1. A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive

and continually interrupts the group. What is the nurse's best response?

• When you interrupt, I cannot explain what to do to the group.

2. When performing a MSE on a client which assessment intervention would best assist the

nurse?

• Ask the client to interpret the proverb a stitch in time saves nine.

3. A client comes in after being in a car accident and is experiencing alcohol withdrawal,

magnesium level of 1.1, cardiac dysrhythmias. What would you give first?

• Magnesium.

4. A woman isjust told of her husband's dx of terminal cancer. What would the nurse offer

for the spouse (wife)?

• How would you like to be involved with your husband's care?

5. A nurse isto remove staplesfrom an abdominal incision, the client is very anxious. What is

the most important intervention?

• Attempt to distract the client with general conversation.

6. A man who wasstranded on the roof of his house for two days after a natural disaster,

months later ...

• Implement anxiety control strategies

7. A man dx with bipolar disorderstates, "I don't understand, I believe in God and have not

done anything to deserve this". What is the nurse's best response?

• You didn't do anything wrong. You have a chemical imbalance in your brain.

8. A client becomes upset when the nurse he requests is not assigned to him, what is the

nurse's best response?

• Advise the client that nursing assignments are not based on client requests.

9. A client needs to wash her hands for two hours before able to go on with her morning.

She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this

mechanism?

• Compulsion.