NURS MENTAL HEALTH FINAL EXAM QUESTIONS WITH ANSWERS 2023 SUCCESS GUARANTEED GRADED A+, Exams of Nursing

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2023 SUCCESS GUARANTEED GRADED A+

 A schizophrenic client who is taking fluphenazine decanoate (Prolixin decanoate) is being discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge. The client tells the nurse about a planned vacation and will return in 18 days. Which statement by the client indicates to the nurse a need for health teaching? A. A."I am going to have lots of fun at the beach and plenty of time in the sun." B. "While I am on vacation, I will not eat or drink anything that contains alcohol." C. "I will notify the health care provider if I have a sore throat or flulike symptoms." D. "I will continue to take my benztropine mesylate (Cogentin) every day."  A client believes that his health care provider is an FBI agent and that his apartment is a site for slave trading. The client believes that the FBI has cameras in the apartment, so it is not safe to return there. Based on these symptoms, which class of medication is most likely to find to be prescribed for this client? A. Antianxiety medication B. Mood stabilizer C. Antipsychotic D. Sedative-hypnotic  A client who is being treated with lithium carbonate for manic depression begins to develop diarrhea, vomiting, and drowsiness. Which action should the nurse take? A. Notify the health care provider immediately and force fluids. B. Prior to giving the next dose, notify the health care provider of these symptoms. C. Record the symptoms and continue with medication as prescribed. D. Hold the medication and refuse to administer additional doses.

2023 SUCCESS GUARANTEED GRADED A+

 Which behavior indicates to the nurse that a client with paranoid ideas is improving? A. Arrives on time for all activities B. Talks more openly about plans to protect his possessions C. Aggressively uses the punching bag in the gym D. Discusses his feelings of anxiety with the nurse  Clients are preparing to leave the mental health unit for an outdoor smoke break. A client on constant observation cannot leave and becomes agitated and demands to smoke a cigarette. Which action should the nurse take first? A. Remind the client to wear the nicotine (NicoDerm) patch. B. Determine if the client still needs constant observation. C. Encourage the client to attend the smoking cessation group. D. Explain that clients on constant observation cannot smoke.  Physical examination of a 6-year-old boy reveals several bite marks in various locations on his body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse that her child is always having accidents. Which initial response by the nurse would be most appropriate? A. "I need to tell the health care provider about your child's tendency to be accident-prone." B. "Tell me more about these accidents that your child has been having." C. "I need to report these injuries to the authorities because they do not seem accidental." D. "Boys this age always seem to require more supervision and can be quite accident-prone."  When planning care for the client undergoing electroconvulsive therapy (ECT), which equipment should the nurse make available? (Select all that apply.)

2023 SUCCESS GUARANTEED GRADED A+

A. Oxygen B. Suction equipment C. Continuous passive range-of-motion (CPM) machine D. Crash cart E. Chest tube drainage system  During a home visit, a client with schizophrenia reports hearing voices that tell the client to walk in the middle of the street. The nurse records several statements made by the client. Based on which statement should the nurse determine that the client needs hospitalization? A. "Sometimes I take an extra one of my pills when I hear the voices." B. "The voices are louder when I forget to take my medication. " C. "No matter what I do, I cannot make the voices go away. " D. "I just try to tell the voices to stop when they bother me. "  A 27-year-old client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. The client is demanding and active. Which intervention should the nurse include in this client's plan of care? A. Schedule the client to attend various group activities. B. Reinforce the client's ability to make decisions. C. Encourage the client to identify feelings of anger. D. Provide a structured environment with little stimuli.  An individual with a known history of alcohol abuse is admitted for emergency surgery following a motor vehicle collision. The nurse includes in the client's plan of care, "Observe for signs of delirium tremens." Which early signs indicate that the client is beginning to have delirium tremens? A. Abdominal cramping and watery eyes B. Depression and fatigue

2023 SUCCESS GUARANTEED GRADED A+

C. Restlessness and confusion D. Hostility and anger  A 25-year-old client has suffered extensive burns and is crying during dressing change treatment. The client tells the nurse, "Please let me die. Why are you all torturing me like this? I just want to die." Which response by the nurse is best? A. "We aren't torturing you. These treatments are necessary to prevent a terrible infection." B. I know these treatments must seem like torture to you, but we want to help you recover." C. "You have so much to live for, and all of your family members want you to live." D. "Would you like me to call the chaplain so that you can discuss your feelings privately?"  A woman brings her 48-year-old husband to the outpatient psychiatric unit and tells the nurse that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. These behaviors are often associated with which condition? A. Dissociative disorder B. Obsessive-compulsive disorder C. Panic disorder D. Posttraumatic stress syndrome  An 8-year-old child is seen in the clinic with a green vaginal discharge. Which action is most important for the nurse to implement? A. Assess the child's blood pressure. B. Counsel the child to wear cotton underwear. C. Report as suspected child abuse. D. Determine if the child takes bubble baths.  The nurse develops a plan of care for a client with symptoms of paranoia and psychosis. The priority nursing

2023 SUCCESS GUARANTEED GRADED A+

diagnosis is Impaired social interactions related to inability to trust. Which intervention is most important for the nurse to implement? A. Greet the client by first name during each social interaction. B. Determine if the client is experiencing auditory hallucinations. C. Introduce the client to peers on the unit as soon as possible. D. Assign the client to a group about developing social skills.  A 22-year-old client is admitted to the psychiatric unit from the medical unit following a suicide attempt with an overdose of diazepam (Valium). When developing the nursing care plan for this client, which intervention would be most important for the nurse to include? A. Assist client to focus on personal strengths. B. Set limits on self-defacing comments. C. Remind the client of daily activities in the milieu. D. Assist the client to identify why he or she was self-destructive.  The nurse is assessing a young client admitted to the psychiatric unit for acute depression related to a recent divorce. Which statement is most indicative of a client suffering from depression? A. "I'm not very pretty or likeable." B. "I've lost 20 pounds in the past month." C. "I like to keep things to myself." D. "I think everyone is out to get me."  The nurse notes multiple burns on the arms and chest of a 2-year-old Vietnamese child who is being treated for dehydration. When questioned, the child's father states that he treated the child's vomiting with the cultural

2023 SUCCESS GUARANTEED GRADED A+

practice termed coining, which resulted in burned areas. Which expected outcome statement has the highest priority? A. The child will be protected from further harm. B. The family's cultural values will be respected. C. The parents will express regret at harming their child. D. The parents will demonstrate an ability to care for burn wounds.  A 33-year-old client is admitted to a psychiatric facility with a medical diagnosis of major depression. When the nurse is assigning the client to a room, which roommate is best for this client? A. A 35-year-old client who recently attempted suicide B. A manic client who has started lithium carbonate treatment C. A client who is bipolar and is pacing the floor while telling jokes to everyone D. A paranoid client who believes that the staff is trying to poison the food A- client who recently retired is admitted to the psychiatric inpatient unit with a diagnosis of major depression. The initial nursing care plan includes the goal, "Assist client to express feelings of guilt." What is true about the goal statement referring to the client's depression? A. Implementation of the goal should be deferred until further data can be gathered. B. The depression will dissipate once the client becomes accustomed to retirement. C. Depressed clients may be unaware of guilt feelings and should be encouraged to increase self-awareness. D. Nursing goals should be approved by the treatment team before they are initiated.  At the first meeting of a group at a daycare center for older adults, the nurse asks one of the members what kinds of things the client would like to do with the group. The older adult shrugs and says, "You tell me. You're the leader." What would be the best response for the nurse to make?

2023 SUCCESS GUARANTEED GRADED A+

A. "Yes, I am the leader today. Would you like to be the leader tomorrow?" B. "Yes, I will be leading this group. What would you like to accomplish?" C. "Yes, I have been assigned to lead this group. I will be here for the next 6 weeks." D. "Yes, I am the leader. You seem angry about not being the leader yourself."  On admission, a depressed client tells the nurse, "I can't eat because my tongue is rubber." Which is the best action for the nurse to implement A. "Provide packaged foods for the client to eat. B. Begin the client on total parenteral nutritional (TPN) therapy. C. Provide a well-balanced liquid diet for the client. D. No action is necessary because the client will eat when hungry.  The registered nurse observes a client who is admitted to the mental health unit and identifies that the client is talking continuously, using words that rhyme but that have no context or relationship with one topic to the next in the conversation. This client's behavior and thought processes are consistent with which syndrome? A) Dementia. B) Depression. C) Schizophrenia. D) Chronic brain syndrome.  The nurse is leading a "current events group" with chronic psychiatric clients. One group member states, "Saddam Hussein was my nurse during my last hospitalization. He was a very mean nurse and wasn't nice to me." Which response is best for the nurse to make? A) Saddam Hussein was not your nurse. B) What did he do to you that was so mean? C) I didn't know that Saddam Hussein was a nurse. D) I agree that Saddam Hussein is not a very nice man

2023 SUCCESS GUARANTEED GRADED A+

 A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is trying to steal his clothing. Which action should the nurse implement? A) Encourage the client to actively participate in assigned activities on the unit. B) Place a lock on the client's closet. C) Ignore the client's paranoid ideation to extinguish these behaviors. D) Explain to the client that his suspicions are false.  The nurse should include which interventions in the plan of care for a severely depressed client with neurovegetative symptoms? (Select all that apply.) A) Permit rest periods as needed. B) Speaking slowly and simply. C) Place the client on suicide precautions. D) Allow the client extra time to complete tasks. E) Observe and encourage food and fluid intake. F) Encourage mild exercise and short walks on the unit.  The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a history of chronic depression. Recently, the client's viral load has begun to increase rather than decrease despite his adherence to the HIV drug regimen. What should the nurse do first while taking the client's history upon admission to the hospital? A) Determine if the client attends a support group weekly. B) Hold all antidepressant medications until further notice. C) Ask the client if he takes St. John's Wort routinely. D) Have the client describe any recent changes in mood.  A ptient with Bipolar disorder has been prescribed Lithium. Good patient teaching includes: (Select all that apply)

C. Its important to have your kidneys checked periodically

2023 SUCCESS GUARANTEED GRADED A+

A. High sodium levels can increase of Lithium toxicity. B. It is not important to monitor medications levels after doing so forth a month D. Low sodium levels can increase risk of Lithium toxicity E. Patient teaching low sodium levels leads to higher lithium levels  A nurse overhears a hospitalized client with mania telling another client, “I’m actually a journalist writing an article for a magazine — I’m just posing as a person with mental illness.” How should the nurse respond? A) Ignoring the delusion B) Taking the client to a quiet room C) Supporting the client’s denial of illness D) Presenting the client with the actual situation ( presenting reality)  A client who is hallucinating fearfully says to the nurse, “Please tell that demon to get out.” How should the nurse respond to the client? A) “If you tell the demon to go away, it will.” B) “I’ll stay here with you until the demon leaves your room.” C) “If you return to bed, you will find that the demon will leave.” D) “I know you must be very upset by this, but I don’t see a demon.”  The mother of a 3-year-old says, “My child hit his teddy bear after being scolded for picking the neighbors’ flowers.” Which defense mechanism was the child using? A) Projection B) Sublimation C) Displacement D) Identification

2023 SUCCESS GUARANTEED GRADED A+

 A client says to the nurse, “Even though my husband and I keep telling them we don’t want to have children, our parents are pressuring us to ‘start a family.’ What should we say to them?” Which of the following responses by the nurse is therapeutic? A) “This must be very difficult for both of you.” B) “Maybe you should say you can’t have children.” C) “How do you usually cope with that kind of interference?” D) “Tell them to have more children if they want them so badly.”  A client says to the nurse, “My wife retired last year from a lucrative law practice, and I’m really discouraged. I’ll be working until I die, even though I helped pay for her education.” Which response by the nurse is supportive? A) “That’s very unfair to you.” B) “You sound very troubled by this.” C) “That’s such a tough break for you.” D) “Why not ask your wife for some help?”  A client whose spouse recently died is experiencing dysfunctional grieving. Which intervention has priority in the plan of care? A) Monitoring the client’s sleep pattern B) Assessing the client’s risk for violence toward self and others C) Collaborating with the healthcare provider to prescribe an antidepressant D) Helping the client resolve the grief through emotional, cognitive, and behavioral means  A nurse develops a plan of care for a client in whom AIDS was recently diagnosed. The client is experiencing difficulty adjusting to the illness. Which of the following interventions are appropriate for this client? Select all that apply. A) Assisting the client in verbalizing fears

2023 SUCCESS GUARANTEED GRADED A+

B) Helping the client identify sources of hope C) Monitoring the client for signs of self-harm D) Assisting the client with problem-solving and decision-making E) Discouraging social networking to prevent the spread of infection  An emergency department nurse is caring for an older client who is a victim of physical abuse. List in order of priority the following nursing actions, with number 1 representing the first action and number 4 the last. A) Contacting the appropriate state officials to report the abuse. 2 B) Calling a member of the clergy to address the client’s spiritual needs. 4 C) Contacting a social worker to assist in planning care for the client 3 D) Checking the client for physical injuries 1  The parents of an 18-month-old arrive at the emergency department with their unconscious child. Physical examination reveals bruises on the child’s upper arms that resemble grip marks. Which nursing intervention is the priority? A) Stabilizing the child’s physical condition B) Securing a safe environment for the child C) Confronting the parents with regard to suspected abuse D) Contacting the appropriate state officials to report the suspected abuse  A nurse assists in caring for victims of an explosion at a local industrial plant. The nurse plans to implement crisis interventions, knowing that this incident is characteristic of: A) A situational crisis B) An individual crisis C) A maturational crisis D) An adventitious crisis

2023 SUCCESS GUARANTEED GRADED A+

 A nurse prepares equipment in the electroconvulsive therapy (ECT) suite for a client who will be arriving shortly for therapy. Which items are essential? Select all that apply. A) Thermometer B) Bath blankets C) Pulse oximeter D) Suction device E) Ventilation equipment  A client with depression says, “I always make mistakes. I never do anything right.” Which of the following responses by the nurse is therapeutic? A) Saying, “Everyone makes mistakes.” B) Saying, “I know how you are feeling.” C) Saying, “That’s not true. Things will get better.” D) Identifying recent accomplishments that demonstrate the client’s abilities.  A psychiatric nurse assists victims of a nightclub fire and their families. Which of the following actions on the part of the nurse is the most important intervention in the immediate post disaster period? A) Making a list of people who may require mental health services B) Contacting sources of support that may be available for the victims C) Talking to people seeking assistance from the American Red Cross D) Waiting for individuals to identify themselves publicly as being unable to cope  A psychiatric nurse who is a member of a mobile crisis team is called to deal with a person who is threatening to jump off a bridge in a suicide attempt. On arrival at the site, the nurse immediately: A) Tries to grab the client to prevent the jump

2023 SUCCESS GUARANTEED GRADED A+

B) Directs law enforcement to prevent the jump C) Tells the client, “You’re making a mistake. I’ll help you.” D) Tries to communicate with the client and develop a therapeutic relationship  A client tells the nurse, “I did my hair just like my favorite math teacher wears hers. I hope I can be a good teacher, too.” Which defense mechanism is the client using? A) Projection B) Regression C) Identification D) Intellectualization  A client with depression says, “My children hate me.” Which of the following responses by the nurse is therapeutic? A) “Your children don’t hate you.” B) “Most children go through stages of hating their parents.” C) “Your children should be punished for being disrespectful.” D) “It sounds like you’re having a difficult time with your children.” (Restating and reflecting)  A client with depression says to the nurse, “My child is dead, and I don’t want to live anymore.” Which comment by the nurse is therapeutic? A) “I understand what you mean.” B) “Tell me more about how you’re feeling.” C) “Every parent struggles with the death of a child.” D) “Your child’s death is not a reason to want to die.”  A client on the mental health unit says to the evening nurse, “The staff on the day shift let me smoke two cigarettes. You only let me smoke one.” Which of the following responses by the nurse is therapeutic?

2023 SUCCESS GUARANTEED GRADED A+

A) “The day shift staff often breaks the rules.” B) “I’ll speak to the day shift about the smoking rules.” C) “The policy is one cigarette. We’ll follow the policy.” (setting limits) D) “The day shift should not allow you to smoke two cigarettes.”  A nurse seeks to deescalate aggressive behavior by a client with schizophrenia. Which actions by the nurse are appropriate in this situation? Select all that apply. A) Standing close to the client B) Being assertive with the client C) Maintaining a nonaggressive posture D) Notifying other staff of the client’s behavior (team work and collaboration) E) Telling the client, “We may need to restrain you.”  A nurse prepares a client for electroconvulsive therapy (ECT). Which concern is of the highest priority? A) Fear B) Anxiety C) Risk for aspiration D) Risk for confusion  A nurse discovers a hospitalized client with depression wrapping long shreds of torn sheets around his neck. What is the priority nursing concern for this client? A) Self-esteem B) Loss of hope C) Coping abilities D) Self-inflicted injury

2023 SUCCESS GUARANTEED GRADED A+

 A nurse analyzes assessment findings in a client with physical injuries that are suspected by the staff of having been inflicted during family-related violence. Which factor should the nurse first consider? A) The client’s vital signs B) The client’s support system C) Evidence and extent of past injuries D) The client's explanations of how the injuries occurred  A nurse is caring for a victim of sexual assault. The client's physical assessment is complete. The client's psychological reaction to the assault includes fear, confusion, disorganization, and restlessness. How should the nurse interpret these behaviors? A) Symptoms of impending psychosis B) Normal reactions to a traumatic event C) Evidence that the client is at high risk for suicide D) Indicative of the need for an inpatient psychiatric admission  The wife of an alcoholic client began attending Al-Anon groups three weeks ago. The nurse determines that the wife is benefiting from the group when she states: A) "The meetings have helped me see how I caused my husband's violence." B) "Now I realize that I didn’t deserve the beatings my husband inflicted on me." C) "I enjoy attending the meetings because they get me out of the house and away from my husband." D) "I can tolerate my husband's destructive behaviors now that I know that they’re common among alcoholics."  A client says, “I’ve had so many crying spells over the past several weeks. My doctor says it’s probably depression.” The nurse sees that the client is sitting slumped in the chair and that the client’s clothing is baggy. Further assessment of this client should be focused on: A) Weight loss

2023 SUCCESS GUARANTEED GRADED A+

B) Sleep pattern C) Medication compliance D) Frequency of crying spells  A client says, “I spend hours each evening reviewing my day to see whether I behaved appropriately or should have done something differently. I tell myself to snap out of it, but I’m still doing it! It takes me 2 or 3 hours each morning to get dressed, because I want my clothes to be just right.” Which problem is evident in these statements? A) Agoraphobia B) Major depression C) Obsessive-compulsive disorder D) Attention deficit–hyperactivity disorder  A phlebotomist prepares to draw blood from a client experiencing delusions. While in the laboratory, the client begins shouting, "You're all bloodsuckers. Get me out of here." Which of the following responses by the nurse is therapeutic? A) “Let me help you out of here.” B) "I'm leaving until you calm down." C) "These people are not bloodsuckers." D) "It must be scary to think others want to hurt you."  A drunken client is awaiting treatment in the emergency department. The client becomes loud and aggressive when told that there will be a short delay before treatment. Which of the following responses by the nurse is therapeutic? A) Waiting until the behavior escalates before intervening B) Attempting to talk with the client to deescalate the behavior C) Informing the client, “You will be asked to leave if this behavior continues.”

2023 SUCCESS GUARANTEED GRADED A+

D) Offering to take the client to an examination room until treatment can be started  As the nurse prepares a client for a coronary artery bypass graft, the client asks, “Will I be OK?” Which of the following responses by the nurse is therapeutic? A) “I hope you’ll be fine.” B) “Let’s talk about how you’re feeling.” C) “Don’t worry. You have an excellent surgeon.” D) “You need this surgery to avoid serious problems.”  A nurse assesses a client with early-onset Alzheimer’s disease. The nurse asks the client, “How was your weekend?” The client responds by saying, “It was great. I discussed war campaigns with the president and had dinner at the White House.” Which defense mechanism is evident? A) Hiding B) Apraxia C) Perseveration D) Confabulation  After an attack in a park while jogging, a client experiences posttraumatic stress disorder (PTSD). The client, visibly anxious, tells the nurse that she now avoids all exercise and parks but says, “I don’t want to feel this way.” Which response by the nurse is appropriate? A) “I know it’s difficult now, but try not to worry so much.” B) “Everything will be all right if you just give it more time.” C) “I can see that you’re upset about this. Let’s talk some more about it.” D) “Why don’t you just go jogging in a park and get it out of your system?”  A client hospitalized in a mental health unit is restrained after becoming extremely violent. Which finding indicates

2023 SUCCESS GUARANTEED GRADED A+

to the nurse that the client can be removed from the restraints? A) The client dozes after a sedative is administered B) The client apologizes and says, “It won’t happen again.” C) The client divulges all of the reasons for the violent behavior D) The client initiates no aggressive acts for 30 minutes after the release of two leg restraints  A client says to the nurse, “My cancer is going to shorten my life, so I’m making a will that leaves my money to charity. Do you think I can get into heaven that way?” Which of the following responses by the nurse is therapeutic? A) “I don’t believe that giving away money will help a person get into heaven.” B) “I don’t believe in heaven, but it certainly seems like a good plan if it exists.” C) “You feel that a charitable contribution will get you into heaven if your cancer ends your life?” D) “You’re going to live a long healthy life because your cancer was caught early and the cure rate is high.”  A nurse is providing medication instructions to a client who is starting disulfiram). Which statements by the client indicate that the client understands the information? Select all that apply. A) “It’s important to take this medication every day.” B) “Painting my living room will be a good distraction.” C) “I need to check the labels on over-the-counter medications carefully.” D) “If I take this medication and drink alcohol, I’ll feel sick within 8 hours.” E) “It’s important to take this medication when I have the urge to start drinking.”  A nurse counsels a client with an alcohol disorder and the client’s spouse. The spouse says, “I’ve covered up the drinking because I made a commitment to our marriage, but now our children won’t come to visit.” The nurse should refer the spouse to a support group for: A) Alcoholics

2023 SUCCESS GUARANTEED GRADED A+

B) Caregivers C) Codependents D) Substance abusers  A client hospitalized with severe depression is withdrawn and exhibits poor motivation and concentration. Which activity should the nurse plan for this client? A) Drawing B) Cooking class C) Dance therapy D) Small-group discussions  A nurse cares for a severely depressed client who is mute. Which comment by the nurse to the client is appropriate? A) “Are you having trouble talking?” B) “Everyone feels sad once in a while.” C) “There are many new pictures on the wall.” D) “Things will look up for you, just wait and see.”  A nurse provides dietary instructions to a client who will be taking tranylcypromine. Which foods should the nurse tell the client to avoid? Select all that apply. A) Broccoli B) Avocado C) Red meat D) Cream cheese E) Pickled herring  A client, upset, says, “My ex-wife’s new husband is being relocated to a job across the country, so now I’ll only see

2023 SUCCESS GUARANTEED GRADED A+

my child on holidays and school vacations.” Which of the following responses by the nurse is therapeutic? A) “Can you relocate to be closer to your child?” B) “That’s too bad. Maybe the court can stop your ex-wife from moving away.” C) “Have you talked to your ex-wife about giving custody to you and your new wife?” D) “This must be very difficult for your child to move away from you, school, and friends.”  A nurse provides medication instructions to a client who is taking lithium carbonate (Lithobid). Which statements by the client indicate an understanding of the instructions? Select all that apply. A) “I should weigh myself several times a day.” B) “I should take this medication with my meals.” C) “I need to cut down on my fluid intake while I’m taking the medication.” D) “I need to call my doctor if I get diarrhea or vomiting or start to sweat a lot.” E) “My blood level of medication needs to be monitored closely while I take this medication.”  Buspirone hydrochloride) is prescribed for a client with an anxiety disorder. The nurse, providing information to the client about the medication, should tell the client that: A) The medication often causes dependency B) Mild dizziness and nervousness may occur and the medication work with anxiolytic effect after 3 to 6 weeks of treatment C) The medication produces profound sedation D) The medication begins to work immediately  A nurse cares for a hospitalized client who has been taking clozapine for the treatment of schizophrenia. Which laboratory result will the nurse specifically check to assess the client for an adverse reaction associated with the use of this medication? A) Platelet count

2023 SUCCESS GUARANTEED GRADED A+

B) Cholesterol level C) Blood urea nitrogen D) White blood cell count  A nurse employed in a prison infirmary cares for a client with antisocial personality disorder recuperating from a stab wound. The client says, "You have beautiful eyes, and you smell nice." Which response or action in the part of the nurse would be therapeutic? A) "Thank you for noticing." B) "Do you think you’re being appropriate?" C) "I'm here to change your dressing, not discuss my eyes or how I smell." D) Saying nothing in an attempt to discourage client's inappropriate behavior  A nurse is caring for a client hospitalized with depression. Which comment by the nurse upon entering the client’s room is appropriate? A) “You look nice this morning.” B) “I like the way you did your hair.” C) “Don’t worry. Things will look up for you.” D) “You’re wearing a new dress this morning.”  A nurse plans care for a client experiencing psychomotor agitation. Which activities would be appropriate for the client? Select all that apply. A) Playing chess B) Reading magazines C) Playing table tennis D) Playing simple card games E) Filling cups with ice for afternoon snacks

2023 SUCCESS GUARANTEED GRADED A+

 A nurse develops a plan of care for a client with depression who has experienced a 24-lb weight loss in the past 2 months. Which intervention should the nurse include in the plan of care? A) Offering high-calorie foods and fluids B) Offering three well-balanced meals during the day C) Sitting with the client to make food and fluid choices from the menu D) Providing a private place where the client may eat alone if she wants  A client with delirium suddenly picks up a can of soda from the meal tray and threatens to throw it at the nurse. How should the nurse respond? A) “Hitting me or anyone else is not allowed.” B) “If you hit me, I will put you into restraints.” C) “You will get an injection if you keep threatening to hit me or anyone else.” D) “The seclusion room is empty. That’s where you will go if you threaten to hit me.”  A client with obsessive-compulsive disorder, upset and agitated, walks repeatedly around the nursing unit, following the same route each time. The client says to the nurse, “Walk with me.” Which response by the nurse is appropriate? A) “I’m sorry I can’t, but I will find someone else to walk with you.” B) “You should rest for a while. I’ll walk with you back to your room.” C) “I’m busy now, but we can talk tomorrow afternoon when I come back.” D) “I can see that you’re upset. I can walk and talk with you for 15 minutes.”  A client hospitalized with schizophrenia says to the nurse, "Get your goat. Go out and vote. Don’t be a cut throat. Row your boat.” How should the nurse document the client’s behavior? A) Echolalia

2023 SUCCESS GUARANTEED GRADED A+

B) Word salad C) Clang associations D) Thought broadcasting  A client is hospitalized after falling asleep at the wheel of his car, hitting and killing a pedestrian crossing the street. The nurse caring for the client notes that the client is crying and upset. What is the appropriate reaction by the nurse? A) Providing private time for the client to grieve B) Administering a sedative and contacting the healthcare provider C) Saying to the client, “I see that you’re crying. I’m here to talk to you.” D) Telling the client that the pedestrian’s death was a result of his falling asleep at the wheel  A nurse is assigned to care for a client with a diagnosis of catatonic stupor. When the nurse enters the client’s room, the client is lying on the bed in a fetal position. What should the nurse do? A) Leave the client alone B) Sit beside the client in silence C) Move the client into the clients’ dayroom D) Ask the client direct questions to encourage talking  A client diagnosed with schizophrenia tells the nurse. “There are voices outside the window telling me what to do all the time. Can you hear them? What should I tell them?” How should the nurse respond initially? A) “Yes, I can hear them, too.” B) “What are the voices telling you?” C) “There are no voices. You’re just ill.” D) “They’ll go away if you ignore them.”

2023 SUCCESS GUARANTEED GRADED A+

 A client has a diagnosis of dependent personality disorder. Which goal is most appropriate for this client? A) Adherence to a no-self-harm contract B) Avoiding situations that increase anxiety C) Using the problem-solving process effectively D) Refraining from engaging in compulsive behaviors  A nurse completes the initial assessment for a new client in a maximum-security prison who has been sentenced to serve a life sentence without parole. What should the nurse include as a priority in the treatment plan for this client? A) Rehabilitation B) Vocational training C) Assessment for suicide risk D) Assessment for homicide risk  A home health nurse provides instructions to the spouse of a client taking tacrine hydrochloride for the management of moderate dementia associated with Alzheimer’s disease. Which information should the nurse provide to the spouse? A) “Administer the medication with food.” B) “If a dose is missed, double up on the next dose.” C) “If flu-like symptoms occur, notify the healthcare provider immediately.” D) “If you see a change in the color of the skin or stool, notify the healthcare provider.”  The lithium level in a client taking lithium carbonate is 2.3 mEq/L. In light of this finding, which assessment finding would the nurse expect to note in the client based on this laboratory value? A) Flaccidity B) Constipation

2023 SUCCESS GUARANTEED GRADED A+

C) Stable mood D) Blurred vision  Lorazepam has been prescribed for a client for management of anxiety. Which finding in the client’s history would indicate the nurse the need to confer with the healthcare provider before administering the medication? A) Diabetes B) Hypothyroidism C) Narrow-angle glaucoma ( benzodiazepines are contraindicates in narrow-angle glaucoma) D) Coronary artery disease  A nurse assesses a client hospitalized with schizophrenia for whom risperidone has been prescribed. Which laboratory test result should the nurse check before administering the first dose of this medication? A) Platelet count B) Clotting studies C) Liver function studies D) International normalized ratio (INR)  A client in the mental health unit points to another client and says to the nurse, “He’s been working with the Taliban, pouring anthrax into our water supply.” How should the nurse respond to the client? A) “That’s why we’ve locked him in this unit with you.” B) “Did you actually see him pour anthrax into the water supply?” C) “Are you saying that you don’t feel safe about drinking our water?” D) “Remember, the treatment team told you to ignore these thoughts because they aren’t true.”  A nurse develops a plan of care for a depressed client who is complaining of feelings of hopelessness and helplessness. Which interventions should the nurse include? Select all that apply.