2023WITH NGN QUESTIONS
, A nurse is providing preoperative teaching for a client who was just informed that she requires
emergency surgery. The client has a respiratory rate 30/min and says, "This is difficult to
comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing
which of the following levels of anxiety?
Mild
Moderate
Severe
Panic
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client? (Select
all that apply.)
A. Reassure the client that everything will be okay.
B. Discuss prior use of coping mechanisms with the client.
C. Ignore the client's anxiety so that she will not be embarrassed.
D. Demonstrate a calm manner while using simple and clear directions.
E. Gather information from the client using closed-ended questions.
A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which
of the following statements should the nurse make?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion? (Select all that apply)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior?
A. The client asks the nurse whether she will go out to dinner with him.
B. The client accuses the nurses of telling him what to do just like his ex-girlfriend.
,C. The client reminds the nurse of a friend who died from a substance overdose.
D. The client becomes angry and threatens to harm himself.
, A nurse is planning care for the termination phase of a nurse-client relationship. Which of the
following actions should the nurse include in the plan of care?
A. Discussing ways to use new behaviors
B. Practicing new problem-solving skills
C. Developing goals
D. Establishing boundaries
A nurse is orienting a new client to a mental health unit. When explaining the unit's community
meetings, which of the following statements should the nurse make?
A. "You and a group of other clients will meet to discuss your treatment plans."
B. "Community meetings have a specific agenda that is established by staff."
C. "You and the other clients will meet with staff to discuss common problems."
D. "Community meetings are an excellent opportunity to explore your personal mental health
issues."
A nurse is caring several clients who are attending community-based mental health programs.
Which of the following clients should the nurse plan to visit first?
A. A client who recently burned her arm while using a hot iron at home.
B. A client who requests that her antipsychotic medication be changed due to some
newadverse effects.
C. A client who says he is hearing a voice that tells him he is not worth living anymore.
D. A client who tells the nurse he experienced manifestations of severe anxiety before and
during a job interview.
A community mental health nurse is planning care to address the issue of depression among
older adult clients in the community. Which of the following interventions should the nurse
plan as a method of tertiary prevention?
A. Educating clients on health promotion techniques to reduce the risk of depression
B. Performing screenings for depression at community health programs
C. Establishing rehabilitation programs to decrease the effects of depression
D. Providing support groups for clients at risk for depression