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The nurse is interacting with a client. The client states, "I am from the planet Shoz, so I
am a Shozoid." The client is manifesting which type of communication?
1. Echolalia
2. Neologism
3. Clang association
4. Blocking
Answer:
A client taking central nervous system (CNS) depressants asks the nurse what natural
medicines would be safe to use. The nurse suggests that there is no contraindication for
taking CNS depressants with:
1. Melatonin.
2. Lavender.
3. Hawthorn.
4. Stinging nettle.
Answer:
When teaching students about suicide, the nursing instructor knows that basic suicide
precautions include:
1. Beginning measures with an order from the psychiatrist.
2. Checking the client's whereabouts and safety every 15 minutes.
3. Maintaining one-to-one supervision during visits.
4. Providing one-to-one nursing supervision at all times.
Answer:
The nurse is documenting observations of client interactions during a group session.
The nurse strives to document the behaviors of the client interactions with:
1. Objectivity.
2. Serendipity.
3. Sympathy.
4. Empathy.
Answer:
Since purging and excessive exercise are not features of binge-eating disorders, these
individuals often become:
1. Anorexic.
2. Emaciated.
3. Hungry.
4. Obese.
Answer:
The nursing student knows that clients' need for inclusion allows the group members to:
1. Remain emotionally available.
2. Become great communicators.
3. Interact with one another satisfactorily.
4. Use the client's need to obtain group privacy.
Answer:
How might the nurse make use of the information contained in a client's multiaxial
diagnosis?
Standard Text: Select all that apply.
1. To address physiological problems
2. To plan client-centered interventions
3. To communicate client needs
4. To assess client strengths
5. To identify nursing diagnoses
Answer:
The nurse is assessing a client in the home. Given the nurse's knowledge of the top 10
causes of disability worldwide, choose the priority area for data collection.
1. Social interactions and history of abuse
2. Irrational fears and quality of communication
3. Memory and childhood history
4. Mood and patterns of alcohol usage
Answer:
A client has come to a nurse practitioner with concerns about health care costs. The
client, who had one myocardial infarction and later suffered from severe anxiety, asks
for a plan of care that includes appropriate complementary and alternative therapies.
Which of the following CAM modalities is not appropriate for someone with a history
of cardiac problems?
1. Massage
2. Moderate exercise
3. Active progressive relaxation
4. Finger-holds for general well-being
Answer:
The nurse's evaluation of the outcomes of care for an older adult mentally ill client
should be guided by the knowledge that:
1. Cultural preferences that conflict with treatment goals take precedence.
2. Complete absence of psychiatric symptoms is the gold standard.
3. Client's values and preferences should be honored whenever possible.
4. Families and significant others are not routinely involved in this process.
Answer:
The nurse who wants to actively and effectively work with culturally diverse clients
will:
1. Seek out homeless people.
2. Avoid global mental health issues.
3. Seek out practicing nurses of a particular cultural background and read
transcendental awareness journals.
Answer:
Suicide prevention hotline callers had a significant decrease in suicidality during the
course of the telephone session when crisis hotline workers demonstrated:
1. Faith, respect, and trepidation.
2. Hope, support, and happiness.
3. Empathy, support, and hopelessness.
4. Empathy, respect, and support.
Answer:
A mother is concerned because her 6-year-old son stutters. She wants to know if she did
anything during her pregnancy to cause this. Which of the following would be the best
response? The nurse should:
1. Assess for impaired thermoregulation during the postnatal period.
2. Assess for a family history of the disorder.
3. Verbalize the implied by asking, "Are you saying you feel responsible for his
problem?"
4. Ask if the mother had preeclampsia during labor.
Answer:
A nurse is working with a client who has a diagnosis of obsessive-compulsive
personality disorder. It is important for the nurse and client to discuss:
1. The effect of anger on perfectionism.
2. The need to feel superior.
3. The link between anxiety and perfectionism.
4. The need for medication.
Answer:
The nurse is conducting an assessment of an adolescent client. Which of the following
information will the nurse obtain from the parents rather than the client?
1. Academic achievement
2. The adolescent's perception of the reason for seeking care
3. The age at which developmental milestones occurred
4. Dietary food preferences and allergies
Answer:
A client being discharged from the mental health clinic is fearful about not being able to
keep up with therapy and treatments after leaving the clinic. The nurse knows that to
ensure client success after discharge, the client's behavioral contract should:
1. Support the client's family and friends.
2. Ensure client success.
3. Build and maintain treatments to help the community.
4. Address issues the client will face in community living.
Answer:
The nurse tells a psychotic client with alcohol dependence not to drink while taking the
antipsychotic medication. How would the nurse's supervisor evaluate this teaching
statement?
1. There is no reason why the client cannot have one or two drinks per day.
2. It is not possible for a client with a psychotic disorder to be successful in staying
sober.
3. It is a correct statement that should motivate the client to quit drinking.
4. Without treatment for the alcohol dependence, the client will be more likely to not
take the medication.
Answer:
A client talks in a monotone voice and shows no emotion when speaking. The client
tells the nurse, "I want to stay in bed all day. I do not enjoy watching television like I
used to. I do not want to talk with other people." Which of the following symptoms of
schizophrenia are illustrated in this scenario?
Standard Text: Select all that apply.
1. Alogia
2. Flat affect
3. Anhedonia
4. Avolition
5. Apathy
Answer:
