A & B with NGN Format, 140 Q&A | Verified Answers,
Detailed Rationales, A+ Rated Study Guide
1. A nurse is caring for a school-aged child who has conduct disorder
and is being physically aggressive toward other children in the unit.
Which of the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2. A nurse is caring for a client who has a new diagnosis of bulimia nervosa.
Which of the following diagnosis procedures should the nurse anticipate
the provider should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
3. A nurse is caring for a client who exhibits excessive compliance,
passivity, and self-denial. The nurse should recognize that these
findings are associated with which of the following personality
disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
,4. A nurse is caring for a client who is involuntarily admitted for major
depressive disorder and refuses to take prescribed antianxiety
medication. Which of the following actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d. Implement consequences until the client take the medication
5. A nurse is caring for a client in the emergency department who states she
was beaten and sexually assault by her partner. After a rapid assessment,
which of the following actions should the nurse plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the client
d. Offer prophylactic medication to prevent STI’s
6. A nurse is caring for a client who has major depressive disorder. After
discussing the treatment with his partner, the client verbally agrees to
electroconvulsive therapy (ECT) but will not sign the consent form. Which
of the following actions should the nurse take?
a. Request that the client’s partner sign the consent form
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT
7. A nurse is caring for a client who reports that he is angry with his partner
because she thinks he is just trying to gain attention. When the nurse
attempts to talk to the client, he becomes angry and tells her to leave.
Which of the following defense mechanisms is the client demonstrating?
, a. Rationalization
b. Denial
c. Compensation
d. Displacement
8. A nursing is advising an assistive personnel (AP) on the care of a client who
has major depressive disorder.
The AP states that he is irritated by the client’s depression. Which of the
following statements by the nurse is appropriate?
a. Please don’t take what the client said seriously when she is depressed
b. It’s important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don’t worry about it
d. I’ll change your assignment to someone who doesn’t have depressive
disorder
9. A nurse is assessing a child in the emergency department. Which of the
following findings places the child at the greatest risk for physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis
10.A nurse is providing behavioral therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked
at night. Which of the following instructions should the nurse give the
client when using thought stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the
locks
c. Ask a family member to check the lock for you at night
d. Focus on abdominal breathing whenever you go to check the locks
, 11.A nurse is assessing a client who is experiencing alcohol withdrawal. For
which of the following findings should the nurse anticipate administration
of lorazepam/
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension
12.A nurse is creating a plan of care of a client who has anorexia
nervosa. Which of the following intervention should the nurse
include in the plan?
a. Weigh the client twice per day
b. Prepare the client for electroconvulsive therapy
c. Set a weight gain goal of 2.2kg (5lbs) per week
d. Encourage the client to participate in family therapy
13.A nurse is planning care for a 3-year-old child who has autism spectrum
disorder. Which of the following finding should the nurse expect?
a. Readily initiates conversation
b. Enjoys imaginative play
c. Strong relationship with sibling and peers
d. Attachment to objects that spin
14.A nurse is planning care for a client who has bipolar disorder. The client
reports not sleeping for 3 days and is exhibiting a euphoric mood. The
nurse should identify which of the following as the priority intervention.
a. Secure the client’s valuable possessions
b. Limit loud noises in the client’s environment
c. Encourage the client to participate in structured solitary activities
d. Provide high calorie snacks to the client