Questions & Verified Answers | Complete Nursing Prep
1. Why is it important for the school nurse to ask about a child's ability to stay in
one spot when assessing for ADD?
It assesses the parent's involvement in the child's activities.
It determines the child's social interactions.
It evaluates the child's preference for entertainment.
It helps gauge the child's attention span and ability to focus.
2. Which statement made by the client's family may indicate the client of having
dissociative amnesia with dissociative fugue?
"My son is intentionally harming himself."
"My son assumed a new identity after the accident."
"My son is disoriented and detached from the environment."
"My son developed negative feelings about his capabilities."
3. The nurse begins to conduct a psychosocial assessment and recognizes that
the patient speaks very little English and is having difficulty responding to
questions. The priority nursing action is:
Contact an interpreter before conducting the assessment.
Ask a family member to translate questions.
Ask the questions in different ways.
Medicate the patient to reduce anxiety.
,4. In a scenario where a client reveals a family history of suicide attempts, what
should be the nurse's immediate priority?
Ensure the client's safety and assess their current mental state.
Discuss the family's history in detail.
Refer the client to a psychiatrist immediately.
Focus on developing a treatment plan without further assessment.
5. In a situation where a client shows signs of severe distress and mentions
thoughts of self-harm, what should the nurse's immediate action be?
Schedule a follow-up appointment.
Conduct a safety assessment.
Discuss the client's family issues.
Provide educational materials on stress management.
6. What is a key question to assess the risk of suicide in a family member?
Do you have a history of depression?
Has anyone in your family ever attempted suicide?
Do you feel safe at home?
Have you ever been hospitalized for mental health issues?
7. What is the first action a nurse should take when encountering a confused
older adult client yelling in a foreign language?
Call the client's family member at home to provide further details
Call for a professional interpreter to determine the client's state
Call the primary health care provider for a stat medication order
, Call security to help restrain the client
8. The nurse provides care for a client who has been sexually assaulted by a
family friend. The client states, "I never should have come to the hospital.
Please don't tell anyone." Which response by the nurse is best?
You were right to come here for help. I am going to help you
Has this friend ever been inappropriate with you before
I won't tell anyone, but you need to talk to your family
I will have to call the police and take samples for evidence
9. Why is it important to recognize signs of mental health disorders in clients?
To provide appropriate interventions and ensure client safety.
To increase medication adherence.
To diagnose physical illnesses.
To promote physical fitness.
10. In a situation where a client with depression refuses to discuss their feelings,
what should the nurse prioritize in their approach?
Encourage the client to talk about their hobbies.
Assess the client's safety and risk of self-harm.
Suggest a group therapy session.
Provide information on depression treatments.
11. A child is brought to the pediatric clinic. The parent states that the child has
been withdrawn and does not make eye contact when spoken to. The nurse
suspects autistic disorder. The nurse knows that these symptoms related to
this disorder usually appear before which age?
, 3 years
5 years
9 years
7 years
12. In a scenario where an older adult client is confused and yelling in a foreign
language, how might the nurse's response differ if the client had a known
history of PTSD?
The nurse should prioritize de-escalation techniques and ensure a
calm environment before seeking interpretation.
The nurse should ignore the yelling and wait for the family to arrive.
The nurse should immediately call for security to restrain the client.
The nurse should administer medication to calm the client without
further assessment.
13. If a client taking donepezil reports experiencing bradycardia, what should
the nurse's immediate action be?
Increase the dosage of donepezil.
Provide the client with a high-sugar snack.
Assess the client's heart rate and notify the healthcare provider.
Advise the client to stop taking the medication immediately.
14. A nurse is assessing a 70-year-old client who reports occasional
forgetfulness but maintains social interactions and daily activities. How
should the nurse interpret these findings?
These findings suggest a need for immediate cognitive testing.
These findings are indicative of severe mental health issues.