Latest Version | 2025/2026 | Correct &
Verified
A client with schizophrenia states, “I am the president of the world.” What is this an example of?
✔✔Grandiose delusion.
A client with bipolar disorder is spending large amounts of money recklessly. What phase is this
behavior associated with?
✔✔Manic phase.
A client experiencing a panic attack says, “I can’t breathe, I think I’m dying.” What is the nurse’s
priority action?
✔✔Stay with the client and use a calm, reassuring presence.
A client with depression sits in the corner of the room and refuses to speak. What is the nurse’s
best intervention?
✔✔Sit quietly with the client to demonstrate support.
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,A client taking haloperidol presents with lip smacking and tongue protrusion. What does the
nurse recognize this as?
✔✔Tardive dyskinesia.
A client with PTSD reports frequent flashbacks. What is the most helpful intervention?
✔✔Teach grounding techniques to reorient to the present.
A nurse observes a client pacing, sweating, and unable to sit still. What is this symptom called?
✔✔Akathisia.
A client states, “I feel like people are watching me everywhere I go.” What is this called?
✔✔Persecutory delusion.
A client taking SSRIs suddenly experiences confusion, agitation, and sweating. What condition
should the nurse suspect?
✔✔Serotonin syndrome.
A client with anorexia nervosa has a body weight 30% below ideal. What is the priority concern?
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, ✔✔Severe malnutrition and risk of cardiac complications.
A client repeatedly taps the door before entering a room. What is this behavior?
✔✔Compulsion.
A nurse notices a client staring blankly, remaining rigid, and not responding to questions. What
does this indicate?
✔✔Catatonic state.
A client with major depression states, “I will never feel happy again.” What is the nurse’s
therapeutic response?
✔✔“You are feeling very hopeless right now.”
A client suddenly becomes aggressive and threatens others. What is the nurse’s priority?
✔✔Ensure safety by removing potential triggers and calling for support.
A client with schizophrenia hears voices saying, “You are worthless.” What is the best nursing
response?
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