1. Which effect of cocaine contributes to

1. Which effect of cocaine contributes to substance dependence? 1 Eases pain and discomfort 2 Blurs reality of problems 3 Creates a dreamlike state 4 Decreases motor activity 2. Which intervention would the nurse add to the plan of care for a client with bipolar disorder who is using pressured speech and has stopped eating and sleeping? Select all that apply. One, some, or all responses may be correct. 1 Limiting caffeine intake 2 Giving olanzapine as prescribed 3 Providing soft music at bedtime 4 Maintaining a record of intake and output 5 Monitoring blood pressure every 30 minutes 6 Offering a high-calorie, high-protein drink every hour 3. Which personality characteristics are common for an antisocial personality disorder? Select all that apply. One, some, or all responses may be correct. 1 Aloof 2 Suspicious 3 Perfectionist 4 Irresponsible 5 Manipulative 4. For individuals with bulimia nervosa, which function does food serve? 1 Increases attention from others 2 Increases control over anxiety 3 Allows avoidance of growing up 4 Fulfills emotional needs 5. Which characteristics will the client with chronic schizophrenia most likely exhibit? Select all that apply. One, some, or all responses may be correct. 1 Apathy 2 Hostility 3 Flatness 4 Elation 5 Sadness 6 Depression 6. A client with the diagnosis of schizophrenia suddenly starts shouting, “My body is disintegrating! I’m being pinched!” Which term describes the client’s behavior? 1 Somatic delusion 2 Paranoid ideation 3 Loose association 4 Ideas of reference Which sociocultural factor has the greatest influence on the prevalence of eating disorders? 1 Affluent families 2 European countries 3 Industrialized societies 4 Male gender Which interventions would the nurse include in the plan of care for a client with depression who is at risk for self-directed violence? Select all that apply. One, some, or all responses may be correct. 1 Provide safe outlets for energy. 2 Make rounds every 15 minutes. 3 Assign a room next to the nurses’ station. 4 Reduce stimulation by dimming the lights. 5 Promote the discussion of negative thoughts. 9. The nurse is developing a care plan for a client with severe generalized anxiety disorder. Which intervention would the nurse include to maintain safety? Select all that apply. One, some, or all responses may be correct. 1 Providing individual counseling 2 Collaborating with all disciplines 3 Instructing on relaxation exercises 4 Delivering calm and consistent care 5 Maintaining a low-stimulation environment 10. Time for performing rituals has been allowed; however, the client is increasing the frequency and duration, and the rituals are now interfering with sleeping and eating. Which action will the nurse perform first? 1 Allow the rituals because interruption may increase anxiety. 2 Notify the health care provider for a change of medication. 3 Assess for additional or new sources of stress and anxiety. 4 Assist the client to compensate for the ill effects on physical health. 00:00:02 Answer Confidence Buttons 11. For clients with anorexia nervosa, which elements would be included in the therapeutic milieu? Select all that apply. One, some, or all responses may be correct. 1 Precise meal times 2 Daily weights 3 Behavioral contracts 4 Observation before and after meals 5 Adherence to the selected menu 6 Frequent interaction with healthy peers 12. Alcoholics Anonymous (AA) is a successful self-help group because it fulfills which basic human need? 1 Trust develops between members. 2 Growth occurs for the members. 3 Members experience acceptance. 4 Members gain a sense of independence. 13. A client with the diagnosis of borderline personality disorder has a history of suicidal behavior and self-mutilation. Which rationale best explains the self-mutilation? 1 The client uses self-mutilation to control others. 2 Self-mutilation is an expression of anger or frustration. 3 The client is trying to convey feelings of autonomy. 4 The behavior is used to manipulate family and friends. 14. To prevent or minimize client outbursts during group therapy, the nurse would understand that which emotion precedes anger and aggression? 1 Elation 2 Isolation 3 Depression 4 Vulnerability Which nursing intervention is most important for preventing injury to a client preparing to undergo electroconvulsive therapy (ECT) treatment? 1 Obtain baseline vital signs. 2 Evaluate swallowing ability. 3 Implement seizure precautions. 4 Determine use of benzodiazepines. 16. Which intervention is most important for maintaining the safety of a restrained client? 1 Assess every 15 minutes. 2 Obtain new prescriptions every 48 hours. 3 Provide food and fluids every hour. 4 Offer use of the restroom every 2 hours. 17. Which signs and symptoms would the nurse observe in clients with anorexia nervosa? Select all that apply. One, some, or all responses may be correct. 1 Cachexia 2 Purging 3 Diarrhea 4 Hypertension 5 Lanugo 18. A client with a personality disorder aggressively throws the playing cards around the room when another client is caught cheating. Which rationale explains the aggressive response of throwing cards? 1 Client has poor reality testing and imagines a threat 2 Behavior suggests that violence is a learned response 3 Behavior confirms a diagnosis of antisocial personality disorder 4 Client’s response is related to inadequate impulse control 19. A 17-year-old girl is being treated in the acute care psychiatric unit. Her mother comes and leaves a gift for her but says, “I’m too busy to visit today.” Which type of communication is the mother displaying? 1 Giving false reassurance 2 Congruent communication 3 Double-bind message 4 Seeking validation 21. Which personality traits are exhibited in a client who has a diagnosis of borderline personality disorder? Select all that apply. One, some, or all responses may be correct. 1 Engaging 2 Indecisive 3 Withdrawn 4 Manipulative 5 Perfectionistic 22. Which characteristics are likely to be demonstrated by a client with a diagnosis of schizophrenia? Select all that apply. One, some, or all responses may be correct. 1 Hallucinations 2 Low self-esteem 3 Concrete thinking 4 Apathy 5 Blunted affect 6 Intact reality testing 23. Place the following statements in order of progression for anorexia nervosa, with 1 as the first step and 5 as the last step. 1. Self-esteem increases as weight is lost. 2. Secondary gains reinforce the anorectic client’s behaviors. 3. Dieting is an attempt to maintain control. 4. Social attitudes and struggle for independence exert pressure. 5. The client views self as being fat even when emaciated. 24. Which goal is applicable to adolescents with conduct disorder? 1 Increased impulse control and ability to focus 2 Identification of two positive personal attributes 3 Demonstration of respect for the rights of others 4 Age-appropriate play activities with at least one peer 25. Which withdrawal signs and symptoms would the nurse assess for in a recently hospitalized client with an opioid use disorder? Select all that apply. One, some, or all responses may be correct. 1 Lacrimation 2 Yawning 3 Drowsiness 4 Constipation 5 Muscle aches 1. The couple in the fertility clinic has learned that one of them carries a gene for a serious condition and that the other parent does not carry the gene. They have been told that there is a 50% chance that their child will have this condition. Which pattern of genetic inheritance is this? 1 X-linked recessive 2 Autosomal recessive 3 Autosomal dominant 4 Chromosomal trisomy 00:00:04 Answer Confidence Buttons 2. Which intervention would the nurse recommend when a client reports moodiness and anxiety a few days before her period? 1 Begin ginseng supplementation. 2 Increase foods that are rich in soy. 3 Consult a mental health therapist. 4 Exercise three to four times a week in the luteal phase. 3. Which plan of care would the nurse encourage for the parents who have had an at-risk infant who is in the neonatal intensive care unit? 1 The parents should be encouraged to visit their newborn within a day of birth. 2 The mother should not see the infant until she has completed the necessary grief work. 3 The mother should be reunited with her infant as soon as possible to enhance adjustment. 4 The nurse would wait until the parents ask to see their newborn before suggesting a visit. 4. Which principle would the nurse emphasize when counseling the pregnant client with type 1 diabetes? 1 The advice to increase high-quality protein and decrease fats 2 The need to increase carbohydrates to meet energy demands and prevent ketosis 3 The benefit of a low-calorie diet that maintains the current insulin coverage and helps prevent hyperglycemia 4 The recommendation to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary 5. Which area of health teaching would the client be most responsive to during the taking-in phase of the postpartum period? 1 Perineal care 2 Infant feeding 3 Infant hygiene 4 Family planning 6. A client arrives at the fertility clinic for a diagnostic workup and is told by the nurse to prepare for a Papanicolaou (Pap) test. The client states, “I do not want this test. I want to speak to the person in charge.” Which action would the nurse take? 1 Explore the reasons that the client does not want the test. 2 Encourage the client to comply with clinic procedures. 3 Express some disapproval of the client’s lack of cooperation. 4 Remind the client of the importance of early cancer detection. 7. The nurse is giving discharge instructions to a new mother. Which discharge instruction would the nurse give the new mother to help prevent postpartum infection? 1 “Don’t take tub baths for at least 6 weeks.” 2 “Eat a balanced diet and get as much rest as possible” 3 “Douche with a dilute antiseptic solution twice a day and continue for a week.” 4 “Tampons are better than sanitary napkins for inhibiting bacteria in the postpartum period.” 8. The nurse explains to the client that infertility caused by a defect in the tube is most often related to which condition? 1 A tubal injury 2 Past infection 3 A fibroid tumor 4 A congenital anomaly 9. Which response would the nurse give to the pregnant client who is worried about gaining too much weight in pregnancy? 1 “Too much weight gain results in complications during pregnancy.” 2 “You’ll have to follow a low-calorie diet if you gain more than 15 lb.” 3 “We’re more concerned that you won’t gain enough weight to ensure adequate growth of your baby.” 4 “Let’s look at your weight before the pregnancy and discuss how much weight gain is healthy for you.” 10. Which action would the nurse plan to ensure optimal nutrition during the pregnancy for the client who maintains a vegetarian diet? 1 Refer the client to a dietitian to help plan her daily menu. 2 Encourage the client to join a group that teaches nutrition. 3 Explain that she needs to include meat in her diet at least once a day. 4 Advise the client that it is unhealthy to continue a vegetarian diet during pregnancy. 11. A client at the women’s health clinic tells the nurse that she has endometriosis. Which factors associated with endometriosis would the nurse anticipate the client will report? Select all that apply. One, some, or all responses may be correct. 1 Insomnia 2 Ecchymosis 3 Rectal pressure 4 Abdominal pain 5 Skipped periods 6 Pelvic infections 12. A client with a 35-day menstrual cycle is trying to become pregnant. The nurse would counsel the client and her partner that the optimal timing of intercourse to achieve pregnancy would be on which day? 1 On the 12th day of the cycle 2 On the 14th day of the cycle 3 On the 21st day of the cycle 4 On the 25th day of the cycle 13. The plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vitamins. Which finding would indicate that the therapy is helping? 1 Mobility increases. 2 Fewer muscle spasms occur. 3 The heartbeat is more regular. 4 There are fewer bruises than before therapy. 14. Which information would the nurse consider including to ensure that the pregnant client considering vaccination understands the process of active immunity? 1 Protein antigens are formed in the blood to fight invading antibodies. 2 Protein antibodies are formed to destroy or neutralize antigens. 3 Blood antigens are aided by phagocytes in defending the body against pathogens. 4 Sensitized lymphocytes from an immune donor act as antibodies against invading pathogens. 15. Which definition would the nurse use to explain osteoporosis? 1 It is avascular necrosis. 2 It is caused by pathological fractures. 3 It is hyperplasia of osteoblasts. 4 It involves a decrease in bone substance. 16. On the third postpartum day the nurse is preparing a breast-feeding mother of twins for discharge. Which statement by the client indicates a potential problem? 1 “I’ve been urinating large amounts ever since I gave birth.” 2 “My flow is bright red with small brown clots the size of my thumb.” 3 “My breasts feel full, heavy, and tingly before I breast-feed the babies.” 4 “I hope I’ll stop being so hungry, because I don’t want to gain weight.” 17. Which goal would the client with dysmenorrhea seeking treatment want to achieve? 1 Reducing the pad saturation rate 2 Making intercourse less uncomfortable 3 Easing the pain of the client’s menstruation 4 Eliminating bleeding between menstrual periods 18. Which is the priority nursing intervention for a client with placenta previa who is having vaginal bleeding at this time? 1 Maintaining bed rest 2 Planning for an ultrasound test 3 Preparing for a nonstress test 4 Administering oxygen by way of a mask 19. Which fetal position would the nurse suspect when the fetal heartbeat is heard most distinctly in the upper left quadrant of the abdomen of the client in early labor? 1 Left sacral anterior 2 Left mentum anterior 3 Left occipital anterior 4 Left occipital transverse 20. A client at 6 weeks postpartum confides that she is experiencing exhaustion that is not relieved by sleep and feelings of failure as a mother because the infant “cries all of the time.” When asked whether she has a support system, she replies that she lives alone. Which action would the nurse perform next? 1 Provide information about a local support group. 2 Explain that it can be normal to feel emotional changes, doubt, and fatigue after childbirth. 3 Ask the client questions, using a postpartum depression scale. 4 Suggest that the client find someone who can take care of the baby for 24 hours. 21. Which blood hormone level test would the nurse expect to be ordered on the postmenopausal client with galactorrhea? 1 Prolactin 2 Estrogen 3 Oxytocin 4 Progesterone 22. Which information would be included in the nurse’s anticipatory guidance during the first trimester of pregnancy? 1 Birthing process 2 Breast-feeding issues 3 Physical changes of pregnancy 4 Role transition into parenthood 23. A couple interested in family planning asks the nurse about the cervical mucus method of preventing pregnancy. Which quality of cervical mucous would indicate fertility? 1 White and thick 2 Yellow and thin 3 Cloudy and viscid 4 Clear and stretchable 24. A female client is scheduled for a hysterectomy. While discussing the preoperative preparations, the nurse determines that the client’s understanding of the surgery is inadequate. Which nursing intervention would be performed? 1 Describing the proposed surgery to the client 2 Proceeding with the preoperative plan 3 Notifying the surgeon that the client needs more information 4 Explaining gently to the client that she should have asked more questions 25. Which is the most reliable birth control method for the nurse to recommend to a client with type 1 diabetes? 1 Vaginal sponge 2 Oral contraceptive 3 Natural family planning 4 Diaphragm with a spermicidal gel 00:00:03 Answer Confidence Buttons SCIENCE HEALTH SCIENCE NURSING NUR 3290

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