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    Exam Review

    1. A nurse practitioner uses cognitive behavior therapy with depressed clients. The nurse asks clients to keep a daily record of dysfunctional thoughts (DRDT). Which of the following are appropriate nursing replies to a client asking about the purpose of this exercise? Select all that apply.(SATA)
      A)“The purpose of this exercise is to identify automatic thoughts.”
      B)“The purpose of this exercise is to monitor thoughts related to self-esteem.”
      C)“The purpose of this exercise is to eliminate irrational beliefs.”
      D)“The purpose of this exercise is to identify rational alternatives.”
      E)“The purpose of this exercise is to modify cognitive errors.”
    2. A child has been diagnosed with autism spectrum disorder (ASD). The distraught mother cries out, "I'm such a terrible mother! What did I do to cause this?" Which nursing reply is most appropriate?
      A)“Lack of early infant bonding with the mother has been shown to be a cause of ASD. Did you breastfeed or bottle feed?”
      B)“Research has shown that the mother appears to play a greater role in the development of this disorder than does the father.”
      C)“Researchers really don’t know what causes ASD, but the relationship between ASD and fetal alcohol syndrome is being explored.”
      D)“Poor parenting doesn’t cause autism. Research has shown that abnormalities in brain structure and/or function are to blame. This is beyond your control.”
    3. Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate intellectual disability (ID)?
      A)Encouraging family to meet the client’s self-care needs to promote bonding
      B)Avoiding interference with the client’s self-care efforts to promote autonomy
      C)Meeting all of the client’s self-care needs to avoid injury
      D)Providing simple directions and praising the client's independent self-care efforts
    4. A client has been taking 1,200 mg a day of St. John’s wort for the past year for symptoms of depression. Recently, the client has complained of side effects from this herbal remedy. Which symptom should the nurse expect the client to report?
      A)Restlessness
      B)Hirsutism
      C)Photosensitivity
      D)Insomnia
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    Exam Review

    1. A nurse is preparing to educate a group of adolescents about risks associated with their age group. Which of the following should be included? Select all that apply.(SATA)
      A)Motor vehicle-related injuries
      B)Firearm accidents
      C)Sexually transmitted infections (STI)
      D)Substance abuse and experimentation
      E)Risk-taking behaviors leading to accidental injuries
    2. A caregiver expresses concerns regarding advancement to table foods for the toddler. Which statement by the nurse reflects an understanding of proper nutrition and safety for a toddler’s meal intake?
      A)“Allow the toddler to feed themselves and provide supervision.”
      B)“Mealtimes should be dependent on when the toddler is hungry.”
      C)“Hard candies, hot dogs, and grapes are appropriate.”
      D)“Toddlers should practice eating large pieces of food.”
    3. A nurse is caring for a client who chooses to leave against medical advice (AMA). Which comment by the nurse is considered nontherapeutic?
      A)“If you leave, you will be making a big mistake.”
      B)“I want to make sure you have all the information you need before you go.”
      C)“Can we talk about what is making you want to leave?”
      D)“I respect your decision, but I must inform you of the potential risks.”
    4. Which of the following is an example of a barrier to effective communication?
      A)Client who is talkative
      B)Nurse who maintains eye contact
      C)Nurse who uses active listening
      D)Client who is cooperative
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    Exam Review

    1. The caregivers of a toddler are seeking guidance about managing temper tantrums. According to Erikson's theory, which strategies should the nurse suggest? Select all that apply.(SATA)
      A)Remove the toddler from other children and give them chores to do.
      B)Remain calm and role model the expected behaviors.
      C)Punish the toddler by isolating them each time the tantrum occurs.
      D)Provide age-appropriate and consistent expectations.
      E)Ignore the toddler’s tantrum while ensuring their safety.
    2. Which activity best supports the health and wellness of a preschool-aged child?
      A)35 minutes of playing outdoors
      B)40 minutes of building with clay
      C)30 minutes of story time
      D)45 minutes of painting
    3. A nurse observes a client’s nonverbal behavior. Which does the nurse understand about assessing nonverbal behavior?
      A)Nonverbal communication can be interpreted as meaningful only when it matches verbal communication.
      B)Nonverbal communication should be ignored due to conflicting messages of one’s intention.
      C)Nonverbal communication is unconscious and more accurately indicates one’s intended meaning.
      D)Nonverbal communication indicates the opposite of what an individual is truly feeling at the moment.
    4. A nurse is discussing a change in the care plan with a client who has a chronic wound. The client appears confused and unsure about the new instructions. How should the nurse respond?
      A)Use visual aids and demonstrate the new wound care technique.
      B)Assume the client will understand after some time has passed.
      C)Ask the client to read the instructions aloud.
      D)Repeat the instructions verbatim.
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    Exam Review

    1. Which statement by the nurse best demonstrates clarity and brevity when educating a client?
      A)“You’ll need to take this medication twice daily, once in the morning and once at night.”
      B)“You’ll take this medicine but let me explain the entire mechanism of action first.”
      C)“You’ll take this pill when you wake up, again before you go to bed, unless you forget.”
      D)“You’ll take this pharmacological agent b.i.d. to maintain therapeutic plasma levels.”
    2. A nurse is assessing a preschool-aged child during a routine check-up. Which nursing action should the nurse prioritize to support the child’s growth and development?
      A)Provide information on the importance of routine physical activity.
      B)Recommend three healthy meals for a total daily caloric intake of 2000 kcal.
      C)Suggest that caregivers limit the child’s screen time to zero hours daily.
      D)Encourage solitary play to enhance the child’s focus and concentration.
    3. A nurse is assessing an adolescent client for potential risk factors of injury. Which finding should the nurse prioritize?
      A)History of previous fractures or injuries
      B)Engagement in unsupervised sports activities
      C)Risk-taking behaviors while driving
      D)Curiosity about sexual activities
    4. A nurse is working with a group of middle-aged adults. For each client behavior, click to specify whether the behavior demonstrates generativity or stagnation.
      GenerativityStagnation
      Mentoring younger colleagues at work✓
      Expresses pride in their child’s accomplishments✓
      States, “I have nothing left to offer”✓
      Volunteers weekly at a local literacy program✓
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    Exam Review

    1. A nurse is caring for a client who is receiving hospice care and refusing pain medication. Which response by the nurse is therapeutic?
      A)“You need to take the pain medication because you are in hospice.”
      B)“Would you rather not receive any care or treatment?”
      C)“Tell me more about why you do not want pain medication?”
      D)“Maybe you should not be in hospice if you do not have any pain.”
    2. A nurse is reviewing a transcribed phone call regarding a recently admitted client. The client was admitted for a urinary tract infection. What component of ISBAR is missing from this communication?
      A)No missing component
      B)Situation
      C)Background
      D)Assessment
      E)Recommendation
    3. Which should the nurse teach caregivers to recognize and respond to in newborns?
      A)The infant’s movement of all four extremities
      B)The infant’s crying pattern
      C)The infant’s strong sucking response when feeding
      D)The infant’s continuous sleeping with periods of reactivity
    4. A nurse is assessing a young adult client with a BMI of 27. How should the nurse interpret this value?
      A)Underweight
      B)Obese
      C)Overweight
      D)Normal weight
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