A nurse in a community health center is working with a group of clients who have post-traumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group member?
a. Response prevention
b. Guided imagery
c. Aversion therapy
d. Light therapy
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, “My roommate never sleeps and keeps
me up, too.” Which of the following actions should the nurse take?
a. Move the client who has bipolar disorder to a private room.
b. Administer sleep medication to the client who has bipolar disorder.
c. Move the client who has severe depression to a private room.
d. Administer sleep medication to the client who has severe depression.
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which
of the following values should the nurse identify as a contraindication for receiving clozapine?
a. WBC count 2,500/mm3
b. Hgb 11.5 mg/dL
c. Platelets 150,000/mm3
d. RBC count 3.5 million/mm3
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent?
a. A 17-year-old client who lives with friends
b. A 50-year-old client who has a blood alcohol level of 80 mg/dL
c. A 35-year-old client who has major depressive disorder
d. A 65-year-old client who just received a dose of morphine
A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and
using the majority of the group’s time. Which of the following interventions should the nurse
implement?
a. Tell the client to talk less or risk being removed from the meeting.
b. Ask group members to discuss their feelings about this client's monopolizing behavior.
c. End the group meeting and take the client aside to discuss the disruptive behavior.
d. Focus on other group members and ignore the client who is doing all the talking.
, A nurse in a community health center is teaching families of clients who have PTSD about expected
clinical manifestation. Which of the following manifestations should the nurse include?
a. Repeatedly talks about the traumatic incident
b. Sleeps excessively
c. Experiences feelings of isolation
d. Uses repetitive speech
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available
is diazepam injection 5mg/mL. How many mL should the nurse administer?
Answer: 1.5 mL
A nurse is planning prevention strategies for partner violence in the community. Which of the following
strategies should the nurse include as a method of secondary prevention?
a. Provide teaching about the use of positive coping mechanisms.
b. Establish screening programs to identify at-risk clients.
c. Refer survivors of intimate partner abuse to a legal advocacy program.
d. Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify
that which of the following factors placed the client at an increased risk for depression?
a. The client is married.
b. The client recently received a promotion at work.
c. The client has COPD.
d. The client is a male.
A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives
alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate?
(select all that apply)
Occupational therapy
Meal delivery services
Speech-language pathologist
Physical therapy
Home health services
A nurse is receiving change-of0shift report for four clients. Which of the following clients should the
nurse plan to see first?
a. A client who has avoidant personality disorder and refuses to attend group therapy
b. A client who has bipolar disorder and reports being kidnapped by aliens overnight
c. A client who is taking bupropion and reports having insomnia the past 2 nights
d. A client who is taking clozapine and reports a sore throat and chills
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group member?
a. Response prevention
b. Guided imagery
c. Aversion therapy
d. Light therapy
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, “My roommate never sleeps and keeps
me up, too.” Which of the following actions should the nurse take?
a. Move the client who has bipolar disorder to a private room.
b. Administer sleep medication to the client who has bipolar disorder.
c. Move the client who has severe depression to a private room.
d. Administer sleep medication to the client who has severe depression.
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which
of the following values should the nurse identify as a contraindication for receiving clozapine?
a. WBC count 2,500/mm3
b. Hgb 11.5 mg/dL
c. Platelets 150,000/mm3
d. RBC count 3.5 million/mm3
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent?
a. A 17-year-old client who lives with friends
b. A 50-year-old client who has a blood alcohol level of 80 mg/dL
c. A 35-year-old client who has major depressive disorder
d. A 65-year-old client who just received a dose of morphine
A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and
using the majority of the group’s time. Which of the following interventions should the nurse
implement?
a. Tell the client to talk less or risk being removed from the meeting.
b. Ask group members to discuss their feelings about this client's monopolizing behavior.
c. End the group meeting and take the client aside to discuss the disruptive behavior.
d. Focus on other group members and ignore the client who is doing all the talking.
, A nurse in a community health center is teaching families of clients who have PTSD about expected
clinical manifestation. Which of the following manifestations should the nurse include?
a. Repeatedly talks about the traumatic incident
b. Sleeps excessively
c. Experiences feelings of isolation
d. Uses repetitive speech
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available
is diazepam injection 5mg/mL. How many mL should the nurse administer?
Answer: 1.5 mL
A nurse is planning prevention strategies for partner violence in the community. Which of the following
strategies should the nurse include as a method of secondary prevention?
a. Provide teaching about the use of positive coping mechanisms.
b. Establish screening programs to identify at-risk clients.
c. Refer survivors of intimate partner abuse to a legal advocacy program.
d. Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify
that which of the following factors placed the client at an increased risk for depression?
a. The client is married.
b. The client recently received a promotion at work.
c. The client has COPD.
d. The client is a male.
A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives
alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate?
(select all that apply)
Occupational therapy
Meal delivery services
Speech-language pathologist
Physical therapy
Home health services
A nurse is receiving change-of0shift report for four clients. Which of the following clients should the
nurse plan to see first?
a. A client who has avoidant personality disorder and refuses to attend group therapy
b. A client who has bipolar disorder and reports being kidnapped by aliens overnight
c. A client who is taking bupropion and reports having insomnia the past 2 nights
d. A client who is taking clozapine and reports a sore throat and chills
