. A 15-year-old female client is admitted to the adolescent
psychiatric unit with a diagnosis of anorexia nervosa. She is 5
feet 5 inches tall and weighs 82 pounds. She was selected to join
the cheerleading squad for the fall but states that she is not as
good as the others on the squad. The treatment team has
identified the following problems: refusal to eat, occasional
purging, refusing to interact with staff and peers, and fear of
failure. Which of the following nursing diagnoses would be
appropriate for this client? (Select all that apply.)
a. Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements Correct
Answer a. Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements
. A client whose husband died 6 months ago is given a diagnosis
of major depressive disorder. She says to the nurse, "I start
feeling angry that Harold died and left me all alone; he should
have stopped smoking years ago! But then I start feeling guilty
for feeling that way." What is an appropriate response by the
nurse?
a. "Yes, he should have stopped smoking. Then he probably
wouldn't have gotten lung cancer."
b. "I can understand how you must feel."
c. "Those feelings are a normal part of the grief response."
,d. "Just think about the good times that you had while he was
alive." Correct Answer c. "Those feelings are a normal part of
the grief response."
. A decrease in which of the following neurotransmitters has
been implicated in depression?
a. Gamma-aminobutyric acid, acetylcholine, and aspartate
b. Norepinephrine, serotonin, and dopamine
c. Somatostatin, substance P, and glycine
d. Glutamate, histamine, and opioid peptides Correct Answer b.
Norepinephrine, serotonin, and dopamine
. A nurse is conducting a diabetic medication education group
for patients on a medical unit. Which of these actions by the
nurse is the most important priority during the first meeting of
this group?
a. Ask the patients where they would like to begin.
b. Try to identify what role each of the members is assuming.
c. Conduct fingerstick blood sugars on each attendee.
d. Explain how the meetings will be structured. Correct Answer
d. Explain how the meetings will be structured.
. The nurse says to a client, "You are being readmitted to the
hospital. Why did you stop taking your medication?" What
communication technique does this represent?
a. Disapproving
b. Requesting an explanation
c. Disagreeing
d. Probing Correct Answer b. Requesting an explanation
,. The parents of a 14-year-old child ask the nurse for suggestions
about how to promote homework completion and less time spent
on social media. The nurse believes the Premack principle may
be helpful. What should the nurse suggest to the parents?
a. Tell the parents to reward their son each time homework is
attempted, even if it is only for 5 minutes.
b. Tell the parents to ignore this behavior, and eventually the
child will start completing the homework without prompting.
c. Tell the parents to draw up a contract stating what the
consequences will be if homework is not completed.
d. Tell the parents to explain to their child that TV is only
permitted after the homework is completed. Correct Answer d.
Tell the parents to explain to their child that TV is only
permitted after the homework is completed.
. Which of the following parts of the brain is concerned with
hearing, short-term memory, and sense of smell?
a. Temporal lobe
b. Parietal lobe
c. Cerebellum
d. Hypothalamus Correct Answer a. Temporal lobe
. Which of the following tasks are associated with the
orientation phase of relationship development? (Select all that
apply.)
a. Promoting the patient's insight and perception of reality
b. Creating an environment for the establishment of trust and
rapport
c. Using the problem-solving model toward goal fulfillment
d. Obtaining available information about the patient from
various sources
, e. Formulating nursing diagnoses and setting goals Correct
Answer b. Creating an environment for the establishment of
trust and rapport
e. Formulating nursing diagnoses and setting goals
1. A client who is angry with his psychiatrist says to the nurse,
"He doesn't know what he is doing. That medication isn't
helping a thing!" The nurse responds, "He has been a doctor for
many years and has helped many people." This is an example of
what nontherapeutic technique?
a. Rejecting
b. Disapproving
c. Probing
d. Defending Correct Answer d. Defending
1. Three years ago, Anna's dog, Lucky, her pet for 16 years, was
killed by a car. Since that time, Anna has lost weight, rarely
leaves her home, and talks excessively about Lucky. Anna's
behavior would be considered maladaptive for which of the
following reasons?
a. It has been more than 3 years since Lucky died.
b. Her grief is too intense over the loss of a dog.
c. Her grief is interfering with her functioning.
d. Cultural norms typically do not comprehend grief over the
loss of a pet. Correct Answer c. Her grief is interfering with her
functioning.
1. Which of the following is most likely to initiate a grief
response in an individual? (Select all that apply.)
a. Death of a pet dog
b. Being told by her doctor that she has begun menopause
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