Questions and Detailed Answers | Get it
100% Correct Answers
A client has been admitted to the inpatient facility with a diagnosis of PTSD
after a history of violence by the client's significant other. During the initial
assessment interview, which assessment would be the priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status - 🧠 ANSWER ✔✔C. Suicide risk
The nurse is caring for a family in which the elderly mother has been a
victim of abuse and neglect by her son, 48 years old. Which is important for
the nurse to keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
,B. The nurse must allow the older adult mother to decide whether she
wants to leave the situation
C. The main focus of the nurse's actions should be on improving the elderly
mother's self-esteem
D. Placement of the older adult woman in a nursing home within the
community is crucial - 🧠 ANSWER ✔✔B. The nurse must allow the older
adult mother to decide whether she wants to leave the situation
The school nurse is aware that a student has requested "Tylenol" three
times during the past week because his "back hurts." The nurse has
noticed that he often wears long-sleeved sweaters and sweatshirts, even in
warm weather. The nurse suspects that the student may be the victim of
physical abuse. The nurse is preparing to ask the child about his ongoing
backache. Which would the nurse anticipate the child reporting if the child
was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to
explain the injuries
,C. Carefully explain that the client's mother provides discipline because she
loves the client
D. Explain that his father is beating him on a regular basis - 🧠 ANSWER
✔✔A. Be reluctant to report abuse because of shame or fear of retaliation
A client has been in a physically abusive relationship for more than a
decade. Which statement best demonstrates that the client understands of
how fear can influence a reluctance to leave such a relationship?
A. The kids love my partner and my partner has been a good parent to
them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure - 🧠 ANSWER ✔✔D.
My partner would hunt me down and kill me for sure
The nurse is caring for a hospitalized client who has schizophrenia. The
client has been taking antipsychotic medications for 1 week when the nurse
observes that the client's eyes are fixed on the ceiling. The nurse interprets
this finding as which condition?
A. Retrocollis
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, B. Oculogyric crisis
C. Akathisia
D. Tardive dyskinesia - 🧠 ANSWER ✔✔B. Oculogyric crisis
A client is being released from the inpatient psychiatric unit with a diagnosis
of schizophrenia and treatment with antipsychotic medications. After
teaching the client and family about managing the disorder, the nurse
determines that the education was effective when they state which
symptom should be reported immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor - 🧠 ANSWER ✔✔C. Elevated temp
Assessment of a client with schizophrenia reveals that the client is hearing
voices that say people are staring, and that the client is seeing illusions.
When developing the plan of care for this client, which nursing diagnosis
would be appropriate?
A. Disturbed thought processes