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1. A nurse is caring for a school-aged child who has conduct disorder
and is being physically aggressive toward other children in the unit.
Which of the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone - ,,,,,answer,,,,..a. Place the child in
seclusion
2• A nurse is caring for a client who has a new diagnosis of bulimia
nervosa. Which of the following diagnosis procedures should the
nurse anticipate the provider should describe during the medical
evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test - ,,,,,answer,,,,..b. ECG
,3. A nurse is caring for a client who exhibits excessive compliance,
passivity, and self-denial. The nurse should recognize that these
findings are associated with which of the following personality
disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic - ,,,,,answer,,,,..a. Dependent
4. A nurse is caring for a client who is involuntarily admitted for
major depressive disorder and refuses to take prescribed
antianxiety medication. Which of the following actions should the
nurse take?
a. Inform the client that he does not have the right to refuse
medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d. Implement consequences until the client take the medication -
,,,,,answer,,,,..c. Offer the client the medication at the next scheduled
dose time
5. A nurse is caring for a client in the emergency department who
states she was beaten and sexually assaultby her partner. After a
rapid assessment, which of the following actions should the nurse
plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's - ,,,,,answer,,,,..d.
Offer prophylactic medication to prevent STI's
6. A nurse is caring for a client who has major depressive disorder.
After discussing the treatment with his partner, the client verbally
,agrees to electroconvulsive therapy (ECT) but will not sign the
consent form. Which of the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT -
,,,,,answer,,,,..b. Cancel the scheduled ECT procedure
7. A nurse is caring for a client who reports that he is angry with his
partner because she thinks he is just trying to gain attention. When
the nurse attempts to talk to the client, he becomes angry and tells
her to leave. Which of the following defense mechanisms is the
client demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement - ,,,,,answer,,,,..d. Displacement
8. A nursing is advising an assistive personnel (AP) on the care of a
client who has major depressive disorder. The AP states that he is
irritated by the client's depression. Which of the following
statements by the nurse is appropriate?
a. Please don't take what the client said seriously when she is
depressedb.
b. It's important that the client feel safe verbalizing how she is
feeling
c. Everybody feels that way about this client so don't worry about it
d. I'll change your assignment to someone who doesn't have
depressive disorder - ,,,,,answer,,,,..b. It's important that the client
feel safe verbalizing how she is feeling
9. A nurse is assessing a child in the emergency department. Which
of the following findings places the childat the greatest risk for
physical abuse?
, a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis - ,,,,,answer,,,,..d. The child has cystic
fibrosis
10. A nurse is providing behavioral therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks that
the doors are locked at night. Which of the following instructions
should the nurse give the client when using thought stopping
technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking
the locks
c. Ask a family member to check the lock for you at night
d. Focus on abdominal breathing whenever you go to check the locks
- ,,,,,answer,,,,..b. Snap a rubber band on your wrist when you think
about checking the locks
11. A nurse is assessing a client who is experiencing alcohol
withdrawal. For which of the following findings should the nurse
anticipate administration of lorazepam/
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension - ,,,,,answer,,,,..a. Bradycardia
12. A nurse is creating a plan of care of a client who has anorexia
nervosa. Which of the following intervention should the nurse
include in the plan?
a. Weigh the client twice per day
b. Prepare the client for electroconvulsive therapy
c. Set a weight gain goal of 2.2kg (5lbs) per week