ssessment 2024 | Form A & B | Around 350 Questions with Ver
1. A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that
her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. the
nurse should anticipate planning care for managing which of the following phobias?
Correct Answer by professor email for queries: Agoraphobia is an irrational fear about
being in places or circumstances where the client would not have help in the event of panic or other forms of anxiety. Fea
of being alone outdoor is a common example.
,American Academy of Nursing
2. A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must
take the medications at specific intervals when at home. Which of the following instructions should the nurse
include in the teaching?
Correct Answer by professor email for queries: "Let's work together to devise a time
schedule that is convenient for you on a daily basis."
This response illustrates the therapeutic communication technique of formulating a plan of action. It demonstrates the
nurse's willingness to work with the client to modify the schedule so that it meets the client's needs at this time.
,American Academy of Nursing
3. A nurse is providing discharge teaching to. client who has bipolar disorder and will be discharged with a
prescription for lithium.The nurse should teach the client that which of the following factors puts her at
risk for lithium toxicity?
Correct Answer by professor email for queries: The client runs 4 miles outdoors
every afternoon. Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client engages in strenuou
exercise during hot weather, she should take care to replace any water that may have been lost through profuse sweating.
this also applies to other factors that can cause the client to become dehydrated, such as having diarrhea or taking
diuretics.
, American Academy of Nursing
4. A nurse in a emergency department is assessing a client for suspected cocaine intoxication.Which of
the following findings should the nurse expect?
Correct Answer by professor email for queries: Dilated pupils are a finding of cocaine
intoxication due to the stimulation of the sympathetic nervous system.
5. A nurse enters the room of a client who becomes verbally abusive. Which of the following actions
should the nurse take?
Speak slowly in a low, calm voice. Speaking in this manner conveys to the client that the nurse is controlled, nonthreat-
ening, and caring.