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    Exam Review

    1. A nurse is assessing the patient’s dietary habits. Which statement by the patient most closely aligns with binge eating?
      A)“When I eat too much, I make myself throw up. It makes me feel better.”
      B)“I have been calorie counting, which has helped me make healthy food choices.”
      C)“I have finally lost 20 pounds, so I’m beginning to feel less fat.”
      D)“I sometimes eat so much, I am uncomfortably full. It’s disgusting.”
    2. A psychiatric unit has several patients with personality disorders. Which of the following behaviors should the nurse address first?
      A)The patient who is superficial in group therapy
      B)The patient who threatens other patients
      C)The patient who is lying to others in group
      D)The patient who makes sexual jokes
    3. A nurse is preparing to interview a family whose oldest child has an impulse control disorder. Which question would best assess them for symptoms of oppositional defiant disorder?
      A)“Does your child argue with certain people more than others?”
      B)“How do you typically respond to angry outbursts?”
      C)“Does he bully, or threaten to physically harm other people?”
      D)“Has your child caused any serious property damage?”
    4. The nurse is developing a plan of care for the client newly diagnosed with anorexia nervosa who is receiving inpatient treatment. According to the client needs, prioritize the outcomes from most urgent to least urgent.
      A)Stabilize fluid, electrolyte levels, address dysrhythmia1
      B)Initiate adequate calories for age, height and metabolic need2
      C)Develop more effective coping skills to deal with anxiety3
      D)Verbalizes body shape and weight as normal and acceptable4
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    Exam Review

    1. A child reads stories that help them reflect on the situations and feelings the child is experiencing. This is what type of therapy?
      A)Expressive Arts Therapy
      B)Journaling
      C)Bibliotherapy
      D)Music therapy
    2. A nurse is working with a client who routinely lies to staff, refuses to comply with unit rules, and shows no remorse for the people they have harmed with their behavior. These behaviors best describe what personality disorder?
      A)Antisocial Personality Disorder
      B)Narcissistic Personality Disorder
      C)Histrionic Personality Disorder
      D)Avoidant Personality Disorder
    3. A new nurse is planning on working with a client who is admitted for alcohol detox. Which of the following statements indicates the nurse understands alcohol withdrawal?
      A)“I would expect alcohol withdrawal symptoms to begin about 6-8 hours after the client’s last drink.”
      B)“It is important that I give my client vitamin C to prevent cirrhosis or other liver damage.”
      C)“The process of withdrawal should last about 10-12 days once the first symptoms appear.”
      D)“This is the third time the client has gone through detox, so I would expect the symptoms to be less severe.”
    4. Which of the following patients is most likely to become violent?
      A)The patient who is staring at staff in silence while clenching their fist
      B)The patient who overdosed, is under sedation and unconscious
      C)The patient with antisocial personality disorder who wants to leave AMA (against medical advice)
      D)The patient who is hallucinating and believes God is giving them “clear messages”
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    Exam Review

    1. The nurse is participating in an IEP (Individualized Education Plan) for an 8-year-old male child diagnosed with Attention Deficit Hyperactivity Disorder. The nurse identifies which statement by the parent indicates more education is needed?
      A)“We are paying closer attention to behaviors and have been setting rewards for things like getting homework done.”
      B)“I will make sure my child is listening to the teacher. The teacher just needs to get him to focus then these problems at school would go away.”
      C)“Using the peace sign to show my child they need to calm down seems to be working.”
      D)“It is sometimes challenging to ignore those ‘little behaviors’ so he will focus on his homework.”
    2. The nurse is caring for a person displaying associative looseness. Which of the following would be the best strategy for the nurse to respond to associative looseness?
      A)Place difficulty in understanding on yourself: “I’m having trouble following you.”
      B)Let the patient think you understand to minimize the patient’s anxiety.
      C)Use reality testing to help the patient clarify their statements.
      D)Tell the patient they are not making any sense in order to set clear expectations.
    3. A patient comes to the emergency department reporting flu-like symptoms. The nurse’s assessment reveals diaphoresis, a runny nose, muscle aches, abdominal cramping, and diarrhea. The patient history includes previous drug rehabilitation. What may these symptoms indicate if flu is ruled out as a cause of the symptoms?
      A)LSD/Hallucinogens withdrawal
      B)Opioid withdrawal
      C)Cocaine withdrawal
      D)Sedative-hypnotic withdrawal
    4. A nurse is performing an assessment on a 9-year-old child who had been diagnosed with Autism Spectrum Disorder. Which of the following findings would the nurse expect to observe?
      A)The child is observed muttering to themselves, but denies having hallucinations.
      B)The child freely walks up to strangers and engages in conversation.
      C)The child makes poor eye contact and does not verbally respond to questions.
      D)The child gets into fights with their teachers at school.
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    Exam Review

    1. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
      A)Arrhythmia and respiratory distress
      B)Fatigue and depression
      C)Muscle aches and chills
      D)Nausea and diaphoresis
    2. A client with antisocial personality disorder has a history of responding to frustration by being verbally abusive. How would the nurse manage this behavior? Select all that apply.(SATA)
      A)Expose the client to frustrating scenarios at least once a day so they can work up a tolerance.
      B)Assign the client to stay in a seclusion room in order to limit the number of people the client interacts with.
      C)Determine clear boundaries on what the client can and cannot say to hospital staff.
      D)Recognize when the patient is feeling frustrated and intervene quickly.
      E)Educate the client on how staff will respond to verbal abuse, including consequences for the client.
    3. A patient who is experiencing auditory hallucinations has become increasingly agitated throughout the day. The patient suddenly kicks over an empty trash can and shouts “I WILL KILL YOU ALL!” at the wall. In response, the nurse should (Select all that apply).(SATA)
      A)Speak with a very loud voice so that the patient can hear.
      B)Ensure there is adequate space between nurse and patient.
      C)Approach the patient in a calm manner.
      D)Ensure the patient is safely locked in their room.
      E)Give the patient a detailed explanation of all unit policies.
    4. A patient arrives at the emergency room after taking LSD. What action should the nurse plan to take?
      A)Administer the reversal drug naloxone.
      B)Use of seclusion and restraint for safety.
      C)Offer reassurance and emotional support.
      D)Prepare for intubation due to respiratory complications.
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    Exam Review

    1. What inpatient setting has the lowest risk for experiencing violence?
      A)A unit that is completely full and has patients crowded in the dining room.
      B)A unit made up of nurses with less than one year of experience.
      C)A unit that maintains a quiet atmosphere and has private rooms for all patients.
      D)A unit that has strict rules that all patients are forced to follow.
    2. A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?
      A)She rarely eats meals with the family; instead, she sneaks food up to her room.
      B)She is too tired to do chores around the house, which is unusual for her.
      C)I know she has been very anxious lately; her schoolwork has been challenging her.
      D)She will feel a lot better when she finds out if she was accepted to her first-choice college.
    3. A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
      A)Echopraxia
      B)Flat affect
      C)Somatic delusions
      D)Waxy flexibility
    4. The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.(SATA)
      A)Anxiety and agitation
      B)Disorganized thinking
      C)Pain with bowel and bladder function
      D)Disorientation
      E)Displays overly friendly behaviors
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