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    Exam Review

    1. A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?
      A)"A relapse plan explains how you can be hospitalized if needed."
      B)"A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse."
      C)"A relapse plan describes how you use coping strategies for living in the community."
      D)"A relapse plan addresses your living, housing, and working needs."
    2. A nurse is preparing to administer 0.9% sodium chloride (NaCl) 30 mg/kg/hr to a client who weighs 22 lb 8 oz. To administer the proper dose, what weight should the nurse use? (Round the answer to the nearest whole number.)
    3. A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)(SATA)
      A)Adaptive defense mechanisms are typically seen in individuals with mature functioning.
      B)Defense mechanisms and coping strategies are the same and can be used interchangeably.
      C)Defense mechanisms help a client positively deal with their stress.
      D)Individuals develop certain defense mechanisms based on neurological and psychological growth as they age.
      E)Maladaptive defense mechanisms have been shown to improve mental well-being.
      F)Adaptive defense mechanisms help a person to accept a situation and transform it into something less stressful.
    4. A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?
      A)"One ECT treatment will be effective for my depression."
      B)"I will be able to eat breakfast prior to my procedure."
      C)"This procedure will cause me to have brief seizures."
      D)"I will not need to have a pre-ECT workup before the procedure."
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    Exam Review

    1. A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?
      A)Beneficence
      B)Nonmaleficence
      C)Justice
      D)Autonomy
    2. A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
      A)Splitting
      B)Regression
      C)Denial
      D)Reaction formation
    3. A nurse is preparing a presentation about the relationship of genetics, stress, and developing mental illness. Which of the following information should the nurse plan to include in the presentation?
      A)"Family studies show that mental health has no genetic association."
      B)"Mental health can be prevented by regular appointments with a health care provider."
      C)"Twin studies support that stress is not related to mental illness."
      D)"Adoptive studies suggest that there is a genetic correlation between one's biological
    4. A nurse is educating the parents of a 3-year-old child who has autism spectrum disorder (ASD). Which of the following patterns of behavior should the nurse include in the teaching? (Select all that apply.)(SATA)
      A)Fixation on certain items or topics.
      B)Frequent changes in routine.
      C)Display of self-harming behaviors such as head-banging.
      D)Spontaneous and unpredictable behaviors.
      E)Adhering to a rigid routine.
      F)Avoidance of repetitive activities.
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    Exam Review

    1. A nurse is preparing to administer furosemide 20 mg PO in 0.5 oz of apple juice. How many mL of apple juice will the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse on an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?
      A)A client who was admitted 1 week ago with premenstrual dysphoric disorder
      B)A client on day 2 of admission who has disruptive mood dysregulation disorder
      C)A client on day 3 of admission who has a history of dysthymic disorder
      D)A newly admitted client who has bipolar I disorder
    3. A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?
      A)Cyclothymic disorder
      B)Premenstrual dysphoric disorder
      C)Bipolar disorder
      D)Postpartum depression
    4. A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?
      A)Nausea and vomiting
      B)Uncontrolled movements around the mouth
      C)Hallucinations and delusions
      D)Seizures and tremors
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    Exam Review

    1. A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?
      A)Schizotypal personality disorder
      B)Paranoid personality disorder
      C)Avoidant personality disorder
      D)Antisocial personality disorder
    2. A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?
      A)Loss of a job
      B)Financial stability
      C)Exercising caution in behavior
      D)Engaging in extracurricular activities
    3. A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?
      A)Fulfill a promise by allowing a client to visit with family members.
      B)Explain the importance of treatment to a client who speaks a language different from the nurse.
      C)Use clinical terminology to help a client better understand their diagnosis.
      D)Minimize contact with a client who is angry.
    4. A nurse is preparing to administer meperidine 125 mg IM stat. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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    Exam Review

    1. A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?
      A)Interrupt the client's statement to clarify thoughts or ideas.
      B)Show emotion when a client is disclosing sensitive information.
      C)Keep direct eye contact to a minimum.
      D)Avoid looking at other clients on the unit.
    2. A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify that which of the following herbal treatments is used for depression?
      A)St. John's Wort
      B)Ginseng
      C)Black cohosh
      D)Ginkgo
    3. A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
      A)The importance of avoiding foods that contain tyramine when taking an antipsychotic
      B)The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic
      C)The importance of limiting fluid intake when taking an antipsychotic
      D)The importance of routine red blood cell count laboratory work when taking an antipsychotic
    4. A nurse is describing cognitive therapy to a new nurse. Which of the following is the correct explanation as to how cognitive therapy works?
      A)"Cognitive therapy is based on the concept that problems can begin in the past and are guided by what is currently occurring with the patient."
      B)"Cognitive therapy is based on the principle that a person's behaviors are determined in nature versus nurture."
      C)"Cognitive therapy is based on the concept that all problems are based on the client's current state."
      D)"Cognitive therapy is based on the concept that problems are based on a person's childhood and guides their reaction in the present."
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