1. During admission to the psychiatric unit, a female client is extremely anxious and states that she
is worried about the sun coming up the next day.
... [Show More] What intervention is most important for the
RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
2. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client’s plan of care should include what priority
problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
3. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, “I can’t
believe this. What should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.
4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports
that he is married to a female movie star and thinks that his brother wants a sexual relationship
with her. What is the priority nursing problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
5. The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change [Show Less]