WorksheetsFocused Review Q 26-50
Total questions: 25
Worksheet time: 19mins
A nurse is caring for a client who has schizophrenia. the nurse observes that the client consistently does the opposite of what he is told. The nurse recognizes this as which of the following alterations in behavior?
Automatic Obedience
Waxy flexibility
Negativism
Impaired impulse control
A nurse on a mental health unit is assisting with several group therapy sessions. The nurse should include which of the following information about using group therapy as a treatment method?
"It establishes a situation where the client can relate to others and share perceptions"
"It enables the client to see that other individuals have mental health issues"
"It is economical, since one staff member can treat many clients at once"
"It provides a forum to reinforce client teaching regarding medication administration"
A nurse is collecting data from a client who has histrionic personality disorder. which of the following characteristics should the nurse expect?
Uses physical appearance to gain attention
Manipulates others for personal gain
Unable to identify with the feelings of others
Views self as inferior to others
A nurse caring for a client who has schizophrenia and begins to talk about fantasy subjects. Which of the following is an appropriate intervention by the nurse?
Allow the client to continue talking so as to not interrupt the delusion
Encourage the client to focus on reality-based issues
Ask the client to explain the meaning behind what he is saying
Persuade the client that his thoughts are not true
A nurse on an inpatient unit is caring for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse take? Select all that apply.
Give the client a weight gain goal of 4-5 lbs per week
Monitor the clients weight daily after first voiding
Encourage the client to keep a diary of daily food intake
Stay with the client during meals and for 1 hour afterwards
Offer specific privileges for sustained weight gain.
A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?
Pad the side rails of the bed with towels
Place the client in a private room
Accompany the client when ambulating
Determine the client's level of disorientation.
A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises and, based on several other factors, the nurse suspect the client has been physically abused. Which of the following actions should the nurse take first?
Follow the agency's guidelines for reporting suspected abuse
Arrange referral for family therapy to deal with home stressors
Insititute more frequent visits to the client's home
Check the bruises at the next visit to the client's home.
A nurse is assisting in the care of a client who has schizophrenia. The client states, "the government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Persecution
Control
Erotomanic
Somatic
A nurse is collecting data from a client whose child was killed 2 years ago. Which of the following actions indicates that the client is experiencing maladaptive coping?
Visiting the child's grave every week
Volunteering a local children's hospital
Talking about the child in past tense
Leaving the child's room exactly as it was before the loss.
A nurse is caring for a client whose wife died 6 months ago. For which of the following findings should the nurse monitor to identify a maladaptive grieving response?
Openly expresses anger
Disturbed Self esteem
Accepts support from others
Experiences transient physical symptoms
A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?
Anorexia
Tremors
Insomnia
Hallucinations
A nurse in a community clinic is caring for a 20 month old toddler who has spiral fractures of the right ulna and radius Which of the following findings should the nurse recognize as potential indication of abuse?
The child begins to cry when her arm is examined by the provider?
The child's examination shows a single injury
The child was brought to the facility 30 minutes after the injury occurred
The parents report that the child injured herself by falling off the couch.
A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?
Ask him to describe his concerns
Distract the client by giving him reading material?
Suggest that he take a walk around the unit
Refer him tot he spiritual care team.
A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?
Methadone
Disulfiram
Risperidone
Lithium Carbonate
A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include in the plan of care?
Provide a cognitively stimulating environment
Rotate staff to prevent caregiver role strain
Limit the client's choice for daily activities
Use confrontation to manage negative behavior.
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
Set limits for the relationship
Promote the use of transference by the client
Instruct the client on how he should behave
Engage in friendly interactions with the client
A client states that his family would be better off if he were dead. Which of the following responses is the nurse’s priority?
“Do you really think your family would be better off without you?”
“Are you thinking of killing yourself?”
“Tell me what is happening right now.”
“When did you first start feeling this way?”
A nurse is collecting data from the client for manifestations of anorexia nervosa. Which of the following findings should the nurse expect? Select all that apply.
Client has soft, unpigmented hair on arms
Client's hair appears brittle and thin
Client reports consuming around 600 calories per day
Client reports preoccupation with thoughts about food
Client reports being "too tired" and lacks interest in daily workouts at the gym
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?
"Everyone has trouble sleeping at times."
"Have you talked to your provider about this yet?"
"Why do you think you are so anxious?"
"It sounds like you're having a difficult time."
A nurse is caring for a client who is exhibiting manic behavior. The client reports recent personal stressors including the loss of her mother and a divorce. Which of the following is the nurse’s priority action?
Identifying support systems.
Assisting the client in identifying coping behaviors.
Encouraging self-care.
Preventing self-directed violence
A nurse is caring for an older adult client who is scheduled for surgery. The client becomes upset when the nurse asks her to remove her dentures prior to the surgery. Which of the following is a therapeutic response by the nurse?
"You seem worried. Are you concerned someone may see you without your teeth?"
"You wouldn't want your teeth to be lost or broken during surgery, would you?"
"The anesthesiologist requires everyone to remove their dentures."
"It's for your safety. Dentures can slip and block your airway during surgery."
A nurse is caring for a client who is taking disulfiram and is experiencing severe nausea and vomiting. The nurse should identify that which of the following is the cause for the client’s nausea and vomiting?
Consumption of alcohol
Allergic reaction to the medication
Adverse effects of the medication
Missed dose of the medication
A nurse is caring for a client following major spinal surgery who is reporting pain. The client's partner tells the nurse, "I wish I could do something to make my wife feel better." Which of the following responses should the nurse make?
"I wish there was more that I could do to relieve your wife's pain, too."
"We're doing everything we can to keep your wife comfortable."
"It must be very difficult for you to see your wife in pain."
"I'm sure your wife will begin to feel better soon."
A nurse is caring for a client who has right-sided paralysis secondary to a stroke. The client's adult son states to the nurse, "None of this would have happened if I would’ve been there." Which of the following responses should the nurse make?
"It seems that you feel responsible for what happened to your mother."
"Your mother will be fine. I wouldn't worry so much."
"Let's talk about how your mother's therapy sessions are going."
"Why do you feel responsible for your mother's illness?"
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse’s priority?
Offer the client high-calorie fluids.
Remain with the client in a quiet area.
Administer an antianxiety medication to the client.
Teach the client relaxation exercises.
