Question: Which statement by a client indicates progress in recovery from PTSD?
Answer Options:
A – “I never think about what happened anymore.”
B – “I stay away from everyone to avoid being reminded of it.”
C – “I’ve learned ways to manage my anxiety when I remember the event.”
D – “I pretend it never happened.”
Answer: C – “I’ve learned ways to manage my anxiety when I remember the event.”
Question: Which of the following personality disorders is characterized by a pervasive distrust and suspiciousness of others?
Answer Options:
A – Schizoid Personality Disorder
B – Paranoid Personality Disorder
C – Antisocial Personality Disorder
D – Borderline Personality Disorder
Answer: B – Paranoid Personality Disorder
Question: A client with PTSD says, “I feel like it’s happening all over again.” What is the best initial nursing response?
Answer Options:
A – “You are safe here and now.”
B – “Let’s talk about something else.”
C – “You know that isn’t really happening.”
D – “Try to relax and ignore the memory.”
Answer: A – “You are safe here and now.”
Question: The binge-eating and purging cycle in bulimia is often triggered by:
Answer Options:
A – Physical hunger only
B – Lack of appetite
C – Medical illness
D – Stress, guilt, or negative emotions
Answer: D – Stress, guilt, or negative emotions
Question: Which nursing intervention is most therapeutic during mealtimes for a client with anorexia nervosa?
Answer Options:
A – Allow the client to eat alone to promote independence
B – Observe the client during and after meals
C – Give the client privacy after meals
D – Encourage the client to choose food without any limits
Answer: B – Observe the client during and after meals
Question: Which behavior is most consistent with mania?
Answer Options:
A – Slow speech and social withdrawal
B – Decreased energy and hopelessness
C – Pressured speech and decreased need for sleep
D – Flat affect and thought blocking
Answer: C – Pressured speech and decreased need for sleep
Question: A client taking an SSRI should be monitored closely for which serious risk early in treatment?
Answer Options:
A – Hypoglycemia
B – Suicidal thinking
C – Hearing loss
D – Renal failure
Answer: B – Suicidal thinking
Question: Which symptom is considered a positive symptom of schizophrenia?
Answer Options:
A – Flat affect
B – Avolition
C – Hallucinations
D – Social withdrawal
Answer: C – Hallucinations
Question: A client with schizophrenia says, “The TV is sending me secret messages.” The nurse’s best response is:
Answer Options:
A – “That is not true.”
B – “What messages are you hearing?”
C – “I do not see evidence of that, but I know it feels real to you.”
D – “Ignore the television.”
Answer: C – “I do not see evidence of that, but I know it feels real to you.”
Question: Which nursing action is most appropriate for a client with command hallucinations?
Answer Options:
A – Ask the client to journal about them
B – Determine whether the voices are telling the client to harm self or others
C – Tell the client to stop listening
D – Leave the client alone to decrease stimulation
Answer: B – Determine whether the voices are telling the client to harm self or others
Question: A client with OCD repeatedly washes hands for hours. The primary nursing concern is:
Answer Options:
A – Sleep promotion
B – Reducing anxiety and preserving function
C – Encouraging family involvement only
D – Eliminating all obsessions immediately
Answer: B – Reducing anxiety and preserving function