The client states that she has been ill and in pain since childhood. Her many symptoms
are not caused intentionally, nor are they feigned. She has seen many doctors.
Consistent with this client’s disorder, the nurse believes the pain the client experiences
is:
1. Fake.
2. Exaggerated.
3. Real.
4. For attention.
Answer:
Which of the following would indicate that the client needs more teaching related to
coping with constipation as a side effect of antipsychotic medications?
1. I will regularly use enemas.
2. I will walk and stay active.
3. I will include fiber daily in my diet.
4. I will have an adequate intake of fluid.
Answer:
A client who grew up with alcoholic parents is reluctant to discuss thoughts, feelings,
and self-defeating behaviors with the nurse. Which of the following responses by the
nurse would be most helpful?
1. “We don”t have to talk about your feelings if you don”t want to. Let’s discuss the
behaviors you would like to change.”
2. “Some clients who were raised in alcoholic families are reluctant to discuss their
feelings. How has this impacted you?”
3. “I understand that you are not used to discussing your feelings; however, we can”t
continue unless you open up to me.”
4. “I understand that opening up to others is difficult for you, but you need to change
your view about discussing family issues with me.”
Answer:
A family member expresses concern to the nurse about behavioral changes in an elderly
client. What information would cause the nurse to suspect a dementia disorder?
1. Decreased enjoyment of activities that were once enjoyable
2. Problems with preparing a meal or balancing a checkbook
3. Increased complaints of physical ailments
4. Sudden disturbed sleep”wake cycle
Answer:
A nurse comes to the mental health clinic tired, angry, and in a hurry. After making
several minor mistakes, the nurse realizes that in order to help clients and improve their
functioning through the development of behavioral contracts, he/she must first take
his/her time and change his/her attitude in order to:
1. Formulate practical and measurable objectives.
2. Develop goals based on client and family needs.
3. Normalize the family’s experience.
4. Teach the client communication skills.
Answer:
What are suggested outcomes for the nursing diagnosis of “Ineffective Individual
Coping” for a client with anorexia nervosa?
Standard Text: Select all that apply.
1. Actions to manage stressors that tax an individual’s resources
2. Ability to self-restrain altered perceptions
3. Ability to self-restrain compulsive or impulsive behaviors
4. Ability to acquire, organize, and use information
5. Adequate nutrients taken into the body
Answer:
The nurse finds that the client with a pain disorder has been in a physically and verbally
abusive relationship. The client feels guilty and fears a loss of love. According to
psychoanalytic concepts, this is believed to be a(n):
1. Unconscious conflict from childhood that was reawakened in adulthood by a similar
situation.
2. Environmental factor.
3. Stress related to relationships.
4. Brain abnormality.
Answer:
A client was brought in to the hospital by police after verbally threatening the staff at a
homeless shelter when they turned the client away. Which would be the most
appropriate response by the nurse to the client’s statement, “You all better let me stay
here, or the next time, I’ll use a gun.”
1. “Do you have a gun? Are you threatening to kill someone?”
2. “Sounds like you are trying to manipulate the system. We only treat people with real
problems here.”
3. “It sounds like you are very concerned about having somewhere to stay. Can you tell
me more about what you would do if you couldn”t stay here?”
4. “We cannot let you stay here unless you promise not to hurt anyone.”
Answer:
Which of the following is part of the ongoing nursing assessments of the client on
psychiatric medications?
Standard Text: Select all that apply.
1. How well the medication is managing the client’s symptoms
2. The client’s cultural belief system related to illness and medication
3. Whether the medication is causing side effects
4. The client’s favorite activities
5. The client’s readiness to learn
Answer:
A client has dementia of the Alzheimer’s type. He is no longer able to walk, and he does
not recognize family members, even his wife of 52 years, when they visit him. He
attempts to communicate with agitated behaviors or with occasional incoherent
vocalizations. Which stage of the illness is the client in?
1. Late-stage dementia
2. Early-stage dementia
3. Middle-stage dementia
4. Late-stage confusion
Answer:
As part of the comprehensive admission assessment, the nurse talks with family and
friends who may contribute additional data to a client’s psychiatric history. When
reviewing the data obtained from these sources, the nurse keeps in mind which of the
following perspectives of the data? The information provided:
1. Will vary according to the source’s relationship to the client.
2. Comes from each individual’s perspective.
3. Is considered false.
4. Is considered accurate.
Answer:
A client is taking lithium for treatment of a mood disorder. Which of the following
herbal products is contraindicated for this client?
1. American ginseng
2. Evening primrose oil
3. Yohimbe
4. Caffeine
Answer:
Introspective or meditative techniques may be useful for clients who:
1. Are highly anxious.
2. Have multiple problems.
3. Are severely depressed, delusional, or hallucinating.
4. Are mentally and emotionally healthy.
Answer:
A client with a diagnosis of borderline personality disorder has had several
hospitalizations for suicide attempts and self-mutilation. A priority nursing intervention
for this client would include which of the following?
1. Safety maintenance
2. Social interaction
3. Anxiety reduction
4. Concrete communication
Answer:
The client of Asian extraction asks the nurse why the client’s own dose of antipsychotic
medication is effective yet so much lower than other clients who are mostly from
European extraction. Which nursing response is correct?
1. People of Asian extraction have higher expressed emotionality leading to better
prognosis and lower dosages.
2. Often people of Asian extraction have lower metabolic rates and need lower amounts
of medication.
3. There is no correlation between ethnic background and the amount of medication
someone receives.
4. People of European extraction have more side effects from medication than do those
of Asian extraction.
Answer:
A nurse is asked to consult with the local domestic violence shelter. The shelter
employees state that women of Hispanic descent do not use the services offered. An
employee states, “You know with all that Hispanic machismo you can bet that those
women are probably being abused.” The nurse recognizes that:
1. The agency should place flyers in the local schools.
2. The agency should advertise their services in the local newspaper.
3. The agency needs help to promote culturally competent values, policy, structures, and
practices.
4. The agency should add a Spanish greeting on the agency’s phone message.
Answer: