1. A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder.
Which of the following findings should the nurse
... [Show More] suspect?
- Acrocyanosis
- Arrhythmias
- Ascites
- Weight gain
2. A nurse is collecting data from a client who has binge-eating disorder. Which of the
following findings should the nurse expect?
- Amenorrhea
- Abdominal pain
- Restricted caloric intake
- Frequent use of laxatives
3. A nurse is assisting with the collection of admission data for a client who has anorexia
nervosa. The client has lost 11.4 kg (25 lb) over the past month and currently weighs
38.6 kg (85 lb). The nurse should expect which of the following findings?
- Flushed extremities
- Hyperkalemia
- Loose stools
- Amenorrhea
4. A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance?
- Methadone
- Disulfiram
- Chlordiazepoxide
- Naloxone
5. A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD)
due to a sexual assault that occurred 3 months ago. Which of the following findings
should the nurse expect?
- Increased hours ofsleep each day
- Repeatedly talking about the assault
- Dreams about the assault
- Decreased responsivenessto stimuli
6. A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include?
- A client who isinvoluntarily admitted must take prescribed medications
- An involuntary admission of a client is limited to 2 weeks
- A client who is involuntarily admitted can leave the facility against medical advice
- An involuntary admission is justified if the client is a danger to others
7. A nurse in a mental health unit is contributing to the plan of care for a client who is
receiving treatment for self-inflicted injuries. The nurse should identify which of the
following interventions as the priority for this client.
- Promoting and maintaining the client safety
- Discussing reasonsfor the client’s behavior
- Assisting the client to recognize feelings
- Reinforcing teaching with the client about alternative coping strategies
8. A nurse in an acute mental health facility is assisting with the plan of care for a client
who has obsessive-compulsive disorder (OCD). Which of the following actions should the
nurse recommend?
- Encourage the client to focus on personal hygiene
- Limit the hours the client sleeps each day
- Instruct the client to practice thought stopping
- Make negative statements about the client’s behavior
9. A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. The nurse should explain that the provider will routinely
prescribe which of the following tests while the client is taking valproic acid?
- Electrocardiogram
- Chest X-ray
- Thyroid function tests
- Liverfunction levels
10. A nurse in the emergency room is collecting data from a client who has heroin
intoxication. Which of the following findings should the nurse expect?
- Seizure activity
- Respiratory depression
- Hypersensitivity to pain
- Increased mental alertness
11. A nurse is assisting with a community presentation about Alzheimer’s disease. The nurse
should conclude that a member of the group requires further reinforcement of teaching
when she identifies which of the following findings as a manifestation of Alzheimer’s
disease?
- Impaired judgment
- Sudden confusion
- Decreased attention span
- Short-term memory loss
12. A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect?
- Low blood pressure
- Increased mental alertness
- Flat affect
- Decreased body temp
13. A nurse is assisting with the admission of a client who has antisocial personality disorder
to an acute care unit. The client is admitted under court order following the theft and
destruction of a car. Which of the following behaviors should the nurse expect the client
to display?
- Relief about finally receiving care for a problem for which he was previously afraid to
ask for help
- Anger with the nursing staff for hospitalizing him against his will
- Withdrawal from others due to shame over his recent actions
- Remorse forstealing and destroying the car
14. A nurse is contributing to the plan of care for a client who has anorexia nervosa. The
nurse should identify that which of the following actions is contraindicated for this
client?
- Explaining that tube feedings are necessary if the client refuses oral intake
- Weighing the client each day prior to any oral intake
- Permitting the client to spend some quiet time alone after each meal
- Refraining from commenting on what the client is eating during mealtime
15. A nurse is contributing to the plan of care for a client who has physical dependence to
alprazolam and must discontinue the medication. Which of the following actions should
the nurse recommend?
- Taperthe medication gradually over several weeks
- Encourage participation in stimulating physical activity
- Monitor the client for a return of anxiety for up to 72 hrs following discontinuation of
the medication
- Implement restraints and seclusion as needed
16. A nurse is preparing to administer a benzodiazepine to a client who has generalized
anxiety disorder. The nurse should tell the client to expect which of the following
adverse effects?
- Tinnitus
- Bradycardia
- Halitosis
- Sedation
17. A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to the
provider?
- Elevated BP
- Weight gain
- Muscle twitching
- 2+ peripheral edema
18. A nurse in an acute substance disorder unit is collecting data from a client who received
treatment in the emergency department for an opioid overdose. Which of the following
findings should the nurse anticipate during opioid withdrawal?
- Calmness
- Anxiety
- Hypotension
- Bradycardia
19. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a
new prescription for buspirone. The nurse should inform the client that which of the
following manifestation is an adverse effect of this medication?
- Oliguria
- Tinnitus
- Dizziness
- Insomnia
20. A nurse is collecting data from a client who has moderate cognitive decline due to Stage
4 Alzheimer’s Disease. Which of the following findings should the nurse expect?
- Requires assistance with eating
- Frequently gets lost due to wandering
- Has bladder incontinence
- Able to identify names of family members
21. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of
the following initial reactions should the nurse expect form the client?
- Bargaining
- Depression
- Denial
- Anger
22. A nurse is reviewing the medical record of a client who has a new prescription for a
benzodiazepine. For which of the following findings should the nurse question the
provider’s prescription?
- A skeletal muscle injury
- History ofstatus epilepticus
- Hypotension
- Insomnia
23. A nurse is caring for a client who attends family counseling with his partner and their
children. The client tells the nurse that he isn’t going to attend any furthersessions and
states, “I don’t have time for all that talking.” Which of the following responses should
the nurse make?
- It must be difficult for you to talk about family problems
- You should continue attending the family counseling sessions until the therapist tells
you to stop
- If you continue to go to family counseling, I’m sure you’ll be able to resolve your
family problems soon
- I think you need to continue family therapy if your partner and children want to
receive further counseling
24. A nurse is assisting in the planning of a staff education session about the administration
of antidepressant medications to older adult clients. Which of the following information
should the nurse recommend to include?
- Older adult clients require a lower initial dose of antidepressant medication than
adult clients
- Older adult clients should not receive antidepressant medication
- Older adult clients achieve the therapeutic effects of antidepressant medications
more quickly than adult clients
- Older adult clients have decreased risk for adverse effectsfrom antidepressant
medication
25. A nurse in an acute mental health facility is reviewing the medication records for a group
of clients. The nurse should expect a prescription for memantine for a client who has
which of the following diagnoses?
- Depression
- Schizophrenia
- Obesity
- Alzheimer’s disease
26. A nurse is caring for a client who has Alzheimer’s disease and a new prescription for
donepezil. Which of the following actions should the nurse take?
- Monitor the client’s liver function while taking this medication
- Increase the dosage of the medication every 72 hrs
- Off the client a PRN aspirin while taking this medication
- Administer the medication at bedtime
27. A nurse is collecting admission data from a client who has anorexia nervosa. Which of
the following findings should the nurse expect?
- Poor personal hygiene habits
- Strenuous exercise regimen
- Grandiose behaviors
- Intense fear of death
28. A nurse isreinforcing teaching with a client who has agoraphobia aboutsystematic
desensitization. Which of the following comments should the nurse include in the
teaching?
- You will watch from a secure location as your therapist goes to public spaces
- You willstart your therapy by staying in a public space until your anxiety decreases
- You will be instructed to say “stop” out loud when you become anxious in public
spaces
- You willslowly be exposed to increasing levels of public spaces
29. A nurse on an acute care unit is providing postoperative care to an older adult client who
develops delirium. Which of the following actions should the nurse take?
- Withhold PRN anti-anxiety medication
- Provide the client with a stimulating activity prior to bedtime
- Keep the client’s room well- lit at night
- Encourage the client to make decisions about her daily routine
30. A nurse is reviewing the medical history of a client who has a new prescription for
electroconvulsive therapy (ECT). Which of the following findings should the nurse
identify as the priority?
- Severe depression
- Cardiac arrhythmia
- Bipolar disorder
- Parkinson’s disease
31. A nurse is collecting data from an older adult client about possible abuse by her
caregiver. Which of the following techniques should the nurse use?
- Avoid directly asking the client ifshe has been abused
- Use the confrontational approach
- Maintain a nonjudgmental tone
- Avoid being in the room alone with the client
32. A nurse is caring for a client who has depression. The client states, “I am too tired and
depressed to attend group therapy today.” Which of the following responsesshould the
nurse make?
- Attend group therapy, even if you’re tired, is an important part of your treatment
- That’s okay if you’re tired to attend group therapy today, but you will have to go
tomorrow
- It is normal to feel tired when you’re feeling depressed. The others in group therapy
also feel this way
- I agree with your decision to wait for participation in group therapy until you begin
to feel better
33. A nurse is review...........................................................CONTINUED.................................................DOWNLOAD FOR BEST SCORES [Show Less]