ADN Level 3 Test 6: HUMAN DEVELOP (Developmental Delay, ADHD, Autism,
Aging, Menopause), MOOD & AFFECT (Bipolar Disorder, Major Depressive
Disorder, Postpartum Depression, Suicide), SEXUALITY, QI, HIT
When assessing an elderly D - Aging-related physiologic changes include delayed gastric
client, the nurse expects to find emptying, decreased coronary artery blood flow, an
various aging-related increased posterior thoracic curve, and increased peripheral
physiologic changes. These resistance.
changes include:
a) increased coronary artery blood
flow.
b) decreased posterior thoracic
curve.
c) decreased peripheral resistance.
d) delayed gastric emptying.
A nurse is evaluating the B - ECT is effective for severe depression and catatonic
response of a client to 2-weeks conditions after medications have failed or when the patient is
of electroconvulsive therapy suicidal. ECT is not effective for anxiety disorders, OCD
(ECT). Which is a sign that the behaviors, or histrionic disorder.
treatment was effective?
a) the client no longer displays
dramatic overreaction to
minor events
b) the client is no longer
mute and withdrawn
c) the client no longer
spends time counting
objects out loud
d) the client no longer
experiences phobias and panic-
level anxiety
,A nurse admits a client D - Inadequate food intake must be addressed immediately. A
with bipolar disorder. patient diagnosed with bipolar disorder has poor judgment,
Which assessment requires which may cause dehydration and malnutrition.
immediate attention by
the nurse? a- delusions of grandeur; do not argue or try to convince client they are
not real
a) the client believes she
b - this may indicate lack of inhibition. Priority is offering food and fluids
has a lot of money and
power
b) the client is not wearing a bra
c - indicative of mania. other indications include talking
c) the client has been pacing excessively, joking, easily stimulated by environment;
the hallway for 15 minutes encourage fluids and give client high-calorie finger foods
d) the client has not eaten
breakfast or lunch
A nurse at a mental health B - a patient with alcoholism needs assistance with her drinking
center screens new members problem first in order to resolve grief
for a depression support
group. Which client would
NOT benefit from participation
in this group?
a) a young male with 2 children
whose wife died 1 year ago
because of breast cancer
b) a middle-aged female who
started drinking after the
sudden death of her
husband 6 months ago
c) an elderly female whose
husband died 3 years ago in a
car accident
d) an elderly male whose
estranged wife, living in
another state, died from
heart disease 3 months ago
A nurse is admitting a client with D - the nurse should explain information clearly and avoid
depression to the psychiatric long, complex explanations because a depressed patient may
unit. It is most important for the have slowed thinking processes
nurse to take which action?
a - avoid giving choices. important to provide a structured written schedule
a) ask the client to choose b - do not overwhelm the client. important to provide consistent
activities in which to daily care with the same nurse if possible
participate c - would overwhelm the client
b) introduce the client to the
nursing staff
, c) explain all of the activities
available to the client
d) give the client an orientation to
the unit
A nurse is caring for a client A - Talking to the client will convey acceptance of client and
scheduled for electroconvulsive allowing the client to discuss his fears may decrease anxiety
therapy. The client is anxious.
Which action by the nurse is b - this may be used if level of anxiety is severe. more
most correct? important for client to develop coping strategies
a) remain with the client to discuss c - nurse should remain with the client
his fears
b) give lorazepam (Ativan) 1mg IM d - this client is NPO. Coffee is a stimulant that might exacerbate anxiety
c) encourage the client to
listen to relaxation
tapes
d) offer the client a cup of coffee
Aging, Menopause), MOOD & AFFECT (Bipolar Disorder, Major Depressive
Disorder, Postpartum Depression, Suicide), SEXUALITY, QI, HIT
When assessing an elderly D - Aging-related physiologic changes include delayed gastric
client, the nurse expects to find emptying, decreased coronary artery blood flow, an
various aging-related increased posterior thoracic curve, and increased peripheral
physiologic changes. These resistance.
changes include:
a) increased coronary artery blood
flow.
b) decreased posterior thoracic
curve.
c) decreased peripheral resistance.
d) delayed gastric emptying.
A nurse is evaluating the B - ECT is effective for severe depression and catatonic
response of a client to 2-weeks conditions after medications have failed or when the patient is
of electroconvulsive therapy suicidal. ECT is not effective for anxiety disorders, OCD
(ECT). Which is a sign that the behaviors, or histrionic disorder.
treatment was effective?
a) the client no longer displays
dramatic overreaction to
minor events
b) the client is no longer
mute and withdrawn
c) the client no longer
spends time counting
objects out loud
d) the client no longer
experiences phobias and panic-
level anxiety
,A nurse admits a client D - Inadequate food intake must be addressed immediately. A
with bipolar disorder. patient diagnosed with bipolar disorder has poor judgment,
Which assessment requires which may cause dehydration and malnutrition.
immediate attention by
the nurse? a- delusions of grandeur; do not argue or try to convince client they are
not real
a) the client believes she
b - this may indicate lack of inhibition. Priority is offering food and fluids
has a lot of money and
power
b) the client is not wearing a bra
c - indicative of mania. other indications include talking
c) the client has been pacing excessively, joking, easily stimulated by environment;
the hallway for 15 minutes encourage fluids and give client high-calorie finger foods
d) the client has not eaten
breakfast or lunch
A nurse at a mental health B - a patient with alcoholism needs assistance with her drinking
center screens new members problem first in order to resolve grief
for a depression support
group. Which client would
NOT benefit from participation
in this group?
a) a young male with 2 children
whose wife died 1 year ago
because of breast cancer
b) a middle-aged female who
started drinking after the
sudden death of her
husband 6 months ago
c) an elderly female whose
husband died 3 years ago in a
car accident
d) an elderly male whose
estranged wife, living in
another state, died from
heart disease 3 months ago
A nurse is admitting a client with D - the nurse should explain information clearly and avoid
depression to the psychiatric long, complex explanations because a depressed patient may
unit. It is most important for the have slowed thinking processes
nurse to take which action?
a - avoid giving choices. important to provide a structured written schedule
a) ask the client to choose b - do not overwhelm the client. important to provide consistent
activities in which to daily care with the same nurse if possible
participate c - would overwhelm the client
b) introduce the client to the
nursing staff
, c) explain all of the activities
available to the client
d) give the client an orientation to
the unit
A nurse is caring for a client A - Talking to the client will convey acceptance of client and
scheduled for electroconvulsive allowing the client to discuss his fears may decrease anxiety
therapy. The client is anxious.
Which action by the nurse is b - this may be used if level of anxiety is severe. more
most correct? important for client to develop coping strategies
a) remain with the client to discuss c - nurse should remain with the client
his fears
b) give lorazepam (Ativan) 1mg IM d - this client is NPO. Coffee is a stimulant that might exacerbate anxiety
c) encourage the client to
listen to relaxation
tapes
d) offer the client a cup of coffee
