Focused Review: Q 1-25

A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (select all that apply)

• Needle tracks

• Skeletal Deformities

• Ecchymosis

• Alopecia

• Numbness

A nurse is assisting in a group therapy meeting and is sharing a humorous story unrelated to anyone in the group. When the group laughs at the story, a client who has schizophrenia jumps up and runs out of the room while yelling, "You are all making fun of me!" Which of the following behaviors is this client displaying?

• Grandeur

• Somatic Delusion

• Erotomania

• Ideas of Reference

A nurse is collecting data from a female client who has anorexia nervosa. Which of the following findings should the nurse expect?

• Decreased Cholesterol levels

• low bone density

• heavy monthly periods

• elevated serum potassium

A nurse is caring for a client who becomes verbally abusive when the client enters the room. Which of the following actions should the nurse take

• Punish the client for the behavior

• Leave the client's room

• Tell the client the behavior is disappointing

• Maintain eye contact until the behavior stops

A nurse in an acute mental health facility is caring for a hospitalized patient who has agoraphobia. The nurse observes that the client is making progress when he is able to participate in which of the following activities?

• Recreational therapy in the day room

• Daily group therapy sessions

• A picnic in a local park

• Lunch in the hospital cafeteria with family

A nurse is assisting with the development of a community education course about the physical complications related to substance use disorder. which of the following substances should the nurse identify as a primary cause of cirrhosis?

• Alcohol

• Caffeine

• Cocaine

• Inhalants

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy (ECT) for the treatment of depression. Which of the following should the nurse ensure is in the medical record?

• Electroencephalogram (EEG)

• Client's informed consent form

• Urine analysis

• Pulmonary function tests

A nurse in an acute care facility is caring for an older adult client who is being discharged to an extended-care nursing facility the next day. The client asks, "why do I have to go to that place?" Which of the following responses should the nurse make?

• "Your doctor feels that it is the best place for you right now"

• "Why don't you ask the doctor that when he comes to see you?"

• "What have you been told about the new facility?"

• "Your family can't take care of you at home, so you will need to go there."

A nurse is caring for an adolescent on an inpatient mental health unit who is undergoing detoxification for a substance use disorder. He tells the nurse that he first began using illicit drugs when his parents wouldn't allow him to get a tattoo. Which of the following defense mechanisms is the client demonstrating?

• Suppression

• Intellectualization

• Projection

• Dissociation

A nurse is caring for a client who begins to make sexual advances towards him. Which of the following is an appropriate statement by the nurse?

• "I am going to leave now and I'll return in one hour to spend time with you."

• "I'm sure that you don't intend to behave this way, so I'm going to ignore this behavior."

• "I'm very flattered, but I am married and cannot engage in this behavior."

• "I'm curious as to why you are behaving this way. Can you please explain it to me?"