from V1-V3 Test Banks and Actual Exams (Latest
Update 2022) Complete Guide Rated A+
1. During admission to thepsychiatric unit, a female client is extremely anxious and states
that she is worried about thesun coming up thenext day. What intervention is most important
for theRN to implement during theadmission process?
A. Assist theclient in developing alternative coping skills.
B. Remain calm and use a matter of fact
approach.
C. Ask theclient why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
2. A female client is brought to theemergency department after police officers found her
disoriented, disorganized, and confused. theRN also determines that theclient is homeless and
is exhibiting suspiciousness. theclient’s plan of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
3. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to thehospital. theemployee states, “I can’t believe
this. What should I do?” Which response is best for theRN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was thecollision?
C. What do you think you should do?
D. Call for transportation to thehospital.
4. A client tells theRN that he has an IQ of 400+ and is a genius and an inventor. He also
reports that he is married to a female movie star and thinks that his brother wants a sexual
relationship with her. What is thepriority nursing problem for admission to thepsychiatric unit?
, A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
5. The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on theabdomen. Which approach should theRN use when changing
this client’s dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform thedressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why theclient cut own abdomen.
D. Request another staff member assist with thedressing change.
6. While sitting in theday room of themental health unit, a male adolescent avoids eye
contact, looks at thefloor, and talks softly when interacting verbally with theRN. thetwo trade
places, and theRN demonstrates theclient’s behaviors. What is themain goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with theclient.
B. Dialog about theineffectiveness of his interactions.
C. Allow theclient to theway he interacts.
D. Discuss theclient’s feelings when he responds.
identify
7. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours
in thepast 2 days and weight loss of 9 lbs within thelast month. Which client goal is most
important to achieve within thefirst three days of treatment?
A. Meet scheduled appointment with
dietitian. B. Sleep at least 6 hours a night.
C. Understands thepurpose of themedication regimen.
D. Describes thereasons for hospitalization.
8. When preparing to administer to domestic violence screening tool to a female client,
which statement should theRN provide?