(GRADED A+ 100% DETAILED VERIFIED ANSWERS)
A nurse is assessing a client who has GAD. Which of the following findings should the nurse
expect? (Select all that apply).
A. Excessive worry for 6 months.
B. Impulsive decision making.
C. Delayed reflexes
D. Restlessness
E. Need for reassurance - ANSWER✅ A. Excessive worry for 6 months.
D. Restlessness
E. Need for reassurance
A nurse is planning care for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
A. Assessing the client's risk for self harm.
B. Instilling hope for positive outcomes.
C. Encouraging the client to participate in group therapy sessions.
D. Encouraging the client to participate in treatment decisions. - ANSWER✅ A. Assessing
the client's risk for self harm.
A nurse is caring for a client who has acute stress disorder and is experiencing severe
anxiety. Which of the following statements action should the nurse make?
,A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease your anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Let's discuss the medications your provider is prescribing to decrease your anxiety." -
ANSWER✅ A. "Tell me about how you are feeling right now."
A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of
the following findings should the nurse expect? (Select all that apply).
A. Difficulty concentrating on tasks
B. Obsessive need to talk about the traumatic event
C. Negative-self image
D. Recurring nightmares
E. Diminished reflexes. - ANSWER✅ A. Difficulty concentrating on tasks
C. Negative-self image
D. Recurring nightmares
A nurse is involved in a serious and prolonged mass casualty incident in the ED. Which of the
following strategies should the nurse use to help prevent developing a trauma-related
disorder? (Select all that apply).
A. Avoid thinking about the incident when it is over.
B. Take breaks during the incident for food and water.
C. Debrief with others following the accident.
D. Hold emotions in check in the days following the incident.
,E. Take advantage of offered counseling. - ANSWER✅ B. Take breaks during the incident for
food and water.
C. Debrief with others following the accident.
E. Take advantage of offered counseling.
A nurse is collecting an admission history for a client who has ASD. Which of the following
information should the nurse expect to collect?
A. The client remembers many details about the traumatic incident.
B. The client expresses heightened elation about what is happening.
C. The client states he first noticed manifestations of the disorder 6 weeks after the
traumatic incident occurred.
D. The client expresses a sense of unreality about the traumatic incident. - ANSWER✅ D.
The client expresses a sense of unreality about the traumatic incident.
A nurse in an acute mental health facility is planning care for a client who has dissociative
fugue. Which of the following interventions should the nurse add to the plan of care?
A. Teach the client to recognize how stress brings on a personality change in the client.
B. Repeatedly present the client with information about past events.
C. Make decisions for the client regarding routine daily activities.
D. Work with the client on grounding techniques. - ANSWER✅ D. Work with the client on
grounding techniques.
A nurse manager is discussing the care of a client who has a personality disorder with a
newly licensed nurse. Which of the following statements made by the newly licensed nurse
, indicates an understanding of the teaching? - ANSWER✅ "I should practice limit-setting to
help prevent client manipulation."
A nurse is caring for a client who has avoidant personality disorder. Which of the following
statements is expected from a client who has this type of personality disorder? -
ANSWER✅ ""I'm scared that you're going to leave me."
A nurse is caring for a client who is experiencing a panic attack. Which of the following
actions should the nurse take? - ANSWER✅ Stay with the client and remain quiet.
A nurse is caring for a client who has borderline personality disorder. The client says, "The
nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse
should recognize the client's statement as an example of which of the following defense
mechanisms? - ANSWER✅ Splitting
A nurse is assisting with a court-ordered eval of a client who has antisocial personality
disorder. Which of the following findings should the nurse expect? (Select all that apply).
A. Demonstrates extreme anxiety when placed in a social situation.
B. Has difficulty making even simple decisions.
C. Attempts to convince other clients to give him their belongings.
D. Becomes agitated if his personal area is not neat and orderly.
E. Blames others for his past and current problems - ANSWER✅ C. Attempts to convince
other clients to give him their belongings.
E. Blames other for his past and current problems.