One morning, nurse Diane finds a disturbed client curled up in the fetal position in the corner of the dayroom. The most accurate initial evaluation of the behavior would be that the client is: A. Physically ill and experiencing abdominal discomfort. B. Tired and probably did not sleep well last night. C. Attempting to… Read More »
Which of the following liquids would nurse Leng administer to a female client who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical? A. Shake B. Tea C. Cranberry Juice D. Grape juice Correct Answer: C. Cranberry Juice An acid environment aids in the excretion… Read More »
Nurse Bea notices a female client sitting alone in the corner smiling and talking to herself. Realizing that the client is hallucinating. Nurse Bea should: A. Invite the client to help decorate the dayroom. B. Leave the client alone until he stops talking. C. Ask the client why he is smiling and… Read More »
When being admitted to a mental health facility, a young female adult tells Nurse Mylene that the voices she hears frighten her. Nurse Mylene understands that the client tends to hallucinate more vividly: A. While watching TV B. During mealtime C. During group activities D. After going to bed … Read More »
Nurse John recognizes that paranoid delusions usually are related to the defense mechanism of: A. Projection B. Identification C. Repression D. Regression Correct Answer: A. Projection Projection is a mechanism in which inner thoughts and feelings are projected onto the environment, seeming to come from outside the… Read More »
When planning care for a male client using paranoid ideation, nurse Jasmin should realize the importance of: A. Giving the client difficult tasks to provide stimulation. B. Providing the client with activities in which success can be achieved. C. Removing stress so that the client can relax. D. Not placing any… Read More »
Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is: A. Displacement B. Denial C. Projection D. Compensation Correct Answer: B. Denial Denial is a method of resolving conflict or escaping unpleasant realities by ignoring their existence. Denial is probably one… Read More »
Within a few hours of alcohol withdrawal, nurse John should assess the male client for the presence of: A. Disorientation, paranoia, tachycardia B. Tremors, fever, profuse diaphoresis C. Irritability, heightened alertness, jerky movements D. Yawning, anxiety, convulsions Correct Answer: C. Irritability, heightened alertness, jerky movements Alcohol is… Read More »
Mr. Marquez reports losing his job, not being able to sleep at night, and feeling upset with his wife. Nurse John responds to the client, “You may want to talk about your employment situation in group today.” The Nurse is using which therapeutic technique? A. Observations B. Restating C. Exploring D.… Read More »
Tony refuses his evening dose of Haloperidol (Haldol), then becomes extremely agitated in the dayroom while other clients are watching television. He begins cursing and throwing furniture. Nurse Oliver first action is to: A. Check the client’s medical record for an order for an as-needed I.M. dose of medication for agitation. B. Place the client… Read More »