Question 1 of 5

A client has recently been diagnosed with polycystic kidney disease. The nurse has a series of discussions with the client that are intended to help the client adjust to the disorder. Which should the nurse plan to include as part of one of these discussions?

A. Ongoing fluid restrictionB. The need for genetic counselingC. The risk of hypotensive episodesD. Depression regarding massive edema

Correct Answer: B

Rationale: Adult polycystic kidney disease is a hereditary disorder that is inherited as an autosomal-dominant trait. Because of this, the client and the extended family should have genetic counseling. Ongoing fluid restriction is unnecessary. The client is likely to have hypertension rather than hypotension. Massive edema is not part of the clinical picture of this disorder.

Question 2 of 5

The nurse is assessing a client who was just admitted to the psychiatric unit. The client says, 'You won't have to worry about me much longer.' Which meaning should the nurse interpret from this statement?

A. An intention of suicideB. An expression of depressionC. An intention of self-mutilationD. An expression of hopelessness

Correct Answer: A

Rationale: A client who is at risk for suicide who says, 'You won't have to worry about me much longer,' is making an expression of a suicidal intent. Although depression, self-mutilation, and hopelessness may relate to violence to oneself, the statement that he or she will not be around is a direct comment about the act of suicide.

Question 3 of 5

Which comment made by the parents of a male infant who will have a surgical repair of a hernia indicates a need for further teaching by the nurse?

A. I understand that surgery will repair the hernia.'B. I don't know if he will be able to father a child when he grows up.'C. The day nurse told me to give him sponge baths for a few days after surgery.'D. I'll need to buy extra diapers because we need to change them frequently now.'

Correct Answer: B

Rationale: The anatomical location of a hernia frequently causes more psychological concern to the parents than does the actual condition or treatment. The remaining options all indicate accurate understanding associated with the surgery. The correct option is an incorrect comment requiring follow-up.

Question 4 of 5

An older adult client who appears alert, oriented, and well-groomed shares with the nurse, 'Lately, I am seeing things that are not there. It is always people. I am awake and sitting down and I know they are not there, but I see them.' Which response by the nurse is appropriate?

A. Has anyone in your family ever been diagnosed with schizophrenia?B. What medications have you been taking recently?C. Don't worry. You may actually have been asleep and dreaming.D. The Alzheimer organization offers some tests you may want to take.

Correct Answer: B

Rationale: Inquiring about medications explores potential causes of hallucinations, such as side effects, which is a common issue in older adults. Schizophrenia or Alzheimer’s assumptions are premature, and dismissing as dreaming ignores the client’s awareness.

Question 5 of 5

The nurse is working in a mental health facility that uses group therapy with the clients. The nurse understands which to be correct regarding group therapy?

A. The termination stage begins with the initial group meeting.B. Members' feelings about their accomplishments are explored in the working stage.C. During the working stage, members may be unclear about the purpose of the group.D. Group roles and responsibilities are established in the working stage of group therapy.

Correct Answer: D

Rationale: Group roles and responsibilities are established in the working stage, when members actively engage in therapeutic goals.