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Question 1 of 25
1. Question
Sheila tells the community nurse that her boyfriend has been abusive and she is afraid of him, but she doesn’t want to leave. The client asks the nurse for assistance. Which nursing interventions are appropriate in this situation? Select all that apply.
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Question 2 of 25
2. Question
Which nursing assessment findings are physical signs of sexual abuse of a female child? Select all that apply.
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Question 3 of 25
3. Question
During a prenatal assessment, the clinic nurse suspects that her client was abused. Which of the following questions would be most appropriate?
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Question 4 of 25
4. Question
Which situation would Nurse Sally identify as placing a client at high risk for caregiver abuse?
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Question 5 of 25
5. Question
The interventions common to treatment plans for survivors include which of the following? Select all that apply.
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Question 6 of 25
6. Question
A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission, he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience?
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Question 7 of 25
7. Question
Mr. Peterson, 35, is admitted for bipolar illness, manic phase, after assaulting his landlord in an argument over Mr. Peterson is staying up all night playing loud music. Mr. Peterson is hyperactive, intrusive, and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time?
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Question 8 of 25
8. Question
Which of the following would best indicate to the nurse that a depressed client is improving?
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Question 9 of 25
9. Question
An elderly man is admitted to the hospital. He was alert and oriented during the admission interview. However, his family states that he becomes disruptive and disoriented around dinnertime. One night he was shouting furiously and didn’t know where he was. He was sedated and the next morning he was fine. At dinnertime, the disruptive behavior returned. The client is diagnosed as having sundown syndrome. The client’s son asks the nurse what causes sundown syndrome. The nurse’s best response is that it is attributed to
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Question 10 of 25
10. Question
The nurse is discussing electroconvulsive therapy (ECT) with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within:
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Question 11 of 25
11. Question
The nurse is assessing a 17-year-old female who is admitted to the eating disorders unit with a history of weight fluctuation, abdominal pain, teeth erosion, receding gums, and bad breath. She states that her health has been a problem but there are no other concerns in her life. Which of the following assessments will be the least useful as the nurse develops the care plan?
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Question 12 of 25
12. Question
A 34-year-old woman is admitted for treatment of depression. Which of these symptoms would the nurse be least likely to find in the initial assessment?
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Question 13 of 25
13. Question
The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first?
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Question 14 of 25
14. Question
A teenage female is admitted with the diagnosis of anorexia nervosa. Upon admission, the nurse finds a bottle of assorted pills in the client’s drawer. The client tells the nurse that they are antacids for stomach pains. The best response by the nurse would be:
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Question 15 of 25
15. Question
A mother with a Roman Catholic belief has given birth in an ambulance on the way to the hospital. The neonate is in very critical condition with little expectation of surviving the trip to the hospital. Which of these requests should the nurse in the ambulance anticipate and be prepared to do?
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Question 16 of 25
16. Question
Which statement by the client during the initial assessment in the emergency department is most indicative of suspected domestic violence?
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Question 17 of 25
17. Question
Which of these statements by the nurse reflects the best use of therapeutic interaction techniques?
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Question 18 of 25
18. Question
When planning the therapeutic milieu, it is most important to select group activities which:
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Question 19 of 25
19. Question
A client was admitted to the psychiatric unit for severe depression. After several days, the client continues to withdraw from other clients. Which of the following would be the most appropriate statement by the nurse to promote interaction with other clients?
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Question 20 of 25
20. Question
The nurse can best ensure the safety of a demented client who wanders from the room by:
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Question 21 of 25
21. Question
A client with paranoid thoughts refuses to eat because he believes the food has poisoned. The most appropriate initial action is to
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Question 22 of 25
22. Question
The nurse is caring for a severely depressed client who has just been admitted to the in-client psychiatric unit. Which of the following is a priority of care?
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Question 23 of 25
23. Question
A nurse is teaching a stress-management program for a client. Which of the following beliefs will the nurse advocate as a method of coping with stressful life events?
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Question 24 of 25
24. Question
A student nurse is caring for a 75-year-old client who is very confused. The student’s communication tools should include:
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Question 25 of 25
25. Question
When a husband takes out his work frustrations and anger by abusing his wife at home, the nurse will identify this crisis as which type?
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