A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. Which of the following interventions is the priority when planning care for this client?
A. Promoting and maintaining client safety
B. Discussing reasons for the client's behavior...
9- A nurse in a mental health unit is planning care for a client who is receiving treatment for self-
inflicted injuries. Which of the following interventions is the priority when planning care for this
client?
A. Promoting and maintaining client safety
B. Discussing reasons for the client's behavior
C. Helping the client recognize feelings
D. Teaching the client alternative coping strategies
27- A nurse is caring for a client with borderline personality disorder who has been engaging in self-
mutilation. The nurse should encourage the client to participate in which of the following groups?
A. Co-dependents support group
B. National Alliance on Mental Illness
C. Dialectical behavior treatment group
D. Dual diagnosis treatment group
40- A nurse is counseling a client following a recent death in the family. Which of the following
situations should the nurse identify as a risk factor for maladaptive grieving?
A. The death was a result of violence.
B. The client expresses anger over the loss.
C. This is the client's first experience of the loss of a family member.
D. The client demonstrates reorganization of behavior
54- A nurse is caring for a client who presents with a fractured wrist. The nurse suspects intimate
partner violence. Which of the following interventions is the nurse's priority?
A. Help the client develop a safety plan
B. Teach the client empowerment skills
C. Provide information about a support group for intimate partner abuse
D. Make a follow-up appointment with the primary provider
57- A nurse in an outpatient facility is assessing a 3-month-old infant who has lost weight and has
injuries that indicate physical abuse. When preparing to interview the parent, which of the following
actions should the nurse plan to take?
A. Insist that the parent tell the nurse how the child was injured
B. Tell the parent that a child protective agency must be notified
C. Show disapproval to the parent regarding the infant's condition
D. Call at least 2 other staff members to sit in the room during the interview
, 93- A nurse in an emergency department is caring for a client who states, “I tripped over the dog
again." The nurse notes the client has multiple lacerations and ecchymoses and sees in the client's
medical record that she visited 2 months ago for similar injuries. Which of the following actions
should the nurse take?
A. Ask the client what she believes she did to deserve being physically abused
B. Avoid documenting subjective verbatim statements from the client regarding injuries
C. Talk to the client about making a safety plan
D. Explain the cycle of violence to the client
132. A nurse is planning care for a client who has completed detoxification from opioid abuse
disorder. The nurse should plan to teach about which of the following medication>
A. Methadone
B. Naltrexone
C. Buprenorphine
D. Disulfiram
167. A nurse is interviewing a client who is seeking help for intimate partner violence. Which of the
following client statements should the nurse identify as an indication that the client is in the tension-
building phase of the cycle of violence?
A. Last night my partner beat me worse than ever before.
B. It’ll be easier just to make my partner mad and get the violence over with.
C. I believe my partner is remorseful and won’t hurt me again.
D. I only got shoved a little bit, and it was my fault for coming home late.
220. A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the
following techniques should the nurse use?
A. Avoid directly asking the client if she has been abused.
B. Use a confrontational approach
C. Maintain a nonjudgmental tone
D. Avoid being in the room alone with the client
244. A nurse in a pediatric emergency department is caring for 4 clients. The nurse should suspect
possible abuse for which of the following clients?
A. A 14-months- old toddler who has recently learned to walk and has many bruises on bony
prominences in various stages of healing.
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