UPDATED QUESTIONS AND CORRECT
ANSWERS
A nurse is caring for several clients who have mental health disorders at an assisted-living
facility. Which of the
following clients should the nurse determine needs to be seen by a provider immediately? -
CORRECT ANSWER A client who is taking clozapine, and has flu-like manifestations
A nurse is caring for a client who is hospitalized for the treatment of severe depression.
Which of the following
nursing approaches is therapeutic to include in the client's plan of care? - CORRECT
ANSWER Spending time sitting with the client
A nurse is caring for a client who was admitted to the facility in critical condition following a
cerebrovascular
accident. The client's son says to the nurse, "I wish I could stay, but I need to go home to see
how my children are
doing. I really hate to leave." Which of the following responses should the nurse make? -
CORRECT ANSWER "You are feeling drawn in two separate directions."
A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for
treatment of
pneumonia. During the night shift, the client is found climbing into the bed of another client
who becomes upset
and frightened. Which of the following actions should the nurse take? - CORRECT
ANSWER Assist the client to the correct room.
A nurse is reviewing medication records for several clients who have bipolar disorder. The
nurse should recognize that which of the following medications are used to treat clients who
have bipolar disorder? (Select all that apply.) - CORRECT ANSWER Paroxetine
Lithium
, Valproate
Carbamazepine
!NOT DONEZAPIL!
A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and
told me my boss
hired someone to take my place." Which of the following responses should the nurse make? -
CORRECT ANSWER "You must feel very concerned and disappointed by that
information."
- This is a therapeutic response and an open-ended empathetic statement that encourages the
client to talk.
A nurse is caring for a client who has major depressive disorder and attempted suicide. The
client tells the nurse,
"I should have died because I am totally worthless." Which of the following responses should
the nurse make? - CORRECT ANSWER "You've been feeling that your life has no
meaning."
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase.
Which of the
following room assignments should the nurse give the client? - CORRECT
ANSWER A private room in a quiet location on the unit
A nurse is planning a unit orientation for a newly admitted client who has severe depression.
Which of the
following should be the nurse's approach? - CORRECT ANSWER sit with the client
and offer simple, direct information
A nurse is making a home visit to a client who has Alzheimer's disease and the client's
partner. Which of the
following observations indicates to the nurse that the partner is experiencing caregiver role
strain? - CORRECT ANSWER The partner has lost 20 lbs in the past 2 months