Jun approaches the nurse and tells that he hears a voice telling him that he’s evil and deserves to die. Which of the following terms describes the client’s perception? A. Delusion B. Disorganized speech C. Hallucination D. Idea of reference Correct Answer: C. Hallucination Hallucinations are sensory… Read More »
Which of the following would nurse Ronald use as the best measure to determine a client’s progress in rehabilitation? A. The way he gets along with his parents. B. The number of drug-free days he has. C. The kinds of friends he makes. D. The amount of responsibility his job entails. … Read More »
Anthony is very hostile toward one of the staff for no apparent reason. He is manifesting: A. Splitting B. Transference C. Countertransference D. Resistance Correct Answer: B. Transference Transference is a positive or negative feeling associated with a significant person in the client’s past that are unconsciously… Read More »
Mike is admitted to a psychiatric unit with a diagnosis of undifferentiated schizophrenia. Which of the following defense mechanisms is probably used by Mike? A. Projection B. Rationalization C. Regression D. Repression Correct Answer: C. Regression Regression, a return to earlier behavior to reduce anxiety, is the… Read More »
A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the following? A. Epilepsy B. Myocardial Infarction C. Renal failure D. Respiratory failure Correct Answer: D. Respiratory failure… Read More »
Rocky has started taking haloperidol (Haldol). Which of the following instructions is most appropriate for Ricky before taking haloperidol? A. Should report feelings of restlessness or agitation at once. B. Use sunscreen outdoors on a year-round basis. C. Be aware you’ll feel increased energy taking this drug. D. Avoid eating sugar-free… Read More »
Marielle, 17 years old was sexually attacked while on her way home from school. She is brought to the hospital by her mother. Rape is an example of which type of crisis: A. Situational B. Adventitious C. Developmental D. Internal Correct Answer: B. Adventitious Adventitious crisis is… Read More »
Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin. His arms are red because of scratching. The nurse in charge interprets these findings as possibly indicating which of the following? A. Delusion B. Formication C. Flashback D. Confusion … Read More »
For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority? A. The client will establish adequate daily nutritional intake. B. The client will make a contract with the nurse that sets a target weight. C. The client will identify self-perceptions about body size as unrealistic. … Read More »
The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation? A. The client will recognize signs and symptoms of physical illness. B. The client will cope with physical illness. C. The client will take prescribed medications. D. The client… Read More »