Nclex-Rn Practice Questions-Appendices And İndex - Comprehensive Test 2 Part 3
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Question 1 |
Following electroconvulsive therapy (ECT), which nursing intervention would be implemented?
A | Assessing the client’s vital signs |
B | Leaving the client alone to sleep undisturbed |
C | Allowing the family to visit immediately |
D | Restraining the client until completely awake |
Question 2 |
A client diagnosed with bipolar disease is receiving a maintenance dosage of lithium carbonate (Lithobid). His wife calls the community mental health nurse to report that her husband is hyperactive and hyperverbal. Which intervention would be most important to implement?
A | Mental status examination |
B | Measurement of lithium blood levels |
C | Evaluation at the local emergency department (ED) |
D | Admission to the hospital for observation |
Question 3 |
A client with a panic disorder is having difficulty falling asleep. Which nursing intervention should be performed first?
A | Call the client’s psychotherapist. |
B | Teach the client progressive relaxation. |
C | Allow the client to stay up and watch television. |
D | Obtain an order for a sleeping medication as needed. |
Question 4 |
The behavior of a client with borderline personality disorder causes a nurse to feel angry toward the client. Which response, if made by the nurse, is the most therapeutic?
A | Ignore the client’s irritating behavior. |
B | Restrict the client to her room until supper. |
C | Report her feelings to the client’s physician. |
D | Tell the client how her behavior makes the nurse feel. |
Question 5 |
During the termination phase of a therapeutic nurse–client relationship, which intervention is avoided?
A | Refer the client to support groups. |
B | Address new issues with the client. |
C | Review what has been accomplished during this relationship. |
D | Have the client express sadness that the relationship is ending. |
Question 6 |
A severely depressed client rarely leaves his chair. To prevent physiological complications associated with psychomotor retardation, which client goal is appropriate?
A | Limit television time. |
B | Increase calcium intake. |
C | Rest in bed three times per day. |
D | Empty the bladder on a schedule. |
Question 7 |
A client with a phobic condition is being treated with behavior modification therapy. Which intervention best addresses this technique?
A | Suggest she face the phobia head-on. |
B | Talk to the client and have her identify why she has phobias. |
C | Recommend gradual and repeated exposure to the source of the phobia. |
D | Undergo electroconvulsive therapy (ECT) to jump-start the brain. |
Question 8 |
A client is scheduled to retire in the next month. He phones his nurse therapist and says he can’t cope; his whole world is falling apart. The therapist recognizes this reaction as which of the following?
A | Panic reaction |
B | Situational crisis |
C | Normal separation anxiety |
D | Maturational crisis |
Question 9 |
A community mental health nurse visits a client diagnosed with paranoid schizophrenia. When she arrives at his house, he calls her Satan, shouts at her, and proclaims “Away from me, Demon!” What is the most important intervention for the nurse to implement?
A | Use his phone and call the police. |
B | Remain safe by leaving the house. |
C | Talk to him in a calm voice to reduce his agitation. |
D | Remind him who she is and that he has nothing to fear. |
Question 10 |
During a manic state, a client paced around the dayroom for 3 days. He talked to the furniture, proclaimed he was a king, and refused to partake in unit activities. Which nursing diagnosis has priority?
A | Impaired verbal communication related to hyperactivity |
B | Risk for self-directed violence related to manic state |
C | Imbalanced nutrition: Less than body requirements related to hyperactivity |
D | Ineffective coping related to manic state |
Question 11 |
A client with a substance abuse problem is being discharged from the state treatment facility. The client’s discharge plans should include which intervention?
A | Referral to Al-Anon |
B | Weekly urine testing for drug use |
C | Day hospital treatment for 6 months |
D | Participation in a support group like Alcoholics Anonymous (AA) |
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