The nurse case manager has become concerned that an older adult confused client is no
longer safe at home due to wandering outside when the caregiver is not watching.
Which of the following community-based programs would be most appropriate for
referral?
1. Long-term care facilities
2. Assisted living communities
3. Senior citizen centers
4. Residential care facilities
Answer:
Which of the following are extrapyramidal side effects that the nurse would assess as
symptoms of dystonia?
Standard Text: Select all that apply.
1. Decreased gastric motility and tachycardia
2. An inability to sit still
3. Forcing the back to arch and the neck to bend backward
4. Pulling the neck down into the shoulders
5. Spasms of the neck and back
Answer:
There are several ways to encourage clients and their families to become educated
consumers of CAM practices and products by gathering information about advantages,
disadvantages, or risks related to CAM. Such information might be gained through:
Standard Text: Select all that apply.
1. Contacting their state licensing board.
2. Personal testimonials from friends.
3. Reading the latest research.
4. Websites that report guides to fraud or quackery.
5. Nothing since there is no specific thing they can do to gain enough information to be
an educated consumer.
Answer:
The nurse tells the client with acute mania that an effective treatment may be:
1. Electroconvulsive therapy.
2. Fluoxetine (Prozac).
3. Seclusion and restraint.
4. Group therapy.
Answer:
An adolescent client is attempting to manipulate the nurse into giving a special
privilege. The nurse recognizes the manipulation and responds by saying:
1. “All the clients must follow the rules.”
2. “If I do it for you, I would have to do it for everyone.”
3. “If I granted you that privilege, I”d be in trouble”
4. “That would not be fair to the others.”
Answer:
In the immunization clinic, the nurse notices a client displaying tense body posture.
Which of the following is the most therapeutic response for the nurse to make?
1. “This won”t hurt a bit.”
2. “You need to relax.”
3. “I can tell you”ve had a bad experience before.”
4. “I notice you are clenching your fists.”
Answer:
One of the following statements regarding crises is incorrect. Identify the incorrect
statement.
1. A maturational crisis involves life cycle changes or transitions of human
development.
2. A situational crisis can originate from material, environmental, or personal sources.
3. Experiencing a crisis always develops into post-traumatic stress disorder.
4. A crisis is an acute time-limited state of disequilibrium.
Answer:
Nurses working with abused clients most commonly feel:
1. Sadness for the victim, tolerance toward the abuser.
2. Sympathy for the victim, indifference toward the abuser.
3. Anger toward the victim, dislike for the abuser.
4. Sympathy for the victim, anger toward the abuser.
Answer:
The nurse knows that attributions are perceived causes that:
1. Isolate family members from one another.
2. Promote rigidity and chaos.
3. May or may not be objectively accurate.
4. Support a loss of autonomy.
Answer:
The nurse is meeting for the first time with a child who was brought to the clinic with a
mental health concern. When planning care for a child with a mental health problem,
the nurse must understand both the child’s mental health problems and the child’s:
1. Previous hospitalizations.
2. Life experiences.
3. Physiological health problems.
4. Artistic ability.
Answer:
The nurse is learning how to handle feelings of frustration and helplessness when caring
for clients with cluster B personality disorders. Which of the following statements by
the nurse would reflect that learning has taken place?
1. “I can just ignore my feelings and focus on the client’s needs.”
2. “As long as my words are therapeutic, the client cannot tell what I am really
thinking.”
3. “I need to maintain professional distance by using empathy.”
4. “I can talk about my feelings with my friends.”
Answer:
Which of the following physical findings regarding the client’s weight is consistent with
binge-eating disorders?
1. The client is usually of normal or slightly above average weight.
2. Weight tends to fluctuate but is generally low.
3. All of the clients are overweight.
4. The client is generally underweight.
Answer:
A client who was admitted voluntarily to the unit verbally refuses his medication. The
nurse proceeds to give the medication over the client’s objections. What is the legal
significance of the nurse’s actions?
1. The nurse could be charged with malpractice.
2. The nurse could be charged with negligence.
3. The nurse cannot be held liable.
4. The nurse could be charged with battery.
Answer:
An experienced nurse is describing the characteristics of a therapeutic one-to-one
relationship to a nursing student. Which of the following is the most accurate
description?
1. The relationship between the nurse and client is reciprocal.
2. The nursing process is the cornerstone of the relationship.
3. The essential feature of the relationship is a therapeutic alliance.
4. The nurse must meet the client’s needs throughout the relationship.
Answer:
The psychiatric”mental health nurse understands that the philosophy underlying
humanistic practice means which of the following?
1. Nurses must develop interests related to human beings, wherever they live and
whatever their status or culture, in order to work for change within social and political
systems.
2. The nurse must be cautious about empowering clients as they may make poor choices
that impede their progress.
3. The model for intervention and change requires that the nurse feel comfortable
confronting clients when they resist treatment goals.
4. Client and family education about the mental disorder and its treatment must be
provided only when clients are stable enough to accept their illness.
Answer:
When communicating with a client who has major depressive disorder, the nurse should
avoid being:
1. Warm and patient.
2. Gently encouraging.
3. Cheerful and outgoing.
4. Slow and empathic.
Answer:
Eye movement desensitization and reprocessing (EMDR) mimics rapid eye movement
(REM) sleep. The nurse working with injured soldiers knows that EMDR is an
intervention suggested for the treatment of:
1. Bipolar I.
2. Childhood-onset trauma victims.
3. Dissociative identity disorder.
4. Depression.
Answer:
A client with gender dysphoria asks the nurse, “What caused this?” Which
biopsychosocial theory would describe gender dysphoria as a problem occurring within
the individual?
1. Sociocultural
2. Behavioral
3. Biologic
4. Intrapersonal
Answer:
During a group session, a client expresses anger at the nurse. The nurse sits tensely with
arms and legs crossed while verbally agreeing that the client’s point of view is correct.
Which of the following messages is being sent by the nurse?
1. The nurse is expressing warmth toward the client
2. The nurse is being patient
3. The nurse is demonstrating empathy
4. The nurse is sending a mixed message
Answer: