A client with a history of alcohol dependence is discharged with nutritional
recommendations to increase the intake of vitamin B foods and thiamine. The client
states, “I can”t eat this stuff. This food isn”t fit for real people.” Which factor does the
nurse recognize was not incorporated into the plan of care?
1. Age
2. Social environment
3. Marital status
4. Lifestyle habits
Answer:
Which statement should include communication strategies when a client has had a
situational crisis?
1. “I am sorry this happened to you.”
2. “I know just how you feel.”
3. “It’s best to stay busy.”
4. “It could have been worse.”
Answer:
The nurse is seeking supervision regarding the use of self-disclosure with a client who
has anxiety. Which response by the nurse most accurately reflects an understanding of
the therapeutic use of self-disclosure?
1. “There are really few circumstances in which it is appropriate for nurses to use
self-disclosure with clients.”
2. “Nurses who disclose personal information must first undergo psychotherapy to
prevent over-disclosure.”
3. “I can use self-disclosure with any client as long as it doesn”t take the focus away
from the client.”
4. “I will first ask myself whether what I am going to disclose meets the client’s needs
or just my own needs.”
Answer:
The client says to the nurse, “I”m worried that this new antidepressant may not be
working because I always feel tired after taking it in the morning.” The nursing
response should be based on what principle?
1. Antidepressants can have a sedating effect.
2. Antidepressants only have a stimulant effect.
3. Antidepressants that cause sedation usually cause tremors.
4. Antidepressants that cause sedation are not effective.
Answer:
When developing a care plan for a client in family therapy, which of the following
questions will provide the best information for planning appropriate interventions?
1. “What kinds of activities does your family enjoy together?”
2. “Who is the primary caregiver in your family?”
3. “What is the most important problem that you want help with?”
4. “How often do you attend church together as a family?”
Answer:
A community nurse who is preparing education on opioid usage in the community
should focus the education on:
1. Teaching seizure precautions.
2. Effects of opioids on long-term vision problems.
3. Dangers of overdose.
4. Recognition of signs of withdrawal.
Answer:
Which of the following outcomes would be the most important for an older adult who
recently lost his wife of 50 years after a long history of breast cancer?
1. Ability to recognize behaviors that reduce feelings of hopelessness
2. Ability to focus on specific stimuli
3. Ability to acquire, organize, and use information
4. Ability to dress self and maintain own hygiene
Answer:
The client tells the nurse, “The world will end tonight at midnight. Armageddon is upon
us!!” Which type of delusion is this?
1. Religious
2. Grandiose
3. Nihilistic
4. Persecutory
Answer:
The nurse is about to begin working with a client diagnosed with a sexual disorder.
During the preinteraction phase of the nurse”patient relationship, it is important for the
nurse to:
1. Discuss the nurse’s beliefs with the client.
2. Agree with the client’s sexual values.
3. Engage in values clarification.
4. Provide appropriate sexual health care.
Answer:
Who is at greatest risk for becoming the victim of intrafamily violence?
1. The child who has a stepfather
2. The male child
3. The child born out of an unplanned pregnancy
4. The child living in a home in which a parent is being abused
Answer:
The nurse notices that one of the group members seems frustrated. He is very friendly
with everyone in the group but seems upset when some group members do not
reciprocate with an equal amount of friendliness. The nurse understands that the group
member is demonstrating his interpersonal needs for:
1. Love
2. Affection
3. Grief
4. Reasoning
Answer:
The nurse working in disaster situations should also attend to his/her own self-care. To
maintain positive self-care, the nurse should avoid:
1. Utilizing healthy coping mechanisms.
2. Monitoring one’s own reactions.
3. Keeping a journal to write thoughts and feelings.
4. Focusing on improving interventions for the next crisis.
Answer:
When negotiating a behavior contract with adolescents, the nurse ensures that:
Standard Text: Select all that apply.
1. The expectations for behavior are clear.
2. The contract is oral.
3. There is no room to renegotiate.
4. Consequences outlined in the contract will be administered consistently.
5. The terms are rigid.
Answer:
A client with chronic paranoid schizophrenia was recently referred to a sheltered
workshop and has been participating in a supported employment program for three
weeks. Which of the following client outcomes would indicate that the client is
demonstrating successful behaviors in this program?
1. The client attended 85% of recreational and educational group activities.
2. The client applied for and obtained subsidized housing from the local housing
authority.
3. The client worked four hours per day making protective facemasks for a local
company.
4. The client applied for and was approved by the Medicaid program for supplemental
income.
Answer:
What items should be included in the admission nursing assessment for a new client?
Standard Text: Select all that apply.
1. Genetic counseling
2. Health history
3. Support systems
4. Current stressors
5. Genetic testing
Answer: