1. A 30-year-old sales manager tells the nurse, "I am thinking about a job change. I don't feel

like I am living up to my potential." Which of Maslow's developmental stages is the sales

manager attempting to achieve?

A. Self-Actualization. Correct

B. Loving and Belonging.

C. Basic Needs.

D. Safety and Security.

Self-actualization is the highest level of Maslow's development stages, which is an attempt to

fulfill one's full potential (C). (B) is identifying support systems. (C) is the first level of Maslow's

developmental stages and is the foundation upon which higher needs rest. Individuals who feel

safe and secure (D) in their environment perceive themselves as having physical safety and lack

fear of harm.

2. The nurse observes a client who is admitted to the mental health unit and identifies that

the client is talking continuously, using words that rhyme but that have no context or

relationship with one topic to the next in the conversation. This client's behavior and thought

processes are consistent with which syndrome?

A. Dementia.

B. Depression.

C. Schizophrenia. Correct

D. Chronic brain syndrome.

The client is demonstrating symptoms of schizophrenia (C), such as disorganized speech that

may include word salad (communication that includes both real and imaginary words in no

logical order), incoherent speech, and clanging (rhyming). Dementia (A) is a global impairment

of intellectual (cognitive) functions that may be progressive, such as Alzheimer's or organic

brain syndrome (D). Depression (C) is typified by psychomotor retardation, and the client

appears to be slowed down in movement, in speech, and would appear listless and disheveled.

3. A homeless person who is in the manic phase of bipolar disorder is admitted to the mental

health unit. Which laboratory finding obtained on admission is most important for the nurse

to report to the healthcare provider?

A. Decreased thyroid stimulating hormone level. Correct

B. Elevated liver function profile.

C. Increased white blood cell count.

D. Decreased hematocrit and hemoglobin levels.

Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which

inhibit the release of TSH (A), so the client's manic behavior may be related to an endocrine