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

2. A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis

procedures should the nurse anticipate the provider should describe during the medical evaluation?

a. Chest x-ray

b. ECG

c. Coagulation studies

d. Liver function test

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 isinvoluntarily admitted for major depressive disorder and refusesto

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 nextscheduled 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 client

d. Offer prophylactic medication to prevent STI’s

6. A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his

partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form.

Which of the following actions should the nurse take?

a. Request that the client’s partner sign the consent form

b. Cancel the scheduled ECT procedure

c. Proceed with the preparation for ECT based on implied consent

d. Inform the client about the risks of refusing the ECT

7. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just

trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to

leave. Which of the following defense mechanisms is the client demonstrating?

a. Rationalization

b. Denial

c. Compensation

d. Displacement

8. A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder.

The AP states that he is irritated by the client’s depression. Which of the following statements by the

nurse is appropriate?

a. Please don’t take what the clientsaid seriously when she is depressed

b. It’s important that the client feel safe verbalizing how she isfeeling

c. Everybody feels that way about this clientso don’t worry about it

d. I’ll change your assignment to someone who doesn’t have depressive disorder