TEST QUESTIONS AND ANSWERS SURE A+
✔✔A nurse is discussing relapse prevention with a client who has bipolar disorder.
Which of the following information should the nurse include in the teaching? (Select all
that apply)
A) Use caffeine in moderation to prevent relapse
B) Difficulty sleeping can indicate a relapse
C) Begin taking your medications as soon as a relapse begins
D) Participating in psychotherapy can help prevent a relapse
E) Anhedonia is a clinical manifestation of a depressive relapse - ✔✔B, D, E
✔✔A nurse is caring for a client who has substance-induced psychotic disorder and is
experiencing auditory hallucinations. The client states, "The voices won't leave me
alone!" Which of the following statement should the nurse make? (Select all that apply)
A) When did you start hearing the voices?
B) The voices are not real, or else we would both hear them
C) It must be scary to hear voices
D) Are the voices telling you to hurt yourself?
E) Why are the voices talking to only you? - ✔✔A, C, D
, ✔✔A nurse is completing an admission assessment for a client who has schizophrenia.
Which of the following findings should the nurse document as positive symptoms?
(Select all that apply)
A) Auditory hallucination
B) Lack of motivation
C) Use of clang association
D) Delusion of persecution
E) Constantly waving arms
F) Flat affect - ✔✔A, C, D
✔✔A nurse is caring for a client who has schizoaffective disorder. Which of the following
statements indicates the client is experiencing depersonalization?
A) I am a superhero and am immortal
B) I am no one, and everyone is me
C) I feel monsters pinching me all over
D) I know that you are stealing my thoughts - ✔✔B
✔✔A nurse is caring for a client on an acute mental health unit. The client reports
hearing voices that are telling her to "kill your doctor." Which of the following actions
should the nurse take first?
A) Use therapeutic communication to discuss the hallucination with the client
B) Initiate one-to-one observation of the client
C) Focus the client on reality
D) Notify the provider of the client's statement - ✔✔B
✔✔A nurse is speaking with a client who has schizophrenia when he suddenly seems to
stop focusing on the nurse's questions and begins looking at the ceiling and talking to
himself. Which of the following actions should the nurse take?
A) Stop the interview at this point, and resume later when the client is better able to
concentrate
B) Ask the client, "Are you seeing something on the ceiling?"
C) Tell the client, "You seem to be looking at something on the ceiling. I see something
there, too"
D) Continue the interview without comment on the client's behavior - ✔✔B
✔✔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 by the newly licensed
nurse indicates an understanding of the teaching?
A) I can promote my client's sense of control by establishing a schedule
B) I should encourage clients who have a schizoid personality disorder to increase
socialization
C) I should practice limit-setting to help prevent client manipulation
D) I should implement assertiveness training with clients who have antisocial personality
disorder - ✔✔C