System RN 3.0 Exam Questions
and Answers 100% PASS
1. A nurse is completing an admission assessment for an adolescent client who has
depression. The nurse should identify which of the following findings as the priority?
a. The client is confrontational with his parents
b. The client is getting Ds in his classes because he frequently skips school.
c. The client states he smokes half a pack of cigarettes per day
d. The client gives his favorite possessions to his friends
ANS: D - CORRECT ANSWER-
2. A nurse enters a client's room, and observes that the client is agitated and pacing rapidly.
The pt looks at the nurse and says, "back off. Leave me alone" What statement should the
nurse make?
a. "I demand that you calm down now. Your behavior is unacceptable."
,b. "I will close the door to provide privacy, and you can tell me what is bothering you."
c. "I will give you some space if you calm down. Tell me what is making you feel so tense."
d. "I will leave you alone for a d=few minutes while you try to control yourself."
ANS: C (stay at safe distance and remain calm) - CORRECT ANSWER-
3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the
client's room and finds the client cutting into his flesh with a paper clip. After providing first
aid, which of the following actions should the nurse take first?
a. Encourage the client to s=discuss feelings about self-injurious behavior during group
therapy
b. Fill out an incident report for risk management about the client's self-injurious behavior
c. Document the client's self-injurious behavior in his medical record
d. Identify the clients feelings that lead to the self-injurious behavior
ANS: D - CORRECT ANSWER-
4. A nurse is caring for a client who has major depressive disorder and recently started
taking an antidepressant. The nurse should identify which of the following client statements
as the priority?
a. "I hate being so helpless. I can't even manage my own finance anymore."
b. "At group therapy today I wanted to leave. I didn't feeling like being with other people."
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, c. "I have it all figured out. Everything is going to be ok now."
d. "I don't feel like showering. I'd rather just stay in bed today."
ANS: C - CORRECT ANSWER-
5. The nurse is caring for a client who reminds her of a negative person in her past. These
memories cause the nurse to unconsciously displace negative feelings towards the client.
The nurse should recognize that she is demonstrating which of the following behaviors?
a. Suppression
b. Countertransference
c. Transference
d. Assertiveness
ANS: B - CORRECT ANSWER-
6. A nurse is establishing a therapeutic relationship with a client who has hallucinations.
Which of the following actions should the nurse take during the orientation phase?
a. Identify the clients perception of the reason for therapy
b. Ask the client to provide a detailed description of the hallucinations (working phase)
c. Assist the client with the development of problem-solving skills (working phase)
d. Explore the client's relationship with family members (working phase)