Question: A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client’s plan of care?
Answer Options: Monitor the client’s bathroom trips, Allow the client’s family to bring the client food, Encourage the client to exercise frequently, Allow the client to create their own meal schedule.
Answer: Monitor the client’s bathroom trips.
Question: A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Answer Options: The client exhibits an inflated sense of self, The client begins sleeping more than usual, The client develops an inability to concentrate, The client increases participation in social activities.
Answer: The client develops an inability to concentrate.
Question: A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client?
Answer Options: The bed is in the low position, Outside doors have locks, The room has an area rug, Hallways are long distances.
Answer: The room has an area rug.
Question: A nurse observes the caregiver of a client who has Alzheimer’s disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Answer Options: Refer the caregiver to a local support group, Offer to talk with the caregiver about their feelings, Discuss relaxation techniques with the caregiver, Consult social services to explore counseling for the caregiver.
Answer: Offer to talk with the caregiver about their feelings.
Question: A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Answer Options: The client reports frustration with finding an activity to relieve restless energy, The client has trouble remembering prescribed food restrictions, The client will be unable to return home after discharge, The client asks to talk to someone about changes in their spiritual beliefs.
Answer: The client will be unable to return home after discharge.
Question: A nurse is caring for a client who is at risk for alcohol withdrawal. Click to highlight the manifestations of alcohol withdrawal that would require immediate follow-up by the nurse.
Answer Options: Impaired cognition, Insomnia, Seizures, Increased blood pressure, Increased heart rate, Diaphoresis, Lack of appetite, Vomiting, Tremulousness, Malaise.
Answer: Seizures, Increased blood pressure, Increased heart rate, Diaphoresis.
Question: A nurse is planning care for a client who is experiencing alcohol withdrawal. For each potential provider’s prescription, specify if the potential prescription is anticipated or contraindicated for the client. Anticipated: Nutritional consult, Group therapy, Perform Alcohol Use Disorders Identification Test (AUDIT), Schedule electroconvulsive therapy (ECT), Complete blood count and basic metabolic profile. Contraindicated: Methadone 40 mg PO daily, Propranolol 40 mg PO twice a day, Diazepam 10 mg PO three times a day.
Answer: (Specified as per the context given for each treatment option.)
Question: A behavioral health unit nurse is caring for a newly admitted client. The client demonstrates risk for what due to what?
Answer Options: Insomnia, self-harm, powerlessness, disturbed thought process; inadequate nutrition, an unkempt appearance, inappropriate thought process, feelings of hopelessness.
Answer: Self-harm due to feelings of hopelessness.
Question: A nurse on an inpatient mental health unit is admitting a client. Should the nurse indicate potential improvement or worsening for specific findings?
Answer Options: Findings include urine amount and color, blood pressure, lithium level, gait when ambulating, blurred vision.
Answer: Lithium level indicates potential worsening.
Question: A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?
Answer Options: Opioid withdrawal, stimulant withdrawal, alcohol withdrawal, cannabis withdrawal.
Answer: Alcohol withdrawal.
Question: A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. What should the nurse do?
Answer Options: Notify the provider that the client should stay longer, tell risk management, report to local authorities, avoid reporting.
Answer: Report the information to local authorities.
Question: A nurse is initiating the plan of care for a client who has anorexia nervosa. What should the nurse first address?
Answer Options: Lanugo, heart rate, body image; skin turgor, Russell’s sign, hair loss.
Answer: Heart rate followed by body image.
Question: A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Answer Options: Reduced frequency of panic attacks, improvement in manifestations of depression, decreased fear of heights, reduced frequency of seizures.
Answer: Improvement in manifestations of depression.
Question: A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client’s plan of care?
Answer Options: Allow the client’s family to bring food, monitor the client’s bathroom trips, allow the client to create their own meal schedule, encourage the client to exercise frequently.
Answer: Monitor the client’s bathroom trips.
Question: A nurse is talking to a client following a group therapy session where another client made an inappropriate comment. Which response should the nurse make?
Answer Options: “Why do you think that he said that to you?”, “I think you should ignore the comment.”, “I agree that the comment was inappropriate.”, “You sound upset about today’s session.”
Answer: “Why do you think that he said that to you?”