Extract:

Question 1 of 5

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

A. Relapses signal failure of the abstinence plan, and the plan must be changed.B. Relapses may indicate that the client has very little willpower.C. Relapses should be expected and be looked at as an opportunity.D. Relapses are rare and unlikely to occur.

Correct Answer: C

Rationale: Relapses are common in the recovery process from substance use disorders and should be viewed as opportunities for learning and growth rather than failures. This perspective encourages clients to identify triggers, refine coping strategies, and strengthen their recovery plan. Viewing relapses as failures, lack of willpower, or rare events can discourage clients and undermine their recovery efforts.

Question 2 of 5

A nurse is providing mental health education to a group of high school students. Which of the following information about screening for mental illness should the nurse include?

A. Regular physical examinations are commonly used to diagnose mental illness.B. Screening for mental illness is difficult because most mental illnesses cannot be detected through laboratory testing.C. Risk factors for developing a mental illness are unknown, making screening difficult.D. Mental illnesses can be detected through regular blood tests.

Correct Answer: B

Rationale: Most mental illnesses are diagnosed through clinical assessments and symptom observation, not laboratory tests, making screening challenging. Physical exams, unknown risk factors, or blood tests are not primary methods for diagnosing mental illness, though tests may rule out other conditions or monitor medications.

Question 3 of 5

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

A. CockroachesB. MoldC. Hepatitis BD. Radon

Correct Answer: A

Rationale: Cockroach allergens, from droppings or body parts, are potent triggers for asthma and allergies, causing respiratory symptoms. Mold is a less significant trigger, and hepatitis B and radon are unrelated to asthma/allergy exacerbations.

Question 4 of 5

A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?

A. Identify emotion of faces on cardsB. Repeat a list of wordsC. Interpret a sequence of picturesD. Imitate gestures of learned movements

Correct Answer: A

Rationale: Social cognition involves understanding social cues, such as recognizing emotions on faces, which is assessed by asking the client to identify emotions on cards. Repeating words tests memory, interpreting pictures tests visual processing, and imitating gestures tests motor skills, none of which specifically assess social cognition.

Question 5 of 5

A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

A. The client still journals their feelings about their sister's death 7 years ago.B. The client took courses online and experienced cyberbullying.C. The client reports that they primarily eat fast food while living on a limited budget.D. The client reports missing classes due to suffering from seasonal allergies.

Correct Answer: B

Rationale: Experiencing cyberbullying can significantly impact an adolescent’s mental health, potentially leading to anxiety, depression, or worse outcomes, making it the priority for immediate intervention. Journaling about grief, eating fast food, or missing classes due to allergies are concerns but less urgent, as they either reflect coping mechanisms or manageable issues.