Next Gen NCLEX quiz #7

The clinic nurse has completed teaching for a client who frequently hyperventilates in response to anxiety. What statement by the client indicates teaching was effective?

• "I just need to learn to get over my anxiety and forget about it."

• "I should try taking deep breaths when I feel my anxiety going up."

• "As long as I keep taking my antianxiety meds I don't need to worry."

• "I will just try to avoid anything that makes me anxious."

A client reports difficulty sleeping and a "pounding heart". There are no abnormal findings on the physical examination. Further assessment reveals that the client is worried about being successful on a new job that he just started. What is an appropriate nursing response to this finding?

• "Counseling could be of much benefit to you right now."

• "Have you spoken with any of your family members about what concerns you?"

• "Anxiety is very normal whenever someone starts a job for the first time."

• "It seems that your concern right now is about whether you can do your job."

The clinic nurse is assessing a client with chronic obstructive pulmonary disease (COPD) and moderate anxiety. In what order should the nurse collect assessment data?

A. Review the medical record for history and prescriptions

B. Encourage the client to report their symptoms

C. Ask meaningful questions to elicit information

D. Assess vital signs and compliance with prescriptions

E. Conduct a respiratory assessment to compare with history

• A

  B

  C

  D

  E

• E

  D

  C

  B

  A

• C

  A

  B

  D

  E

• A

  B

  C

  E

  D

The nurse is planning for care for a client with a history of anxiety disorder who is admitted for pneumonia. What would be the priority goal for the care plan?

• Client will participate in care planning.

• Anxiety levels will be managed.

• Client will be compliant with treatment plan.

• Anti-anxiety medications will be administered as needed.

The nurse is assessing a client with a diagnosis of bipolar disorder in the manic phase. What assessment finding could pose an immediate safety concern?

• Regular gazing in the mirror.

• Non-purposeful movements.

• Inflated sense of self-importance.

• Risky, impulsive behavior

• Non-compliance with medications.

The nurse has completed the admission assessment of a client with a diagnosis of acute bipolar disorder. Based on the assessment, what is the priority focus for the nursing plan of care?

• Control the client's hyperactivity.

• Monitor relevant lab values.

• Hydration and nutrition.

• Client teaching.

The client with a diagnosis of major depression states, "I have been on these antidepressant medications for a week now and I don't feel any better." What statement by the nurse would be appropriate?

• "It took you a long time to get this depressed, don't expect an immediate turnaround."

• "Oh, I see improvements in your mood every day since you started the prescription."

• "Sometimes the antidepressant medications take up to 3 weeks before you see a change."

• "I will check with your healthcare provider, maybe we need to change medications."

The nurse is assessing a client recently admitted to hospice care. When trying to determine the needs of the client, which assessment is a priority?

• Exploring the relationships and communication patterns within the family.

• Identifying the client's religious preferences and name of their spiritual counselor.

• Reviewing the prescribed medications with the client to see if they understand them.

• Determining whether the client's insurance will pay for hospice care.

The nurse is observing a new nurse prepare the medications for a client diagnosed with obsessive compulsive disorder. The prescription reads "paroxetine 20mg PO daily for one week, then increase by 10 mg weekly until reaches 40 mg daily." The client has been on the medication for 10 days, what dose should the nurse be administering?

• 40 mg

• 20 mg

• 30 mg

• 10 mg

The nurse is planning a crisis intervention for a client with acute anxiety. What should be the priority goals for crisis management?

• Administration of prescribed medications.

• Safety of the client.

• Strategies to reduce anxiety.

• All of the above.