1. A nurse is caring for a school-aged child who has conduct disorder and is being physically

aggressive toward other children in the unit. Which of the following actions should the nurse take

first?

a. Place the child in seclusion

b. Use therapeutic hold technique

c. Apply wrist restraints

d. Administer risperidone

3. A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The

nurse should recognize that these findings are associated with which of the following personality

disorders?

a. Dependent

b. Paranoid

c. Borderline

d. Histrionic

4. A nurse is caring for a client who is involuntarily admitted for major depressive disorder and

refuses to take prescribed antianxiety medication. Which of the following actions should the nurse

take?

a. Inform the client that he does not have the right to refuse medication

b. Administer the medication to the client via IM injection

c. Offer the client the medication at the next scheduled dose time

d. Implement consequences until the client take the medication

5. A nurse is caring for a client in the emergency department who states she was beaten and sexually

assault by her partner. After a rapid assessment, which of the following actions should the nurse

plan to take next?

a. Conduct a pregnancy test

b. Requests mental health consultation for the client

c. Provide a trained advocate to stay with the

prophylactic medication client.