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1. A nurse is creating a plan of care for a client who has D. Maintain a low level of en-
schizophrenia and is experiencing command halluci- vironmental stimuli.
nations. Which of the following interventions should
the nurse include in the plan?
A. Provide reassurance and comfort for the client
through touch.
B. Encourage increased socialization during group
therapy.
C. Avoid making eye contact when speaking with the
client.
D. Maintain a low level of environmental stimuli.
2. A nurse is caring for a client who has obsessive-com- B. Preoccupation with details
pulsive personality disorder (OCPD). Which of the
following findings should the nurse expect?
A. Lack of empathy
B. Preoccupation with details
C. Exploitative behavior
D. Excessive clinging
3. A nurse is caring for a client who is going through D. Offer to contact the client's
the grieving process. Which of the following actions spiritual advisor if they have
should the nurse take to meet the client's spiritual one.
needs?
A. Encourage the client to internalize their feelings
related to the loss.
B. Change the subject when the client expresses
anger about their situation.
C. Allow the client to be alone during times of spiri-
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tual inadequacy.
D. Offer to contact the client's spiritual advisor if they
have one.
4. A nurse is caring for a client who is seeking help to C. Varenicline
quit smoking. Which of the following prescriptions
should the nurse expect the provider to prescribe?
A. Naltrexone
B. Disulfiram
C. Varenicline
D. Donepezil
5. A nurse is caring for a client who states, "I am too B. "Let's discuss what you feel
embarrassed to tell anyone what I did last night." embarrassed about."
Which of the following responses should the nurse
make?
A. "Lots of people feel ashamed to tell their secrets."
B. "Let's discuss what you feel embarrassed about."
C. "You shouldn't feel embarrassed to talk to me."
D. "You will feel better if you tell me what you did last
night."
6. A nurse in an acute care mental health facility is D. Document the client's be-
caring for a client who has been placed in seclusion havior every 60 minutes.
following an acute violent episode. Which of the fol-
lowing actions should the nurse take?
A. Keep the client in seclusion for no longer than 6
hours.
B. Obtain a prescription for seclusion within 30 min-
utes.
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C. Monitor the client's vital signs every 4 hours.
D. Document the client's behavior every 60 minutes.
7. A nurse in a rehabilitation center is caring for a client A. The client is constantly talk-
who has bipolar disorder. Which of the following ing.
actions by the client indicates mania?
A. The client is constantly talking.
B. The client displays memory loss.
C. The client is sleeping over 10 hours a day.
D. The client expresses feelings of inferiority.
8. A nurse is preparing to teach a client who has mod- B. Use short, simple sen-
erate anxiety about what to expect after their up- tences when speaking to the
coming cardiac catheterization. Which of the follow- client.
ing actions should the nurse plan to take?
A. Provide detailed explanations to the client.
B. Use short, simple sentences when speaking to the
client.
C. Avoid asking the client questions.
D. Show a 30-minute teaching video to the client.
9. A nurse is caring for a client who has major depres- B. "Can you tell me how you
sive disorder and states that they have given away have been feeling lately?"
their personal belongings. Which of the following
responses should the nurse make?
A. "Why did you feel like giving away your belong-
ings?"
B. "Can you tell me how you have been feeling late-
ly?"
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1. A nurse is creating a plan of care for a client who has D. Maintain a low level of en-
schizophrenia and is experiencing command halluci- vironmental stimuli.
nations. Which of the following interventions should
the nurse include in the plan?
A. Provide reassurance and comfort for the client
through touch.
B. Encourage increased socialization during group
therapy.
C. Avoid making eye contact when speaking with the
client.
D. Maintain a low level of environmental stimuli.
2. A nurse is caring for a client who has obsessive-com- B. Preoccupation with details
pulsive personality disorder (OCPD). Which of the
following findings should the nurse expect?
A. Lack of empathy
B. Preoccupation with details
C. Exploitative behavior
D. Excessive clinging
3. A nurse is caring for a client who is going through D. Offer to contact the client's
the grieving process. Which of the following actions spiritual advisor if they have
should the nurse take to meet the client's spiritual one.
needs?
A. Encourage the client to internalize their feelings
related to the loss.
B. Change the subject when the client expresses
anger about their situation.
C. Allow the client to be alone during times of spiri-
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tual inadequacy.
D. Offer to contact the client's spiritual advisor if they
have one.
4. A nurse is caring for a client who is seeking help to C. Varenicline
quit smoking. Which of the following prescriptions
should the nurse expect the provider to prescribe?
A. Naltrexone
B. Disulfiram
C. Varenicline
D. Donepezil
5. A nurse is caring for a client who states, "I am too B. "Let's discuss what you feel
embarrassed to tell anyone what I did last night." embarrassed about."
Which of the following responses should the nurse
make?
A. "Lots of people feel ashamed to tell their secrets."
B. "Let's discuss what you feel embarrassed about."
C. "You shouldn't feel embarrassed to talk to me."
D. "You will feel better if you tell me what you did last
night."
6. A nurse in an acute care mental health facility is D. Document the client's be-
caring for a client who has been placed in seclusion havior every 60 minutes.
following an acute violent episode. Which of the fol-
lowing actions should the nurse take?
A. Keep the client in seclusion for no longer than 6
hours.
B. Obtain a prescription for seclusion within 30 min-
utes.
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C. Monitor the client's vital signs every 4 hours.
D. Document the client's behavior every 60 minutes.
7. A nurse in a rehabilitation center is caring for a client A. The client is constantly talk-
who has bipolar disorder. Which of the following ing.
actions by the client indicates mania?
A. The client is constantly talking.
B. The client displays memory loss.
C. The client is sleeping over 10 hours a day.
D. The client expresses feelings of inferiority.
8. A nurse is preparing to teach a client who has mod- B. Use short, simple sen-
erate anxiety about what to expect after their up- tences when speaking to the
coming cardiac catheterization. Which of the follow- client.
ing actions should the nurse plan to take?
A. Provide detailed explanations to the client.
B. Use short, simple sentences when speaking to the
client.
C. Avoid asking the client questions.
D. Show a 30-minute teaching video to the client.
9. A nurse is caring for a client who has major depres- B. "Can you tell me how you
sive disorder and states that they have given away have been feeling lately?"
their personal belongings. Which of the following
responses should the nurse make?
A. "Why did you feel like giving away your belong-
ings?"
B. "Can you tell me how you have been feeling late-
ly?"
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