurse plan to take first?
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a. Provide the client with a quiet environment
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b. Determine how the client handles stress. f f f f f
c. Teach the client to use guided imagery.
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d. Ask the client to identify her strengths
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..ANSWER>>a.Provide the client with a quiet environment f f f f f f f f
3. A nurse is conducting an admission interview with a client who is experi- encingmania.Whichofthe
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followingshouldthenursereportto theprovider?
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a. States that he hasn't bathed in 2 days
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b. Reports eating twice in the past two weeks. f f f f f f f
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,c. Makes inappropriate sexual comments.
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d. Speaks in rhyming sentences
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..ANSWER>> b.Reports eating twice in the past two weeks.
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4. A nurse is planning care for a client who has obsessive-compulsive disor- der.Which of the following
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recommendation should the nurse include in the client's plan of care?
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a. Validationtherapy f
b. Thought stopping f
c. Operant conditioning f
d. Reality orientation therapy
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..ANSWER>>b.Thought stopping f f f
5. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.Which of the
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following actions should the nurse take?
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a. Encourage the client to join group activities
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b. Dim the lights in the client's room
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,c. Provide detailed explanations to the client f f f f f
d. Administer methylphenidate f
..ANSWER>> b.Dim the lights in the client's room f f f f f f f f
6. A nurse is leading a crisis intervention group for adolescents who wit- nessed the suicide of a
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classmate.Which of the following actions should the nurse take first?
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a. Initiate referrals f
b. Review community resources f f
c. Identify prior coping skills f f f
d. Discuss the importance of confidentiality f f f f
..ANSWER>> c.Identify prior coping skills f f f f f
7. A nurse overhears a client saying"I am a spy,a spy for the FBI .I am an I,an eye for an eye in the sky. Sky is
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up high."The nurse should document the client's statement as which of the following speech alterations?
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a. Echolalia
b. Wordsalad f
c. Neologism
d. Clang association f
..ANSWER>> d.Clang association f f f
8. An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her
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mother is not eating and seems uninterested in routine activities.The daughter states "Im so worried that
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my mother is depressed" which of the following responses should the nurse make?
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a. Everyone gets depressed from time to time. f f f f f f
b. You shouldn't worry about this because the depressive disorder is easily treated.
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, c. Older adults are usually diagnosed with the depressive disorder as they age.
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d. Tellme the reasons you think your mother is depressed
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..ANSWER>>d.Tell me the reasons you think your mother is depressed.
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9. A nurse is planning care for an adolescent who has autism spectrum
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fdisorder.Whichofthefollowingoutcomesshouldthenurseincludeintheplan care?
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a. Meets own needs without manipulating others.
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b. Initiates social interactions with caregivers.
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c. Changes behavior as a result of peer pressure.
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