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

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 theprovider?

a. Statesthat 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 inthe clients plan of

care?

a. Validation therapy

b. Thought stopping

c. Operant conditioning

d. Reality orientation therapy

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 client’s room

c. Provide detailed explanations to the client

d. Administer methylphenidate

6) A nurse is leading a crisis intervention group for adolescents who witnessed the

suicide of a classmate. Which of the following actions shouldthe nurse take first?

a. Initiate referrals

b. Review community resources

c. Identify prior coping skills

d. Discuss the importance of confidentiality

7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye

for an eye in the sky. Sky is up high." The nurse should document the client’s

statement as which of the following speech alterations?