1. Question:
A nurse is caring for a client with generalized anxiety disorder (GAD).
Which of the following actions should the nurse take first?
A) Encourage the client to engage in a relaxation technique.
B) Administer the prescribed anti-anxiety medication.
C) Ask the client to identify sources of anxiety.
D) Establish a trusting nurse-client relationship.
Answer: B) Administer the prescribed anti-anxiety medication.
Rationale: In cases of GAD, the priority is to manage the client's anxiety
symptoms. Administering the prescribed medication will help reduce
the immediate symptoms of anxiety, enabling the client to engage in
therapeutic activities like relaxation techniques or identifying sources of
anxiety.
2. Question:
A nurse is assessing a client diagnosed with major depressive disorder
(MDD). Which of the following findings is most characteristic of this
disorder?
A) Apathy and lack of energy
B) Euphoria and hyperactivity
C) Frequent panic attacks
D) Grandiose thinking
Answer: A) Apathy and lack of energy
Rationale: Major depressive disorder (MDD) often involves symptoms
such as apathy, lack of energy, feelings of worthlessness, and a
diminished ability to experience pleasure. Euphoria, hyperactivity, and
grandiosity are more associated with bipolar disorder or mania.
,3. Question:
A nurse is teaching a client diagnosed with schizophrenia about their
antipsychotic medication. Which of the following is an important
instruction for the nurse to include?
A) “You should drink large amounts of fluids to avoid dehydration.”
B) “You may experience dry mouth and blurred vision.”
C) “You can stop the medication when you feel better.”
D) “You need to take your medication on an empty stomach for best
absorption.”
Answer: B) “You may experience dry mouth and blurred vision.”
Rationale: Antipsychotic medications, especially first-generation
antipsychotics, can cause anticholinergic side effects, such as dry mouth
and blurred vision. Clients should be informed about these common
effects. Stopping the medication abruptly or taking it on an empty
stomach could lead to complications.
4. Question:
A nurse is caring for a client who is diagnosed with post-traumatic stress
disorder (PTSD). Which of the following is an appropriate nursing
intervention?
A) Encourage the client to avoid discussing the traumatic event.
B) Establish a routine to help the client feel safe and in control.
C) Tell the client that the traumatic event is in the past and should be
forgotten.
D) Administer sedative medications to help the client sleep.
, Answer: B) Establish a routine to help the client feel safe and in
control.
Rationale: Clients with PTSD often feel out of control or unsafe.
Establishing a structured and predictable routine can help the client
regain a sense of safety. Avoiding the traumatic event may prevent the
client from processing it. Medications should be prescribed carefully,
but the primary focus is on therapeutic interventions.
5. Question:
A nurse is performing a mental health assessment on a client who has
been diagnosed with bulimia nervosa. Which of the following findings
should the nurse expect?
A) Preoccupation with body weight and frequent purging behaviors
B) Weight gain and avoiding food
C) Increased appetite and excessive exercising
D) Fear of becoming overweight despite normal weight
Answer: A) Preoccupation with body weight and frequent purging
behaviors
Rationale: Bulimia nervosa is characterized by episodes of binge eating
followed by purging behaviors, such as vomiting or using laxatives.
Clients with bulimia are preoccupied with their body weight and often
try to maintain a "normal" body weight despite the presence of
disordered eating patterns.
6. Question:
A nurse is caring for a client with generalized anxiety disorder (GAD).
Which of the following actions should the nurse take first?
A) Encourage the client to engage in a relaxation technique.
B) Administer the prescribed anti-anxiety medication.
C) Ask the client to identify sources of anxiety.
D) Establish a trusting nurse-client relationship.
Answer: B) Administer the prescribed anti-anxiety medication.
Rationale: In cases of GAD, the priority is to manage the client's anxiety
symptoms. Administering the prescribed medication will help reduce
the immediate symptoms of anxiety, enabling the client to engage in
therapeutic activities like relaxation techniques or identifying sources of
anxiety.
2. Question:
A nurse is assessing a client diagnosed with major depressive disorder
(MDD). Which of the following findings is most characteristic of this
disorder?
A) Apathy and lack of energy
B) Euphoria and hyperactivity
C) Frequent panic attacks
D) Grandiose thinking
Answer: A) Apathy and lack of energy
Rationale: Major depressive disorder (MDD) often involves symptoms
such as apathy, lack of energy, feelings of worthlessness, and a
diminished ability to experience pleasure. Euphoria, hyperactivity, and
grandiosity are more associated with bipolar disorder or mania.
,3. Question:
A nurse is teaching a client diagnosed with schizophrenia about their
antipsychotic medication. Which of the following is an important
instruction for the nurse to include?
A) “You should drink large amounts of fluids to avoid dehydration.”
B) “You may experience dry mouth and blurred vision.”
C) “You can stop the medication when you feel better.”
D) “You need to take your medication on an empty stomach for best
absorption.”
Answer: B) “You may experience dry mouth and blurred vision.”
Rationale: Antipsychotic medications, especially first-generation
antipsychotics, can cause anticholinergic side effects, such as dry mouth
and blurred vision. Clients should be informed about these common
effects. Stopping the medication abruptly or taking it on an empty
stomach could lead to complications.
4. Question:
A nurse is caring for a client who is diagnosed with post-traumatic stress
disorder (PTSD). Which of the following is an appropriate nursing
intervention?
A) Encourage the client to avoid discussing the traumatic event.
B) Establish a routine to help the client feel safe and in control.
C) Tell the client that the traumatic event is in the past and should be
forgotten.
D) Administer sedative medications to help the client sleep.
, Answer: B) Establish a routine to help the client feel safe and in
control.
Rationale: Clients with PTSD often feel out of control or unsafe.
Establishing a structured and predictable routine can help the client
regain a sense of safety. Avoiding the traumatic event may prevent the
client from processing it. Medications should be prescribed carefully,
but the primary focus is on therapeutic interventions.
5. Question:
A nurse is performing a mental health assessment on a client who has
been diagnosed with bulimia nervosa. Which of the following findings
should the nurse expect?
A) Preoccupation with body weight and frequent purging behaviors
B) Weight gain and avoiding food
C) Increased appetite and excessive exercising
D) Fear of becoming overweight despite normal weight
Answer: A) Preoccupation with body weight and frequent purging
behaviors
Rationale: Bulimia nervosa is characterized by episodes of binge eating
followed by purging behaviors, such as vomiting or using laxatives.
Clients with bulimia are preoccupied with their body weight and often
try to maintain a "normal" body weight despite the presence of
disordered eating patterns.
6. Question:
