Quiz 4: Nursing Care Of The Client With Anxiety And Depression

25 Questions  I  By PNweekend
This is a multiple choice, multiple response and True/False answer quiz. Avoid memorizing answers as questions on future exams will be worded differently.

  
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1.  A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. The appropriate nursing action is to:               
A.
B.
C.
D.
2.  Choose all nursing interventions for a hospitalized client with mania who is exhibiting manipulative behavior (Select all that apply)               
A.
B.
C.
D.
E.
3.  A nurse answering a hotline at a rape crisis center should instruct a victim to bathe and shower before going to the Emergency department of the local hospital.
A.
B.
4.  A mother of a teenage daughter with anxiety disorder is concerned about her daughter's progress on discharge. She states that her daughter "stashes food, eats all the wrong things that make her hyperactive," and "hangs out with the wrong crowd." In helping the mother prepare for her daughter's discharge, the nurse suggests that the mother:                
A.
B.
C.
D.
5.  A nurse working in an urgent care center is interviewing a woman with vague somatic complaints. When the nurse is alone with the client, the client states that she was raped a few weeks ago but still feels “as if it just happened to me.” The nurse should make which therapeutic response to the client?
A.
B.
C.
D.
6.  A nurse is having a conversation with a depressed client in an inpatient psychiatric unit. The client says to the nurse, “Things would be so much better for everyone if I just weren’t around.” Which response by the nurse would be appropriate at this time?
A.
B.
C.
D.
7.  Frequent panic attacks should be treated as soon as possible to decrease likelihood that the client may fear venturing from home and become reclusive.
A.
B.
8.  If a client admits that domestic violence and abuse are occurring, the most beneficial nursing intervention would be to identify resources for shelter and safety of the victim.
A.
B.
9.  A depressed client who is scheduled for a series of ECT treatments is most likely to experience headache and short-term memory loss in the immediate post-procedure period.
A.
B.
10.  An anxious client reports to the nurse that she feels weak and dizzy. The nurse should respond by:
A.
B.
C.
D.
11.  A client who was recently paroled as a sex offender is in therapy for pedophilia. The client says, "I’ve served my sentence and I’m still in therapy, so why does this group have posters of me all over the neighborhood? It has my picture on it and tells all about me." Which of the following would be the therapeutic response by the nurse?
A.
B.
C.
D.
12.  A 52-yr old male is brought by ambulance to the emergency department. His general appearance is unkempt and he smells of urine. He complains of inability to sleep, loss of appetite, and lack of energy. He also expresses lack of confidence in the ability of the staff to help him with his problems and he refuses to answer questions, asking to be left alone so he can get some sleep. Which interpretation of the client's behavior is most likely?
A.
B.
C.
D.
13.               A nurse is caring for an elderly client whose husband died approximately 6 weeks ago. The client says, "There’s no one left to care about me. Everyone that I have loved is now gone." The nurse would make which appropriate response?
A.
B.
C.
D.
14.  A nurse reviews the activity schedule for the day and determines that the best activity that the manic client could participate in is:            
A.
B.
C.
D.
15.  A woman comes into the emergency department in a severe state of anxiety following a car accident. The most important nursing intervention is to:
A.
B.
C.
D.
16.  A nurse collects data on a client with a diagnosis of bipolar affective disorder mania. The finding that requires the nurse's immediate intervention is:
A.
B.
C.
D.
17.  A client is unwilling to go out of the house for fear of "doing something crazy in public." Because of this the client remains homebound, except when accompanied outside by a trusted adult. The nurse determines that the client has:
A.
B.
C.
D.
18.  A nurse is caring for a client with a diagnosis of depression. The nurse monitors for sings of constipation and urinary retention, knowing that these problems are likely caused by:
A.
B.
C.
D.
19.  The best way for a nurse to determine whether domestic violence abuse is occurring is:
A.
B.
C.
D.
20.  A client has been brought to the emergency department after attempting to commit suicide by hanging. The nurse should take which nursing action first?
A.
B.
C.
D.
21.  A client is preoccupied with persistent intrusive thoughts and ideas and uses ritualistic behavior to decrease anxiety associated with the unwelcome thoughts.  The most therapeutic treatment options for this client would include: (Select all that apply)
A.
B.
C.
D.
22.  Nursing diagnoses for the client with bipolar disorder include all of the following, except:
A.
B.
C.
D.
E.
F.
23.  A client who attempted suicide by overdosing with a very large number of antidepressant pills has been admitted to the psychiatric unit. The nurse, being most concerned with the client’s safety, would take which immediate action?
A.
B.
C.
D.
24.  A client with a specific phobia like claustrophobia typically uses avoidance as a coping mechanism to deal with fear.
A.
B.
25.  A nurse enters the room of a middle-aged executive who is on the telephone arguing with his business partner. He abruptly hangs up the phone and becomes angry with the nurse. This client is using which coping mechanism?
A.
B.
C.
D.
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