Extract:

Question 1 of 5

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A. I will join an online book club.'B. I should avoid entering elevators and other closed spaces.'C. I plan to sit on a park bench for a few minutes each day.'D. I can try participating in group therapy every week.'

Correct Answer: C

Rationale: Sitting outside shows exposure therapy progress. Online clubs (
A), avoidance (
B), and group therapy (
D) don’t directly address open-space fears.

Question 2 of 5

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

A. Involuntary pelvic rocking and hip thrusting movementsB. Facial grimacing and eye blinkingC. Tongue thrusting and lip smackingD. Fine hand tremors and pill rollingE. Urinary retention and constipation

Correct Answer: A,B,C

Rationale: Pelvic rocking (
A), grimacing/blinking (
B), and tongue/lip movements (
C) are tardive dyskinesia signs. Tremors (
D) are parkinsonism, and retention/constipation (E) are unrelated.

Question 3 of 5

A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

A. Avoid the feared object whenever possibleB. Face the feared object without supportive assistanceC. State that the fear of the object is unrealistic and inappropriateD. Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Correct Answer: D

Rationale: Relaxation techniques reduce anxiety symptoms, supporting self-control. Avoidance (
A) perpetuates fear, unsupported exposure (
B) is overwhelming, and stating fear as unrealistic (
C) is not the goal.

Question 4 of 5

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A. A child who uses the call light frequentlyB. A child whose parents answer questions for the childC. A child who has a BMI indicating obesityD. A child who has frequent visitors

Correct Answer: B

Rationale: Parents answering for the child may suggest control or emotional abuse. Frequent call light use (
A), obesity (
C), and visitors (
D) are not specific abuse indicators.

Question 5 of 5

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A. The client tells the nurse he is a government agent.B. The client tells the nurse that he is too tired to attend the group meeting.C. The client states, 'I see purple bugs crawling on the wall.'D. The client states, 'My heart is pounding out of my chest.'

Correct Answer: D

Rationale: Heart pounding indicates anxiety, warranting alprazolam. Delusions (
A), fatigue (
B), and hallucinations (
C) are not anxiety-specific.

Nurselytic

ATI RN

ATI RN

ATI Mental Health NPRO 2000 Exam Questions

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