The nurse instructs the client about addiction. The nurse determines that the client
understands the instructions given when the client says:
1. “Addiction is a biopsychosocial problem.”
2. “Addiction is an emotional attachment.”
3. “Addiction is a behavioral habit.”
4. “Addiction is a moral disease.”
Answer:
A nurse has been working one-to-one therapy with a client but now tells the client it
would be beneficial for the client to be part of a group. The nurse knows that the
advantage of group therapy is:
1. A therapeutic experience for the benefit of many therapists.
2. The nurse can work with more people at one time.
3. Multiple associations with various therapists.
4. The presence of many people participating in a therapeutic experience.
Answer:
The client asks the nurse how the SSRI antidepressant that the client is prescribed
works. What nursing response is correct?
1. SSRIs work on depression by sedating the centers of the brain responsible for
worrying.
2. SSRIs allow more of a chemical neurotransmitter, serotonin, to be available to areas
of the brain.
3. SSRIs are stimulants that enhance the activity of the brain and pleasure centers.
4. SSRIs decrease the amount of norepinephrine available in the lower cortical areas.
Answer:
Which of the following questions would the nurse ask a woman to assess for
hyperprolactinemia as a side effect of an antipsychotic medication?
1. Are you having trouble sitting still?
2. Are you constipated?
3. Are you having any discharge from your breasts?
4. Do you have a dry mouth?
Answer:
A nurse is meeting with a family in which the wife abuses alcohol. During the family
assessment meeting, the nurse observes that the husband tends to help the wife during
the assessment. The husband says, “I help her a lot. This is so difficult for her.” What
type of support group might be helpful for the husband?
1. Alcoholics Anonymous
2. Caretakers group
3. Adult Children of Alcoholics
4. Codependents group
Answer:
A client states that he is unhappy in his marriage and has felt miserable for several
years. Which of the following client responses would indicate that the nurse’s response
to the “theme” of marital distress was most effective?
1. “I guess you”re right; I should start thinking about a divorce.”
2. “I feel so depressed all the time. I don”t know what to do or who to turn to.”
3. “I never thought about her cheating on me before; do you think that’s possible?”
4. “I guess we”ve stayed together all these years because of the children.”
Answer:
The nurse is working with a client who has a history of impulsive and self-harming
behavior. The nurse will need to address which of the following in the plan of care?
1. Boundary setting
2. Confidentiality
3. Safety
4. Appropriate self-disclosure
Answer:
The relative of a chronically mentally ill woman requests that the mentally ill woman
be committed because of her history of 12 previous hospitalizations and because she
sits around the house all day refusing to get dressed. The nurse tells the relative that the
woman cannot be committed because:
1. It is less than two weeks since her most recent hospital discharge.
2. She has used up her hospital coverage.
3. She has not voluntarily requested hospitalization.
4. There is no evidence that she is a danger to self or others.
Answer:
What is the primary rationale for the nurse asking a client on antidepressant medication
about changes in sexual functioning?
1. Antidepressants used frequently contributes to sexual promiscuity and tragic regrets.
2. A side effect of antidepressants may be sexual dysfunction that contributes to
nonadherence.
3. Cultural attitudes about sexual functioning may impact the effectiveness of the
antidepressant medication.
4. A lack of libido is a symptom of depression that may interfere with the client’s
relationships.
Answer:
The new nurse is working with a preceptor on a medical-surgical unit. The nurse has
just assessed a client and states to the preceptor, “This client has many odd notions
regarding several common health practices. He seems like a deviant to me.” In planning
a response, the preceptor is guided by:
1. A definition of deviance that covers all clinical situations.
2. The knowledge that beliefs and behaviors are only deviant if the client thinks there is
a problem.
3. The knowledge that beliefs and behaviors are judged by cultural and social
considerations.
4. The need for further assessment to determine the duration of the beliefs and actions.
Answer:
The nurse is preparing an in-service regarding the commonalties of anxiety disorders.
The nurse should plan to include that all anxiety disorders have which one thing in
common?
1. All anxiety disorders can be so disabling that functioning may be adversely affected.
2. All anxiety disorders require treatment with medication.
3. All anxiety disorders first occur during adolescents.
4. All anxiety disorders cause depression.
Answer:
In planning care for a person with dementia, what is the most important consideration?
1. Focus on strengths and abilities
2. Discuss end-of-life issues
3. Identify problems
4. Ensure that medications are taken
Answer:
The nurse is talking with the family of a mentally ill client who lives with them. The
client is being admitted to the inpatient psychiatric unit. What is the priority information
to gather from the family?
1. Whether the client had a flu shot recently
2. The number of medications prescribed for the client
3. How the client’s symptoms are expressed at home
4. The type of soap the client prefers to use
Answer:
A new nurse in a psychiatric program tells the charge nurse “I”m not sure I feel safe
working with all of these crazy people.” Select the best reply by the charge nurse.
1. “Don”t worry, you”ll get used to it.”
2. “Believe me, it is not safe to work with some of these clients.”
3. “Maybe you should consider transferring to a medical-surgical floor.”
4. “It sounds like you need to discuss your feelings with the clinical supervisor.”
Answer:
A client is being admitted to the mental health unit. When completing the affective
assessment of the client’s sexual history, the nurse asks:
1. “When you were growing up, how did you learn about sex?”
2. “With whom do you feel most intimate and connected?”
3. “To what degree do you experience pleasure during sexual activity?”
4. “What are the positive aspects of your own sexual functioning?”
Answer: