1. A nurse is caring for a client with major depressive disorder.
Which of the following symptoms would be expected in this client?
A. Increased energy
B. Rapid speech
C. Decreased appetite
D. Elation
Answer: C. Decreased appetite
Rationale: Major depressive disorder typically presents with symptoms
such as a decreased appetite, low energy, and feelings of hopelessness.
Increased energy, rapid speech, and elation are more commonly seen in
mania, associated with bipolar disorder.
2. A nurse is conducting a mental status examination on a client
with schizophrenia. Which of the following would the nurse expect
to assess?
A. Delusions
B. Euphoric mood
C. Increased speech productivity
D. Decreased motor activity
Answer: A. Delusions
Rationale: Delusions (false beliefs) are a hallmark symptom of
schizophrenia. Euphoric mood, increased speech, and decreased motor
activity are not typical features of schizophrenia.
3. Which of the following would be a priority for a nurse caring for
a client with an anxiety disorder?
,A. Promoting relaxation techniques
B. Encouraging socialization
C. Instructing the client about medications
D. Establishing a structured environment
Answer: A. Promoting relaxation techniques
Rationale: Promoting relaxation techniques helps reduce anxiety and is
a priority in the management of anxiety disorders. Encouraging
socialization and establishing a structured environment may be
beneficial, but relaxation techniques should come first.
4. A nurse is teaching a client with generalized anxiety disorder
about relaxation techniques. Which of the following techniques
would the nurse recommend?
A. Deep breathing
B. Muscle tension
C. Rapid speech
D. Focused hyperactivity
Answer: A. Deep breathing
Rationale: Deep breathing is an effective relaxation technique to
manage anxiety. Muscle tension and rapid speech are signs of anxiety,
and hyperactivity is not typically beneficial for managing it.
5. Which of the following medications is commonly prescribed for
the treatment of obsessive-compulsive disorder (OCD)?
A. Fluoxetine
B. Lorazepam
, C. Lithium
D. Haloperidol
Answer: A. Fluoxetine
Rationale: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is
commonly prescribed for the treatment of OCD. Lorazepam
(benzodiazepine) is used for anxiety, Lithium for mood stabilization in
bipolar disorder, and Haloperidol is an antipsychotic medication.
6. A nurse is working with a client diagnosed with post-traumatic
stress disorder (PTSD). Which of the following is an expected
symptom?
A. Hypervigilance
B. Increased interest in activities
C. Euphoric mood
D. Elevated self-esteem
Answer: A. Hypervigilance
Rationale: Hypervigilance, or being excessively alert to potential
danger, is a common symptom of PTSD. Increased interest in activities,
euphoric mood, and elevated self-esteem are not typical features of
PTSD.
7. Which of the following interventions is the most important when
caring for a client who has been diagnosed with anorexia nervosa?
A. Encouraging the client to increase food intake immediately
B. Establishing a structured meal schedule
C. Involving the client in group therapy sessions
D. Promoting physical exercise to increase strength
Which of the following symptoms would be expected in this client?
A. Increased energy
B. Rapid speech
C. Decreased appetite
D. Elation
Answer: C. Decreased appetite
Rationale: Major depressive disorder typically presents with symptoms
such as a decreased appetite, low energy, and feelings of hopelessness.
Increased energy, rapid speech, and elation are more commonly seen in
mania, associated with bipolar disorder.
2. A nurse is conducting a mental status examination on a client
with schizophrenia. Which of the following would the nurse expect
to assess?
A. Delusions
B. Euphoric mood
C. Increased speech productivity
D. Decreased motor activity
Answer: A. Delusions
Rationale: Delusions (false beliefs) are a hallmark symptom of
schizophrenia. Euphoric mood, increased speech, and decreased motor
activity are not typical features of schizophrenia.
3. Which of the following would be a priority for a nurse caring for
a client with an anxiety disorder?
,A. Promoting relaxation techniques
B. Encouraging socialization
C. Instructing the client about medications
D. Establishing a structured environment
Answer: A. Promoting relaxation techniques
Rationale: Promoting relaxation techniques helps reduce anxiety and is
a priority in the management of anxiety disorders. Encouraging
socialization and establishing a structured environment may be
beneficial, but relaxation techniques should come first.
4. A nurse is teaching a client with generalized anxiety disorder
about relaxation techniques. Which of the following techniques
would the nurse recommend?
A. Deep breathing
B. Muscle tension
C. Rapid speech
D. Focused hyperactivity
Answer: A. Deep breathing
Rationale: Deep breathing is an effective relaxation technique to
manage anxiety. Muscle tension and rapid speech are signs of anxiety,
and hyperactivity is not typically beneficial for managing it.
5. Which of the following medications is commonly prescribed for
the treatment of obsessive-compulsive disorder (OCD)?
A. Fluoxetine
B. Lorazepam
, C. Lithium
D. Haloperidol
Answer: A. Fluoxetine
Rationale: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is
commonly prescribed for the treatment of OCD. Lorazepam
(benzodiazepine) is used for anxiety, Lithium for mood stabilization in
bipolar disorder, and Haloperidol is an antipsychotic medication.
6. A nurse is working with a client diagnosed with post-traumatic
stress disorder (PTSD). Which of the following is an expected
symptom?
A. Hypervigilance
B. Increased interest in activities
C. Euphoric mood
D. Elevated self-esteem
Answer: A. Hypervigilance
Rationale: Hypervigilance, or being excessively alert to potential
danger, is a common symptom of PTSD. Increased interest in activities,
euphoric mood, and elevated self-esteem are not typical features of
PTSD.
7. Which of the following interventions is the most important when
caring for a client who has been diagnosed with anorexia nervosa?
A. Encouraging the client to increase food intake immediately
B. Establishing a structured meal schedule
C. Involving the client in group therapy sessions
D. Promoting physical exercise to increase strength
