COMPLETE QUESTIONS & VERIFIED ANSWERS (A+
GUIDE)
On admission assessment, the nurse is obtaining subjective data about a client's sexual
and reproductive status. The client states, "I don't want to discuss this; it's private and
personal." Which response by the nurse is the most therapeutic?
1) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing
you with the best care."
2) "This is difficult for you to speak about, but I need this information from you in order to
perform a complete assessment."
3) "I am a professional registered nurse, and, as such, I'll have you know that all your
information is certainly kept confidential."
4) "I know that some of these questions are difficult for you, but, as a professional nurse, I
am obligated to respect your confidentiality."
4) "I know that some of these questions are difficult for you, but, as a professional nurse, I
am obligated to respect your confidentiality."
The nurse should include which information in the nursing plan of care for a client with
obsessive-compulsive disorder (OCD)? Select all that apply.
1) The medical diagnosis of the client
2) Individualized goals and objectives
3) Attendance at group therapy sessions
4) Self-care measures to improve hygiene
5) Interruption of all compulsive behaviors
2) Individualized goals and objectives
3) Attendance at group therapy sessions
,4) Self-care measures to improve hygiene
A client in the mental health unit believes that the food is being poisoned. What
intervention(s) would be helpful when attempting to encourage the client to eat? Select all
that apply.
1) Use open-ended questions to encourage client dialogue
2) Offer opinions about the necessity for adequate nutrition
3) Focus on the client's self-disclosure about food preferences
4) Identify the reasons the client has for not wanting to eat
5) Offer the client food in closed containers, such as in cans that have to be opened
1) Use open-ended questions to encourage client dialogue
5) Offer the client food in closed containers, such as in cans that have to be opened
A client with a leg amputation is upset about his appearance. The nurse intends to address
which most closely associated psychosocial problem?
1) Inability to be mobile
2) Isolating self from others
3) Inability to tolerate activity
4) Concern about body persona
4) Concern about body persona
A client with an eating disorder is planning to attend group meetings with Overeaters
Anonymous. The nurse describes this group to the client, knowing that which finding(s) are
characteristic of this form of self-help group? Select all that apply.
, 1) A common goal is shared by all members
2) Members are required to remain anonymous
3) The leader is a professional mental health care provider
4) Attendance must be prescribed by the health care provider
5) The program is designed to provide support and bring about personal change
6) The group is composed of individuals who are experiencing similar problems
1) A common goal is shared by all members
5) The program is designed to provide support and bring about personal change
6) The group is composed of individuals who are experiencing similar problems
A client with schizophrenia is experiencing distressful thoughts secondary to paranoia.
Which intervention(s) should the nurse include in the plan of care? Select all that apply.
1) Avoid laughing when near the client
2) Whisper when communicating near the client
3) Increase socialization of the client among his peers
4) Have the client sign a written release of information form
5) Provide food items that are in containers that need to be opened
6) Begin to educate the client about social supports in the community
1) Avoid laughing when near the client
5) Provide food items that are in containers that need to be opened
A client is preparing to attend at Gamblers Anonymous meeting for the first time. The
prototype used by this group is the 12-step program developed by Alcoholics Anonymous.
Number in order of priority how the steps would be addressed.
1) Admitting to oneself and to another human being the exact nature of one's wrongs