A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused? A. The child cries uncontrollably throughout the examination. B. The child pulls away from contact with… Read More »
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home? A. The availability of appropriate community shelters. B. The non-abusing caretaker’s ability to intervene on the client’s behalf. C. The client’s possible response to relocation. D. The family’s socioeconomic status. … Read More »
For several years, a client with chronic schizophrenia has received 10 mg of fluphenazine hydrochloride (Prolixin) by mouth four times per day. Now the client has a temperature of 102° F (38.9° C), a heart rate of 120 beats/minute, a respiratory rate of 20 breaths/minute, and a blood pressure of 210/140 mm Hg. Because the… Read More »
Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: A. Avoid shopping for large amounts of food. B. Control eating impulses. C. Identify anxiety-causing situations. D. Eat only three meals per day. Correct Answer: C.… Read More »
The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to an unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement? A. Behavioral theory B. Cognitive theory C. Interpersonal theory D. Psychoanalytic… Read More »
A client is admitted to the inpatient unit of the mental health center with a diagnosis of paranoid schizophrenia. He’s shouting that the government of France is trying to assassinate him. Which of the following responses is most appropriate? A. “I think you’re wrong. France is a friendly country and an ally of the United States.… Read More »
When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority? A. Client’s physical needs B. Client’s safety needs C. Client’s psychosocial needs D. Client’s medical needs Correct Answer: B. Client’s safety needs The highest priority for a… Read More »
The nurse would expect a client with early Alzheimer’s disease to have problems with: A. Balancing a checkbook B. Self-care measures C. Relating to family members D. Remembering his own name Correct Answer: A. Balancing a checkbook In the early stage of Alzheimer’s disease, complex tasks (such… Read More »
A schizophrenic client with delusions tells the nurse, “There is a man wearing a red coat who’s out to get me.” The client exhibits increasing anxiety when focusing on the delusions. Which of the following would be the best response? A. “This subject seems to be troubling you. Let’s walk to the activity room.” B.… Read More »
The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder? A. Accept responsibility for own behaviors. B. Be able to verbalize own needs and assert rights. C. Set firm and consistent limits with the client. D. Allow the child to establish his… Read More »