PRACTICE SET 2026 FULL SOLUTION
◉ A nurse in a community health center is teaching families of
clients who have PTSD about expected clinical manifestations.
Which of the following manifestations should the nurse include?
Repeatedly talks about the traumatic incident.
Sleeps excessively
Experiences feelings of isolation
Uses repetitive speech. Answer: Experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged
and detached from others.
◉ A nurse in an inpatient mental health facility is caring for a client.
The client begins pacing with their fists clenched and is verbally
abusing the staff. Which of the following actions should the nurse
take?
,Place the client in mechanical restraints
Ensure security personnel are available in the background to assist if
the client's behavior escalates
Ask the client, "Why are you so upset?"
Remain within arms length of the client in case they need to be
quickly removed from the room.. Answer: Ensure security personnel
are available to assist if the client's behavior escalates.
◉ A nurse is caring for a group of clients. For which of the following
situations should the nurse complete an incident report?
A client refuses electroconvulsive therapy after signing consent
form.
A client who was voluntary admitted left the unit against medical
advice.
A client was administered one-half of the prescribed dose of
medications.
,A client was placed in restraints after attempts to de-escalate
aggressive behaviors failed.. Answer: A client was administered one-
half of the prescribed dose of medication.
◉ A nurse in a community health center is working with a group of
clients who have PTSD. Which of he following interventions should
the nurse include to reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy. Answer: Guided Imagery
◉ A nurse in the emergency department is caring for a client who
has alcohol toxicity and is unresponsive. Which of the following
interventions should the nurse take?
Gather supplies for endotracheal intubation
Administer a beta blocker intravenously
, Position the client in a low-Fowler's position
Place a cooling blanket over the client.. Answer: Gather supplies for
endotracheal intubation.
◉ A nurse is assessing a client who recently used cocaine. Which of
the following findings should the nurse expect?
Polyphagia
HTN
Decreased temperature
Depressed mood.. Answer: HTN
◉ A client who has a recent diagnosis of bipolar disorder is placed in
a room with a client who has severe depression. The client who has
depression reports to the nurse, "my roommate never sleeps and
keeps me up too." Which of the following actions should the nurse
take?