Answers
/. A charge nurse is developing an educational program about schizophrenia. Which of
the following manifestations should the nurse include as a negative symptom of
schizophrenia? - Answer-Thought blocking
/.A nurse is preparing to administer diazepam - Answer-1.5ml
/.A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the
following statements indicates that the client is at risk for complicated grief? - Answer-"I
feel so empty without my wife that it's hard to get up every morning"
/.A nurse in a mental health unit is admitting a client who is anxious because he often
hears voices telling him what to do. Which of the following actions should the nurse
take? - Answer-Ask the client what the voices are saying
/.A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates manipulative
behavior? - Answer-If you do my homework for me, I won't bother you for the rest of the
day
/.A nurse is planning discharge teaching with a family member of a client who has a new
diagnosis of depression. Which of the following information about relapse should the
nurse include? - Answer-Early identification of changes, such as decreased social
involvement, is important
/.A nurse is reviewing the medication administration record for a client who is
experiencing the adverse effects of chlorpromazine. The nurse should administer
benztropine to relieve which of the following adverse effects? - Answer-Acute dystonia
/.A nurse in the emergency department is admitting a client who reports a headache
along with heart palpitations after having a glass of wine with dinner a few hours ago.
The client has a history of depression and has blood pressure of 210/105 mmHg. Which
of the following questions should the nurse ask first? - Answer-What medications are
you currently taking?
/.A nurse is teaching a client who had bipolar disorder and a prescription for lithium.
Which of the following instructions should the nurse include in the teaching? - Answer-
That this medication with food
, /.A nurse is caring for a client who is taking clozapine. For which of the following
findings should the nurse withhold the medication? - Answer-The client reports a sore
throat
/.A nurse is caring for a client who was admitted following an overdose of amitriptyline.
The nurse should monitor the client for which of the following adverse effects associated
with this medication? - Answer-urinary retention
/.A nurse in a provider's office is collecting a health history from the parent of a school-
age child who had been taking atomoxetine. Which of the following adverse effects
reported by the parent is the priority for the nurse to report to the provider? - Answer-
Dark urine
/.A nurse is preforming an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of
the following actions should the nurse take first? - Answer-Inform the client that her
admission is confidential
/.A nurse is caring for an older adult client who has dementia and has wandered into the
day room looking for her deceased partner. Which of the following actions should the
nurse take? - Answer-Talk with the client about activates she enjoyed with her partner
/.A nurse is caring for a client who is receiving hospice care for an inoperable brain
tumor. When completing a spiritual assessment as part of end-of-life care, which of the
following interventions should the nurse implement? - Answer-Discuss spiritual issues in
a conversational manner
/.A school nurse is assessing a school- age child who is experienced the traumatic loss
of a parent 8 months ago. Which of the following findings should the nurse identify as an
indications that the child is experiencing post traumatic stress disorder? - Answer-Lack
of interest in an upcoming holiday
/.A nurse is caring for an older client who begins to cry and states, "I knew God would
punish me and I deserve this horrible sickness!" Which of the following responses
should the nurse make? - Answer-Let's talk about what is upsetting you
/.A nurse is teaching coping strategies to a client who is experiencing depression
related to intimate partner abuse. Which of the following statements by the client
indicates an understanding of the teaching? - Answer-I will talk about my feelings with a
close friend
/.A nurse is teaching the parent of a 10-year- old who has ADHD and a new prescription
for dextroamphetamine. Which of the following instructions should the nurse include in
the teaching? - Answer-Administer the last dose of medication to your child 6 hrs before
bedtime