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1. The nurse is caring for a client diagnosed with somatic symptom
disorder. The client continues to focus on his severe back pain.
Which of the following is the most therapeutic nursing
intervention?
A. Explain alternative interventions are available for back pain
B. Confront the client with the negative findings that have been
determined
C. Allow the client to discuss physical concerns and redirect to
coping skills for stress
D. Tell the client that there is no cause for the pain except for
emotional concerns - ANSWER ✔ C. Allow the client to
discuss physical concerns and redirect to coping skills for
stress
2. A 16 year old is admitted to the adolescent unit with a diagnosis of
conduct disorder. This condition is often manifested by what
behavior.
A. Physical aggression in violation of others
B. Compassion
, C. Yelling and name calling - ANSWER ✔ A. Physical
aggression in violation of others
3. The nurse is caring for a client with ADHD. The child has been
prescribed methylphenidate. Which of the following symptoms are
side effects the nurse will monitor for? SATA
A. Sedation
B. Headache
C. Decreased appetitie
D. Decreased blood pressure
E. Insomnia - ANSWER ✔ B. Headache
C. Decreased appetitie
E. Insomnia
4. While caring for a teenage client with ADHD who is at high risk
for self-harm due to poor judgment, high-risk taking behaviors,
impulsivity. Which of the following is the priority nursing
intervention?
A. Develop a no harm contract with the client and encourage
participation in all unit activties
B. Schedule a regular nurse client session daily to discuss daily
goals
C. Have the client sit within direct line of sight with the staff
only during mealtimes
D. Have a staff member assigned for 1:!1observation at all
times. - ANSWER ✔ D. Have a staff member assigned for
1:1 observation at all times.
, 5. Which of the following statements by the nurse, who cares for
children with psychiatric disorders, is a concern?
A. Since I have been caring for this child, he has become less
agitated.
B. When a child becomes violent, I also need to protect the
other children
C. I know exactly how the child feels since I went through the
same thing
D. I have to be careful not to become attached and show
favoritism - ANSWER ✔ C. I know exactly how the child
feels since I went through the same thing
6. A child diagnosed with ODD begins to yell at staff members when
asked to leave group therapy because of inappropriate behaviors.
Which nursing intervention would be the most appropriate.
A. Accompany the child to a quiet area to decrease eternal
stimuli
B. Institute seclusion following the facilities protocol
C. Allow the child to remain in group therapy and continue to
monitor
D. Assist the child in recognizing how to separate feelings from
reactions - ANSWER ✔ A. Accompany the child to a quiet
area to decrease eternal stimuli
7. When planning the care of a 6 year old child diagnosed with ODD,
the nurse should include which method of therapy?
A. Mindfulness exercises
B. Cognitive Therapy
C. Behavior modification