1.A nurse is caring for a school-aged child who has conduct disorder and
is being physically aggressive toward other children in the unit. Which of
the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone - correct answers - a. Place the child in
seclusion
2• A nurse is caring for a client who has a new diagnosis of bulimia
nervosa. Which of the following diagnosis procedures should the nurse
anticipate the provider should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test - correct answers - b. ECG
3.A nurse is caring for a client who exhibits excessive compliance,
passivity, and self- denial. The nurse should recognize that these findings
are associated with which of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic - correct answers - a. Dependent
4.A nurse is caring for a client who is involuntarily admitted for major
depressive disorder and refuses to take prescribed antianxiety medication.
Which of the following actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d.Implement consequences until the client take the medication - correct
answers - c. Offer the client the medication at the next scheduled dose
time
5. A nurse is caring for a client in the emergency department who
states she was beaten and sexually assaultby her partner. After a rapid
assessment, which of the following actions should the nurse plan to
take next?
GRADED
A+
, a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d.Offer prophylactic medication to prevent STI's - correct
answers - d. Offer prophylactic medication to prevent STI's
6.A nurse is caring for a client who has major depressive disorder. After
discussing the treatment with his partner, the client verbally agrees to
electroconvulsive therapy (ECT) but will not sign the consent form. Which of
the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d.Inform the client about the risks of refusing the ECT - correct
answers - b. Cancel the scheduled ECT procedure
7.A nurse is caring for a client who reports that he is angry with his
partner because she thinks he is just trying to gain attention. When the
nurse attempts to talk to the client, he becomes angry and tells her to
leave. Which of the following defense mechanisms is the client
demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement - correct answers - d. Displacement
8.A nursing is advising an assistive personnel (AP) on the care of a client
who has major depressive disorder. The AP states that he is irritated by the
client's depression. Which of the following statements by the nurse is
appropriate?
a. Please don't take what the client said seriously when she is depressedb.
b. It's important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don't worry about it
d.I'll change your assignment to someone who doesn't have depressive
disorder -
correct answers - b. It's important that the client feel safe verbalizing how
she is feeling
9.A nurse is assessing a child in the emergency department. Which of
the following findings places the childat the greatest risk for physical
abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis - correct answers - d. The child has cystic
fibrosis
10.A nurse is providing behavioral therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks that the doors
GRADED
are
A+
locked at night. Which of the following instructions should the nurse
give the client when using thought stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the
locks
is being physically aggressive toward other children in the unit. Which of
the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone - correct answers - a. Place the child in
seclusion
2• A nurse is caring for a client who has a new diagnosis of bulimia
nervosa. Which of the following diagnosis procedures should the nurse
anticipate the provider should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test - correct answers - b. ECG
3.A nurse is caring for a client who exhibits excessive compliance,
passivity, and self- denial. The nurse should recognize that these findings
are associated with which of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic - correct answers - a. Dependent
4.A nurse is caring for a client who is involuntarily admitted for major
depressive disorder and refuses to take prescribed antianxiety medication.
Which of the following actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d.Implement consequences until the client take the medication - correct
answers - c. Offer the client the medication at the next scheduled dose
time
5. A nurse is caring for a client in the emergency department who
states she was beaten and sexually assaultby her partner. After a rapid
assessment, which of the following actions should the nurse plan to
take next?
GRADED
A+
, a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d.Offer prophylactic medication to prevent STI's - correct
answers - d. Offer prophylactic medication to prevent STI's
6.A nurse is caring for a client who has major depressive disorder. After
discussing the treatment with his partner, the client verbally agrees to
electroconvulsive therapy (ECT) but will not sign the consent form. Which of
the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d.Inform the client about the risks of refusing the ECT - correct
answers - b. Cancel the scheduled ECT procedure
7.A nurse is caring for a client who reports that he is angry with his
partner because she thinks he is just trying to gain attention. When the
nurse attempts to talk to the client, he becomes angry and tells her to
leave. Which of the following defense mechanisms is the client
demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement - correct answers - d. Displacement
8.A nursing is advising an assistive personnel (AP) on the care of a client
who has major depressive disorder. The AP states that he is irritated by the
client's depression. Which of the following statements by the nurse is
appropriate?
a. Please don't take what the client said seriously when she is depressedb.
b. It's important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don't worry about it
d.I'll change your assignment to someone who doesn't have depressive
disorder -
correct answers - b. It's important that the client feel safe verbalizing how
she is feeling
9.A nurse is assessing a child in the emergency department. Which of
the following findings places the childat the greatest risk for physical
abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis - correct answers - d. The child has cystic
fibrosis
10.A nurse is providing behavioral therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks that the doors
GRADED
are
A+
locked at night. Which of the following instructions should the nurse
give the client when using thought stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the
locks
