Questions and Answers with Explanations.
| | | | |
42. During admission to the psychiatric unit, a female client is
| | | | | | | | |
extremely anxious and states that she is worried about the sun
| | | | | | | | | | |
coming up the next day. What intervention is most important
| | | | | | | | | |
forthe RN to implement during the admission process?
| | | | | | | | |
A. Assist the client in developing alternative coping skills.
| | | | | | |
B. Remain calm and use a matter of fact approach.
| | | | | | | |
C. Ask the client why she is so anxious
| | | | | | |
D. Administer a PRN sedative to help relieve her anxiety. | | | | | | | |
41. A female client is brought to the emergency department after
| | | | | | | | |
police officers found her disoriented, disorganized, and confused.
| | | | | | | |
The RN also determines that the client is homeless and is
| | | | | | | | | | |
exhibiting suspiciousness. The client’s plan of care should
| | | | | | | |
includewhat priority problem?
| | | |
A. Acute confusion. |
, B. Ineffective community coping | |
C. Disturbed sensory perception. | |
D. Self-care deficit. |
39. The occupational health nurse is working with a female
| | | | | | | |
employee who was just notified that her child was involved in a
| | | | | | | | | | | |
MVA and taken to the hospital. The employee states, “I can’t
| | | | | | | | | | |
believe this. What should I do?” Which response is best for the
| | | | | | | | | | | |
RNto provide in this crisis?
| | | | | |
A. Tell me what you think should happen.
| | | | | |
B. How serious was the collision?
| | | |
C. What do you think you should do?
| | | | | |
D. Call for transportation to the hospital.
| | | | |
40. A client tells the RN that he has an IQ of 400+ and is a
| | | | | | | | | | | | | |
geniusand an inventor. He also reports that he is married to a
| | | | | | | | | | | | |
female movie star and thinks that his brother wants a sexual
| | | | | | | | | | |
relationshipwith her. What is the priority nursing problem for
| | | | | | | | | |
admission to thepsychiatric unit?
| | | | |
A. Ineffective sexual patterns. | |
B. Impaired environmental interpretation. | |
C. Disturbed sensory perception. | |
D. Compromised family coping. | |
46. The RN is providing care for a client diagnosed with borderline
| | | | | | | | | |
personality disorder who has self-inflicted lacerations on the
| | | | | | | |
abdomen. Which approach should the RN use when changing
| | | | | | | | |
|this client’s dressing?
| |
, A. Provide detailed thorough explanations when | | | |
cleansingwound.
| |
B. Perform the dressing change in a non-judgmental manner. | | | | | | |
C. Ask in a non-threatening manner why the client cut
| | | | | | | |
ownabdomen.
| |
D. Request another staff member assist with the | | | | | |
dressingchange.
| |
36. While sitting in the day room of the mental health unit, a male
| | | | | | | | | | | |
adolescent avoids eye contact, looks at the floor, and talks softly
| | | | | | | | | | |
when interacting verbally with the RN. The two trade places, and
| | | | | | | | | | |
the RN demonstrates the client’s behaviors. What is the main
| | | | | | | | | |
goalof this therapeutic technique?
| | | | |
A. Initiate a non-threatening conversation with the client.
| | | | | |
B. Dialog about the ineffectiveness of his interactions.
| | | | | |
C. Allow the client to identify the way he interacts.
| | | | | | | | | |
D. Discuss the client’s feelings when he responds.
| | | | | | |
35. An antidepressant medication is prescribed for a client who
| | | | | | | |
reports sleeping only 4 hours in the past 2 days and weight loss
| | | | | | | | | | | | |
of9 lbs within the last month. Which client goal is most important
| | | | | | | | | | | | |
toachieve within the first three days of treatment?
| | | | | | | | |
A. Meet scheduled appointment with dietitian.
| | | | |
B. Sleep at least 6 hours a night.
| | | | | | | |
C. Understands the purpose of the medication regimen.
| | | | | | |
D. Describes the reasons for hospitalization.
| | | | |
34. When preparing to administer to domestic violence
| | | | | |
screeningtool to a female client, which statement should the RN
| | | | | | | | | | |
provide?
|
, A. If your partner is abusing you, I need to ask these questions.
| | | | | | | | | | |
B. State law mandates that I ask if you are a victim of
| | | | | | | | | | |
domesticviolence.
| |
C. The HCP provider needs to know if you are experiencing
| | | | | | | | |
anydomestic abuse.
| | |
D. All clients are screened for domestic abuse because it
| | | | | | | |
iscommon in our society.
| | | | | | |
33. A young adult female visits the mental health clinic
| | | | | | | |
complaining of diarrhea, headache, and muscle aches. She is
| | | | | | | | |
afebrile, denies chills, and all laboratory findings are within
| | | | | | | | |
normal limits. During the physical assessment, the client tells
| | | | | | | | |
theRN that her sister thinks she is neurotic and calls her a
| | | | | | | | | | | | |
hypochondriac. Which response is best for the RN to provide?
| | | | | | | | | |
A. Unless your sister has a medical education, ignore
| | | | | | |
hercomments.
| |
B. I can hear that your sister comments are over-whelming you.
| | | | | | | | |
C. Do you think it’s possible that you might be a
| | | | | | | | |
hypochondriac?
|
D. Besides your sister’s comments, what in your life is
| | | | | | | |
troublingyou?
| |
32. The RN is leading a group on the inpatient psychiatric unit.
| | | | | | | | | |
Which approach should the RN use during the working phase of
| | | | | | | | | | |
group development?
| |
A. Establishing a rapport with group members. | | | | |
B. Clarifying the nurse’s role and clients’ responsibilities.
| | | | | |
C. Discussing ways to use new coping skills learned. | | | | | | |
D. Helping clients identify areas of problem in their lives.
| | | | | | | |
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