correct answers
A ‘school ‘nurse ‘is ‘assessing ‘a ‘school-age ‘child ‘who ‘experienced ‘the ‘traumatic ‘loss
‘of ‘a ‘parent ‘8 ‘months ‘ago. ‘Which ‘of ‘the ‘following ‘findings ‘should ‘the ‘nurse ‘identify
‘as ‘an ‘indication ‘that ‘the ‘child ‘is ‘experiencing ‘post-traumatic ‘stress ‘disorder ‘(PTSD)?
‘- ‘Correct ‘ ‘Answer ‘- ‘Lack ‘of ‘interest ‘in ‘an ‘upcoming ‘holiday
A ‘nurse ‘is ‘caring ‘for ‘a ‘group ‘of ‘clients. ‘Which ‘of ‘the ‘following ‘findings ‘should ‘the
‘nurse ‘report? ‘- ‘Correct ‘ ‘Answer ‘- ‘A ‘client ‘who ‘is ‘taking ‘lamotrigine ‘and ‘has
‘developed ‘a ‘rash
A ‘nurse ‘is ‘reviewing ‘laboratory ‘results ‘for ‘a ‘client ‘who ‘has ‘schizophrenia ‘and ‘is
‘taking ‘clozapine. ‘Which ‘of ‘the ‘following ‘values ‘should ‘the ‘nurse ‘identify ‘as ‘a
‘contraindication ‘for ‘receiving ‘clozapine? ‘- ‘Correct ‘ ‘Answer ‘- ‘WBC ‘count ‘2,500/mm3
‘(5,000-10,000/mm3)
A ‘nurse ‘is ‘planning ‘care ‘for ‘a ‘client ‘who ‘has ‘depression ‘and ‘has ‘made ‘frequent
‘suicide ‘attempts. ‘Which ‘of ‘the ‘following ‘statements ‘indicates ‘the ‘client ‘has ‘a
‘decreased ‘risk ‘for ‘suicide? ‘- ‘Correct ‘ ‘Answer ‘- ‘"It ‘is ‘easier ‘to ‘talk ‘about ‘my ‘feelings
‘now."
During ‘a ‘client's ‘initial ‘interview ‘in ‘a ‘mental ‘health ‘inpatient ‘setting, ‘a ‘nurse ‘identifies
‘that ‘the ‘client ‘is ‘maintaining ‘eye ‘contact ‘and ‘leaning ‘forward. ‘Which ‘of ‘the ‘following
‘assumptions ‘should ‘the ‘nurse ‘make ‘based ‘on ‘the ‘client's ‘nonverbal ‘behaviors? ‘-
‘Correct ‘ ‘Answer ‘- ‘The ‘client ‘is ‘interested ‘in ‘what ‘the ‘nurse ‘is ‘saying.
A ‘nurse ‘is ‘planning ‘care ‘for ‘a ‘client ‘who ‘has ‘schizophrenia ‘and ‘reports ‘auditory
‘hallucinations. ‘Which ‘of ‘the ‘following ‘interventions ‘should ‘the ‘nurse ‘include ‘in ‘the
‘plan? ‘- ‘Correct ‘ ‘Answer ‘- ‘Promote ‘the ‘use ‘of ‘music ‘to ‘compete ‘with ‘the ‘client's
‘auditory ‘hallucinations.
A ‘nurse ‘is ‘caring ‘for ‘a ‘client ‘who ‘has ‘impaired ‘cognition.
A ‘nurse ‘is ‘updating ‘the ‘client's ‘plan ‘of ‘care. ‘For ‘each ‘of ‘the ‘following ‘potential
‘nursing ‘interventions, ‘click ‘to ‘specify ‘if ‘the ‘potential ‘intervention ‘is ‘anticipated,
‘nonessential, ‘or ‘contraindicated ‘for ‘the ‘client. ‘- ‘Correct ‘ ‘Answer ‘- ‘Anticipated-
‘approach ‘from ‘front, ‘give ‘directions ‘to ‘the ‘client, ‘decrease ‘sensory, ‘assign ‘client ‘to
‘a ‘room ‘
contra- ‘use ‘a ‘vest, ‘ensure ‘the ‘bed ‘is ‘kept, ‘keep ‘the ‘lights ‘off ‘
non- ‘provide ‘the ‘client ‘with ‘high
A ‘nurse ‘is ‘planning ‘discharge ‘teaching ‘with ‘a ‘family ‘member ‘of ‘a ‘client ‘who ‘has ‘a
‘new ‘diagnosis ‘of ‘depression. ‘Which ‘of ‘the ‘following ‘information ‘about ‘relapse
, ‘should ‘the ‘nurse ‘include? ‘- ‘Correct ‘ ‘Answer ‘- ‘Early ‘identification ‘of ‘changes, ‘such
‘as ‘decreased ‘social ‘involvement, ‘is ‘important.
A ‘nurse ‘is ‘establishing ‘a ‘therapeutic ‘relationship ‘with ‘a ‘client ‘who ‘has ‘antisocial
‘personality ‘disorder. ‘Which ‘of ‘the ‘following ‘strategies ‘should ‘the ‘nurse ‘use ‘when
‘communicating ‘with ‘this ‘client? ‘- ‘Correct ‘ ‘Answer ‘- ‘Set ‘realistic ‘limits ‘on ‘the ‘client's
‘behavior.
A ‘nurse ‘in ‘a ‘community ‘health ‘center ‘is ‘teaching ‘families ‘of ‘clients ‘who ‘have ‘post-
traumatic ‘stress ‘disorder ‘(PTSD) ‘about ‘expected ‘clinical ‘manifestations. ‘Which ‘of ‘the
‘following ‘manifestations ‘should ‘the ‘nurse ‘include? ‘- ‘Correct ‘ ‘Answer ‘- ‘Experiences
‘feelings ‘of ‘isolation
A ‘nurse ‘in ‘an ‘inpatient ‘mental ‘health ‘facility ‘is ‘caring ‘for ‘a ‘client. ‘The ‘client ‘begins
‘pacing ‘with ‘their ‘fists ‘clenched ‘and ‘is ‘verbally ‘abusing ‘the ‘staff. ‘Which ‘of ‘the
‘following ‘actions ‘should ‘the ‘nurse ‘take? ‘- ‘Correct ‘ ‘Answer ‘- ‘Ensure ‘security
‘personnel ‘are ‘available ‘in ‘the ‘background ‘to ‘assist ‘if ‘the ‘client's ‘behavior ‘escalates.
A ‘nurse ‘is ‘caring ‘for ‘a ‘group ‘of ‘clients. ‘For ‘which ‘of ‘the ‘following ‘situations ‘should
‘the ‘nurse ‘complete ‘an ‘incident ‘report? ‘- ‘Correct ‘ ‘Answer ‘- ‘A ‘client ‘was
‘administered ‘one-half ‘of ‘the ‘prescribed ‘dose ‘of ‘medication.
A ‘nurse ‘in ‘a ‘community ‘health ‘center ‘is ‘working ‘with ‘a ‘group ‘of ‘clients ‘who ‘have
‘post-traumatic ‘stress ‘disorder. ‘Which ‘of ‘the ‘following ‘interventions ‘should ‘the ‘nurse
‘include ‘to ‘reduce ‘anxiety ‘among ‘the ‘group ‘members? ‘- ‘Correct ‘ ‘Answer ‘- ‘Guided
‘imagery
A ‘nurse ‘in ‘the ‘emergency ‘department ‘is ‘caring ‘for ‘a ‘client ‘who ‘has ‘alcohol ‘toxicity
‘and ‘is ‘unresponsive. ‘Which ‘of ‘the ‘following ‘interventions ‘should ‘the ‘nurse ‘take? ‘-
‘Correct ‘ ‘Answer ‘- ‘Gather ‘supplies ‘for ‘endotracheal ‘intubation.
A ‘nurse ‘is ‘assessing ‘a ‘client ‘who ‘recently ‘used ‘cocaine. ‘Which ‘of ‘the ‘following
‘findings ‘should ‘the ‘nurse ‘expect? ‘- ‘Correct ‘ ‘Answer ‘- ‘Hypertension
A ‘client ‘who ‘has ‘a ‘recent ‘diagnosis ‘of ‘bipolar ‘disorder ‘is ‘placed ‘in ‘a ‘room ‘with ‘a
‘client ‘who ‘has ‘severe ‘depression. ‘The ‘client ‘who ‘has ‘depression ‘reports ‘to ‘the
‘nurse, ‘"My ‘roommate ‘never ‘sleeps ‘and ‘keeps ‘me ‘up, ‘too." ‘Which ‘of ‘the ‘following
‘actions ‘should ‘the ‘nurse ‘take? ‘- ‘Correct ‘ ‘Answer ‘- ‘Move ‘the ‘client ‘who ‘has ‘bipolar
‘disorder ‘to ‘a ‘private ‘room.
A ‘nurse ‘is ‘planning ‘care ‘for ‘a ‘client ‘who ‘has ‘generalized ‘anxiety ‘disorder. ‘At ‘which
‘of ‘the ‘following ‘levels ‘of ‘anxiety ‘should ‘the ‘nurse ‘plan ‘to ‘teach ‘the ‘client ‘relaxation
‘techniques? ‘- ‘Correct ‘ ‘Answer ‘- ‘Mild
A ‘nurse ‘is ‘caring ‘for ‘a ‘child ‘who ‘is ‘taking ‘methylphenidate. ‘The ‘nurse ‘should
‘monitor ‘the ‘child ‘for ‘which ‘of ‘the ‘following ‘findings ‘as ‘an ‘adverse ‘effect ‘of
‘methylphenidate? ‘- ‘Correct ‘ ‘Answer ‘- ‘Tachycardia
A ‘nurse ‘is ‘discussing ‘a ‘12-step ‘program ‘with ‘a ‘client ‘who ‘has ‘alcohol ‘use ‘disorder
‘and ‘is ‘in ‘an ‘acute ‘care ‘facility ‘undergoing ‘detoxification. ‘Which ‘of ‘the ‘following
‘information ‘should ‘the ‘nurse ‘include ‘in ‘the ‘teaching? ‘- ‘Correct ‘ ‘Answer ‘- ‘The ‘client
‘should ‘obtain ‘a ‘sponsor ‘before ‘discharge ‘for ‘an ‘increased ‘chance ‘of ‘recovery.
A ‘nurse ‘is ‘planning ‘care ‘for ‘a ‘client ‘who ‘has ‘bipolar ‘disorder ‘and ‘is ‘experiencing
‘mania. ‘Which ‘of ‘the ‘following ‘interventions ‘should ‘the ‘nurse ‘include ‘in ‘the ‘plan ‘of
‘care? ‘- ‘Correct ‘ ‘Answer ‘- ‘Offer ‘the ‘client ‘high-calorie ‘finger ‘foods ‘frequently.
A ‘nurse ‘is ‘assessing ‘a ‘client ‘who ‘has ‘borderline ‘personality ‘disorder. ‘Which ‘of ‘the
‘following ‘findings ‘should ‘the ‘nurse ‘expect? ‘- ‘Correct ‘ ‘Answer ‘- ‘Emotional ‘lability