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    Exam Review

    1. For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
      A)A client who reports lying to their provider about having suicidal ideation.
      B)A client who reports that they enjoy smoking marijuana on weekends.
      C)A client who reports that they took $20 from the cash register where they work.
      D)A client who reports that their partner ties their child to a bed as punishment.
    2. A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
      A)Identify prior coping skills
      B)Review community resources
      C)Discuss the importance of confidentiality
      D)Initiate referrals
    3. A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
      A)The client begins sleeping more than usual.
      B)The client develops an inability to concentrate.
      C)The client exhibits an inflated sense of self.
      D)The client increases participation in social activities.
    4. A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
      A)A client who has anorexia nervosa and expresses a fear of gaining weight.
      B)A client who has schizophrenia and is exhibiting tangential associations in their speech.
      C)A client who has bipolar disorder and is exhibiting poor impulse control.
      D)A client who has Alzheimer's disease and is having difficulty remembering the names of family members.
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    Exam Review

    1. A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
      A)Discuss relaxation techniques with the caregiver.
      B)Refer the caregiver to a local support group.
      C)Consult social services to explore counseling for the caregiver.
      D)Offer to talk with the caregiver about their feelings.
    2. A nurse is caring for a client who is experiencing a situational crisis following the sudden loss of their adolescent child. Which of the following actions should the nurse take first?
      A)Provide teaching to the client on the use of coping skills.
      B)Assist the client to identify a friend for support.
      C)Plan regular follow-up visits with the client.
      D)Determine if the client has thoughts of harming themselves.
    3. A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
      A)St. John's wort
      B)Soy protein
      C)Echinacea
      D)Ginkgo biloba
    4. A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take?
      A)Ask the client's family to encourage the client to receive ECT.
      B)Tell the client they cannot refuse the treatment because they were involuntarily committed.
      C)Document the client's refusal of the treatment in the medical record.
      D)Inform the client that ECT does not require client consent.
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    Exam Review

    1. A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, "I no longer want to have the treatment." Which of the following statements would be an appropriate response from the nurse?
      A)"Because you were admitted involuntarily, you may not refuse treatment."
      B)"You will feel a lot better after you have received the treatment."
      C)"I will let the provider know about your decision to refuse the treatment."
      D)"Don't worry, I'm going to administer a medication that will help you relax."
    2. For which of the following adverse effects should a nurse monitor a client taking citalopram?
      A)Urinary retention
      B)Decreased libido
      C)Bruising
      D)Jaundice
    3. A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
      A)Implement seizure precautions.
      B)Monitor for orthostatic hypotension.
      C)Administer methadone hydrochloride.
      D)Acidify the client's urine.
    4. A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
      A)The client apologizes for their prior behavior.
      B)The client remains in control of their actions.
      C)The client asks to be released from the restraints.
      D)The client signs a behavioral contract.
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    Exam Review

    1. A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
      A)Inform the client about confidentiality rights.
      B)Evaluate progress toward predetermined goals.
      C)Establish boundaries between the nurse and the client.
      D)Set short- and long-term objectives for the future.
    2. A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
      A)"Therapy is often scheduled during my daily meditation time."
      B)"My spiritual advisor has increased visits since I became ill."
      C)"I gain comfort from meditation."
      D)"My faith gives me hope during difficult times."
    3. A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
      A)Have a staff member check on the client every 30 minutes.
      B)Assess the client's need for toileting every 15 minutes.
      C)Ask the provider to renew the prescription every 8 hours.
      D)Offer hydration and nutrition to the client every 2 hours.
    4. A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
      A)Reinforcing teaching about coping mechanisms with a client who has anxiety.
      B)Sitting with a client who has anorexia during mealtimes.
      C)Discussing relapse prevention with the family of a client who has schizophrenia.
      D)Administering a rectal suppository to a client who has constipation.
    Page 4 of 5

    Exam Review

    1. A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
      A)Tell the client they will be admitted to an inpatient care facility if they do not take the medication.
      B)Discuss the provider's goals for the client's care.
      C)Ask the client if the medication is causing adverse effects.
      D)Request the provider prescribe a second antipsychotic medication to the client.
    2. A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
      A)Chlordiazepoxide
      B)Bupropion
      C)Disulfiram
      D)Buprenorphine
    3. A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?
      A)Offer the client advice about various treatment choices.
      B)Discourage the client from forming new relationships.
      C)Allow the client unlimited time for the grieving process.
      D)Change the subject when the client becomes upset.
    4. A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (Select all that apply)(SATA)
      A)Holds persistent negative beliefs about self
      B)Talks excessively
      C)Blames others for own mistakes
      D)Difficulty falling or staying asleep
      E)Has difficulty concentrating on set tasks
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