Question

1.      A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take?

a.      Encourage the client to join group activities

b.     Dim the lights in the clients room

c.      Provide detailed explanations to the client

d.     Administer methyphenidate to the client

2.      A nurse is leading a crisis intervention group of adolescents who witnessed the suicide of a classmate. Whch of the following actions should the nurse take first?

a.      Initiate referrals

b.     Review community resources

c.      Identify prior coping skills

d.     Discuss the important of confidentiality

3.      A nurse is a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use?

a.      Crisis intervention to decrease anxiety

b.     Aversion therapy to provide distraction

c.      Positive reinforcement to increase desired behavior

d.     Systematic desensitization to extinguish the behavior

4.      A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

a.      Ask the client to discuss precipitating events.

b.     Speak to the client in a high-pitched voice

c.      Place the client in seclusion

d.     Have the client breathe into a paper bag

5   A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? (Select All that Apply)

a.      You will need to take the medication once daily

b.     You will receive treatment in an inpatient setting

c.      You should avoid using mouthwash that contains alcohol

d.     You should avoid drinking carbonated beverages while taking the meds

e. You can expect to develop a physical dependent to the medication

6.    A nurse is caring for a client in a n inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?

a.      You know that's not true, because it is against the law for others to read your mail.

b.     All of your letters come sealed, so that seems unlikely.

c.      It must be frightening to think that someone is reading your mail

d.     Why do you think the government wants to read your mail?

7.    A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?

a.      Hand tremors

b.     Rapid Speech

c.      Fatigue

d.     Seizures

8.     A nurse is providing teaching about disorder management for a client who has posttramatic stress disorder. Which of the following statements should the nurse include in the teaching?

a.      Avoiding stimuli that trigger memories of the trauma can help overcome your PTSD

b.     Talking about the traumatic experience is recommended

c.      Response prevention is an effective treatment for PTSD

d.     You should try to limit the number of hours that you sleep each day

9.      A nurse is beginning a therapeutic relationships with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

a.      Inform the client bout confidentiality rights?

b.     Establish boundaries btwn. The nurse and the client

c.      Set short - and long term objectives for the future

Evaluate progress toward predetermine goals

10     A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

a.      The client is just like my brother who finally overcame his habit

b.     The client needs to accept responsibility for his substance use

c.      The client generally shares his feelings during group therapy session

d.     The client asked me to go on a date with him, but I refused

11.      A client is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experiencing a panic attack. The nurse should recognize that to continue positive results, the client should participate in which of the following?

a.      Therapist modeling

b.     Positive Reinforcement

c.      Frequent practice

d.     Biofeedback

12.      A nurse in the emergency department is counseling a client who reports experiencing intimate partner violence. Which of the following actions should the nurse take?

a.      Request permission from the client to take photographs of the injuries

b.     Offer to help the client escape from the partner the next time violence occurs

c.      Determine what the client did to trigger the violent incident

Tell the client that staying with the partner shows a lack of judgement

13.      A nurse is caring for a client who has just returned to the unit after receiving an electroconvulsive therapy treatment. Which of the following assessments is the nurses priority?

a.      First voiding

b.     Short-term memory

c.      Presence of gag reflex

d.     Return of bowel sounds

Answer 1

1. (D) Administer methyphenidate to the client.

mood stabilizers may protect these patients from switches to mania.

2.(B) review community resources

3.(A)Crisis intervention to decrease anxiety

   4.(D) have client breath in to a paper bag.

5.(A),(C),(D)

• You will need to take the medication once daily
• you should avoid using mouth washes that contain alcohol.
• you should avoid drinking carbonate beverages while taking the meds.

6.(B)All of your letters come sealed, so that seems unlikely.

7.(c) fatigue.

8.(A)avoiding stimuli that trigger memories of the trauma can help over come your PTSD.

9.(B)establish boundaries between the nurse and the client.

10.(C)the client generally shares his feelings during group thearpy session.

11.( b)

12.( d)

13.( B) short term memorie