Practice Question
The nurse has received the evening report. Which client would the nurse need to assess first?
Answer Choices:
Correct Answer:
A client pacing the halls and stating that his or her anxiety is an 8/10
Rationale:
🎯Pacing the halls and expressing high anxiety (8/10) suggest that the client is in immediate distress, which requires the nurse’s attention first.
🎯A newly admitted client with a history of panic attacks may need assessment but is not as urgent as a client expressing severe anxiety.
🎯A client with flashbacks has been awake and may be exhausted but does not present the same level of immediate distress.
🎯A client awaiting discharge is not in acute distress and can be seen later.
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This question is from Exam 2 Mental Health which contains 50 questions.
More Questions from This Exam
A client experiencing a panic attack would display which physical symptom?
Answer Choices:
A. Restlessness and pacing
B. Sweating and palpitations
C. Depersonalization
D. Hallucinations
The nurse is using a cognitive intervention to decrease anxiety during a client's panic attack. Which client statement would indicate that the intervention has been successful?
Answer Choices:
A. "I reminded myself that the panic attack would end soon, and it helped."
B. "I paced the halls until I felt my anxiety was under control."
C. "I felt my anxiety increase, so I took a lorazepam (Ativan) to decrease it.”
D. "Thank you for staying with me. It helped to know staff was there."
Which of the following describes assisting the client to confront situations and anxiety-provoking stimuli?
Answer Choices:
A. Exposure
B. Response prevention
C. Avoidance behavior
D. Assertiveness training
A client chronically pulls out his or her hair as a self-soothing behavior. The nurse documents on the client's chart, "Noted multiple bald spots on the clients scalp and right eyebrow.” The client is displaying symptoms of which disorder?
Answer Choices:
A. Trichotillomania
B. Excoriation disorder
C. Oniomania
D. Kleptomania
A client with obsessive compulsive disorder performs ritualistic behaviors for most of the day which interferes with normal activities of daily living. The nurse notices the client is counting each step taken and hears, "Twenty-six thousand four hundred fifty-two. Twenty-six thousand four hundred fifty-three..." Which nursing intervention is best?
Answer Choices:
A. Interrupt the client and attempt to distract the client
B. Stop the client from continuing the ritual
C. Gradually limit the time spent on the ritual
D. Ask the physician for orders of intramuscular sedatives
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4