Updated 2023 RN Comprehensive Predictor ( Form D ) Questions and Answers (Solved) 1. A nurse is caring for a client who was newly diagnosed with breast cancer that has metastasized into the spine. The client refuses to discuss treatment options. The nurse should identify that the client is experiencing which of the following stages of Kübler -Ross' grief theory? Denial. 2. A nurse is caring for a client who h as schizophrenia and states, "My doctor is trying to kill me.' Which of the following responses should the nurse make? It must be frightening to feel that your doctor is trying to kill you. 3. A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the following findings should the nurse monitor when evaluating the effectiveness of the medication? Reduced aggression. 4. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include? An involuntary admission is justified if the client is a danger to others. 5. A nurse is assessing a client who has schizophrenia. The client suddenly states, "I'm blue, so are you, and I'm leaving on a choo, choo, choo!" The nurse should identify the client's statement as which of the following speech patterns? Clang association. 6. A nurse is creating a plan of care for a client who has Alzheimer's disease with moderate cognitive decline. Which of the following interventions should the nurse include to orient the client to the present? Talk with the client about scheduled daily activ ities. 7. A nurse is speaking with a client whose partner was killed unexpectedly. The client states, "I just don't know what to do now." Which of the following actions should the nurse take? Talk to the client about available community resources. 8. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client? Denial. 9. A nurse is caring for a client who has borderline personality disorder. The client has previously identified another nurse as his favorite, stating, "He's the best nurse ever." When that nurse calls in sick, which of the following statements indicates that the client is using splitting as a method of coping? He's the worst nurse that's ever -taken care of me. 10. has schizophrenia. The client states, "I like to play ball. Walk down the hall. Be careful; don't fall." The nurse should identify that the client is using which of the following speech patterns? Clang association. 11. A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication? Xerostomia. 12. A nurse is providing teaching to the partner of a client who has alcohol use disorder. Which of the following statements by the partner indicates an understanding of the teaching? Having 6 beers in 2 hours is considered too much. 13. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse perform? Identify the client's feelings that led to self-injurious behavior. 14. A nurse is assessing a client who has schizophrenia. The client states, I need to get my gummamoshu from by my house.” The nurse recognizes this statement as an example of which of the following? Neologism. 15. A nurse is caring for a client who has anxiety disorder. The client states that she forgot her partner's birthday after they had an argument. The nurse recognizes this action as which of the following defense mechanisms? Repression. 16. A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under a court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display? Anger with the nursing staff for hospitalizing him against his will. 17. A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship? Facilitate a change in the client's behavior. 18. A nurse working in the emergency department is caring for a client following an overdose of pentobarbital sodium. For which of the following findings should the nurse assess the client? Respiratory depression. 19. has borderline personality disorder. Which of the following manifestations should the nurse expect? Self-mutilation. 20. A nurse in an acute care mental health facility is evaluating the plan of care for a client who has major depressive disorder and was admitted 1 week ago following a suicide attempt. Which of the following client statements should indicate to the nurse that the treatment plan has been effective? I was feeling completely hopeless when I tried to kill myself. 21. A nurse is caring for a client who has a terminal illness. The client yells at the nurse, "Get out of my sight. You're always bothering me about something!" Which of the following responses should the nurse provide? I'll be here if you would like to talk about how you feel. 22. A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate. Which of the following blood tests should be performed periodically? Glucose. 23. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that the group requires further teaching when a member identifies which of the following findings as a manifestation of Alzheimer's disease? Sudden confusion. 24. A nurse at an acute mental health facility is caring for a client who has acute mania due to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediate ly. Which of the following responses should the nurse offer? You must be very upset about something to want to see your provider in the middle of the night. 25. A nurse is providing teaching to a client who has insomnia. Which of the following statements should the nurse make? If you aren't able to sleep, you can get out of bed and read a book. 26. A nurse is teaching a client who has an anxiety disorder about nonpharmacological ways to promote good sleep habits. Which of the following recommendations should the nurse make? Eat a light snack containing carbohydrates before bedtime. 27. A nurse is caring for a client who has obsessive -compulsive disorder. Which of the following actions should the nurse take first? Determine the client's anxiety level. 28. was admitted to the mental health unit for substance use disorder.
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