1. A nurse is planning overall strategies to address problems for a client who has borderline personality

disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of

care?

a. discuss the appropriate use of assertive behavior with the client

b. encourage the client to attend weekly support group meetings

c. assist the client to maintain awareness of her thoughts and feelings

d. implement measures to prevent intentional self-inflicted injury

d

2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions

should the nurse plan to take first?

a. Provide the client with a quiet environment

b. Determine how the client handles stress.

c. Teach the client to use guided imagery.

d. Ask the client to identify her strengths

3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the

following should the nurse report to the provider?

a. States that he hasn’t bathed in 2 days

b. Reports eating twice in the past two weeks.

c. Makes inappropriate sexual comments.

d. Speaks in rhyming sentences.

4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following

recommendation should the nurse include in the clients plan of care?

a. Validation therapy

b. Thought stopping

c. Operant conditioning

d. Reality orientation therapy

b

5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of

the following actions should the nurse take?

a. Encourage the client to join group activities

b. Dim the lights in the clients room

c. Provide detailed explanations to the client

d. Administer methylphenidate