Health Proctored Exam
Question 1
A nurse is caring for a client who has a new prescription for disul ram for treatment of alcohol
use disorder. Which of the following client statements indicates an understanding of the
teaching?
A. "I can drink a small amount of alcohol while taking this medication."
B. "I should avoid using alcohol-based mouthwash."
C. "This medication will prevent me from craving alcohol."
D. "I will feel better within a few hours of taking this medication."
Correct Answer(s):
B. I should avoid using alcohol-based mouthwash.
Question 2
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse
on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize
the client's statement as an example of which of the following defense mechanisms?
A. Regression.
B. "Splitting."
C. Undoing.
D. Identi cation.
Correct Answer(s):
B. Splitting.
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,Question 3
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. "Monitor the client for adverse effects of the medications."
Correct Answer(s):
D. Monitor the client for adverse effects of the medications.
Question 4
A nurse is discussing acute vs prolonged stress with a client. Which of the following effects
should the nurse identify as an acute stress response? (Select all that apply.)
A. Chronic pain.
B. Depressed immune system.
C. "Increased blood pressure."
D. "Panic attacks."
E. "Unhappiness."
Correct Answer(s):
C. Increased blood pressure.
D. Panic attacks.
E. Unhappiness.
Question 5
A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form
, of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks."
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about stressful experiences."
Correct Answer(s):
B. The therapist will focus on my past relationships during our sessions.
Question 6
A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety.
Which of the following statements should the nurse make?
A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease your anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Let's discuss the medications your provider is prescribing to decrease your anxiety."
Correct Answer(s):
A. Tell me about how you are feeling right now.
Question 7
A nurse is completing an admission assessment for a client who has schizophrenia. Which of the
following ndings 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."
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, E. Constantly waving arms.
F. Flat affect.
Correct Answer(s):
A. Auditory hallucination.
C. Use of clang association.
D. Delusion of persecution.
Question 8
A nurse is caring for a client who has anorexia nervosa. Which of the following ndings requires
immediate intervention by the nurse?
A. Blood pH 7.40.
B. "Heart rate 44/min."
C. Blood pressure 110/70 mm Hg.
D. Serum potassium 3.8 mEq/L.
Correct Answer(s):
B. Heart rate 44/min.
Question 9
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. "Dif culty 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."
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