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1. A patient approached the nurse asking for advice on how to deal with his alcohol addiction.The nurse should tell the client that the only effective treatment for alcoholism is:


a.       Psychotherapy

b.       Alcoholics anonymous (A.A.)

c.       Total abstinence

d.       Aversion Therapy


2. A nurse is caring for a male client who experiences false sensory perceptions with no basis in reality. This perception is known as:


a.       Hallucinations

b.       Delusions

c.       Loose associations

d.       Neologisms


3. A nurse is caring for a female client who has a suicidal tendency. When accompanying the client to the restroom, the nurse should…

a.       Give her privacy

b.       Allow her to urinate

c.       Open the window and allow her to get some fresh air

d.       Observe her


4. You're developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?


a.       Provide privacy during meals

b.       Set-up a strict eating plan for the client

c.       Encourage client to exercise to reduce anxiety

d.       Restrict visits with the family


5. A client is experiencing with an anxiety attack. The most appropriate nursing intervention should include?


a.       Turning on the television

b.       Leaving the client alone

c.       Staying with the client and speaking in short sentences

d.       Ask the client to play with other clients


6. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:


a.       Being Killed

b.       Highly famous and important

c.       Responsible for evil world

d.       Connected to client unrelated to oneself


7. A 20-year-old client was diagnosed with dependent personality disorder. Which behavior is not most likely to be evidence of ineffective individual coping?


a.       Recurrent self-destructive behavior

b.       Avoiding relationship

c.       Showing interest in solitary activities

d.       Inability to make choices and decision without advice


8. A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?


a.       Paranoid thoughts

b.       Emotional affect

c.       Independence need

d.       Aggressive behavior


9. A nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?


a.       Encourage to avoid foods

b.       Identify anxiety causing situations

c.       Eat only three meals a day

d.       Avoid shopping plenty of groceries


10. A nurse was caring for a 41-year-old female client. Which behavior by the client indicates adult cognitive development?


a.       Generates new levels of awareness

b.       Assumes responsibility for her actions

c.       Has maximum ability to solve problems and learn new skills

d.       Her perception is based on reality


11. A neuromuscular blocking agent is administered to a client before ECT therapy. The nurse should carefully observe the client for?


a.       Respiratory difficulties

b.       Nausea and vomiting

c.       Dizziness

d.       Seizures


12. 75-year-oldld client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?


a.       Apathetic response to the environment

b.       “I don’t know” answer to questions

c.       Shallow of labile effect

d.       Neglect of personal hygiene


13. A nurse is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?


a.       Teach client to measure I & O

b.       Involve client in planning daily meal

c.       Observe client during meals

d.       Monitor client continuously


14. The nurse is aware that the major health complication associated with intractable anorexia nervosa would be?


a.       Cardiac dysrhythmias resulting to cardiac arrest

b.       Glucose intolerance resulting in protracted hypoglycemia

c.       Endocrine imbalance causing cold amenorrhea

d.       Decreased metabolism causing cold intolerance


15. The nurse can minimize agitation in a disturbed client by?


a.       Increasing stimulation

b.       limiting unnecessary interaction

c.       increasing appropriate sensory perception

d.       ensuring constant client and staff contact


16. A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. The nurse recognizes that the basis of O.C. disorder is often:


a.       Problems with being too conscientious

b.       Problems with anger and remorse

c.       Feelings of guilt and inadequacy

d.       Feeling of unworthiness and hopelessness


17. A client is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?


a.       Allowing a snack to be kept in his room

b.       Reprimanding the client

c.       Ignoring the client's behavior

d.       Setting limits on the behavior


18. A patient with borderline personality disorder who is to be discharged soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?


a.       Ask a family member to stay with the client at home temporarily

b.       Discuss the meaning of the client’s statement with her

c.       Request an immediate extension for the client

d.       Ignore the client's statement because it’s a sign of manipulation


19. Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?


a.       Depensiveness

b.       Embarrassment

c.       Shame

d.       Remorsefulness


20. Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist?


a.       Rationalization

b.       Supportive confrontation

c.       Limit setting

d.       Consistency


21. A patient is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mmHg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?


a.       Naloxone (Narcan)

b.       Benztropine (Cogentin)

c.       Lorazepam (Ativan)

d.       Haloperidol (Haldol)


22. Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?


a.       Milk

b.       Orange Juice

c.       Soda

d.       Regular Coffee


23. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?


a.       Yawning & diaphoresis

b.       Restlessness & Irritability

c.       Constipation & steatorrhea

d.       Vomiting and Diarrhea


24. To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?


a.       Encourage the staff to have frequent interaction with the client

b.       Share an activity with the client

c.       Give client feedback about behavior

d.       Respect client’s need for personal space


25. The nurse recognizes that the focus of environmental (MILIEU) therapy is to:


a.       Manipulate the environment to bring about positive changes in behavior

b.       Allow the client’s freedom to determine whether or not they will be involved in activities

c.       Role play life events to meet individual needs

d.       Use natural remedies rather than drugs to control behavior


26. The nurse would expect a child with a diagnosis of reactive attachment disorder to:


a.       Have more positive relation with the father than the mother

b.       Cling to mother & cry on separation

c.       Be able to develop only superficial relation with the others

d.       Have been physically abused


27. When teaching parents about childhood depression the nurse should say?


a.       It may appear acting out behavior

b.       Does not respond to conventional treatment

c.       Is short in duration & resolves easily

d.       Looks almost identical to adult depression


28. The nurse  is aware that language development in autistic child resembles:


a.       Scanning speech

b.       Speech lag

c.       Shuttering

d.       Echolalia


29. A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?


a.       Displacement

b.       Projection

c.       Sublimation

d.       Denial


30. When working with a male client suffering phobia about black cats, the nurse should anticipate that a problem for this client would be?


a.       Anxiety when discussing phobia

b.       Anger toward the feared object

c.       Denying that the phobia exist

d.       Distortion of reality when completing daily routines


31. A patient is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate the patient’s anxiety. The most therapeutic question by the nurse would be?


a.       Would you like to watch TV?

b.       Would you like me to talk with you?

c.       Are you feeling upset now?

d.       Ignore the client


32. The nurse is aware that the symptoms that distinguish post-traumatic stress disorder from other anxiety disorder would be:


a.       Avoidance of situation & certain activities that resemble the stress

b.       Depression and a blunted affect when discussing the traumatic situation

c.       Lack of interest in family & others

d.       Re-experiencing the trauma in dreams or flashback


33. The nurse is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. The nurse is aware that this is typical of?


a.       Flight of ideas

b.       Associative looseness

c.       Confabulation

d.       Concretism


34. The nurse is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?


a.       Excessive weight loss, amenorrhea & abdominal distension