Exam Questions & Answers
A nurse in a long-term care center is caring for an adult client who has Alzheimer's
disease and whose partner died several years ago. The client appears upset and
asks the nurse when their partner will visit again. The nurse states, "It seems like
you are feeling lonely. Let's take a walk outside and talk." Which of the following
communication strategies is the nurse using?
-validation therapy
A nurse is reinforcing teaching with a newly admitted client who has generalized
anxiety disorder. Which of the following statements should the nurse make?
- "We will demonstrate how to use relaxing techniques."
A nurse in a mental health facility is collecting data from a client who has
schizophrenia. The nurse should identify that which of the following findings is
referred to as a negative symptom of schizophrenia?
- Apathy
Negative symptoms of schizophrenia are deficits in the client's ability to
experience emotions. Apathy is a negative symptom of schizophrenia that is
manifested by a loss of interest in one's surroundings.
A nurse is preparing to administer clozapine for the first time to a client who has
schizophrenia. The nurse explains the therapeutic and adverse effects of the
medication to the client prior to administration. Which of the following ethical
concepts is the nurse demonstrating?
- Veracity
Veracity is the duty to tell the truth. The nurse should uphold this ethical principle
when administering a new medication to a client by explaining the therapeutic
effects as well as the adverse effects. This action promotes a trusting relationship
between the nurse and the client, which enhances the nurse's primary commitment
to the client of providing optimum, quality care.
, A nurse is organizing care for a group of clients. According to Maslow's hierarchy
of needs, which of the following interventions should the nurse plan to perform
first?
- offer finger foods to a client who is in the manic phase of bipolar disorder
A nurse in a mental health facility is caring for a client who is becoming agitated.
Which of the following actions should the nurse take first?
- offer diversionary activities
A nurse is contributing to the plan of care for a client who has bipolar disorder and
is experiencing mania. Which of the following interventions should the nurse
include to improve the client's nutritional status?
- have finger foods available for the client in a quiet area
A nurse is reinforcing teaching about thought stopping with a client who has a
phobia of riding in automobiles. Which of the following client statements indicates
an understanding of the instructions?
- "I will snap a rubber band on my wrist when I feel anxious about riding in a car."
A nurse is collecting data from a client who has major depressive disorder. Which
of the following findings is the priority for the nurse to report to the provider?
- feelings of hopelessness
A nurse is caring for a client who is 2 days postoperative following a hip
arthroplasty. When a news report about military action appears on the television,
the client says to the nurse, "My youngest child died 6 months ago while serving in
the military." Which of the following responses should the nurse make? (Select all
that apply.)
- A. This must be a very difficult time for you
B. Your child's death must be a terrible loss
E. Tell me something you remember about your child
A nurse in an urgent care clinic is collecting data from a client whose friend reports
a suspicion of cocaine use.