1. The nurse is working with an adolescent client with social anxiety disorder who will be attending college in 6 months. The parent tells the nurse that this anticipated change is already causing increased anxiety for the client. Which action reported by the client does the nurse evaluate as indicating the greatest amount of progress? The client:

a. arranges an overnight visit at a college with a current student

b. sends an electronic application to a college close to home

c. attends open houses at colleges of interest with the parent

d. decides to go to a community college and commute from home

2. A hospitalized client is dying and is very weak, tired and short of breath. The appropriate nursing care plan for this client and the client’s family will include:

a. allowing family members to spend as much time as possible with the client

b. limiting visiting hours to help the client conserve energy

c.planning all of the client’s care to be done at one time so long intervals of rest  can be scheduled

d. having the client do as much self care as possible to increase self esteem and independence

3. The community health nurse notes several suspicious bruises and old burns on an infant. Which is the nurse’s priority action?

a. call the child protection hotline and report possible abuse

b.discuss the family with the physician and social worker at the next team meeting

c.carefully record the visit for follow-up

d.tell the parent that child protection will be notified if injuries are noted at the next visit.

4. The nurse understands that the best explanation for involuntary admission for psychiatric treatment is that:

a. a psychiatrist has determined the client’s behavior is irrational

b. the client exhibits behavior that is a threat to either the client or to society

c. The client is unable to manage the affairs necessary for daily life

d. the client has broken a law