1. A client is fearful of driving and enters a behavioral therapy program to help

him overcome his anxiety. Using systematic desensitization, he is able to drive

down a familiar street without experiencing a panic attack. The nurse should

recognize that to continue positive results, the client should participate in which of

the following?

a. Biofeedback

b. Therapist modeling

c. Frequent pacing

d. Positive reinforcement

2. A nurse is counseling a client following the death of the client’s partner 8

months ago. Which of the following client statements indicates maladaptive

grieving?

a. “I am so sorry for the times I was angry with my partner.”

b. “I like looking at his personal items in the closet.”

c. “I find myself thinking about my partner often.”

d. “I still don’t feel up to returning to work.”

Rationale: 8 months too long Maladaptive Grief: . Distorted or exaggerated grief

response - unable toperform activities of daily living.

RISK FACTORS FOR MALADAPTIVE GRIEVING

●● Being dependent upon the deceased

●● Unexpected death at a young age, through violence, or by a socially

unacceptable manner

●● Inadequate coping skills or lack of social support

●● Pre-existing mental health issues, such as depression or substance use disorder

3. A nurse in an inpatient mental health facility is assessing a client who has

schizophrenia and is taking haloperidol (anti-psychotic, 1st gen).

Which of the following clinical findings is the nurse’s priority?

a. Headache

b. Insomnia (sedation)

c. Urinary hesitancy (Complication → ANTIcholinergic effects)

d. High fever (Complication → agranulocytosis)

Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive

dyskinesia, Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual

irregularities), NMS, Orthostatic Hypotension, Sedation, Sexual dysfunction, Skin

effects, Liver impairment