1.The following clients are seen in the emergency department. The psychiatric unit has
one bed. The advanced practice nurse acting as admitting officer should recommend for
admission the client who
a) is experiencing dry mouth and tremor related to haloperidol and wants his dose of
haloperidol reduced
b) is experiencing anxiety and a saddened mood after separation from her husband of
10 years
c) argued with her boyfriend and inflicted a superficial cut on her forearm with a
knife.
d) Is a single parent and hears voices telling her to smother her infant son
2..A Vietnamese immigrant is a student at the local community college nursing program.
The nursing instructor is concerned because the student has poor eye contact and has
difficulty asking the direct questions necessary for client assessment. The nursing
instructor arranges for the student to be assessed by the nurse practitioner in the college
health service. This action reflects
a) appropriate secondary prevention by the instructor
b) insufficient understanding of the student’s culture
c) a violation of the student’s civil rights
d) prejudice and discrimination
3.Outcomes established with the mentally ill client in the community compared with
those planned for a hospitalized client will
a) involved a longer time frame
b) require more psychoeducation
c) have greater focus on symptom absence
d) be more concerned with medication management
4.The nurse receives three telephone calls regarding a newly admitted client. The
psychiatrist wishes to see the client for an assessment interview, the medical doctor
wants to perform a physical examination, and the client’s lawyer wishes to set up an
appointment to see the client. The nurse schedules the three activities for the client.
This exemplifies the role of the nurse know as :
a) advocate
b) milieu manager
c) case manager
d) provider of care
5.Two psychotic clients in the inpatient unit get into fights when they are in the same
room. During a team meeting, one nurse suggests the safety of the two clients is of
paramount importance and that their treatment plans should call for both to placed in
seclusion to keep them from injuring each other. The suggestion is significant because it
a) violates the civil rights of the two clients
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