1. A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the hall.
Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution.
2. A female client with obsessive compulsive personality disorder is admitted to the hospital for
a cardiac catheterization. The afternoon before the procedure, the client begins to keep detailed
notes of the nursing care she is receiving, and reports her findings to the RN at bedtime. What
action should the nurse implement? A. Explain to the client that her behavior invades the rights
of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure.
3. During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important for the
RN to implement during the admission process? A. Assist the client in developing alternative
coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
4. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless and
is exhibiting suspiciousness. The client's plan of care should include what priority problem? A.
Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
5. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, "I can't believe
this. What should I do?" Which response is best for the RN to provide in this crisis? A. Tell me
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