Marco approached Nurse Trish asking for advice on how to deal with his
alcohol addiction. Nurse Trish should tell the client that the only
effective treatment for alcoholism is:
a. Psychotherapy
b. Alcoholics anonymous (A.A.)
c. Total abstinence
d. Aversion Therapy
Nurse Hazel is caring for a male client who experience false sensory
perceptions with no basis in reality. This perception is known as:
a. Hallucinations
b. Delusions
c. Loose associations
d. Neologisms
Nurse Monet is caring for a female client who has suicidal tendency. When
accompanying the client to the restroom, Nurse Monet should…
a. Give her privacy
b. Allow her to urinate
c. Open the window and allow her to get some fresh air
d. Observe her
Nurse Maureen is developing a plan of care for a female client with anorexia
nervosa. Which action should the nurse include in the plan?
a. Provide privacy during meals
b. Set-up a strict eating plan for the client
c. Encourage client to exercise to reduce anxiety
d. Restrict visits with the family
A client is experiencing anxiety attack. The most appropriate nursing
intervention should include?
a. Turning on the television
b. Leaving the client alone
c. Staying with the client and speaking in short sentences
d. Ask the client to play with other clients
A female client is admitted with a diagnosis of delusions of GRANDEUR. This
diagnosis reflects a belief that one is:
, d. Connected to client unrelated to oneself
A 20 year old client was diagnosed with dependent personality disorder.
Which behavior is not most likely to be evidence of
ineffective individual coping?
a. Recurrent self-destructive behavior
b. Avoiding relationship
c. Showing interest in solitary activities
d. Inability to make choices and decision without advise
A male client is diagnosed with schizotypal personality disorder. Which signs
would this client exhibit during social situation?
a. Paranoid thoughts
b. Emotional affect
c. Independence need
d. Aggressive behavior
Nurse Claire is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is?
a. Encourage to avoid foods
b. Identify anxiety causing situations
c. Eat only three meals a day
d. Avoid shopping plenty of groceries
Nurse Tony was caring for a 41 year old female client. Which behavior by the
client indicates adult cognitive development?
a. Generates new levels of awareness
b. Assumes responsibility for her actions
c. Has maximum ability to solve problems and learn new skills
d. Her perception are based on reality
A neuromuscular blocking agent is administered to a client before ECT
therapy. The Nurse should carefully observe the client for?
a. Respiratory difficulties
b. Nausea and vomiting
c. Dizziness
d. Seizures
A 75 year old client is admitted to the hospital with the diagnosis of
dementia of the Alzheimer’s type and depression. The symptom that is
unrelated to depression would be?
a. Apathetic response to the environment
b. “I don’t know” answer to questions
c. Shallow of labile effect
, a. Teach client to measure I & O
b. Involve client in planning daily meal
c. Observe client during meals
d. Monitor client continuously
Nurse Patricia is aware that the major health complication associated with
intractable anorexia nervosa would be?
a. Cardiac dysrhythmias resulting to cardiac arrest
b. Glucose intolerance resulting in protracted hypoglycemia
c. Endocrine imbalance causing cold amenorrhea
d. Decreased metabolism causing cold intolerance
Nurse Anna can minimize agitation in a disturbed client by?
a. Increasing stimulation
b. limiting unnecessary interaction
c. increasing appropriate sensory perception
d. ensuring constant client and staff contact
A 39 year old mother with obsessive-compulsive disorder has become
immobilized by her elaborate hand washing and walking rituals. Nurse Trish
recognizes that the basis of O.C. disorder is often:
a. Problems with being too conscientious
b. Problems with anger and remorse
c. Feelings of guilt and inadequacy
d. Feeling of unworthiness and hopelessness
Mario is complaining to other clients about not being allowed by staff to
keep food in his room. Which of the following interventions would be most
appropriate?
a. Allowing a snack to be kept in his room
b. Reprimanding the client
c. Ignoring the clients behavior
d. Setting limits on the behavior
Conney with borderline personality disorder who is to be discharge soon
threatens to “do something” to herself if discharged. Which of the following
actions by the nurse would be most important?
a. Ask a family member to stay with the client at home temporarily
b. Discuss the meaning of the client’s statement with her
c. Request an immediate extension for the client
d. Ignore the clients statement because it’s a sign of manipulation
Joey a client with antisocial personality disorder belches loudly. A staff
member asks Joey, “Do you know why people find you repulsive?” this