WITH CORRECT ANSWERS 2025
A nurse is conducting a counseling session with a client who has a substance use disorder. The client rep
eatedly askBpersonal questions about the nurse. Which of the followingBactions should the nurse take? -
CORRECT ANSWER -Explain that this time is designated to focus on the client.
A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not resp
onded to lessen case of interventions. Which of the following actions should the nurse plan to take? -
CORRECT ANSWER -Document the clients behavior every 15 minutes while restraints are in place.
Community mental health nurse is planning strategies to address substance use my adolescence. Which
of the following intervention should the nurse plan as a method of primary prevention?Community men
tal health nurse is planning strategies to address substance use my adolescence. Which of the following
intervention should the nurse plan as a method of primary prevention? - CORRECT ANSWER -
Provide a presentation at area high school's and resisting peer pressure for substance use.
A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left fem
ur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? -
CORRECT ANSWER -"My child was riding a bicycle and fell off."
A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. T
he client states, " I'm not taking any more medication." Which of the following actions should the nurse
take? - CORRECT ANSWER -Document the client refusal of the medication in the medical record.
A nurse is caring for a school age client who begins wetting the bed after finding out her parents are get
ting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? -
CORRECT ANSWER -Regression
A nurse is caring for a client who is brought to the clinic by her adult son who states that his father rece
ntly died. The client repeatedly yells at her son stating, " QuitBlying about your father!" The nurse should
recognize that the client is demonstrating which of the following defense mechanisms? -
CORRECT ANSWER -Denial
, ABnurse is caring for a client called mental health counseling center. The clientBreceived a failing grade in
the course and spends entire counseling session blaming the teacher. The nurse should recognize this b
ehavior as example of which of the following defense mechanisms? - CORRECT ANSWER -Projection
ABnurse at a college campus health clinic is caring for a client who reports manifestations of bulimia ner
vosa. The client tells the nurse, " I know my eatingBbinges and vomiting are not normal, but I cannot con
trol it." Which of the following responses should the nurse make? - CORRECT ANSWER -
" You are feeling helpless about changing this behavior?"
A nurse is preparing to administer fluphenazine decanoate 12.5 mgBsubcutaneous. available is fluphenaz
ine decanoate 25 mg/mL. How many mL should the nurse administer per dose? - CORRECT ANSWER -
0.5
A nurse is providing support for the parents of a child has a new diagnosis of a terminal brain tumor. Th
e nurse should expect the parents to experience which of the following stages of grief? -
CORRECT ANSWER -Denial
A nurse is caring for a client who has depression. The nurse observes that the client has not come to bre
akfast and is still in bed. The client states, " I'm not worth your time. Leave me alone and go help someo
ne else." which of the following responses should the nurse make? - CORRECT ANSWER -
" In other words, you seem to be saying that you feel unworthy of help."
ABnurse is caring for a client has schizophrenia. The client states, " My internal organs have turned to sto
ne." The nurse should document this finding as which of the following types of delusions? -
CORRECT ANSWER -Somatic
ABnurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the follo
wingBactions should the nurse take during the orientation phase? - CORRECT ANSWER -
Identify the clients perception of the reason for therapy.
A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display whi
ch of the following characteristics? - CORRECT ANSWER -Possesses feelings of decreased self-worth