NURS 363 ATI Tests

A nurse is working with an interdisciplinary disaster response team planning care for a coastal community following a category 5 hurricane. Place the following steps of disaster management in the correct order. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) a. determine the resources the client has available to them b. partner with the client to develop a plan c. determine the challenges the community is facing d. assess the client's ability to function and cope with the current situation

1. c. determine the challenges the community is facing 2. d. assess the client's ability to function and cope with the current situation 3. a. determine the resources the client has available to them 4. b. partner with the client to develop a plan

A nurse is caring for a client who has a history of anxiety and hypertension. The nurse should recommend which of the following relaxation techniques for the client? a. biofeedback b. prayer c. reading a book d. drawing

a. biofeedback

A nurse at a clinic is screening clients for trauma. The nurse should identify that which of the following factors increases a client's risk for developing a trauma-related disorder (select all that apply)? a. the client has a history of physical abuse b. the client belongs to a marginalized group c. the client was active military during the Iraq war d. the client is from a large family e. the client is male f. the client has stable income

a. the client has a history of physical abuse b. the client belongs to a marginalized group c. the client was active military during the Iraq war

A nurse is caring for a client who reports that they are having a hard time completing their ADLs due to feeling anxious. The client also reports feeling tired, diffiuclty sleeping, and having a poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum? a. the client would fall closer towards the mental illness end or struggling b. the client would fall closer towards the mental health end or thriving c. the client would not clearly fall on the mental health continuum as they do not have a mental health diagnosis d. the client should be evaluated by the provider before their observance on the mental health continuum is noted, as currently they would fall in the middle.

a. the client would fall closer towards the mental illness end or struggling

A charge nurse is preparing an in-service for staff nurses about the diathesis-stress model. Which of the following information should the charge nurse include? a. the model proposes that genetic and biological vulnerabilities emerge under stress b. the model theorizes that personality disorders are causes by mild stress levels c. the model is an illustration for clients regarding the effects of stress and how to cope d. the model depicts practice guidelines for health care professionals to implement in practice

a. the model proposes that genetic and biological vulnerabilities emerge under stress

A nurse is reviewing humanistic theorist. Which of the following theorists were primarily involved in developing the humanistic theory? a. Sigmund Freud b. Abraham Maslow c. Erik Erikson d. John Watson

b. Abraham Maslow

A nurse is planning care for a group of clients. Which of the following clients would benefit from cognitive behavioral therapy (CBT)? a. a client who has an intellectual development disability b. a client who has Tourette's syndrome c. a client who has dementia d. a client who has insomnia

b. a client who has Tourette's syndrome

A nurse is discussing risk factors of negative stress responses with a group of clients. The nurse should include which of the following risk factors in the discussion (select all that apply)? a. birth order b. temperament c. interpersonal violence d. health behaviors e. financial stability f. sex

b. temperament c. interpersonal violence d. health behaviors

A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder. Which of the following behaviors should the nurse expect the client to exhibit? a. the client is giving away their possessions b. the client is demonstrating risky behavior c. the client is sleeping excessively d. the client states they feel worthless

b. the client is demonstrating risky behavior

A nurse is caring for a client who states, "I have been isolating myself form socializing because I am afraid that I am going to experience another episode of intense anxiety." The client statement is suggestive of whoch of the following anxiety-related disorders? a. substance/medication-induced anxiety disorder b. separation anxiety disorder c. panic disorder d. generalized anxiety disorder

c. panic disorder

A nurse is caring for a client who recently began taking methylphenidate, a central nervous system stimulant. Which of the following topics should the nurse prepare to discuss with the client" a. a tolerance to the medication rarely occurs b. an increase in appetite may occur after taking the medication c. the medication should be taken 1 hour before bedtime d. foods that are known to be high in caffeine should be avoided

d. foods that are known to be high in caffeine should be avoided

A nurse is caring for a client who is concerend about developong a mental health disorder. Which of the following statements regarding the relationship between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) is correct? a. aces and pces can effectively neutralize the impact of each other b. aces and pces are mutually exclusive concepts with no recognized impact upon the other c. the presence of aces outweighs the impact of pces d. the presence of pces can provide some degree of symptomatic protection from aces in certain instances

d. the presence of pces can provide some degree of symptomatic protection from aces in certain instances

A nurse is beginning a debrief with staff about a behavioral emergency that resulted a client. The nurse should identify that which of the following is the purpose of debriefing? a. to determine what to say to the client about the incident b. to determine which team members did not perform well c. to carefully document to the entire incident d. to improve the quality of future responses

d. to improve the quality of future responses

A nurse is caring for a client who is experiencing delirium. Which of the following findings should the nurse expect? a. shuffling gait b. sundowning c. rapid eye movement during sleep d. tremors

d. tremors

A nurse is caring for a client who is at risk for developing schizophrenia. Which of the following findings should the nurse identify as an environmental risk factor? a. tobacco use b. drinking alcohol c. exposure to lead d. using cannabis

d. using cannabis

A nurse in a mental health facility is caring for a client who asks, "Why can't you be my therapist?" Which of the following therapeutic responses should the nurse give? a. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you" b. "that is not part of my current role. I work more with ensuring you take your medications" c. "the therapist is the only person who can conduct the therapy session while in the facility" d. "therapy must be conducted by a licensed therapist. I do not understand the techniques they do with you"

a. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you"

A nurse at a community treatment center asks a client about their use of a prescribed antipsychotic medication that should be taken daily. Which of the following client statements should suggest to the nurse that the client is not adhering to their medication treatment plan? a. "I sometimes go a few days without taking my medication" b. "I take my medication at a different time every day" c. "I sometimes forget to take my medication with food like it says to on the bottle" d. "I don't usually refill my medication until I'm down to the last dose or two"

a. "I sometimes go a few days without taking my medication"

A nurse is educating a newly licensed nurse about manifestations of alcohol withdrawal. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "an increase in the release of the neurotransmitter glutamate causes an elevated heart rate" b. "a decrease in the release of the neurotransmitter dopamine causes a sense of euphoria" c. "an increase in the release of the neurotransmitter serotonin causes muscle aches" d. "a decrease in the release of the neurotransmitter norepinephrine causes nausea"

a. "an increase in the release of the neurotransmitter glutamate causes an elevated heart rate"

A unit manager is evaluating the nurses' understanding of occupational stress. Which of the following statements are examples of the effects of occupational stress (select all that apply)? a. "everyone is sick sometimes, but lately, with all the client deaths, the number of people calling in sick is increasing" b. "we had three more nurses hurt themselves during work last month" c. "sometimes, I have to work on other units where everyone feels negative. it is rough just being on a different unit" d. "many of the nurses on the unit volunteer for the unit self-governance committee" e. "we have had so many of out longtime client die these last few weeks. it is overwhelming"

a. "everyone is sick sometimes, but lately, with all the client deaths, the number of people calling in sick is increasing" b. "we had three more nurses hurt themselves during work last month" c. "sometimes, I have to work on other units where everyone feels negative. it is rough just being on a different unit" e. "we have had so many of out longtime client die these last few weeks. it is overwhelming"

A nurse is preparing a teaching for high school students regarding trauma and interpersonal violence. Which of the following statements should the nurse plan to include in the teaching? a. "interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma" b. "interpersonal violence are acts of aggression occurs between two adults and is a form of sexual maltreatment" c. "interpersonal violence occurs most frequently between people who do not know each other" d. "interpersonal violence is the result of unintentional force and maltreatment against another person"

a. "interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma"

A nurse is discussing scope of practice related to mental health with a peer. Which of the following statements by the nurse explains practice focus for a mental health nurse? a. "it is important to consider mental health needs related to population health are based on the social determinants of health" b. "nursing remains unchanged and the majority of a nurse's responsibility is for the hospitalized client" c. "nursing in new life does not focus on mental health care, but on labor and delivery" d. "school nursing is focused on immunizations and medical needs of children, rather than mental health"

a. "it is important to consider mental health needs related to population health are based on the social determinants of health"

A nurse is teaching a client about the purpose of participating in a therapy group about coping strategies. Which of the following client statements indicates an understanding of the teaching? a. "learning positive coping strategies can help me adapt to life after the death of my partner" b. "I will learn the purpose of the medications I am prescribed" c. "during the therapy, we will learn how to improve our interpersonal and behavioral skills" d. "this is a social group for people like me. we will plan recreational activities together"

a. "learning positive coping strategies can help me adapt to life after the death of my partner"

A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits including which of the following? a. "mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness" b. "mental health promotion can assist you in getting off of your medications" c. "mental health promotion guides you to a variety of therapies to treat your mental illness" d. "mental health promotion increases the chances of you having to be hospitalized every time your mental illness symptoms manifest"

a. "mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness"

A nurse on a mental health unit is discussing types of admissions with a newly licensed nurse. Which of the following statements should the nurse make? a. "most states require two providers to assess a client and confirm the need for an involuntary admission" b. "when a voluntarily admitted client requests discharge, the provider must legally do so within 8 hours of the request" c. "clients who are involuntarily admitted are not able to testify on their own behalf in a commitment hearing" d. "when a client is admitted involuntarily, they do not have to have a diagnosis of a mental illness"

a. "most states require two providers to assess a client and confirm the need for an involuntary admission"

A nurse is caring for a client who has persistent depressive disorder. When educating the client about their illness, whcih of the following statements should the nurse make? a. "persistent depressive disorder is a mild chronic form of depression" b. "persistent depressive disorder is characterized by delusions and hallucinations" c. "persistent depressive occurs shortly after taking or withdrawing from a substance" d. "persistent depressive is characterized by both manic and depressive episodes"

a. "persistent depressive disorder is a mild chronic form of depression"

A nurse is caring for a client who has panic disorder and wants to know what they can do better control their panic attacks. Which of the following statements by the nurse addresses modifiable risk factors? a. "physical activity can decrease the intensity and frequency of panic attacks" b. "a family history of anxiety disorder will make controlling your panic attacks more difficult" c. "childhood trauma, abuse, and neglect can make you more vulnerable to panic disorders" d. "being separated from your birth parents at a young age explains why you have a panis disorder"

a. "physical activity can decrease the intensity and frequency of panic attacks"

A nurse is reinforcing teaching with a client about the purpose of psychoanalytic therapy. Which of the following statements should the nurse include in the teaching? a. "psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills" b. "psychoanalytic therapy is a chance for you to meet with others and discuss similar diagnoses" c. "psychoanalytic therapy is aimed at helping you meet your family needs" d. "psychoanalytic therapy allows you to complete your therapy from home once you are diagnosed"

a. "psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills"

A nurse is talking with a client about mental health care and services. The client asks, "What is the difference between psychosis and schizophrenia?" Which of the following responses should the nurse make? a. "psychosis describes conditions where a person loses contact with what is real. schizophrenia is a mental health illness where the person can show manifestations of psychosis" b. "psychosis and schizophrenia are the same thing, and most providers use these terms interchangeably" c. "psychosis is a mental health disorder which includes manifestations of schizophrenia, delirium, and hysteria" d. "schizophrenia is a type of multiple personality disorder in which a person displays psychosis or illogical thoughts or beliefs"

a. "psychosis describes conditions where a person loses contact with what is real. schizophrenia is a mental health illness where the person can show manifestations of psychosis"

A nurse is caring for a client who was recently diagnosed with prolonged grief disorder (PGD). Which of the following client statements should the nurse address? a. "there is nothing to do; I just can't go on living without my child" b. "these feelings of sadness and anger can be very intense for me" c. "during the support group, I will be encouraged to talk about my child" d. "a professional therapist if specially trained to help with my grief"

a. "there is nothing to do; I just can't go on living without my child"

A nurse is caring for a client who has end-stage pancreatic cancer. The client has decided to forgo any additional treatment and be allowed to die. Which of the following responses should the nurse make to honor the client's request? a. "this action is supported by your right of self-determination" b. "this action is beyond my scope of practice" c. "this action goes against the ANA Nursing Code of Ethics" d. "this is an unusual request and not common practice"

a. "this action is supported by your right of self-determination"

A nurse is caring for a client following a suicide attempt. Which of the following statements by the nurse reflects a trauma-informed approach? a. "this must be difficult. can you tell me about what has happened to you?" b. "you are new to the unit. why are you here" c. "you sit alone. do you really want to be here" d. "you seem in pain. why did you want to harm yourself?"

a. "this must be difficult. can you tell me about what has happened to you?"

A nurse is discussing findings of depression with a group of clients. Which of the following client statements indicates an understanding of the information? a. "thyroid problems can cause depression" b. "staying awake for days can be a finding of depression" c. "hyperactivity is a finding associated with depression" d. "impulsiveness is a finding that is commonly associated with depression"

a. "thyroid problems can cause depression"

A nurse is facilitating a group session on adaptive defense mechanisms. The nurse should identify which of the following client statements as examples of adaptive defense mechanisms (select all that apply)? a. "when i get stressed out, I like to go to the gym" b. "I volunteer at a local substance use to help groups" c. "when I get home from school, it's hard to hear things for hours after" d. "when people are mean to me, I am mean right back to them" e. "I was so upset after i failed my exam that I broke my laptop"

a. "when i get stressed out, I like to go to the gym" b. "I volunteer at a local substance use to help groups"

A nurse is caring for a client who has schizophrenia. Which of the following questions should the should the nurse ask during the exploitation phase of the nurse-client relationship? a. "which stress reduction techniques are you finding helpful alongside your medication" b. "when would you like your first appointment to take place?" c. "do you have any religious or cultural beliefs that I should be aware of to support you?" d. "do you feel safe in your home environment?"

a. "which stress reduction techniques are you finding helpful alongside your medication"

A nurse is talking with the family of a 28-year-old client who has been diagnosed with schizophrenia. The client's parent asks, "Will my child ever be able to have a good quality of life?" Which of the following responses should the nurse make? a. "with treatment and support your child will be able to live a productive and rewarding life" b. "your child will require care and treatment for the remainder of their life" c. "I see this is difficult for you. it really depends on if your child responds to treatment" d. "schizophrenia is a serious mental illness. this means that your child's life has been changed"

a. "with treatment and support your child will be able to live a productive and rewarding life"

A nurse is discussing personality disorders with a group of newly licensed nurses. The nurses includes that the DSM-5 identifies how many personality disorders? a. 10 b. 3 c. 12 d. 8

a. 10

A public health nurse is preparing a suicide prevention program for patrons of the local library. The nurse should inform the attendees that suicide is the second leading cause of death in which of the following age groups? a. 10 to 34 years old b. 35 to 44 years old c. 45 to 54 years old d. over 65 years old

a. 10 to 34 years old

A nurse is caring for a client who has been diagnosed with "mad cow disease". The nurse should identify that the client has which of the following types of dementia? a. Creutzfedlt-Jakob disease b. huntington's disease c. parkinson's disease d. HIV infection

a. Creutzfedlt-Jakob disease

A nurse us caring for several children who experienced trauma. One of the children goes to group therapy wearing a cape and pretending to be a superhero. The nurse should identify that which of the following interprofessional team members should lead the group session? a. Drama therapist b. art therapist c. occupational therapist d. social worker

a. Drama therapist

A nurse is preparing a presentation on nursing theorists for a unit meeting. Which of the following theorists should the nurse include as the person who developed the theory of interpersonal relations? a. Hildegard Peplau b. Florence Nightingale c. Patricia Benner d. Dorothea Orem

a. Hildegard Peplau

A nurse is selecting a dietary plan for a client who has a family history of Alzheimer's disease. Which of the following plans should the nurse select to promote the client's cognitive function? a. MIND diet b. high-fiber diet c. vegan diet d. high-protein diet

a. MIND diet

A nurse is caring for a client who is confused and unable to remember the time of year. The provider suspects the client has dementia. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition? a. MRI scan b. uric acid test c. platelet count d. EEG

a. MRI scan

A nurse is planning an inservice about client confidentiality for a group of newly hired nurses. Which of the following examples should the nurse include when discussing exceptions for maintaining client confidentiality (select all that apply)? a. a client tells a nurse that they intend to kill a coworker b. a nurse is subpoenaed to testify in court about a client they cared for c. an older adult client reports their caregiver allows them to eat one meal per day d. a client tells a nurse that they stole a watch from a friend's house e. a client tells a nurse that they plan to hang themselves when they are discharged

a. a client tells a nurse that they intend to kill a coworker b. a nurse is subpoenaed to testify in court about a client they cared for c. an older adult client reports their caregiver allows them to eat one meal per day e. a client tells a nurse that they plan to hang themselves when they are discharged

A nurse is teaching a newly licensed nurse about psychodynamic theory. Which of the following should the nurse include as an example related to this theory? a. a client who reports being afraid of storms because they experienced a tornado as a child b. a client who reports they recently fractured their leg in a car accident c. a client who was an active military member for 10 years and engages in combat d. a client who is currently going through a divorce and is struggling to accept the loss of their marriage

a. a client who reports being afraid of storms because they experienced a tornado as a child

A nurse is discussing ethical principles with another nurse. Which of the following should the nurse include as an example of the principle of nonmaleficence? a. a nurse evaluates the client's desire for autonomy while considering the personal safety of other clients on the unit b. a nurse encourages the client to determine which therapeutic activity they would like to participate in c. a nurse plans to spend equal amounts of time with each client assigned to their care d. a nurse makes a referral to speech therapy for a client who is experiencing dysphagia

a. a nurse evaluates the client's desire for autonomy while considering the personal safety of other clients on the unit

A school nurse is preparing a presentation for high school students on the relationship between substances and depression. Which of the following substances should the nurse plan to include as a contributing factor in the development of substance-induced depressive disorder? a. amphetamines b. selective serotonin reuptake inhibitors c. nonsteroidal anti-inflammatory drugs d. monoamine oxidase inhibitors

a. amphetamines

A nurse is caring for a client who was brought to the emergency room following displacement from their home due to a flood. When assessing the client, which of the following clinical manifestations would the nurse anticipate are related to the experience of trauma (select all that apply)? a. anxiety b. sleep disturbance c. anger d. depression e. hallucinations f. elevated mood

a. anxiety b. sleep disturbance c. anger d. depression

A nurse is caring for a client who states, "I have no close friends. I do not go to parties. I can't talk in front of people, and I fear rejection." The nurse should identify that these findings are manifestations of which of the following personality disorders? a. avoidant personality disorders b. antisocial personality disorder c. dependent personality disorder d. obsessive-compulsive personality disorder

a. avoidant personality disorders

A nurse is caring for a client who is experiencing diaphoresis, palpitations, and a sense of impending doom. Which of the following medications should the nurse anticipate the provider to prescribe? a. benzodiazepine b. dopamine antagonist c. selective serotonin reuptake inhibitor d. mood stabilizer

a. benzodiazepine

A nurse is caring for a client who is exhibiting manifestations of anxiety. Which of the following manifestations would the nurse expect to see increase during the client's fight or flight response? a. blood pressure b. heart rate c. respiratory rate d. bowel sounds e. pupillary response

a. blood pressure b. heart rate c. respiratory rate e. pupillary response

A nurse is caring for a client who has schizophrenia and is unaware of their own mental health. Which of the following is the client experiencing? a. catatonia b. anosognosia c. tardive dyskinesia d. seizure

b. anosognosia

A nurse is caring for a young adult client who experienced a traumatic event and appears to be hallucinating. The client has no history of or evidence of risk factors for schizophrenia spectrum disorders and the client's toxicology screen is negative. Which of the following diagnoses provides the best explanation of this client's menifestations? a. brief psychotic disorder b. delusional disorder c. late-onset schizophrenia d. shared psychotic disorder

a. brief psychotic disorder

A nurse is reviewing assessment findings for a 22-year-old client who was found wandering the street. Which of the following manifestations suggests the client is experiencing positive symptoms of psychosis? a. clanging speech b. positive toxicity screen for opioids c. flat affect d. large bruise to right side of face

a. clanging speech

A nurse is caring for an adolescent who has an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment? a. cognitive therapy b. seclusion c. electroconvulsive therapy (ECT) d. restraints

a. cognitive therapy

A nurse is caring for a client who is experiencing manifestations for alcohol withdrawal. When assessing the client, which of the following purposes describes the function of the CIWA scale? a. determine the client's severity of alcohol withdrawal and adjust care accordingly b. determine the client's risk of developing severe manifestations c. identify genetic factors that influence alcohol withdrawal d. analyze and interpret laboratory and medical imaging data

a. determine the client's severity of alcohol withdrawal and adjust care accordingly

A nurse is caring for a client who has been taking risperidone and reports experiencing muscle spasms in their neck and difficulty opening their mouth. Which of the following medications should the nurse anticipate the provider to prescribe for this client? a. diphenhydramine b. valbenazine c. escitalopram d. naloxone

a. diphenhydramine

A nurse is caring for a child who is exhibiting tantrums, dysfunction in school, trouble with peers, and suicidal ideation. Which of the following should the nurse identify as being consistent with the client's findings? a. disruptive mood dysregulation disorder b. dysthymia c. bipolar 1 disorder d. bipolar 2 disorder

a. disruptive mood dysregulation disorder

A nurse is assisting a client in getting ready to have their first telehealth appointment with their therapist. Which of the following actions should the nurse take to assist the client with this type of therapy? a. ensure the client's computer is connected to the internet b. make sure the client has no one else in the room during their appointment c. verify the client's history and medication list d. Have the client come to the clinic to meet the therapist before the initial appointment

a. ensure the client's computer is connected to the internet

A nurse and a newly licensed nurse in a mental health facility are discussing their roles related to therapy. Which of the following interventions should the nurse discuss with the newly licensed nurse? a. ensuring a therapeutic nurse-client relationship with those on the unit b. leading family group therapy sessions c. giving clients medication before each therapy session d. instructing the clients to select which types of therapy they would like to use

a. ensuring a therapeutic nurse-client relationship with those on the unit

A nurse is working with a local crisis response team to evaluate students following a school shooting. After ensuring the safety of the students, which of the following trauma-informed approaches should the team take next? a. establish a supportive environment that facilitates trust and transparency b. provide resources to students for trauma support and recovery c. explain what trauma is and the symptoms of trauma d. report any students exhibiting inability to cope with the traumatic event

a. establish a supportive environment that facilitates trust and transparency

A nurse is discussing responsibilities in milieu therapy with a group of newly hired nurses. Which of the following should the nurse include (select all that apply)? a. explain unit rules, including expectations and client rights b. provide orientation, including a tour of the unit, rules, and expectations c. select activities based on preferences of available staff d. ensure that culturally-sensitive care is provided e. use a trauma-informed approach to client care

a. explain unit rules, including expectations and client rights b. provide orientation, including a tour of the unit, rules, and expectations d. ensure that culturally-sensitive care is provided e. use a trauma-informed approach to client care

A nurse is developing a plan of care for a 14-year-old client who has a history of child maltreatment. The staff have reported that any time an alarm occurs, the client is found sitting in a closet. Which of the following most accurately describes the client's response? a. fear conditioning b. fear extinction c. self-regulation d. stress resilience

a. fear conditioning

A nurse is preparing to provide education to a client who is experiencing grief. Which of the following information should the nurse include? a. feelings of sadness can fluctuate in intensity when a person is grieving b. grief is experienced in precise steps or stages c. grief is commonly considered a mental health disorder d. the majority of people experience a debilitating form of grief

a. feelings of sadness can fluctuate in intensity when a person is grieving

A nurse is preparing educational material for guardians on trauma prevention, and developing childhood resilience. Which of the following techniques should the nurse include (select all that apply)? a. foster a hopeful perspective of the future b. encourage development of thinking and learning c. provide secure and supportive relationships and places d. ignore tantrums e. discourage expression of anger f. insist the child verbalizes emotional needs

a. foster a hopeful perspective of the future b. encourage development of thinking and learning c. provide secure and supportive relationships and places

A nurse is caring for a client undergoing a procedure and encourages the client to imagine themselves lying on the beach. Which of the following coping styles is the nurse suggesting? a. guided imagery b. deep breathing c. fantasy d. adjusting expectations

a. guided imagery

A nurse is caring for a client who is experiencing delirium. Which of the following manifestations should the nurse expect? a. hallucinations b. agnosia c. amnesia d. confabulation

a. hallucinations

A nurse is speaking with a client about the potential impact of living with a serious mental illness. Which of the following pieces of information should the nurse share? a. having a job is positively associated with recovery from serious mental illness (SMI) b. the stigma over SMIs has improved dramatically in recent years in the United States c. males who have SMIs are more likely to be victimized than females who have SMIs d. once housing is secured, clients who have SMis generally do not have issues with housing insecurity

a. having a job is positively associated with recovery from serious mental illness (SMI)

A nurse is providing education to a group of staff members about risk factors for schizophrenia. Which of the following risk factors should the nurse include? a. having a twin sibling who has the disorder b. history of seasonal allergies c. living in rural community d. raised in a middle-class income family

a. having a twin sibling who has the disorder

A nurse is preparing an in-service for nursing staff on the concepts of holistic nursing. Which of the following components should the nurse include in the teaching? a. holistic nursing considers the client's emotional health b. practicing holistic nursing requires certification beyond nursing licensure c. assessment of holistic client practices is limited to outpatient settings d. holistic nursing care is limited to spiritual health practices

a. holistic nursing considers the client's emotional health

A nurse is caring for a client who was diagnosed with amyotrophic lateral sclerosis (ALS), has been hospitalized for aspiration pneumonia, and has failed a swallow evaluation. The provider determined the need for a feeding tube to be inserted. However, the client is refusing to have the tube inserted. The nurse is experiencing moral distress. Which of the following actions should the nurse take first? a. identify the area of concern b. address the current situation c. request an ethics committee d. determine the nurse's responsibility

a. identify the area of concern

A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicated an understanding? a. if a client threatens to harm another person, health care providers have a responsibility to inform that peron b. if a client threatens to harm themselves, there is a responsibility to report that client to their family c. if a client threatens to harm themselves, there is a responsibility to tell their medical provider d. if a client threatens to harm another person, there is a responsibility to inform the other person's fmaily

a. if a client threatens to harm another person, health care providers have a responsibility to inform that peron

A nurse is caring for a client who has Huntington's disease dementia. Which of the following manifestations should the nurse expect? a. impulsive behaviors b. apathy c. shuffling gait d. depressed mood

a. impulsive behaviors

A nurse overhears unit staff workers making jokes about a nursing student. This is an example of which of the following? a. incivility b. anger c. sexual harassment d. bullying

a. incivility

A nurse is teaching about physiological responses to stress with a group of clients. The nurse should include which of the following short-term physiologic changes in the teaching (select all that apply)? a. increase in muscular tension, blood pressure and triglycerides b. increase in heart rate and respiratory rate c. corticosteroid release increases stamina and impedes digestion d. cortisol release increases gluconeogenesis and reduces fluid loss e. increased immune system function f. increased risk of depression, autoimmune disorders, and heart disease

a. increase in muscular tension, blood pressure and triglycerides b. increase in heart rate and respiratory rate c. corticosteroid release increases stamina and impedes digestion d. cortisol release increases gluconeogenesis and reduces fluid loss

A nurse is caring for a client who is experiencing chronic stress. Which of the following does the nurse anticipate that the client will report (select all that apply)? a. increased anxiety b. recurring sinus infections c. feelings of depression d. sudden bursts of energy e. daily overreacting f. heart palpitations

a. increased anxiety b. recurring sinus infections c. feelings of depression

A nurse is assigned to triage clients following an explosion at an oil refinery. Which of the following symptoms are consistent with a trauma response involving the sympathetic nervous system (select all that apply)? a. increased heart rate b. shallow breathing c. muscle tension d. immobility e. anxiety f. fatigue

a. increased heart rate b. shallow breathing c. muscle tension e. anxiety

A nurse is observing a group of children interacting. The nurse notes anytime a question is asked, all the children want to answer and will often talk over each other. The nurse should recognize that this behavior is indicative of which of the following stages of Kohlberg's theory? a. instrumental relativity orientation b. postconvention c. conventional d. preconventional

a. instrumental relativity orientation

A nurse is caring for a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. Which of the following characteristic of the client's manifestations? a. mania b. depression c. hallucinations d. delusions

a. mania

A nurse is caring for a client who is exhibiting hypervigilance and restlessness. The client states, "I need to figure a way out of this mess." The nurse should recognize that the client is most likely in which of the following stages of anxiety? a. mild b. moderate c. severe d. panic

a. mild

A nurse is educating a newly licensed nurse about opiate withdrawal. Which of the following findings should the nurse instruct the newly licensed nurse to monitor for? a. muscle aches b. respiratory depression c. hallucinations d. increased risk of seizure

a. muscle aches

A nurse is caring for a client who states that they are entitled to a single room on the mental health unit and that the nurse is not educated enough to care for them. The nurse should identify that this finding is consistent with which of the following personality disorders? a. narcissistic personality disorder b. histrionic personality disorder c. dependent personality disorder d. paranoid personality disorder

a. narcissistic personality disorder

A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics? a. adult males b. adult females c. adolescents between the ages of 15 and 17 d. children ages 10 to 14

b. adult females

A nurse is preparing a presentation for newly hired nurses about the role that nursing self-care has on the social determinants of health. Which of the following information should the nurse include in the presentation? a. nurses must lead and model well-being among themselves before they can truly partner with others b. nurses lack the leadership skills needed to advocate for their clients in all settings c. nurses have always been focused on clients with a selfless approach modeling empathy d. nurse demonstration of self-sacrifices is a positive quality contributing to positive client outcomes

a. nurses must lead and model well-being among themselves before they can truly partner with others

A nurse is planning education for a group of teachers on personality traits. Which of the following traits describes a student who is eager to learn? a. openness b. extravision c. conscientiousness d. agreeableness

a. openness

A nurse at a community center is providing an in-service to a group of residents about decreasing the risk of Alzheimer's disease by consuming foods high in flavanol. Which of the following foods should the nurse include in teh teaching? a. oranges b. peaches c. apples d. bananas

a. oranges

A nurse is discussing individual and environmental factors of stress response with a group of newly licensed nurses. The nurse should include which of the following individual factors (select all that apply)? a. perception b. temperament c. lifestyle d. culture e. religion

a. perception b. temperament c. lifestyle

A nurse is caring for a client who is in physical restraints. The nurse should identify that which of the following complications can result from inadequate monitoring of the client (select all that apply)? a. positional asphyxia b. food aspiration c. cardiac arrest d. infection e. somnolence

a. positional asphyxia b. food aspiration c. cardiac arrest

A nurse is caring for a lcient who was in a motor vehicle crash. the client states, "I had to get home before 6pm so I had to drive really fast." Which of the following defense mechanisms is the client exhibiting? a. rationalization b. displacement c. identification d. altruism

a. rationalization

A nurse is preparing education for a community support group about complicated grief and resilience. Which of the following factors should the nurse identify as reducing a client's risk for developing complicated grief (select all that apply)? a. regular religious or spiritual practices b. previous experience with the loss of a loved one c. a sense of personal health and well-being d. a reliable support system e. being treated for substance use

a. regular religious or spiritual practices c. a sense of personal health and well-being d. a reliable support system

A nurse is discussing burnout among nurses with a colleague. Which of the following is a strategy to reduce burnout? a. self-scheduling work shifts b. keeping to oneself at work c. working extra shifts during staff shortages d. skipping shared governance meetings

a. self-scheduling work shifts

A client who has schizophrenia shares with their nurse that they are feeling lonely and isolated. Which of the following actions is the nurse's priority? a. share information about support groups for people who have serious mental illness (SMI) b. teach the client stress reduction techniques so they feel more in control of their social situation c. help the client focus on recovery so that their relationships can improve down the road d. suggest adding another type of treatment for the client

a. share information about support groups for people who have serious mental illness (SMI)

A nurse is preparing to begin caring for a client and discovers that the client's adult children were recently killed as a result of gun violence. Which of the following actions shoudl the nurse take? a. spend time reflecting and planning to avoid imposing any personal bias b. review all news accounts of the incident to avoid asking the client any questions c. discuss any person concerns with a peer d. speak with the charge nurse and the nurse manager about plans for client care

a. spend time reflecting and planning to avoid imposing any personal bias

A nurse is preparing a presentation for high school students about the causes of mental illness. Which of the following should the nurse include in the presentation? a. stress has been identified as a potential cause of mental illness b. manifestations of mental illness can be resolved though motivation c. medications serve as cure for mental illness d. psychotherapy can serve as a cure for mental illness

a. stress has been identified as a potential cause of mental illness

A nurse is leading a group session when a client begins cursing and running around the room shouting. WHich of the following actions should the nurse take? a. suggest the client go someplace quiet and compose themselves b. administer an anxiolytic to the client c. insist the client go to the seclusion room where monitoring can be done d. notify the entire treatment tema to secure the area

a. suggest the client go someplace quiet and compose themselves

A newly hired nurse confides in another nurse that despite trying to be hopeful, they feel very depressed. Which of the following actions should the nurse take? a. suggest the newly licensed nurse contact a mental health professional b. notify the employee assistance program about the newly hired nurse c. notify risk management d. suggest the newly hired nurse try yoga

a. suggest the newly licensed nurse contact a mental health professional

A client who is experiencing prolonged grief disorder (PGD) is at risk for which of the following (select all that apply)? a. suicide b. hallucinations c. binge eating d. social dysfunction e. delirium

a. suicide d. social dysfunction

A community health nurse observes an 8-month-old child being reunited with their parent after being found in an automobile. Which of the following responses should the nurse identify as an indication that the child might be experiencing poor attachment (select all that apply)? a. the child continues to play with a toy when their parent steps into the room b. the child does not respond when held and embraced by the parent c. the child reaches out to the parent when they enter the room d. the child selects a toy offered them and begins to play while sitting on their parent's lap e. the child cries when the nurse tries to give the child to the parent

a. the child continues to play with a toy when their parent steps into the room b. the child does not respond when held and embraced by the parent e. the child cries when the nurse tries to give the child to the parent

A nurse is caring for a newly admitted client who states they are concerned about their privacy and rights while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights? a. the right to refuse treatment b. the right for their information to be shared with their family at any time c. the right for their clinical notes to be shared with anyone at the facility d. the right for providers to solely decide their treatment options

a. the right to refuse treatment

A nurse working in an urgent care clinic is obtaining a history from a client who is experiencing delirium. Which of the following should the nurse identify as a cause of this disorder? a. vitamin deficiencies b. advanced age c. Alzheimer's disease d. overhydration

a. vitamin deficiencies

A nurse is assessing a client who attempted to die by suicide. The client is currently cognitive behavioral therapy. Which of the following statements by the client indicated that the therapy has been effective? a. "I have removed all of the mirrors from my house" b. "I guess I am fortunate to have survived my suicide attempt" c. "it is hard to go out when you know that everyone is laughing at you" d. "at least now when people stare at me, I have enough courage to tell them off"

b. "I guess I am fortunate to have survived my suicide attempt"

A nurse is caring for a client who is actively dying. The client's partner is crying and holding the client's hand. Which of the following responses shoudl the nurse make? a. "let me call the provider and see if they will order you something to help you" b. "I know this is difficult. would you like me to sit with you" c. "I see your partner is not responding. I am sure they are not suffering or in pain" d. "death is a very spiritual time. I will leave you alone"

b. "I know this is difficult. would you like me to sit with you"

A nurse on a mental health health unit is admitting a client who is shouting at staff and has a history of aggressive behavior. Which of the following statements should the nurse make? a. "let's go over the unit rules. you must observe all of these rules while you are here" b. "I will be working with you to help you meet your needs while you are here. what can i help you with now?" c. "if you act badly while you are here, you will be placed in seclusion" d. "we have a very relaxed atmosphere here so you should be able to calm yourself down"

b. "I will be working with you to help you meet your needs while you are here. what can i help you with now?"

A nurse is caring for a client who was recently diagnosed with posttraumatic stress disorder (PTSD). The client asks, "What is the difference between acute stress disorder and PTSD?" Which of the following responses should the nurse make? a. "with acute stress disorder, the traumatic experience and response to it is less severe" b. "PTSD is diagnosed if the symptoms persist for longer than 1 month" c. "PTSD can only be diagnosed if the trauma is experienced firsthand" d. "acute stress disorder does not involve arousal symptoms or negative alterations in mood"

b. "PTSD is diagnosed if the symptoms persist for longer than 1 month"

A nurse is providing education to the partner of a client who exhibits poor muscle function, poor memory, and poor concentration. Which of the following statements should the nurse make when explaining the client's findings to the partner? a. "glutamate interacts with gamma-aminobutyric acid in the brain, causing an individual to experience manifestations of poor motor movements" b. "a dysfunction in acetylcholine receptors may be a cause for motor movement dysfunction" c. "norepinephrine is a neurotransmitter that is primarily responsible for muscle movement" d. "recreational drugs that block histamine receptors cause manifestations of psychosis"

b. "a dysfunction in acetylcholine receptors may be a cause for motor movement dysfunction"

A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include? a. "behavioral therapy is based on the belief that problems are rooted in a person's past" b. "behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns" c. "behavioral therapy hold that the unconscious mind influences your thoughts and feelings" d. "behavioral therapy is working one-on-one with a therapist through talk therapy"

b. "behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns"

A nurse should identify that which of the following is a US congressional act that mandates mental health parity? a. HIPPA b. affordable care act of 2010 c. no surprises act d. nurse practice act

b. affordable care act of 2010

A nurse in instructing a client who is experiencing hallucinations about medication use. Which of the following statements should the nurse make? a. "over-the-counter medications generally do not cause hallucinations" b. "both prescription and over-the-counter medications can sometimes cause hallucinations in some people" c. "hallucinations from medication are extremely rare" d. "hallucinations are only caused by acute toxicity from a medication"

b. "both prescription and over-the-counter medications can sometimes cause hallucinations in some people"

A nurse is developing education for a parenting class about adverse childhood events (ACEs). Which of the following statements should the nurse include in the education? a. "prior to age 1, children have a natural protection from stressors and are unlikely to experience physiological changes from stress" b. "children who are exposed to repeated adverse childhood events are at an increased risk for developing physical and mental health issues" c. "experiences of trauma or adverse childhood events result in permanent changes to the brain that cannot be altered" d. "children's brains are fully developed by the age 10, and this provides psychological protection from ACEs that occur prior to that age"

b. "children who are exposed to repeated adverse childhood events are at an increased risk for developing physical and mental health issues"

A nurse is discussing milieu therapy with a group of newly licensed nurses. Which of the following statements should the nurse make? a. "create an environment where structure is promoted over autonomy" b. "create an environment that is safe and beneficial for recovery" c. "the mental health provider is responsible for the structure and maintenance of the therapeutic milieu" d. "ensure spontaneous changes in activities throughout the client's daily schedule"

b. "create an environment that is safe and beneficial for recovery"

A nurse is educating a newly licensed nurse about the purpose of neurotransmitters. Which of the following statements by the newly licensed nurse indicates an understanding of the education? a. "dopamine is responsible for inhibiting behaviors caused by stress" b. "serotonin is responsible for regulating sleep and body temperature" c. "norepinephrine is primarily responsible for symptom presentations related to schizophrenia" d. "histamine is an excitatory neurotransmitter that is responsible for pain management and pleasure"

b. "serotonin is responsible for regulating sleep and body temperature"

A nurse is caring for a client who reports headache, nausea, and difficulty sleeping. The client states, "My dog died a few weeks ago, and I miss them so much." Which of the following statements by the nurse demonstrates a greif-informed approach? a. "what time of the day do the headaches begin?" b. "the loss of your dog must be difficult. can you share what happened?" c. "what activities are you doing before you go to bed?" d. "have you recently changed what you are eating?"

b. "the loss of your dog must be difficult. can you share what happened?"

A nurse on an inpatient mental health unit is evaluating a client who was admitted for suicidal ideations for readiness for discharge. Which of the following statements by the client indicated they may be ready for discharge? a. "I plan to go hunting when I get home" b. "when I get home, I will reach out to my friends if I start feeling down" c. "I am going to make a will as soon as I get home" d. "when I get home, I will get even with my boss for firing me from ym job"

b. "when I get home, I will reach out to my friends if I start feeling down"

A nurse is leading a group of clients in an outpatient setting. The nurse should recognize which of the following client statements as an example of a maladaptive defense mechanism? a. "when I get overly stressed at work, I need to just get out of there and go for a walk at lunch" b. "when my partner yells at the dog I run and hide, but I don't know why I do that" c. "when I am overly stressed, I will just sit and watch a movie to help me relax" d. "losing my child to cancer is so painful that I decided to raise money for cancer research so nobody else has to go through this"

b. "when my partner yells at the dog I run and hide, but I don't know why I do that"

A nurse is discussing privacy and confidentiality with a client? Which of the following is a U.S. congressional act that sets standards for client privacy and confidentiality? a. no surprises act b. HIPPA c. affordable care act oc 2010 d. nurse practice act

b. HIPPA

A nurse is conducting a group discussion regarding how personal biases can affect the care provided to client who have mental health disorders. The nurse should identify that which of the following instruments is available to use as a self-assessment tool to determine bias? a. Minnesota Multiphasic Personality Inventory b. Harvard Implicit Association Test c. Eysenck d. Personality

b. Harvard Implicit Association Test

Which of the following has been identified as a priority outcome of ensuring a nurse's physical and mental well-being? a. a decrease in the costs of healthcare b. a growing and sustainable future nursing workforce c. an improved public image of nursing d. a reduction of bias surrounding mental health

b. a growing and sustainable future nursing workforce

A school nurse is preparing a presentation about suicide prevention for high school. Which of the following should the nurse include as modifiable risk factors for suicide? a. sexual orientation b. access to firearms c. ethnicity d. race

b. access to firearms

A nurse in the emergency department is triaging a client following a motor-vehicle crash. The nurse should identify that which of the following findings is associated with the alarm phase of Selye's general Adaptation Syndrome (GAS) framework? a. immunocompromised b. anxiety c. hypothermia d. depression

b. anxiety

A nurse is caring for a group of children who have experienced trauma. During group therapy, the children create drawings representing their family and community. Which of the following interprofessional team members is likely leading this group? a. psychologist b. art therapist c. social worker d. registered nurse

b. art therapist

A nurse is caring for a client who has borderline personality disorder. The nurse should identify that which of the following factors may have contributed to the development of this disorder? a. gender predisposition b. childhood rejection c. lower socioeconomic status d. second-generation relative with schizophrenia

b. childhood rejection

A nurse is caring for a client who has schizophrenia. Which of the following describes the physiological changes caused by exposure to risk factors for this disorder? a. increased volume in the hippocampus of the brain b. decreased gray matter volume in the brain c. structural changes in the part of the brain that brain that regulates impulse control d. increased volume of the frontal cortex

b. decreased gray matter volume in the brain

A nurse is teaching a client about potential risks of chronic stress. Which of the following conditions should the nurse include as a potential risk? a. peripheral vascular disease b. diabetes c. seizures d. meningitis

b. diabetes

A nurse is planning a presentation regarding mental illness for a local health fair. Which of the following should the nurse include as a characteristic of mental illness? a. resilience following a loss of a job b. difficulty maintaining social relationships c. volunteering at a crisis center d. ending a friendship with an individual who demands participation in dangerous activities

b. difficulty maintaining social relationships

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should indicate to the nurse the client is in the mild stage of the disease? a. loss of bladder control b. difficulty planning c. wandering at night d. inability to write

b. difficulty planning

A nurse is caring for an older adult client who has a major depressive disorder. The client states, "I don't think I am financially prepared for retirement, yet I am eligible to retire this year." The nurse should identify that the client is in which of the following stages of Erikson's stages of development? a. transcendence b. ego integrity vs. despair c. generativity vs. stagnation or self-absorption d. intimacy vs isolation

b. ego integrity vs. despair

A charge nurse is teaching a newly licensed nurse about the use of music therapy for clients who have Alzheimer's disease. Which of the following information should the nurse identify as the purpose of music therapy? a. calms the brain b. evokes memories c. decreases depression d. loosens amyloid plaques in the brain

b. evokes memories

A nurse working in a community health center is providing an in-service to a group of residents about schizophrenia. Which of the following should the nurse include as an environmental risk factor for this condition? a. living in a rural community b. experiencing poverty c. smoking cigarettes d. managing extreme weather condition

b. experiencing poverty

A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following should the nurse identify as a positive symptom? a. alogia b. hallucination c. avolition d. anhedonia

b. hallucination

A nurse is caring for a client who is experiencing psychosis. Which of the following manifestation should the nurse identify as a positive symptom of schizophrenia? a. flat affect b. hearing voices c. difficulty concentrating d. withdrawn socially

b. hearing voices

A nurse in an emergency department is caring for a client who has acute haloperidol toxicity. Which of the following findings should the nurse identify as consistent with neuroleptic malignant syndrome? a. dilated pupils and GI discomfort b. hyperthermia and elevated creatinine kinase c. respiratory depression and a comatose state d. slumped posture and shuffling gait

b. hyperthermia and elevated creatinine kinase

A nurse is providing care for a client who has posttraumatic stress disorder (PTSD). The client states, "I always have to watch my back!" Which of the following manifestations of PTSD is the client experiencing? a. anosogosia b. hypervigilance c. anhedonia d. dissociative amnesia

b. hypervigilance

A nurse is teaching a client who id afraid of heights and is planning to drive across a high bridge. The nurse should identify that which of the following structures stimulates the autonomic nervous system? a. thalamus b. hypothalamus c. parietal lobe d. pituitary gland

b. hypothalamus

A nurse is caring for a client who has an SMI and has been recently released from prison. Which of the following factors related to being released from prison increases the client's risk of relapsing? a. experiencing medication adverse effects b. inability to find housing c. continued physical impairment d. being the victim of a violent crime

b. inability to find housing

A nurse is reviewing the serum lithium report for a client who has bipolar disorder. Which of the following manifestations should the nurse expect the client to be experiencing with a lithium level of 2.2 mEq/L? a. severe respiratory complications b. jerking motor movements c. GI discomfort d. abnormal involuntary movements of the tongue

b. jerking motor movements

A nurse is caring for a client who has Alzheimer's disease and requires assistance with bathing and getting dressed in the morning. The nurse should identify that the client is in which of the following stages of the disease? a. mild b. moderate c. severe d. terminal

b. moderate

A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatments would be considered in this list (select all that apply)? a. individual therapy b. pet therapy c. meditation d. yoga e. group therapy

b. pet therapy c. meditation d. yoga

A nurse is caring for a client who has schizophrenia. The client states, "My health care provider indicated that I likely got schizophrenia due to complications experienced in utero." Which of the following risk factors is this complication linked to? a. genetics b. physiological c. biochemical d. environmental

b. physiological

A nurse is caring for a client and the provider suspects the client has Alzheimer's disease. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition? a. electroencephalogram b. positron emission tomography c. BUN level d. WBC count

b. positron emission tomography

A nurse is preparing a poster presentation on the priorities of Healthy People 2030. Which of the following priority goals should the nurse include? a. the practice of trephination for the treatment of mental illness b. prevention practices related to cyber-bullying in teens c. increasing institutionalization of clients who have severe mental health disorders d. limit screening of mental illness to those individuals who display manifestations

b. prevention practices related to cyber-bullying in teens

A nurse is providing parenting education to a group of new parents at the area community center. Which of the following types of trauma prevention is the nurse providing? a. secondary prevention b. primary prevention c. primordial prevention d. tertiary prevention

b. primary prevention

A nurse is caring for a client who is prescribed a tricyclic antidepressant medication. Which of the following topics should the nurse prepare to discuss with the client? a. it is important to take the medication first thing in the morning? b. reliefs of manifestations should not be expected for a few weeks c. there are benefits associated with combining a tricyclic antidepressant with St. John's Wort d. foods that are known to be high in dietary tyramine should be avoided

b. reliefs of manifestations should not be expected for a few weeks

A nurse is giving a presentation on various types of therapy to a group of staff nurses. Which of the following therapies is the nurse describing when discussing a therapy that uses psychoeducation to change thought patterns? a. dialectical behavior therapy b. schema therapy c. interpersonal therapy d. group psychotherapy

b. schema therapy

A nurse is caring for a client who is agitated and required chemical restraints. Which of the following types of medication should the nurse expect the provider to prescribe? a. antidepressant b. sedative c. steroid d. n-methyl-aspartate receptor (NMDA) inhibitor

b. sedative

A nurse is caring for a client who has mood dysregulation, decreased sex drive, and decreased sleep. Which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations? a. dopamine b. serotonin c. norepinephrine d. histamine

b. serotonin

A nurse is caring for a client who is experiencing anxiety and obsessive-compulsive behaviors. Which of the following chemicals is regulated by psychotropic medications to relieve manifestations of anxiety and obsessive-compulsive behaviors? a. acetylcholine b. serotonin c. histamine d. vasopressin

b. serotonin

A nurse in the emergency department is caring for a client who experienced abuse by an intimate partner and is scared to return home. To which of the following interprofessional team members should the nurse refer the client? a. occupational therapist b. social worker c. substance use counselor d. pharmacist

b. social worker

A nurse is caring for a client who prescribed citalopram and is being monitored for activation syndrome. Which of the following findings should the nurse identify as an indicator of activation syndrome? a. high blood pressure b. suicidal ideations c. tremors and confusion d. trouble sleeping and increased anxiety

b. suicidal ideations

A nurse is educating a newly licensed nurses about the diathesis-stresss model impact on client care. The nurse stresses that which of following interacts with environmental triggers and influences the client's response to stressors? a. food b. temperament c. medications d. allergies

b. temperament

A nurse is discussing the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Test Revisions (DSM-5 TR) with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM-5? a. i would use the DSM-5 TR to diagnose clients who have mental health disorders b. the DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder c. I would use the DSM-5 TR as a guide instructing what specific criteria or questions should be asked for a suspected mental health diagnosis d. the DSM-5 TR tells how to treat a patient who has a mental health daingosis

b. the DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder

A nurse is participating in a wellness check for an 8-year-old child who was recently in a motor-vehicle crash where both guardians were killed. Which of the following findings should the nurse identify as an indication that the child is experiencing traumatic grief? a. the child is seen pulling out the hair on their head b. the child reports frequent stomachaches c. the child becomes very upset with any slight deviation in their routines d. the child is talking excessively and out of turn

b. the child reports frequent stomachaches

A nurse in a mental health clinic is observing a client in the day room. The nurse should identify which of the following actions by the client as a maladaptive defense mechanisms? a. the client is sitting down and is painting a picture b. the client tells another client that all of the therapists are mean c. the client crumbles up their paper and throws it across the room d. the client is talking about starting a fundraiser for other people who lost everything in a fire

b. the client tells another client that all of the therapists are mean

A nurse is caring for a client who has obsessive-compulsive disorder. The client's behaviors likely originate in which of the following brain circuits? a. the amygdala-centered circuit b. the cortico-striato-thalamocortical circuit c. the hypothalamic pituitary adrenal axis d. the reflex arc

b. the cortico-striato-thalamocortical circut

A nurse is reviewing Erikson's Eight Stages of Development. During which of the following age ranges does the client experience the identity vs. role confusion stage? a. 3 to 5 years b. 5 to 12 years c. 12 to 18 years d. 40 to 65 years

c. 12 to 18 years

A nurse is an outpatient mental health clinic is caring for a client who expresses concern about developing a mental illness. According to Meehl's Diathesis-Stress model, which of the following explanations best describes one's potential to develop a mental illness? a. genetic variables are more likely to increase the potential for developing a mental illness than environmental variables b. the dynamic interaction between genetic and environmental variables determines the potential for developing a mental illness c. environmental variables are more likely to increase the potential for developing mental illness than genetic variables d. Neither genetic nor environmental variables influence the potential for developing a mental illness

b. the dynamic interaction between genetic and environmental variables determines the potential for developing a mental illness

A nurse is caring for a client who has sustained life-threatening injuries. The health care team is discussing withdrawal of life-sustaining treatment. The decision to withdraw treatment is made by which of the following? a. independently by the medical staff, based on evidence and best practices b. the health care team and the family c. individual care providers, based on universal ethics protocols d. rarely done as it violated medical ethics and current standards of practice

b. the health care team and the family

A nurse on a mental health unit is caring for a client who becomes agitated. The nurse encourages the client to return to their room to calm down. Which of the following de-escalation techniques is the nurse using? a. seculsion b. time out c. restraints d. distraction

b. time out

A nurse is discussing different factors of the determinants of mental health during a staff meeting. Which of the following factors should the nurse include in the discussion (select all that apply)? a. receiving paid maternity leave b. unsafe drinking water c. exposure to adverse childhood event d. a playground in the neighborhood e. national policy addressing cyber-bullying

b. unsafe drinking water c. exposure to adverse childhood event d. a playground in the neighborhood e. national policy addressing cyber-bullying

A nurse on an inpatient mental health unit is having a conversation with a client who is exhibiting manifestations similar to obsessive-compulsive disorder. Which of the following statements by the nurse reflects appropriate understanding of risk factors for developing manifestations of obsessive-compulsive disorder? a. "having assertive personality traits is often associated with manifestations of obsessive compulsive disorder" b. "those who are experiencing manifestations of obsessive-compulsive disorder often have a poor prognosis" c. "I would like to know more about the manifestations that you share with your biological father" d. "adverse childhood experiences have minimal impact on developing obsessive compulsive disorder"

c. "I would like to know more about the manifestations that you share with your biological father"

A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give? a. "when a client attempts suicide, they do so in a manner by causing self-harm" b. "the two terms are the same and can be used interchangeably" c. "a suicide attempt is when a person harms themselves with the intent to die but does not. self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves" d. "a suicide attempt is the manner in which someone kills themselves. self-harm, is just the person acting out"

c. "a suicide attempt is when a person harms themselves with the intent to die but does not. self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves"

A nurse on an inpatient mental health unit is teaching a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicated an understanding of the information presented? a. "the client can eat their meal alone in their room" b. "the blinds in the client's room will need to stay closed to prevent overstimulation" c. "all sharp objects should be removed from the client's room" d. "family members should be encouraged to look up the warning signs of suicide"

c. "all sharp objects should be removed from the client's room"

A nurse is educating a group of high school students about mental illness. Which of the following statements should the nurse make about etiology of a mental illness? a. "schizophrenia can be detected through a complete blood count" b. "it is possible to predict the likelihood of developing manifestations of a mental illness" c. "developing a mental illness seems to be related to both genetic and environmental factors" d. "regular physical examinations are commonly used to diagnose mental illness"

c. "developing a mental illness seems to be related to both genetic and environmental factors"

A nurse is discussing the purpose of ethics with a newly licensed nurse. Which of the following statements should the nurse make? a. "ethics describes a conflict between two or more actions where each action has a favorable and unfavorable consequence" b. "ethics involves reasoning about what one should do as a guide for what one actually does" c. "ethics provides a system of moral principles or standards for governing conduct" d. "ethics explains the moral inquiry into tissues raised by advances in medicine and the life sciences"

c. "ethics provides a system of moral principles or standards for governing conduct"

A nurse is discussing euthanasia with a coworker. Which of the following statements indicates an understanding of the role of nurses and euthanasia? a. "the nurse must out their own beliefs aside and do what is best for the client" b. "it is a nurse's personal decision if they want to participate in administering a lethal medication euthanasia" c. "euthanasia is illegal in the united states, and the core values of nursing do not support it" d. "euthanasia is really an act of mercy. that is why it is called mercy killing"

c. "euthanasia is illegal in the united states, and the core values of nursing do not support it"

A nurse is providing education to the family of a client who is experiencing psychosis. Which of the following statements should the nurse make when examining the role of glutamate in this disorder? a. "glutamate is an excitatory neurotransmitter that is responsible for learning and memory" b. "glutamate is essential to sleep and muscle functioning" c. "glutamate is responsible for affective and cognitive functioning" d. "glutamate regulates the release of histamine and serotonin"

c. "glutamate is responsible for affective and cognitive functioning"

A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the following statements should the nurse make? a. "it is a belief that something is real when in reality it is not" b. "it is when behaviors that you typically display are abnormally absent" c. "it is when you see or hear things that others are not exeriencing" d. "it is when you experience symptoms that affect your memory"

c. "it is when you see or hear things that others are not exeriencing"

A nurse is providing teaching about stress with a client. The nurse should identify that which of the following client statements indicated an understanding of the teaching? a. "my stressor will all go away when I retire" b. "my stress could be related to my culture" c. "my attitude about my stressor can influence my coping" d. "I can decrease my stress by getting a new job"

c. "my attitude about my stressor can influence my coping"

A nurse is providing education to a client about the process of neurotransmission. Which of the following statements about neurotransmission should the nurse make? a. "neurotransmitters function by storing glucose in vesicles found in neurons" b. "neurotransmitters are rarely found in the brain" c. "neurotransmitters are chemical components that allow neurons to communicate with each other" d. "after a neurotransmitter completes neurotransmission, it is then activated by the enzyme transferase"

c. "neurotransmitters are chemical components that allow neurons to communicate with each other"

A nurse overhears a coworker say, "I get that some people have a hard childhood, but eventually they need to get over it." Which of the following responses should the nurse make? a. "people who have experienced adverse childhood events are only found in vulnerable populations" b. "it is completely genetics and biology; some people are just unable to get over their past and move on" c. "people who experience adverse childhood events are changed biologically and genetically" d. "it is only people who experienced trauma later in life who will really struggle"

c. "people who experience adverse childhood events are changed biologically and genetically"

A nurse is providing care to a 4-year-old child who has recently been diagnosed with reactive attachment disorder. Which of the following statements by the nurse accurately describes this disorder? a. "the child developed reactive attachment disorder because they were bitten by a dog 2 weeks ago" b. "this child displays inappropriate attachment and is overly familiar with a stranger" c. "reactive attachment disorder can occur when there is an absence of adequate caregiving, including the child going many hours without being held or touched as an infant" d. "the child has recurring nightmares and often displays outbursts of anger even when they are not provoked by others"

c. "reactive attachment disorder can occur when there is an absence of adequate caregiving, including the child going many hours without being held or touched as an infant"

A nurse on a pediatric mental health unit is discussing the importance of setting boundaries with another nurse. Which of the following statements by the nurse explains why setting boundaries is important? a. "setting boundaries will cause the children to try and leave the unit" b. "children will automatically rebel against all boundaries set on the unit, so you must let them know the consequences" c. "setting boundaries increases a child's sense of security through knowing the consequences of behaviors" d. "children are not able to understand boundaries or consequences of their behaviors"

c. "setting boundaries increases a child's sense of security through knowing the consequences of behaviors"

A nurse is caring for a client who is scheduled for transcranial magnetic stimulation. When preparing the client for the procedure, which of the following statements should the nurse make? a. "the procedure will last about 1 hour" b. "during the procedure, you may notice slight relaxation of the jaw" c. "this procedure is effective when combined with psychotherapy" d. "the treatments will take about 6 months"

c. "this procedure is effective when combined with psychotherapy"

A nurse has attended an in-service regarding nursing care for clients who have experienced trauma. Which of the following statements by the nurse represent an understanding of trauma? a. "trauma is usually a series of events rather than a one-time occurance" b. "trauma is a specific term used to describe visible wounds that a client has experienced" c. "trauma is a broad term that refers to a person's physical, psychological, or emotional response to an adverse event" d. "trauma is predominantly experienced in adulthood as children cannot recognize trauma"

c. "trauma is a broad term that refers to a person's physical, psychological, or emotional response to an adverse event"

A nurse is caring for a client in a clinic. The client states, "I am overwhelmed by stress." Which of the following should the nurse identify as the highest priority question to ask the client? a. "do you have any relatives who have problems with stress" b. "how much physical activity do you typically get in a day" c. "what kinds of things do you find helpful for coping with your stress" d. "how much sleep do you get each night"

c. "what kinds of things do you find helpful for coping with your stress"

A nurse is providing care to a client whose partner recently died. The client asks, "Do you think meditation helps with stress?" Which of the following responses should the nurse make? a. "here are some meditation techniques that I use to help with stress" b. "there is no clinical evidence that meditation helps, but it wouldn't hurt" c. "you may find meditation gives comfort and lowers your stress" d. "using meditation along with another effective coping strategy may help you"

c. "you may find meditation gives comfort and lowers your stress"

A nurse is providing teaching to a client who has been newly diagnosed with Huntington's disease dementia. Which of the following information should the nurse include in the teaching? a. "this condition is a result of your previous brain injury" b. "severe motor function loss occurs within five years" c. "you will experience involuntary jerking motions" d. "you contracted this from consuming contaminated beef"

c. "you will experience involuntary jerking motions"

A nurse is providing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide? a. "electrical current will flow through electrodes placed on your torso" b. "you will be awake during the procedure" c. "your provider will likely schedule you for several treatments over a period of weeks" d. "it is not necessary to fast before the procedure"

c. "your provider will likely schedule you for several treatments over a period of weeks"

A nurse is caring for a client who has dementia. The client had a CT scan of the head that indicated amyloid plaques. The nurse should identify that the client has which of the following types of dementia? a. prion disease b. traumatic brain injury c. Alzheimer's disease d. frontotemporal lobar degeneration

c. Alzheimer's disease

A nurse is planning to add a client to an established therapy group on the unit. The group currently includes a 13-year-old adolescent who has depression, a 15-year-old adolescent who has a history of self-harm, and a 14-year-old adolescent who recently threatened to kill themselves. Which of the following adolescents should the nurse add to this group? a. a 16-year-old who has schizophrenia b. a 17-year-old adolescent who has a substance use disorder c. a 12-year-old adolescent who has anxiety and depression d. a 14-year-old adolescent who has borderline personality disorder

c. a 12-year-old adolescent who has anxiety and depression

A nurse is providing teaching to a group of newly licensed nurses about stigma. Which of the following client scenarios should the nurse include as an example of self-stigma? a. a client refuses to go to their provider for manifestations of anxiety until they meet with their cultural leader, a shaman b. a client stops taking their medication for anxiety because they do not like how it makes them feel c. a client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant d. a client refuses a follow-up appointment for their anxiety because they are waiting until they can arrange transportation

c. a client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant

A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide? a. a client who states that they are stopping their medication b. a client who states they have been sleeping 12 hours a day c. a client who is giving away their possessions d. a client requests an appointment to discuss their depression

c. a client who is giving away their possessions

A nurse is leading a group of clients who are using the Holmes-Rahe Life Stress Inventory Scale to self-assess stressors in their life. Which of the following findings indicates the highest degree of stress? a. a client who has reported being assigned more responsibility at work b. a client with children who will be relocating to a new city for work c. a client who is returning to college following the loss of their job d. a client who is recently separated from their spouse

c. a client who is returning to college following the loss of their job

A nurse is caring for a client who is grieving and states, "No matter that I do, I just can't stop crying. It feels like I am in the grave." Which of the following actions should the nurse take first? a. suggest an activity for the client to do when feeling sad b. explain to the client that crying is a normal response to loss or death c. ask the client what they mean by "in the grave" d. discuss the client's sleep and rest patterns

c. ask the client what they mean by "in the grave"

A nurse is caring for a client who is dying. The client's family is at the bedside and have placed pictures and objects on the bed with the client. Which of the following actions should the nurse take? a. request that a hospital chaplain be called to the room b. tell the family to remove the objects as they might hinder care c. ask the family about the objects and their meaning d. remove all personal objects for ease in providing clinical care

c. ask the family about the objects and their meaning

A nurse is caring for a client who is newly admitted to the acute psychiatric unit for alcohol use disorder. The client reports growing up in an Amish community. Which of the following actions should the nurse take? a. inform the client that the nurse follows Judaism b. provide the client with a Bible c. assess for personal bias related to alcohol use disorder before interacting with the client d. ask the client where they grew up practicing Amish traditions

c. assess for personal bias related to alcohol use disorder before interacting with the client

A nurse is discussing false imprisonment with a group of newly hired staff members. Which of the following information should the nurse include? a. a client cannot claim false imprisonment if they were restrained by use of an injectable antipsychotic medication b. claims of false imprisonment can be made if a nurse verbally threatens to place a client in seculsion c. claims of false imprisonment are most often made in reference to the use of seclusion or restraint d. a client cannot claim false imprisonment if they are involuntarily admitted without being assessed by a provider

c. claims of false imprisonment are most often made in reference to the use of seclusion or restraint

A nurse is caring for a client who states, "I am so stressed over my upcoming reunion because I am not as successful as most of my classmates." The nurse should consult a therapist for the client to start which of the following therapies? a. aversion therapy b. biofeedback c. cognitive reframing d. desensitization therapy

c. cognitive reframing

A nurse is providing teaching to the caregiver of a client who is in the moderate stage of Alzheimer's disease. Which of the following client findings should the nurse inform the caregiver to expect at this stage? a. forgetting the day of the week b. problems communicating c. difficulty getting dressed d. leaving the stove turned on

c. difficulty getting dressed

A nurse is conduction a follow-up visit with a client whose child was recently killed in a school shooting. The client states, "I don't know how to act or what to say. My child was the shooter." The nurse should determine that the client's statement is consistent with which of the following? a. death anxiety b. anticipatory grief c. disenfranchised grief d. prolonged grief disorder

c. disenfranchised grief

A nurse in an outpatient clinic is caring for a client who has major depressive disorder and has reported suicidal thoughts. Which of the following is the first information the nurse should try to obtain from the client? a. how lethal are the client's thoughts of self-harm? b. does the client have access to committing self-harm? c. does the client have a suicide plan? d. does the client have someone to call when they are feeling suicidal?

c. does the client have a suicide plan?

A nurse in a mental health clinic is taking a medical history on a client. The nurse should identify that which of the following factors in the client's history increases their risk for mental illness? a. living in a rural area b. being raised by a single parent c. early exposure to violence d. being in a family with numerous siblings

c. early exposure to violence

A charge nurse is presenting on the topic of mental health diagnoses during a unit meeting. The charge nurse should identify that the DSM-5 TR classification is used in conjunction or paired with what other classification system? a. nursing intervention classifications b. Maslow's hierarchy of needs c. international classification of disease d. Erikson's stages of psychosocial development

c. international classification of disease

A nurse is discharge a client who has a personality disorder. Which of the following actions should the nurse take? a. create the plan with the health care team and then inform the client b. share discharge plans only with the client's psychiatrist c. involve the client in planning which resources will be needed after discharge d. obtain approval from the client's provider before involving the client in the plan

c. involve the client in planning which resources will be needed after discharge

A nurse is caring for a client who is experiencing opiate toxicity. Which of the following medications should the nurse anticipate the provider to prescribe? a. benzodiazepines b. diphenhydramine c. naloxone d. methadone

c. naloxone

A nurse is caring for a client who has a diagnosis of bipolar disorder and recently began lithium therapy. Which of the following manifestations should the nurse identify as indicative of early lithium toxicity? a. blurred vision and tinnitus b. muscle jerking and stupor c. nausea and coarse tremors d. respiratory distress and a comatose state

c. nausea and coarse tremors

A nurse is caring for a newly admitted client who expresses concern that their insurance will not cover their care. The nurse should identify that which of the following is a US congressional act that requires providers to inform their clients of the cost for treatment and whether their insurance will cover it? a. HIPPA b. affordable care act of 2010 c. no surprises act d. nurse practice act

c. no surprises act

A nurse is caring for a client who is moving the furniture in the day toom into straight rows and complaining about the different colors of clothes the other clients are wearing. The nurse should identify that these findings are consistent with which of the following personality disorders? a. paranoid personality disorder b. histrionic personality disorder c. obsessive-compulsive personality disorder d. schizoid personality disorder

c. obsessive-compulsive personality disorder

A nurse is discussing the effects of workplace violence by clients and their family members on health care professionals with a peer. The nurse should identify that which of the following organizations provides oversight for nurses regarding workplace violence? a. american hospital association b. department of health and human services c. occupational safety and health administration d. the joint commission

c. occupational safety and health administration

A nurse is providing care for an adolescent who sustained injuries in assault. Which of the following actions should the nurse take first? a. identify the adolescent coping strategies and skills b. explore the adolescent's feelings about the assault c. provide a safe, secure environment for the adolescent d. provide the adolescent with information on support groups

c. provide a safe, secure environment for the adolescent

A nurse is preparing a client who has schizophrenia for a magnetic resonance imaging (MRI) of their head to determine if they have a brain injury or a new onset of dementia. The nurse should identify that which of the following members of the interprofessional team likely prescribed the MRI? a. licensed clinical social worker b. psychologist c. psychiatrist d. occupational therapist

c. psychiatrist

A nurse is caring for a client who is experiencing disruptions in sleep, appetite, and reports having a depressed mood. Which of the following medications should the nurse anticipate the provider to prescribe? a. benzodiazepine b. dopamine antagonist c. selective serotonin reuptake inhibitor d. mood stabilizer

c. selective serotonin reuptake inhibitor

A home health nurse is determining the needs of a client who lives at home and has dementia. Which of the following is the priority for the nurse to assess? a. labels on rooms b. social stimulation c. supervision d. eating patterns

c. supervision

A nurse is working in a neighborhood where the population is culturally diverse. Which of the following actions should the nurse take to ensure the delivery of culturally competent care? a. reflect on their own culture b. read a book about the countries of the residents' ancestry c. talk to the residents of the neighborhood about their culture d. provide care that meets the residents' needs

c. talk to the residents of the neighborhood about their culture

A nurse on a mental health unit is planning care for a client who has borderline personality disorder. Which of the following goals should the nurse set for the client? a. the client will deny feeling that others are seeking to hurt them for one week b. the client will form personal relationships with two other clients within two days c. the client will have no emotional outbursts during group therapy for a week d. the client will only wash their hands twice daily for one week

c. the client will have no emotional outbursts during group therapy for a week

A nurse is reviewing the medical record of a client who has a personality disorder. The nurse should identify that which of the following findings is a risk factors for the development of a personality disorder? a. the client was recently diagnosed with dementia b. the client's mother had a substance use disorder while the client was in utero c. the client's needs were not met during childhood d. the client grew up in a family with several siblings

c. the client's needs were not met during childhood

A nurse is presenting information on mental health services over the last 50 years to a group of newly licensed nurses. In 1946, the National Mental Health Act was signed into law which resulted in which of the following? a. the establishment of the mental health court to determine soundness or fitness to stand trial b. the development of mental health centers throughout community settings c. the creation of the National Institute for Mental Health d. the coverage of mental health services for children and youth

c. the creation of the National Institute for Mental Health

A nurse is evaluating a client for schizophrenia and asks the client about their work, social, and home life. For which of the following reasons should the nurse ask about these topics? a. to gather information that assists in billing b. to gather criteria to be included in the client's relapse prevention plan c. to gather insight into the client's background in order to guide care d. to gather standard information during the exploitation phase of the client-nurse relationship

c. to gather insight into the client's background in order to guide care

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a cognitive symptom? a. unable to express emotions b. hearing voices c. unable to concentrate d. withdrawing from social situations

c. unable to concentrate

A nurse manager observes a nurse crying in the nurses' locker room. Which of the following actions should the manager take first? a. offers to take the nurse to employee health b. reassign the nurse's clients for the remainder of the shift c. use therapeutic communication to determine why the nurse is crying d. provide the nurse with the phone number for the employee counseling services

c. use therapeutic communication to determine why the nurse is crying

A nurse tells a client that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the client's medication. Which of the following ethical principles is the nurse demonstrating? a. beneficence b. autonomy c. veracity d. justice

c. veracity

A nurse is providing discharge instructions for a client who is prescribed clozapine. Which of the following information should the nurse include? a. the medication only treats negative symptoms b. the medication takes full effect in one week c. weekly blood draws will need to be done while taking this medication d. the medication requires the monitoring of red blood cells

c. weekly blood draws will need to be done while taking this medication

A nurse is caring for a client who has been diangosed with schizophrenia. The client is exhibiting delusional behaviors stating that a new nurse is from the FBI and is stealing their thoughts and ideas. Which of the following statements should the nurse make? a. "wow, since the FBI is involved now, you are safe. tell me more about the FBI wanting to take your thoughts" b. "don't worry, you are perfectly safe. the walls and ceiling are lined with lead and can't be penetrated" c. "you should stop these thoughts because they are making things worse for you. take a deep breath" d. "I can see you are very concerned. the new nurse is not from the FBI and will not harm you"

d. "I can see you are very concerned. the new nurse is not from the FBI and will not harm you"

A nurse is providing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide? a. "the procedure will take about 2 hours" b. "you will be asleep during the procedure" c. "most people only require one treatment to eliminate their depression" d. "you may experience a mild headache following the procedure"

d. "you may experience a mild headache following the procedure"

A nurse on a mental health unit is discussing laws that guide the care of clients on the unit with a newly hired staff member. Which of the following statements by the staff member indicates an understanding? a. "a claim of assault can only be sustained if there is evidence of physical harm" b. "false imprisonment only refers to seclusion of clients" c. "battery is the most common unintentional tort" d. "a physical injury does not need to occur for a client to make a claim of battery"

d. "a physical injury does not need to occur for a client to make a claim of battery"

A nurse is providing education about medical aid in dying with a group of newly hired nurses. Which of the following statements by a newly hired nurse indicates an understanding of the education? a. "another person, a nurse or family member, can administer the medical aid-in-dying prescription to the client" b. "someone who has more than 12 months to live can be eligible for medical aid in dying" c. "all states permit medical aid for any adult who is considered mentally capable" d. "an adult person proven mental capacity self-ingests the prescribed medication to die"

d. "an adult person proven mental capacity self-ingests the prescribed medication to die"

A nurse on a mental health unit is teaching a newly licensed nurse about psychotic features among clients. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "clients who have dependent personality disorder can exhibit psychotic features" b. "clients who have narcissistic personality disorder can exhibit psychotic features" c. "clients who have schizoid personality disorders can exhibit psychotic features" d. "clients who have borderline personality disorder can exhibit psychotic features"

d. "clients who have borderline personality disorder can exhibit psychotic features"

A nurse is caring for a client who has depression, diabetic polyneuropathy, and significant neuropathic pain. The nurse hears an assistive personnel say, "They are admitted frequently and always report being in pain. I think they are just a drug seeker." Which of the following responses should the nurse make? a. "you certainly call things like you see them. I am going to ignore that you said that!" b. "yes, this client is always in pain. you should remember that it is our job to take care of people like them" c. "what is bothering you? just keep your comments and opinions to yourself" d. "it is not appropriate to stereotype clients. it may seem like you may have bias which could affect client care"

d. "it is not appropriate to stereotype clients. it may seem like you may have bias which could affect client care"

A nurse has attended an in-service education regarding trauma-informed care approach. Which of the following statements by the nurse reflects an accurate description for the goal of a trauma-informed approach? a. "a trauma-informed approach to care is a process of steps which evaluates injury to determine priority of care" b. "nurses should focus on immediate client care rather than the trauma that has happened to the client" c. "trauma-informed care is most important in the emergency department and with first responders. They see the most trauma" d. "nurses should understand the effects of trauma and structure client care to promote positive outcomes"

d. "nurses should understand the effects of trauma and structure client care to promote positive outcomes"

A nurse is caring for a client who states, "My cardiologist told me that I need to reduce stress. What is the best way for me to do that?" Which of the following responses should the nurse make first? a. "physical exercise has been known to be beneficial in reducing stress" b. "self-help books are a good way to learn strategies to reduce stress" c. "it might be a good idea for you to try painting to help reduce your stress" d. "tell me more about the stressors that you are facing in your life"

d. "tell me more about the stressors that you are facing in your life"

A nurse is educating a client about mental illness treatment and the client asks, "why do some medications that treat mental illness take a few weeks to become effective?" Which of the following statements should the nurse make? a. "it takes a few months to determine the severity of adverse effects before increasing the dose of medications" b. "it takes a few days of treatment to reach therapeutic blood levels" c. "medications become effective once the client has resolved their stressors" d. "the brain has to establish a new neuronal pathway in response to medications"

d. "the brain has to establish a new neuronal pathway in response to medications"

A nurse is educating a group of clients on the concept of hardiness. Which of the following statements should the nurse include in the teaching? a. "the foundation of hardiness is the ability to fixate on a stressor in an effort to suppress negative thinking" b. "hardiness is a personality trait that refers to how a person reacts to the world around them" c. "hardiness is a genetic predisposition that is non-modifiable" d. "the foundation of hardiness is a positive self-perception and attitudes of hopefulness"

d. "the foundation of hardiness is a positive self-perception and attitudes of hopefulness"

A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching? a. "the id is the rational part of a person's personality" b. "the id is the part that guides a person's morals or why they follow rules" c. "the id helps teach clients what is right versus wrong regarding their behavior" d. "the id is often an area that is used for instant gratification"

d. "the id is often an area that is used for instant gratification"

A nurse is teaching a client about therapy. Which of the following statements should the nurse include? a. "you can refuse therapy. we are just required to offer it to you" b. "you can select to do therapy, but this must be decided on admission" c. "your provider requires you to attend therapy in both an individual and group setting while on the unit" d. "therapy can be used in conjunction with your medications to improve your health"

d. "therapy can be used in conjunction with your medications to improve your health"

A nurse is facilitating a new parent health and wellness group. One of the group members states, "I have a history of mental illness in my family. Will my child be affected?" Which of the following responses should the nurse make? a. "through regular health care provider check-ups, you can prevent mental illness from developing" b. "your family history does not affect the mental health of your child" c. "mental illness is a product of your environment, not genetics" d. "there are genetic factors of mental health that may put your child at a higher risk of developing manifestations of mental illness"

d. "there are genetic factors of mental health that may put your child at a higher risk of developing manifestations of mental illness"

A nurse is caring for a client who has been newly diangosed with a terminal illness and is experiencing significant stress, The client states, "Do you think a prayer would help?" Which of the following statements should the nurse make? a. "it could be that prayer is your only hope" b. "we do not have evidence that prayer helps, but it wouldn't hurt" c. "I can help you feel calmer by teaching you meditation exercises" d. "you may find prayer gives you comfort and lowers your stress"

d. "you may find prayer gives you comfort and lowers your stress"

A nurse is educating a client about medication therapy. The client asks, "Is there a method of screening for side effects before starting medications?" Which of the following responses should the nurse make about psychiatric pharmacogenomic testing? a. "psychiatric pharmacogenomic testing is effective for determining your maximum tolerable dose" b. "there is testing available that can determine the effectiveness of medication, but not side effects" c. "current tests only screen for manifestations and not medication efficacy" d. "your health care provider can order a test to determine efficacy and severity of adverse effects"

d. "your health care provider can order a test to determine efficacy and severity of adverse effects"

A charge nurse is reviewing the diagnostic criteria for several personality disorders with a group of newly licensed nurses. Which of the following reference publications will be most helpful? a. North American Nursing Diangosis Association (NANDA) b. Current Procedural Terminology (CPT) codes c. International Classification of Diseases (ICD) codes d. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

d. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

A nurse on a mental health unit is using SAD PERSONS scale to assess the risk of suicide among several clients. Which of the following clients should the nurse identify as having the highest risk? a. a 43 year old female client b. a 21 year old female client c. a 35 year old male client d. a 15 year old male client

d. a 15 year old male client

A nurse is analyzing assessment data for a group of clients. Which of the following clients is at greatest risk of developing posttraumatic stress disorder (PTSD)? a. a 23-year-old client who has a tibial fracture following a motor vehicle accident b. a 72-year-old client who lost their partner to metastatic breast cancer c. a 29-year-old client who has type 1 diabetes mellitus and is postoperative following an appendectomy d. a 36-year-old client who has a maxillofacial fracture caused by their partner

d. a 36-year-old client who has a maxillofacial fracture caused by their partner

A charge nurse on a mental health unit is discussing the concept of client competency with a group of newly licensed nurses. Which of the following information should the charge nurse include? a. a client can be deemed legally competent via confirmation by two mental health providers b. a client is automatically deemed to be incompetent upon admission to the facility if they are experiencing psychosis c. a client who is deemed incompetent will be unable to make decisions for themselves d. a client is considered mentally competent until deemed incompetent by a judge in a legal hearing

d. a client is considered mentally competent until deemed incompetent by a judge in a legal hearing

A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios should the nurse use to demonstrate biased treatment? a. a client is not permitted to attend the group therapy activity due to wanting to harm another peer in the group. b. a client is not permitted to attend the group therapy activity due to having a family therapy session during the same time c. a client is not permitted to attend the group therapy activity due to having thoughts of harming themselves with "anything they can find". d. a client is not permitted to attend the group therapy activity because they practice the Buddhist faith.

d. a client is not permitted to attend the group therapy activity because they practice the Buddhist faith.

A nurse is reviewing the physical environment of a child inpatient unit. Which of the following contradicts milieu therapy? a. a seclusion room with nothing in it b. a quiet room with music and warm lighting c. an exercise room with bikes and treadmills d. a craft room with scissors and other art supplies

d. a craft room with scissors and other art supplies

A nurse is preparing a presentation on Huntington's disease dementia to a group of staff members. Which of the following should the nurse identify as the etiology of this disorder? a. substance use disorder b. chemical exposure c. consuming contaminated beef d. a gene located on chromosome 4

d. a gene located on chromosome 4

A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places a client at risk for mental illness? a. a family member with a diagnosis of diabetes b. a medical diagnosis of diabetes c. a history of using community support services d. a history of abuse

d. a history of abuse

A nurse manager is assessing their unit for factors that contribute to the development of compassion fatigue. Which of the following factors should the nurse manager identify as increasing the risk for compassion fatigue? a. nurses formed a shared governance group to meet with nursing leadership b. nurses are provided with scheduled breaks every shift c. nurse managers offer one-on-one meetings with staff d. a large number of nurses are working extra shift hours

d. a large number of nurses are working extra shift hours

A nurse is caring for a client who has schizophrenia. Which of the following should the nurse identify as a social determinant of health for the client? a. health history b. ability to take oral medications c. adherence to the medication regimen d. access to healthy foods

d. access to healthy foods

A nurse is caring for a client who has a cluster C personality disorder and is helping the client explore ways to cope with anxiety. Which of the following actions should the nurse tell the client has been shown to decrease anxiety? a. consuming 5 alcoholic drinks daily b. smoking e-cigarettes c. taking benzodiazepines d. adopting a pet

d. adopting a pet

A nurse is reviewing the medical records of a group of clients. Which of the following clients should the nurse identify as at risk for developing delirium? a. a 25 year old client who has alcohol use disorder b. a 20 year old client who consumed excessive amounts of alcohol c. a 14 year old adolescent who has received an immunization d. an 85 year old client who has a urinary tract infection

d. an 85 year old client who has a urinary tract infection

A nurse is caring for a client who recently lost their partner in a motor vehicle crash. Which of teh following actions should the nurse take to provide supportive grief-informed care? a. provide the client with a list of local grief support groups b. place the client's personal items within reach c. have the client complete their menu request d. ask the client how they met their partner

d. ask the client how they met their partner

A nurse is caring for an adolescent client whose parent died 4 years ago. The client's other parent states that the client has been coming home drunk, lost their driver's license due to reckless driving, and has been skipping school. Which of the following actions is the nurse's priority? a. educate the client about the importance of adequate nutrition b. assist the client to identify feelings c. encourage the client to participate in a support group d. assess the client for risk of suicide

d. assess the client for risk of suicide

A nurse is sitting with a client who is extremely anxious until they fall asleep. The nurse should identify that this is an example of which of the following ethical principles? a. justice b. autonomy c. nonmaleficence d. beneficence

d. beneficence

A nurse is an emergency department is caring for a client and finds a razor blade hidden in the client's personal belongings. The nurse should identify is consistent with which of the following disorders? a. schizotypal personality disorder b. obsessive-compulsive disorder c. schizoid personality disorder d. borderline personality disorder

d. borderline personality disorder

A nurse is reviewing the medical record of a client who has major depressive disorder. Which of the following assessment findings should the nurse expect for a client who has major depressive disorder? a. client is hyperactive b. client has had a recent intentional weight loss c. client reports sleepings 8 hours each night d. client reports having thoughts of death

d. client reports having thoughts of death

A nurse is caring for a client who is being evaluated for schizophrenia spectrum disorder. Which of the following is used to determine a diagnosis for schizophrenia? a. reality testing b. laboratory testing c. neurological imaging d. clinical observation

d. clinical observation

A nurse is caring for a client and the provider suspects the client might have frontotemporal degeneration dementia. Which of the following tests should the nurse anticipate the provider to prescribe to confirm this diagnosis? a. biopsy b. ECG c. positron emission tomography d. computed tomography

d. computed tomography

A nurse is caring for a client who was admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate? a. teach coping and problem-solving skills b. strengthen access to and delivery of suicide care c. promote connectedness d. create a protective environment

d. create a protective environment

A nurse is a high school is caring for an adolescent who has recently suffered the traumatic loss of a classmate and is crying. Which of the following actions should the nurse take first? a. determine how the student is doing in class b. contact the student's guardians c. discuss the student with their teachers d. create a safe, non judgemental environment

d. create a safe, non judgemental environment

A nurse is caring for a client who has emphysema and recently reduced their level of activity because they fear developing dyspnea. When teaching the client to use guided imagery, which of the following should the nurse encourage the client to visualize? a. walking on a beach without using supplemental oxygen b. sleeping comfortably and soundly, without respiratory distress c. placing their hand to feel the rise and fall of their chest d. dangling feet in a pool and taking regular deep breaths

d. dangling feet in a pool and taking regular deep breaths

A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following findings indicated that the client is in the residual phase of the disorder? a. no longer showing any noticeable negative symptoms b. experiencing regular hallucinations and delusions c. extended periods of disorganized thought and speech d. decline in symptoms of psychosis

d. decline in symptoms of psychosis

A nurse is caring for a client who is experiencing psychosis and states that they are the president of the United States. The nurse should identify that the client is experiencing which of the following? a. visual hallucinations b. auditory hallucinations c. disorganized speech d. delusions

d. delusions

A nurse is caring for a client who states, "When I am stressed at work, I can't help coming home and arguing with my partner." The nurse should recognize that the client is exhibiting which of the following defense mechanisms? a. intellectualization b. projection c. sublimation d. displacement

d. displacement

A school nurse is creating a presentation about mental health for a group of middle school students. Which of the following topics should the nurse prioritize when preparing this presentation? a. tyramine restrictions when taking a monoamine oxidase inhibitor (MAOI) b. the prevalence of postpartum depression c. signs and manifestations of lithium toxicity d. factors that contribute suicide

d. factors that contribute suicide

A nurse on a mental health unit is caring for a client who states that the food is poisoned. Which of the following actions should the nurse? a. taste a bit of the food on the tray with the client watching b. encourage the client to eat the same food the other client are eating c. discourage the client from paranoid beliefs d. give the client food that is in pre-sealed containers

d. give the client food that is in pre-sealed containers

A nurse is caring for a client who is experiencing opiate withdrawal. Which of the following should the nurse expect to observe? a. increased heart rate and blood pressure b. respiratory depression and excessive drowsiness c. constipation and pupil constriction d. goose flesh and diarrhea

d. goose flesh and diarrhea

A nurse is caring for a client who has a major depressive disorder. Which of the following findings should indicate to the nurse the client is experiencing psychosis? a. depressed mood b. anxiety symptoms c. mania d. hallucinations

d. hallucinations

A nurse is caring for a client who has schizophrenia and has recently been diagnosed with a terminal illness. The client's interprofessional team should recommend which of the following for the client? a. urgent care b. dementia care c. experimental therapy d. hospice care

d. hospice care

A nurse is planning a music therapy activity for a group of clients who have dementia. Which of the following should the nurse identify as the purpose for this activity? a. improve social skills b. increase physical activity c. improve speech d. improve appetite

d. improve appetite

A nurse is caring for an older adult client who has dementia. Which of the following findings should the nurse expect? a. unable to remember the name of a local restaurant b. misplacing keys c. forgetting appointment date d. inability to manage finances

d. inability to manage finances

A nurse encourages each client in a group session to speak and be heard. The nurse should identify that this is an example of which of the following ethical principles? a. beneficence b. autonomy c. nonmaleficence d. justice

d. justice

A nurse is speaking with the caregiver of a client who has dementia about including omega-3 fatty acids in the client's diet. Which of the following foods should the nurse recommend? a. fruits with seeds b. chicken c. red meat d. leafy vegetables

d. leafy vegetables

A nurse is discussing what to do about feelings of burnout with a group of nurses. Which of the following is the best strategy the nurse should implement? a. suggest that nurses who are experiencing burnout get treatment or quit their position b. reduce meetings for shared governance c. request an increase in pay d. meet with other nurses to create a plan to support each other

d. meet with other nurses to create a plan to support each other

A nurse is caring for a client who is experiencing alternating periods of elevated and depressed mood. Which of the following medications should the nurse anticipate the provider to prescribe? a. benzodiazepine b. dopamine antagonist c. selective serotonin reuptake inhibitor d. mood stabilizer

d. mood stabilizer

A nurse is caring for an adult client who experiences discrete periods of acute psychological distress that includes heart palpitations, dyspnea, and lightheadedness. The nurse should identify that the client is demonstrating manifestations for which of the following types of anxiety disorders? a. separation anxiety disorder b. selective mutism c. generalized anxiety disorder d. panic disorder

d. panic disorder

A nurse is providing care to a client who was recently involved in a motor vehicle crash. The nurse should identify that the client is in the moderate stage of anxiety based on which of the following behaviors? a. answering questions with the response, "I am glad to be alive" b. becoming unconscious after seeing a video of the accident c. jumping off the bed and running out the door d. practicing deep breathing with the nurse

d. practicing deep breathing with the nurse

A nurse is caring for a child who demonstrated marked and disproportionate fear in representation of an object, such as a balloon. Which of the following do these manifestations suggest? a. social anxiety disorder b. separation anxiety disorder c. agoraphobia d. specific phobia

d. specific phobia

A nurse is caring for a client who was diagnosed with adjustment disorder after losing their job 2 months ago. For which of the following manifestations should the nurse monitor the client? a. persistent avoidance b. psychosis c. dissociative amnesia d. suicidal ideation

d. suicidal ideation

A nurse is reviewing the chart of a client who has paranoid schizophrenia. The nurse should identify that the DSM-5 TR distinguishes the different types of schizophrenia based on which of the following criteria? a. current medication history b. when the manifestations started c. family history of mental illness d. the client's full history

d. the client's full history

A newly licensed nurse is reviewing the American Nurses Association's core professional values of nursing. Which of the following actions by the nurse demonstrates the value of empowerment? a. the nurses becomes a trainer for new equipment for other nurses on the unit b. the nurse schedules care around the client's religious practices of daily prayer c. the nurse supports the autonomy of a client who refuses chemotherapy, even though their family wants it d. the nurse provides resources to the client who wants to create a living will before they have surgery

d. the nurse provides resources to the client who wants to create a living will before they have surgery