A nurse is providing teaching to the guardian of a female adolescent client who has
bulimia nervosa. Which of the following statements by the guardian indicates an
understanding of the teaching?
B. "It is important for my daughter to have regular dental checkups."
A nurse in an acute mental health facility is reviewing the medication records of a
group of clients. The nurse should expect a prescription for memantine for a client
who has which of the following diagnoses?
D. Severe Alzheimer’s
A nurse is teaching a client who wants to stop smoking by using nicotine lozenges.
Which of the following statements should the nurse make?
C. Limit your use to no more than 20/day
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an
older adult client who has dementia with periods of confusion. Which of the
following statements should indicate that the AP requires further teaching?
D. It’s almost time for your appointment. Let me do your hair…
A nurse is preparing to meet with a client who has borderline personality disorder.
Which of the following actions should the nurse plan to take during the working
phase of the therapeutic relationship?
D. Facilitate a change in the client's behavior
A nurse admits a client to the emergency department with a fractured arm and
periorbital ecchymosis. The nurse suspects intimate partner violence. Which of the
following nursing interventions should the nurse take first?
D. Check the client’s injuries
A nurse is reviewing the health history of a young adult client who has a
depressive disorder. Which of the following factors increases the client’s risk of
depression? D. D. The client is female
A nurse is planning care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should
the nurse include in the client’s plan of care?
A. Search the client and his belongings upon arrival.
A nurse is caring for a client who is experiencing opioid withdrawal. Which of the
following manifestations should the nurse expect?
B. Muscle spasms
,A nurse is organizing a therapeutic support group for individuals who have bulimia
nervosa. Which of the following tasks should the nurse plan to include during the
orientation phase of group development?
A. Determine the rules that the group will follow
A nurse is caring for a client who has major depressive disorder and recently
started taking an antidepressant. The nurse should identify which of the following
client statements as the priority?
C. "I have it all figured out. Everything is going to be okay now."
A nurse on an eating disorders acute care unit is assessing a client and observes the
presence of lanugo on her skin. The nurse should identify that this finding is
consistent with which of the following eating disorders?
A. Anorexia nervosa
A nurse is assessing a client who experienced a sexual assault 6 months ago.
Which of the following findings should the nurse report to the provider as an
indication of rape-trauma syndrome?
C. Report of intense guilt
A nurse is working with a client who exhibits extreme superstition, elaborate speech
patterns, and eccentric behavior. The nurse should identify these features as which
of the following personality disorders?
D. Schizotypal
A nurse is planning care for a client who has thoughts of suicide. Which of the
following goals should the nurse include in the client’s plan of care?
B. The client agrees to notify a staff member of thoughts of self-harm.
A nurse is admitting a client following care in the emergency department for an
intentional overdose of opioids. The client states, "I feel so alone. No one can help
me." Which of the following responses by the nurse is therapeutic?
D. "I would like to sit and talk with you." Graded Response: Correct Question
Feedback
A nurse is interviewing a client who has anorexia nervosa. Which of the following
findings should the nurse expect?
B. Strenuous exercise regimen
A nurse is performing an admission assessment for a client who has restricting-
type anorexia nervosa. The nurse should expect which of the following findings?
D. Decreased caloric intake
A nurse is creating a plan of care for a group of clients. Which of the following
interventions is the priority for the nurse to include?
, A. Offering high-calorie beverages to a client who is in the manic phase of bipolar
disorder
A nurse is providing dietary teaching to a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). Which of the following food selections by the
client indicates an understanding of the teaching?
D. Yogurt
A nurse is providing teaching to a client who has a new prescription for
chlorpromazine. Which of the following statements should the nurse make?
C. This medication is an antipsychotic that controls manifestation of schizophrenia
A nurse is caring for a client with ADHD who has recently started taking lithium. For
which of the following findings should the nurse monitor when evaluating the
effectiveness of the medication?
C. Reduced aggression
A nurse is assessing a client who has schizophrenia. The client states, “I need to get
my gummamoshu from by my house.” The nurse recognizes this statement as an
example of which of the following
D. Neologism
A nurse in an acute mental health facility is caring for a client who states, "This
place is ridiculous. I can't stand spending another day here!" Which of the following
responses should the nurse make? 2w
D. "Let's talk about the events of your day."
A nurse is providing teaching to a client who has a new prescription for diazepam.
Which of the following instructions should the nurse include in the teaching
B. "This medication can be habit-forming."
A nurse is caring for 4 clients in a community mental health facility. For which of
the following clients should the nurse provide a tertiary care intervention?
C. A client who is recovering from a crisis and asks for help in completing the
recovery process
A nurse is reviewing the medical record of a client who has a new prescription for
tranylcypromine. The client still has a current prescription for sertraline. The nurse
should notify the provider because taking these medications concurrently
increases the risk of which of the following adverse effects?
B. Serotonin syndrome
A nurse is assessing a client who has conduct disorder. Which of the following
findings should the nurse expect?
D. Aggressive behavior toward others
bulimia nervosa. Which of the following statements by the guardian indicates an
understanding of the teaching?
B. "It is important for my daughter to have regular dental checkups."
A nurse in an acute mental health facility is reviewing the medication records of a
group of clients. The nurse should expect a prescription for memantine for a client
who has which of the following diagnoses?
D. Severe Alzheimer’s
A nurse is teaching a client who wants to stop smoking by using nicotine lozenges.
Which of the following statements should the nurse make?
C. Limit your use to no more than 20/day
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an
older adult client who has dementia with periods of confusion. Which of the
following statements should indicate that the AP requires further teaching?
D. It’s almost time for your appointment. Let me do your hair…
A nurse is preparing to meet with a client who has borderline personality disorder.
Which of the following actions should the nurse plan to take during the working
phase of the therapeutic relationship?
D. Facilitate a change in the client's behavior
A nurse admits a client to the emergency department with a fractured arm and
periorbital ecchymosis. The nurse suspects intimate partner violence. Which of the
following nursing interventions should the nurse take first?
D. Check the client’s injuries
A nurse is reviewing the health history of a young adult client who has a
depressive disorder. Which of the following factors increases the client’s risk of
depression? D. D. The client is female
A nurse is planning care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should
the nurse include in the client’s plan of care?
A. Search the client and his belongings upon arrival.
A nurse is caring for a client who is experiencing opioid withdrawal. Which of the
following manifestations should the nurse expect?
B. Muscle spasms
,A nurse is organizing a therapeutic support group for individuals who have bulimia
nervosa. Which of the following tasks should the nurse plan to include during the
orientation phase of group development?
A. Determine the rules that the group will follow
A nurse is caring for a client who has major depressive disorder and recently
started taking an antidepressant. The nurse should identify which of the following
client statements as the priority?
C. "I have it all figured out. Everything is going to be okay now."
A nurse on an eating disorders acute care unit is assessing a client and observes the
presence of lanugo on her skin. The nurse should identify that this finding is
consistent with which of the following eating disorders?
A. Anorexia nervosa
A nurse is assessing a client who experienced a sexual assault 6 months ago.
Which of the following findings should the nurse report to the provider as an
indication of rape-trauma syndrome?
C. Report of intense guilt
A nurse is working with a client who exhibits extreme superstition, elaborate speech
patterns, and eccentric behavior. The nurse should identify these features as which
of the following personality disorders?
D. Schizotypal
A nurse is planning care for a client who has thoughts of suicide. Which of the
following goals should the nurse include in the client’s plan of care?
B. The client agrees to notify a staff member of thoughts of self-harm.
A nurse is admitting a client following care in the emergency department for an
intentional overdose of opioids. The client states, "I feel so alone. No one can help
me." Which of the following responses by the nurse is therapeutic?
D. "I would like to sit and talk with you." Graded Response: Correct Question
Feedback
A nurse is interviewing a client who has anorexia nervosa. Which of the following
findings should the nurse expect?
B. Strenuous exercise regimen
A nurse is performing an admission assessment for a client who has restricting-
type anorexia nervosa. The nurse should expect which of the following findings?
D. Decreased caloric intake
A nurse is creating a plan of care for a group of clients. Which of the following
interventions is the priority for the nurse to include?
, A. Offering high-calorie beverages to a client who is in the manic phase of bipolar
disorder
A nurse is providing dietary teaching to a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). Which of the following food selections by the
client indicates an understanding of the teaching?
D. Yogurt
A nurse is providing teaching to a client who has a new prescription for
chlorpromazine. Which of the following statements should the nurse make?
C. This medication is an antipsychotic that controls manifestation of schizophrenia
A nurse is caring for a client with ADHD who has recently started taking lithium. For
which of the following findings should the nurse monitor when evaluating the
effectiveness of the medication?
C. Reduced aggression
A nurse is assessing a client who has schizophrenia. The client states, “I need to get
my gummamoshu from by my house.” The nurse recognizes this statement as an
example of which of the following
D. Neologism
A nurse in an acute mental health facility is caring for a client who states, "This
place is ridiculous. I can't stand spending another day here!" Which of the following
responses should the nurse make? 2w
D. "Let's talk about the events of your day."
A nurse is providing teaching to a client who has a new prescription for diazepam.
Which of the following instructions should the nurse include in the teaching
B. "This medication can be habit-forming."
A nurse is caring for 4 clients in a community mental health facility. For which of
the following clients should the nurse provide a tertiary care intervention?
C. A client who is recovering from a crisis and asks for help in completing the
recovery process
A nurse is reviewing the medical record of a client who has a new prescription for
tranylcypromine. The client still has a current prescription for sertraline. The nurse
should notify the provider because taking these medications concurrently
increases the risk of which of the following adverse effects?
B. Serotonin syndrome
A nurse is assessing a client who has conduct disorder. Which of the following
findings should the nurse expect?
D. Aggressive behavior toward others
