NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?
      A)Eat a snack before going to bed.
      B)Sit on the side of the bed for a few minutes before standing.
      C)Decrease the prescribed dose by half when mood improves.
      D)Avoid over-the-counter magnesium when taking this medication.
    2. A nurse is caring for a client who has an alcohol use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?
      A)Fatigue
      B)Rapid speech
      C)Seizures
      D)Hand tremors
    3. A charge nurse in an emergency department is assigning tasks. Which of the following tasks should the nurse delegate to assistive personnel?
      A)Transfer a client who has delirium from a bed to a wheelchair.
      B)Obtain a list of current medications from a client who is experiencing a manic episode.
      C)Insert an NG tube for a client who has acetaminophen toxicity.
      D)Inform a client who has schizophrenia about available community services.
    4. A nurse is caring for a client who has dementia and is experiencing disorientation. Which of the following actions should the nurse take?
      A)Approach the client from the front.
      B)Give detailed explanations.
      C)Avoid having a structured schedule.
      D)Remove clocks from the room.
    Page 1 of 15

    Exam Review

    1. A nurse in an outpatient mental health clinic is assessing a new client. Which of the following findings should the nurse immediately report to the provider?
      A)The client is exhibiting concrete thinking.
      B)The client is experiencing command hallucinations.
      C)The client is experiencing anosognosia.
      D)The client is exhibiting a blunted affect.
    2. A nurse in an emergency department is caring for a client following an assault. Which of the following actions should the nurse take first?
      A)Schedule a follow-up visit with the client’s primary provider.
      B)Provide information to the client about local support groups.
      C)Ask the client how they have dealt with stress in the past.
      D)Assess the client for injuries.
    3. A nurse is planning care for a client who has acute delirium. Which of the following instructions should the nurse include in the plan?
      A)Reinforce the client’s orientation with a calendar.
      B)Refute the client’s perception of visual hallucinations.
      C)Teach the client assertive techniques.
      D)Assign the client to a different caregiver each shift.
    4. A nurse in a provider’s office is assessing a client who has dementia. Which of the following findings should the nurse expect?
      A)Revenge-seeking behavior
      B)Clang associations
      C)Traumatic flashbacks
      D)Difficulty finding words
    Page 2 of 15

    Exam Review

    1. A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)(SATA)
      A)Speak to the client in a loud voice.
      B)Stand directly in front of the client.
      C)Talk to the client using short, simple sentences.
      D)Request that security guards restrain the client.
      E)Identify the client’s stressors.
    2. A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicates they are coping with the maladaptive defense mechanism of displacement?
      A)I don’t know why I am here in the first place.
      B)The night shift nurse is terrible.
      C)If I do what I am supposed to do, it will go away.
      D)I am so angry with my spouse.
    3. A nurse in an emergency department is caring for a client following a domestic dispute. The client states, “Nothing seems to go right for me and probably never will.” Which of the following statements should the nurse make?
      A)You should remove yourself from this situation now.
      B)Are you thinking about harming yourself?
      C)What have you done to change your situation?
      D)We will help get you through this. You’ll be fine.
    4. A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching?
      A)The honeymoon stage of violence usually gets longer over time.
      B)Survivors of abuse often feel guilty.
      C)Abusers often have high self-esteem.
      D)As abuse continues, victims become more determined to be independent.
    Page 3 of 15

    Exam Review

    1. A nurse is caring for a client who is being prescribed electroconvulsive therapy by the provider. The client states they do not want this treatment. Which of the following statements should the nurse make to the client?
      A)What concerns or questions do you have about the treatment?
      B)I have seen a lot of success with this treatment in other clients.
      C)The provider would not prescribe this treatment if it wasn’t helpful.
      D)It seems like you are having trouble following your treatment plan.
    2. A nurse is caring for a client who was agitated during group therapy and unable to be redirected. Which of the following actions should the nurse implement first?
      A)Apply physical restraints to the client.
      B)Place the client in a seclusion room.
      C)Encourage the client to take a timeout.
      D)Administer an emergency dose of an antipsychotic medication.
    3. A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client’s risk for self-harm?
      A)Did anyone in your family drink alcohol when you were growing up?
      B)Have you ever engaged in emotionally abusive relationships?
      C)Have you ever been told you have liver damage?
      D)Are you the result of a twin birth?
    4. A nurse is caring for a client who is in physical restraints. Which of the following actions should the nurse take?
      A)Document the interventions used before applying restraints.
      B)Obtain a prescription to renew the restraint prescription every 48 hours.
      C)Secure the client in bed by tightly tucking in sheets.
      D)Delegate assistive personnel to check on the client regularly.
    Page 4 of 15

    Exam Review

    1. A nurse in an inpatient mental health facility is caring for a client who is showing indications of becoming violent. Which of the following actions should the nurse take?
      A)Call security guards to the scene for a show of force.
      B)Place the client in restraints before they escalate further.
      C)Offer the client several options for a time-out period.
      D)Escort the client to a secluded area to speak privately.
    2. A nurse on a mental health unit is preparing an in-service about ethical concepts when providing client care. Which of the following definitions should the nurse include when discussing advocacy?
      A)Avoiding intentionally or unintentionally harming clients.
      B)Maintaining the premise that all clients are to be treated equally.
      C)Helping a client fulfill a need that they are unable to complete independently.
      D)Assuring that the health care provider tells the truth and does not mislead.
    3. A nurse is caring for a client who reports difficulty coping with several recent stressors. Which of the following responses should the nurse make?
      A)Everything will be okay if you give it some time.
      B)Tell me about your support system.
      C)You should find a therapist who can help you.
      D)Why are you having difficulty coping?
    4. A nurse in a long-term care facility is caring for a client who has dementia and reports difficulty falling asleep at night. Which of the following actions should the nurse take to promote adequate rest?
      A)Walk around the hallway with the client an hour before bedtime.
      B)Limit the client to no more than four caffeinated beverages a day.
      C)Schedule the client for a morning group fitness class at the facility.
      D)Allow the client several hours in the afternoon to take a nap.
    Page 5 of 15

    Exam Review

    1. A nurse is caring for a client who has a substance use disorder. The client states, “The state took my child away after my overdose. I don’t want to go on living without them.” Which of the following therapeutic responses should the nurse make?
      A)We can ask the physician to prescribe a sedative.
      B)If you attend counseling, you will get your child back.
      C)Can a family member try to obtain temporary custody of your child?
      D)Have you thought about harming yourself?
    2. A nurse is leading a group therapy session. A client with a history of violence suddenly stands up and appears angry. Which of the following actions should the nurse take?
      A)Place the client in mechanical restraints.
      B)Stand directly in front of the client when speaking to them.
      C)Ask the client to describe how they are feeling.
      D)Use therapeutic touch when addressing the client.
    3. A nurse is caring for a client who has a recent diagnosis of alcohol use disorder. Which of the following statements made by the client indicates acceptance of the diagnosis?
      A)My drinking isn’t as bad as everyone says it is.
      B)I do not see myself attending community support groups.
      C)I was diagnosed because my spouse is upset about my drinking.
      D)I know I need help to stop drinking.
    4. A nurse is reviewing the medical records for a group of clients prior to administering the clients’ medications. For which of the following clients should the nurse withhold the prescribed medication and notify the provider?
      A)A client who is taking olanzapine and reports frequent urination.
      B)A client who is taking fluoxetine and exhibits muscle rigidity and tachycardia.
      C)A client who is taking venlafaxine and exhibits frequent yawning and weight loss.
      D)A client who is taking nortriptyline and reports nausea and dry mouth.
    Page 6 of 15