QUESTIONS WITH VERIFIED ANSWERS 2025/2026
determine the rules that the group will follow
*during the orientation phase of group development, the nurse should determine
the rules that apply to the group and ensure that all members understand these
rules. Examples of rules to be discussed include confidentiality and meeting times.
- CORRECT ANSWER A nurse is assisting with the planning of a therapeutic support
group for individuals who have bulimia nervosa. Which of the following tasks
should the nurse include during the orientation phase of group development?
A. determine the rules that the group will follow
B. address disagreements among group members
C. help clients work through the grief response
D. transition from the role of leader to facilitator
"Dealing with your mother's death must be difficult for you."
*The nurse should use therapeutic communication when supporting a client who
is grieving. This statement keeps the focus of the conversation on the client by
acknowledging her grief and encourages further communication." - CORRECT
ANSWER A nurse is providing support for a client who is grieving the loss of her
mother who died from Alzheimer’s disease. Which of the following statements
should the nurse offer?
,A. "I know how you must be feeling. I recently lost my father."
B. "Dealing with your mother's death must be difficult for you."
C. "Knowing your mother is in a better place provides you with some comfort."
D. "I want you to let me know what I can do to help you cope with your mother's
death."
Respiratory depression
*Heroin is an opioid; therefore, the nurse should expect this client who has heroin
intoxication to exhibit respiratory depression. - CORRECT ANSWER A nurse in the
emergency room is collecting data from a client who has heroin intoxication.
Which of the following findings should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
The client has a history of violence
*The client's history of violence is the most important indicator that this client
might become violent; therefore, this is the strongest indicator of potential
aggressiveness. - CORRECT ANSWER A nurse on a mental health unit is caring for a
client who is displaying signs of anger. Which of the following pieces of
information about the client is the strongest indicator that the client might
become aggressive?
,A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being hospitalized
D. The client blames others for her problems
Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without sitting
down. Clients who have dementia often like to wander and walk off nervous
energy, which can decrease anxiety and calm the client. - CORRECT ANSWER A
nurse is reinforcing teaching with the caregiver of a client who has dementia.
Which of the following instructions should the nurse include in the teaching?
A. Offer the client a list of activities to choose from
B. Offer finger foods to the client
C. Discourage naps throughout the day
D. Turn on the television when the client is in the room
Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods throughout the
day to decrease the client's risk of exhaustion from the constant activity
associated with acute mania. - CORRECT ANSWER A nurse is contributing to the
plan of care for a client with bipolar disorder who has acute mania. Which of the
following interventions should the nurse recommend including in the plan?
, A. Provide the client with a low-calorie, low-fat diet
B. Encourage the client to have frequent rest periods
C. Escort the client to daily group therapy
D. Limit the client's intake of caffeinated beverages to 12 oz per day
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that are
maladaptive with regards to recovery. When experiencing mania, the client tends
to view the future unrealistically as highly favorable. CBT assists the client in
recognizing and challenging such unrealistic or "automatic" thoughts and can help
the client and the health care team recognize early trends toward mania -
CORRECT ANSWER A nurse is reviewing the plan of care for a client who has
bipolar disorder. Which of the following is an effect of using cognitive behavioral
therapy (CBT) for a client who has bipolar disorder?
A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
C. Aids in communication among family members
D. Replaces the need for lifestyle interventions
Notify the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It will then be
the provider's responsibility to warn the the intended victim or the police of the