Question: Lithium patient reports diarrhea and tremors. What should nurse advise?
Answer Choices: Drink salted water Stop lithium and come in for stat labs Take antidiarrheals hourly Restrict fluids and stay in bed
Answer: Stop lithium and come in for stat labs
Question: Which behavior would be most characteristic of an individual with narcissistic personality disorder?
Answer Choices: Belief that he is entitled to special privileges that others may not have Refusal to enter into relationships for fear of rejection A lifelong pattern of social withdrawal Belief that he has a sixth sense and knows what others are thinking
Answer: Belief that he is entitled to special privileges that others may not have
Question: Which aspect of the child’s care would a clinical nurse specialist, but not a nurse generalist, perform?
Answer Choices: Planning nursing interventions Providing psychotherapy Evaluating responses to nursing actions Formulating nursing diagnoses
Answer: Providing psychotherapy
Question: What nursing intervention would address the suicidal patient’s need for safety?
Answer Choices: Place in seclusion with 15-minute checks Request he remain with group Assign a staff member to remain with him Allow bathroom use with staff supervision
Answer: Assign a staff member to remain with him at all times
Question: Best approach for evaluating care for a self-destructive patient?
Answer Choices: Modify plan as little as possible Involve patient in evaluation Ensure staff followed original plan Identify maladaptive coping
Answer: Involve patient in evaluation
Question: Which statement by the patient is most consistent with a diagnosis of antisocial personality disorder?
Answer Choices: “I hit her because she nags at me. She deserves it when I beat her up.” “I have a quick temper, but I can usually keep it under control.” “I’m feeling terrible about the way my behavior has hurt my family.” “I’ve done some stupid things in my life, but I’ve learned a lesson.”
Answer: “I hit her because she nags at me. She deserves it when I beat her up.”
Question: Most therapeutic nurse response to pain med request:
Answer Choices: “I understand that you have pain, but giving medicine too soon would not be safe.” “I’m not comfortable doing that,” then ignore future requests “It would be unsafe to give it early; none of us will do that.” “I’ll check with your doctor and get back to you.”
Answer: “I understand that you have pain, but giving medicine too soon would not be safe.”
Question: What, if any, level of suicide precautions should be ordered?
Answer Choices: None Routine checks Every-15-minute check One-to-one supervision
Answer: One-to-one supervision
Question: Presentation consistent with which personality disorder?
Answer Choices: Narcissistic Dependent Histrionic Borderline
Answer: Dependent
Question: The nurse is most likely to describe the patient with paranoid personality disorder as:
Answer Choices: Friendly and open Intense and impulsive Guarded and distant Superficially charming
Answer: Guarded and distant