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QUESTIONS AND CORRECT ANSWERS
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1. A nurse is providing behavioral therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked at
night. Which of the following instructions should the nursegive the client when
using thought stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the locks
c. Ask a family member to check the lock for you at night
d. Focus on abdominal breathing whenever you go to check the locks
2. A nurse is assessing a client who is experiencing alcohol withdrawal. For which
of the following findingsshould the nurse anticipate administration of
lorazepam/
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension
3. A nurse is creating a plan of care of a client who has anorexia nervosa.
Which of the followingintervention should the nurse include in the
plan?
a. Weigh the client twice per day
b. Prepare the client for electroconvulsive therapy
c. Set a weight gain goal of 2.2kg (5lbs) per week
d. Encourage the client to participate in family therapy
4. A nurse is planning care for a 3-year-old child who has autism spectrum
disorder. Which of the followingfinding should the nurse expect?
a. Readily initiates conversation
, b. Enjoys imaginative play
c. Strong relationship with sibling
and peersd. Attachment to
objects that spin
5. A nurse is planning care for a client who has bipolar disorder. The client
reports not sleeping for 3 daysand is exhibiting a euphoric mood. The nurse
should identify which of the following as the priority intervention.
a. Secure the client’s valuable possessions
b. Limit loud noises in the client’s environment
c. Encourage the client to participate in structured solitary activities
d. Provide high calorie snacks to the client
6. A nurse is evaluating the medication response of a client who takes naltrexone
for the treatment of alcohol use disorder. The nurse should identify that which
of the following is a therapeutic effect of this medication.
a. Blocks aldehyde dehydrogenase
b. Prevents the anxiety of
abstinencec. Reduces
substance craving
d. Decreases the likelihood of seizures
7. A nurse in an alcohol treatment facility is caring for a client who states “my job is
so stressful that the only way I can come it is to drink.” The nurse should
recognize that the client is displaying which of the following defense
mechanisms?
a. Repression
, b. Rationalization
c. Introjection
d. Intellectualization
8. A nurse is caring for a client who has depression following a recent job loss.
Which of the following questions should the nurse ask to assess the client’s
personal coping skills?
a. How does this situation affect your life?
b. Do you see your current situation affecting
your future?c. Can you describe how you are
currently feeling?
d. How have you dealt with similar situations in the past
9. A school nurse is caring for an adolescent client whose teacher reports changes
in school performanceand withdrawal from interaction with classmates.
Which of the following intervention is the nurse’s priority at this time?
a. Contact the adolescent’s parents
b. Suggest the adolescent join support groups
c. Ask the adolescent if he is considering hurting himself
d. Determine when the adolescent’s change in behavior began
10. A nurse is assessing a client who is withdrawing from heroin. Which of the
following manifestationsshould the nurse expect?
a. Slurred speech
b. Hypotension
c. Bradycardia
d. Hyperthermia
11. A nurse is assessing a client who has histrionic personality disorder. Which of
the following finds shouldthe nurse expect?
a. Lack of
remorse b.
Attention
seeking
c. Splitting of staff
d. Identity disturbance
12. A nurse is providing teaching to the daughter of an older client who has
obsessive-compulsive disorder. Which of the following statements by the
daughter indicates an understanding of the disorder?