Question: A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include?
Answer Options: Clients maintain the right to an attorney. Clients cannot withdraw consent after signing an informed consent form. Clients have the right to the least restrictive environment. Clients cannot refuse to take prescribed medications. Clients continue to have the right to privacy and confidentiality.
Answer: Clients maintain the right to an attorney, Clients have the right to the least restrictive environment, Clients continue to have the right to privacy and confidentiality.
Question: A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Answer Options: “I feel like I’m angry at the whole world right now.” “It’ll be a long time before I’m happy again.” “I don’t know how I could cope if I didn’t have my family’s support.” “I don’t feel anything but numbness anymore.”
Answer: “I don’t feel anything but numbness anymore.”
Question: A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse’s priority?
Answer Options: The client frequently recalls negative experiences that occurred during his marriage. The client says he feels guilty about not spending more time with his partner. The client relates that he is angry that the provider did not save his partner’s life. The client states that he is unable to eat more than once a day.
Answer: The client states that he is unable to eat more than once a day.
Question: A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect?
Answer Options: Holds persistent negative beliefs about self Difficulty falling or staying asleep Has difficulty concentrating on set tasks Talks excessively Blames others for own mistakes
Answer: Holds persistent negative beliefs about self, Difficulty falling or staying asleep, Has difficulty concentrating on set tasks.
Question: A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client’s recovery?
Answer Options: The client’s best friend moved away. The client walks their dog daily. The client has stopped drinking coffee. The client exercises in the morning.
Answer: The client’s best friend moved away.
Question: A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Answer Options: Implement seizure precautions. Administer methadone hydrochloride. Monitor for orthostatic hypotension. Acidify the client’s urine.
Answer: Implement seizure precautions.
Question: A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, “I just can’t sleep soundly here because it’s too noisy.” Which of the following actions should the nurse take?
Answer Options: Keep conversations and activities to a minimum during the nighttime. Tell the client that they will eventually get used to people talking at night. Turn on the client’s television at night to cover up environmental noises. Recommend that the client try to sleep during the day when it is quieter.
Answer: Keep conversations and activities to a minimum during the nighttime.
Question: A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client’s ability to cope?
Answer Options: “Is anyone available to assist you with your hygiene?” “How has this impacted your life?” “Why do you think this has happened?” “Are you okay with not being able to do some things you used to do?”
Answer: “How has this impacted your life?”, “Are you okay with not being able to do some things you used to do?”
Question: A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Answer Options: Acknowledges that his delusions are not real Changes behavior as a result of peer pressure Initiates social interactions with caregivers Meets own needs without manipulating others
Answer: Initiates social interactions with caregivers
Question: A nurse is assessing a client’s communication patterns. The client states, “My partner is always criticizing me.” This statement is an example of which of the following types of dysfunctional communication?
Answer Options: Distracting Manipulating Placating Generalizing
Answer: Generalizing
Question: A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Answer Options: Soy protein Ginkgo biloba St. John’s wort Echinacea
Answer: St. John’s wort
Question: A charge nurse on a mental health unit is preparing an in-service about client rights for staff members. Which of the following information should the nurse include?
Answer Options: Clients can refuse to attend group therapy. Clients who have a severe mental illness cannot request a psychiatric advance directive. Clients who are violent can refuse chemical restraint. Client withdrawal of prior consent must be done in writing.
Answer: Clients can refuse to attend group therapy.
Question: A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?
Answer Options: Advise the client to maintain their usual routines. Ask the client if they are experiencing thoughts of self-harm. Encourage the client to be transparent when communicating. Teach the client about relaxation techniques.
Answer: Ask the client if they are experiencing thoughts of self-harm.
Question: A nurse is caring for a client who has experienced a crisis and states, “Nothing is going to help me.” Which of the following responses should the nurse make?
Answer Options: “Why would you say that nothing can help you?” “Let’s discuss some resources for coping.” “You should try to avoid talking like that.” “Everything is going to be okay in time.”
Answer: “Let’s discuss some resources for coping.”
Question: A nurse is caring for a client who is prescribed clozapine. Which of the following laboratory values should the nurse monitor?
Answer Options: Absolute neutrophil count Calcium Thyroid-stimulating hormone Potassium
Answer: Absolute neutrophil count
Question: A nurse is caring for a client who is planning to receive electroconvulsive therapy. Which of the following findings in the client’s medical history should the nurse report to the provider?
Answer Options: Takes benzodiazepines for sleep Sinus rhythm on electrocardiogram Court-prescribed consent for treatment Unresponsive to antidepressant medication
Answer: Takes benzodiazepines for sleep
Question: A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Answer Options: “It must be frightening to think that someone is reading your mail.” “Why do you think the government wants to read your mail?” “You know that’s not true, because it is against the law for others to read your mail.” “All of your letters come sealed, so that seems unlikely.”
Answer: “It must be frightening to think that someone is reading your mail.”
Question: A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Answer Options: Discourage the client from forming new relationships. Offer the client advice about various treatment choices. Change the subject when the client becomes upset. Allow the client unlimited time for the grieving process.
Answer: Allow the client unlimited time for the grieving process.