Nurse Moose
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    Exam Review

    1. A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?
      A)Illusion
      B)Hallucination
      C)Attention-seeking behavior
      D)Self-mutilation
    2. A nurse is explaining advance care directives, or “living wills,” to a client and the client’s spouse. Which detail would the nurse include in the description of an advance care directive?
      A)The document tells what treatment is to be omitted or provided if the client is unable to make the decision.
      B)A client is required to sign the “living will” document with an attorney present.
      C)An attorney draws up the papers to be given to the client and his or her family.
      D)The client’s physician must act as a witness when the client signs the document.
    3. A nurse working on a psychiatric unit receives a telephone call from a client’s employer. The employer asks for a copy of the client’s latest laboratory work and psychological testing results so that the client’s medical records in employee health can be updated. Based on the nurse’s knowledge of breach of confidentiality, which response would be appropriate?
      A)“Sure, give me your address, and I will see that the information is sent to you.”
      B)“I’ll have to get the client’s signed consent before we can send that information to you.”
      C)“I’m sorry, we’re not allowed to give out that information about our client.”
      D)“I am unable to acknowledge whether or not your employee is a client on this unit.”
    4. While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
      A)Countertransference
      B)Empathy
      C)Transference
      D)Modeling
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    Exam Review

    1. A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)(SATA)
      A)Anhedonia
      B)Hallucinations
      C)Poor judgment
      D)Delusions
      E)Blunt affect
    2. A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
      A)Preschooler
      B)School-age
      C)Young adulthood
      D)Older adulthood
    3. While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
      A)Countertransference
      B)Empathy
      C)Transference
      D)Modeling
    4. A nurse is talking with a client who has schizophrenia. Suddenly the client states, “I’m frightened. Do you hear that? The voices are telling me to do terrible things.” Which of the following responses by the nurse is appropriate?
      A)“What are the voices telling you to do?”
      B)“You need to understand that there are no voices.”
      C)“Why do you think you are hearing the voices?”
      D)“You need to tell the voices to leave you alone.”
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    Exam Review

    1. The Psychiatrist calls Jake’s father to obtain collateral information, pending Jake’s discharge home. Jake’s father reports Jake’s mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
      A)Regression
      B)Projection
      C)Repression
      D)Suppression
    2. A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?
      A)Implementation
      B)Evaluation
      C)Assessment
      D)Planning
    3. A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
      A)Preschooler
      B)School-age
      C)Young adulthood
      D)Older adulthood
    4. A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, “You are all making fun of me!” The nurse should identify this behavior as which of the following characteristics of schizophrenia?
      A)DELUSIONS OF GRANDEUR
      B)LOOSE ASSOCIATION
      C)IDEAS OF REFERENCE
      D)MAGICAL THINKING
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
      A)EXPLAINING UNIT RULES AND POLICIES REGARDING UNACCEPTABLE BEHAVIORS
      B)SUPPORTING THE CLIENT’S WISH TO REFUSE PRESCRIBED MEDICATIONS
      C)MAKING SURE THE CLIENT UNDERSTANDS EXPECTATIONS FOR CLIENT PARTICIPATION
      D)ENCOURAGING CLIENT FEEDBACK ABOUT SATISFACTION WITH THE FACILITY EXPERIENCE
    2. A nurse is developing a plan of care integrating Maslow’s hierarchy of needs. Which area would the nurse identify as the priority?
      A)PREDICTABLE SOCIAL ENVIRONMENT
      B)ADEQUATE FOOD
      C)POSITIVE SELF-IMAGE
      D)ACCEPTANCE FROM FAMILY
    3. A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)(SATA)
      A)ELECTROENCEPHALOGRAM (EEG) MONITOR
      B)OPHTHALMOSCOPE
      C)CARDIAC MONITOR
      D)BLOOD PRESSURE MONITOR
      E)PORTABLE X-RAY MACHINE
    4. After being scolded by his supervisor at work, a man comes home and punches several holes in his walls and yells at his significant other. Which of the following defense mechanisms does this scenario depict?
      A)PROJECTION
      B)DENIAL
      C)DISPLACEMENT
      D)PASSIVE-AGGRESSION
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    Exam Review

    1. After experiencing increasing conflict in the home, a social worker calls and schedules a therapy meeting. A 24-year-old, his sister, his mother, and the mother’s live-in boyfriend are asked to attend the therapy meeting. Who is the “client” who will be treated during this session?
      A)THE 24-YEAR-OLD ONLY
      B)THE ENTIRE FAMILY
      C)THE 24-YEAR-OLD AND HIS MOTHER
      D)THE SISTER, MOTHER, AND 24-YEAR-OLD
    2. A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?
      A)Fasting blood glucose 120mg/dL
      B)Hypertension
      C)Asthma
      D)WBC count 3,300/mm³
    3. A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?
      A)Dystonia
      B)Parkinsonism
      C)Akathisia
      D)Tardive dyskinesia
    4. During group therapy, the nurse observes that a client is pacing, agitated, and presenting with aggressive gestures. The client’s speech pattern is rapid, and affect is belligerent. Based on the observations, the nurse’s immediate priority of care is to:
      A)Assist the staff in caring for the client in a controlled environment
      B)Provide safety for the client and other clients on the unit
      C)Provide the clients on the unit with a sense of comfort and safety
      D)Offer the client a less stimulated area to calm down and gain control
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