Extract:

Question 1 of 5

A client with dementia is found wandering at night. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Door alarms and motion sensors ensure safety by alerting staff to wandering, addressing the behavior without restrictive measures.

Question 2 of 5

Which of the following statements indicates to the nurse that the client is progressing toward recovery from a somatoform disorder?

A. I understand my pain will feel worse when I'm worried about my divorce.' B. My stomach pain will go away once I get properly diagnosed.' C. My headache feels better when I time my medication dose.' D. I need to find a doctor who understands what my pain is like.'

Correct Answer: A

Rationale: Saying 'Pain feels worse when worried about my divorce' indicates progress, as it shows insight into the link between emotional stress and physical symptoms.

Question 3 of 5

Which of the following should the nurse expect to include as a priority in the plan of care for a client with delirium based on the nurse's understanding about the disturbances in orientation associated with this disorder?

A. Identifying self and making sure that the nurse has the client's attention. B. Eliminating the client's napping in the daytime as much as possible. C. Engaging the client in reminiscing with relatives or visitors. D. Avoiding arguing with a suspicious client about his perceptions of reality.

Correct Answer: A

Rationale: Identifying self and ensuring the client's attention helps reorient the client and establishes a connection, addressing the disorientation common in delirium.

Question 4 of 5

A client with schizophrenia is started on asenapine (Saphris). Which instruction is most important?

A. Dissolve the tablet under the tongue. B. Swallow the tablet with water. C. Take the tablet with food. D. Avoid chewing the tablet.

Correct Answer: A

Rationale: Asenapine is a sublingual tablet that must dissolve under the tongue for proper absorption, ensuring efficacy.

Question 5 of 5

A nurse is conducting a psychoeducational group for family members of clients hospitalized with depression. Which family member's statement indicates a need for additional teaching?

A. My husband will slowly feel better as his medicine takes effect over the next 2 to 4 weeks.' B. My wife will need to take her antidepressant medicine and go to group to stay well.' C. My son will only need to attend outpatient appointments when he starts to feel depressed again.' D. My mother might need help with grocery shopping, cooking, and cleaning for a while.'

Correct Answer: C

Rationale: Depression requires ongoing outpatient care to prevent relapse, not just when symptoms reappear.