1. The school nurse conducts a parent discussion group about suicide prevention. The parents make a list of
factors they believe are protective against
... [Show More] adolescent suicide. Which factor dose the nurses eliminate from the
parent list?
b. Regular attendance at religious services
c. Friendly school personnel
d. Participation in school activites
2. The nurse cares for the client diagnosed with dementia related to acquired immunodeficiency syndrome
(AIDS). The client receives haloperidol. The nurse recognizes that haloperidol is prescribed primarily to
achieve which goal?
a.
b. Stimulate the clients appetite
c. Improve the clients emotional mood
d. Strengthen the clients immune system
3. The client diagnosed with borderline personality disorder asks the nurse if the partner can spend the night in
the client’s room. When the nurse refuses, the client states, “I thought you were my friend. You know how
important my partner is to my recovery.” Which is the best response by the nurse?
a. “Your partner can stay until I leave at midnight, but lock your door”
c. “If I made the rules, you know I’d help you, but I can’t”
d. “it’s not fair to put me in this difficult position”
4. The nurse cares for the adolescent client treated for bulimia nervosa. Which action is most important for the
nurse to perform?
b. Tell the client honestly what the nurse thinks of the clients obsession with weight
c. Encourage the client to keep a daily record of weight
d. Identify the clients reasons for the binge-purge behavior
5. The client seeks help at the crisis intervention center after termination of a primary relationship. The client tells
the nurse, “I cope by talking on the telephone with a friend and writing in a personal journal”. What is the best
description of these behaviors?
a. Maladaptive
b. Dysfunctional
d. Disequilibrium
6. The nurse administers lithium to the client. Which report by the client alerts the nurse to the development of
severe toxicity?
a. Metallic taste in the mouth (Kaplan-adverse effects)
b. Thirst and nausea
d. Ankle edema
7. The nurse cares for the client involuntarily admitted to the psychiatric unit for evaluation. The client claims to
be “in charge of the world”. As the nurse attempts to administer an anti-anxiety medication injection, the client
refuses it, stating, “I don’t need drugs and absolutely won’t take them”. The nurse discusses the reason for the
medication, but the client continues to refuse. Which action by the nurse is best?
a. Get help from the staff to hold the client, and administer and record the mediation administration
b. Tell the client that involuntary admission required the cooperation of the client and that the client must
take the medication
c. Advise the client that staff will have to confine the client to the clients room or put the client in
seclusion with continue refusal
8. Despite repeated interventions by the nurse, the new client escalates verbal abuse of the other clients and
begins to threaten them physically in the recreation room of the psychiatric unit. Which action, if taken by the
nurse, is most appropriate?
a. Explore the causes of the clients anger with the client
b. Check the clients chart for a history of family abuse
c. Inform the other clients they must leave the recreation room
9. The school nurse presents information regarding suicide prevention to a parent group following the recent
suicide of a student at the high school. The nurse identifies which strategy as most appropriate for the
prevention of adolescent suicide?
a. Maximize the report of public expressions of grief and memorialization for the victim
b. Communicate all the technical details of the suicide to the youth in the community
d. When discussing the suicide victim, emphasize only the victims positive qualities
10. The nurse conducts a class for community workers about risk assessment for child physical abuse. Which child
does the nurse identify as being a greatest risk for abuse?
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