21.

Patient with anorexia nervosa is severely underweight and has a distorted body
image. Which of the following nursing interventions is most important? Providing a safe
environment and close supervision.
22. A client with binge eating disorder is experiencing feelings of shame and guilt after
binge eating episodes. Which of the following nursing interventions is most helpful?
Helping the client to develop coping mechanisms for managing stress and
emotional distress.
23. A client with Avoidant-Restrictive Food Intake Disorder (ARFID) is experiencing
significant weight loss and nutritional deficiencies. Providing the client with a
structured meal plan and encouraging regular meals.
24. Which of the following is NOT a common characteristic of eating disorders?
Increased appetite and food cravings
25. Which of the following is a risk factor for developing an eating disorder? Family
history of eating disorders
26. Which of the following is a common medical complication associated with eating
disorders? Electrolyte imbalances
27. Which of the following is a key component of treatment for eating disorders?
Nutritional rehabilitation
28. Which of the following is a key nursing intervention for a client with an eating
disorder who is experiencing anxiety? Providing a calm and supportive environment.
29. Which of the following is a key nursing intervention for a client with an eating
disorder who is experiencing depression? Helping the client to identify and
challenge negative thoughts.
30. Which of the following is a key nursing intervention for a client with an eating
disorder who is experiencing body image disturbance? Helping the client to develop a
more positive body image.
31. Nurse Kikay is welcoming Johny Johny YesPapa, a new patient admitted to the
psychiatric unit due to severe obsessive compulsive behaviors. As part of the initial
interaction, she considers how to provide the most therapeutic response to John's
ritualistic behaviors in a way that promotes trust and rapport. What would be her best
approach? Accepting and acknowledging the patient’s need to perform rituals.
32. Nurse Priscila is monitoring Werpalou, a patient hospitalized in an eating disorder
unit, during her mealtime and for one hour afterward. Nurse Priscila knows this is a
standard intervention for patients with eating disorders. What is the primary reason for
this observation period? To deter any attempts at purging behavior.
33. Nurse Lulu is evaluating the progress of Mrs. Montebontez, a patient receiving
treatment for somatoform disorder. To determine whether the treatment has been
effective, Nurse Lulu assesses for which key behavior that indicates success. Mrs.
Montebontez expresses her anxiety verbally instead of displacing it into physical
symptoms.
34. Nurse Killi is developing goals for Alex, a client diagnosed with a dissociative
disorder. She is focused on identifying the most appropriate outcome for his care plan.
Which of the following outcomes would be most suitable for Alex? Alex will address
uncomfortable emotions on a conscious level.
35. Nurse Grace is studying the psychoanalytic theory to better understand the
underlying causes of anorexia nervosa. She reviews different explanations for the
development of the disorder and considers the psychoanalytic perspective. According to
this theory, anorexia nervosa is primarily caused by: A conflict between mother and
child regarding separation and individuation.
36. Mrs. B is diagnosed with borderline personality disorder and has a nursing diagnosis
of Risk for self-directed violence, which is related to the client's self mutilation behavior
(burning arms with cigarette.) Which client behavior would indicate a positive outcome
of intervention? Mrs. B tells the nurse about wanting to burn herself.
37. Nurse Aldrich is working with the family of Mary Ann, a clie personality disorder.
Which of the following should Nurse Aldrich encourage the family members to work on?
Improving self-functioning.
38. The community nurse is speaking to a group of new mothers as part of a primary
prevention program. Which self-measures are most helpful as a strategy to decrease
the occurrence of mood disorders? Verbalizing rather than internalizing feelings.
39. Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse
would find a history of: Symptoms of mania that may or may not be followed by
depression.
40. A client completing requirements for student teaching reports to the nurse an
incident in which a student was rude and disrespectful. Overgeneralization
41. Tyrion describes himself as "very religious, with strong opinions about what is right
and what is wrong." He is quite judgmental about beliefs and lifestyles that are
"unacceptable." Which statement supports the nurse's analysis that this client's
behavior is typical of someone with a personality disorder? Inflexible behaviors, along
with use of rigid defense mechanisms, are characteristic.
42. Which statement about an individual with personality disorder is true? The
individual typically remains in the mainstream of society, although he has
problems in social and occupational roles.
43. Which nursing action is most appropriate when trying to diffuse a client's impending
violent behavior? Helping the client identify and express feelings of anxiety and
anger.
44.Rosana is in the second stage of Alzheimer's disease who appears to be in pain.
Which question by Nurse Jenny would best elicit information about the pain? "Do you
hurt? (pause) Do you hurt?"
45. Which client outcome would best indicate successful treatment for a client with an
antisocial personality disorder? The client has decreased episodes of impulsive
behaviors.
46. Which of the following is the most distinguishing feature of a client with an antisocial
personality disorder? Disregard for social and legal norms.
47. Which nursing diagnosis is most appropriate for a client with anorexia nervosa who
expresses feelings of guilt about not meeting family expectations? Anxiety
48. A nurse is evaluating therapy with the family of a client with anorexia nervosa.
Which of the following would indicate that the therapy was successful? The parents
reinforced increased decision-making by the client.
49. A patient presents with a history of severe, recurrent temper outbursts that are out
of proportion to the situation. These outbursts occur at least three times per week and
have been present for over a year. The patient also exhibits persistent negative moods
between outbursts. Which of the following DSM-5 diagnoses is most likely? Disruptive
Mood Dysregulation Disorder (DMDD)
50. Which of the following is NOT a typical characteristic of mania? Feelings of
worthlessness.
51. The community nurse focusing on primary prevention of alcohol abuse should direct
educational efforts toward which groups? Teenagers in their late teens and adults in
their early twenties.
52. Nurse Kelly suggests that the family of a client with a substance-related disorder
participate in a support group. The goal of these groups is to help family members
understand the issue and to: Focus on changing their own behaviors.
53. Nurse Kelly is conducting an initial assessment for Mr. Harris, a new admission to
the substance abuse unit undergoing detoxification. To accurately understand Mr.
Harris's patterns of substance use, which questions should Nurse Kelly prioritize asking
at this time? "How long have you been using substances, and how often do you
use them?"
54. Which of the following is a key component of the 12-step. program model for
recovery from substance abuse? Total abstinence
55. Which of the following is NOT a common symptom of opioid withdrawal? Dilated
pupils.
56. A patient with a history of cocaine use is admitted to the hospital. Which of the
following is a potential complication of cocaine use? All of the above.
57. A 45-year-old woman with a history of depression tells a nurse i her doctor's office
that she has difficulty with sexual arousal and is fearful that her husband will have an
affair. Which of the following factors would the nurse identify as least significant in
contributing to the client's sexual difficulty? Education and work history
58. The emergency department nurse is assigned to provide care for a victim of a
sexual assault. When following legal and agency guidelines, which intervention is most
important? Ensure an unbroken chain of evidence.
59. Which factor is least important in the decision regarding whether a victim of family
violence can safely remain in the home? The family's socioeconomic status.
60. A patient presents with a history of heavy alcohol use and reports experiencing
visual and tactile hallucinations, increased vital signs, and tremors. What is the most
likely diagnosis? Delirium Tremens.
61. A patient reports experiencing persistent genital pain during. sexual intercourse.
Which of the following terms best describes this condition? Dyspareunia
62. You are working with a patient who has a history of substance abuse and is now
seeking help to manage their cravings and prevent relapse. The patient expresses a
desire to connect with others in recovery. What is the most appropriate nursing
intervention? Encourage the patient to attend support groups and connect with
others who have successfully overcome substance abuse.
63. You are working with a patient who has been diagnosed with Exhibitionism. The
patient expresses a desire to change their behavior but is struggling to control their
urges. What is the most appropriate nursing intervention? Encourage the patient to
participate in individual therapy to address underlying psychological factors and
develop coping mechanisms.
64. You are working with a patient who has a history of opioid addiction and is now
seeking help to manage their cravings and prevent relapse. The patient is concerned
about the potential side effects of medication. What is the most appropriate nursing
intervention? Educate the patient on the various medication options available to
manage withdrawal symptoms and reduce cravings, including the potential side
effects and benefits.
65. You are working with a patient who has been diagnosed with Female Sexual
Arousal Disorder. The patient reports experiencing difficulty achieving and maintaining
lubrication during sexual activity. They are concerned about the impact this is having on
their relationship. What is the most appropriate nursing intervention? Educate the
patient on the various treatment options available, including medication, therapy,
and lifestyle changes.
66. You are working with a patient who has been diagnosed with Dyspareunia. The
patient expresses a desire to resume sexual activity but is fearful of experiencing pain.
What is the most appropriate nursing intervention? Refer the patient to a specialist,
such as a gynecologist, for a comprehensive evaluation and treatment plan.
67. Which of the following is NOT a type of child abuse? Financial exploitation
68. Which of the following is a common symptom of Rape Trauma Syndrome? Fear and
anxiety.
69. Which of the following is NOT a characteristic of an abusive husband in Battered
Wife Syndrome? High self-confidence.
70. Which of the following is a type of Dissociative Disorder? Dissociative Identity
Disorder.
71. You are working with a patient who has a history of intimate partner violence. The
patient reports feeling trapped and afraid to leave their abusive partner. What is the
most appropriate nursing intervention? Encourage the patient to develop a safety
plan with a trusted friend or family member.
72. You are working with a patient who has a history of child abuse. The patient reports
feeling angry and resentful towards th What is the most appropriate nursing
intervention? Encourage the patient to express their feelings in a supportive
environment.
73. You are working with a patient who has been diagnosed with Dissociative Amnesia.
The patient reports being unable to remember significant periods of their life. What is
the most appropriate nursing intervention? Educate the patient on the nature of
Dissociative Amnesia and the importance of seeking professional help.
74. You are working with a patient who has a history of intimate partner violence. The
patient reports experiencing physical injuries and emotional distress. What is the most
appropriate nursing intervention? Provide emotional support and a safe space for
the patient to share their experience.
75. You are working with a patient who has been diagnosed with PTSD. The patient
reports experiencing flashbacks, nightmares, and difficulty sleeping. What is the most
appropriate nursing intervention? Encourage the patient to participate in individual
therapy to address the trauma and develop coping mechanisms.
76. You are a nurse working with a patient who is experiencing anxiety and difficulty
expressing their feelings. Which of the following communication techniques is most
helpful in encouraging the patient to share their thoughts and emotions? Using
open-ended questions and active listening to create a safe space for the patient
to talk.
77. A patient is expressing anger and frustration towards the healthcare team. Which of
the following responses is most therapeutic? "It sounds like you're feeling really
frustrated. Can you tell me more about what's bothering you?"
78. You are working with a patient who is experiencing a crisis. Which of the following
communication techniques is most important in this situation? Using clear and concise
language to ensure the patient understands the situation.
79. A patient is sharing a very personal and sensitive story with you. Which of the
following actions is most appropriate? Maintaining eye contact and nodding to show
that you are listening.
80. You are working with a patient who is experiencing a lot of pain. Which of the
following communication techniques is most helpful in managing the patient's pain?
Using open-ended questions to help the patient describe their pain in detail.
81. Nurse Sarah is talking to a patient who shares, "When I am anxious, the only thing
that calms me down is alcohol." Nurse Sarah responds, 'Other than drinking, what
alternatives have you explored to decrease anxiety?* What therapeutic communication
technique is she using? Helping formulate a plan of action.
82. Nurse Laura is approached by a neighbor while shopping, who asks, "How is Mary
doing? She is my best friend and is seen at your clinic every week." Nurse Laura must
respond appropriately, considering patient confidentiality. What should she say? "I'm
not able to discuss any patient information with you."
83. A patient in an inpatient psychiatric unit confides in Nurse Sara, saying, "I should
have died because I am totally worthless." To encourage the patient to continue
expressing these feelings, what should be Nurse Sara's initial response? "It sounds
like you've been feeling sad and alone for quite a while?"
84. Nurse Laura greets a newly admitted patient and asks, "What can we do to help
you?" What is the primary purpose of this therapeutic communication technique? To
explore the patient's needs, thoughts, or experiences.
85. Nurse Alexis is speaking with a patient who expresses sadness, saying, "I feel bad
because my mother doesn't want me to come back home after I leave the hospital."
What is the most therapeutic response Nurse Alexis can offer? "It sounds like you feel
that your mother doesn't want you to return home?"
86. You are a nurse working in a community health center. A young woman comes in for
a routine checkup and mentions that she has been experiencing physical and emotional
abuse from her partner. She is afraid to leave him and doesn't know what to do. What is
the most appropriate initial response as a nurse? Reassure the patient that she is not
alone and that there are resources available to help her.