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PSYCHIATRIC NURSING DRILLS 2 10.

In a toddler, which of the following injuries is


SCOTT ELBANBUENA, RN, MAN most likely the result of child abuse?
A. a hematoma on the occipital region of the head
1. The superego is that part of the psyche that: b. a one-inch forehead laceration
A. Uses defensive function for protection. c. several, small, dime-sized circular burns on the
B. Is impulsive and without morals. back
C. Determines the circumstances before making d. small isolated bruise on the right lower extremity
decisions.
D. The censoring portion of the mind. 11. The primary nursing intervention for a victim of
child abuse is:
2. Primary level of prevention is exemplified by: A. Assess the scope of the problem
A. Helping the client resume self care. B. Analyze the family dynamics
B. Ensuring the safety of a suicidal client in the
C. Ensure the safety of the victim
institution.
C. Teaching the client stress management D. Teach the victim coping skills
techniques
D. Case finding and surveillance in the community 12. The nurse asks a client to roll up his sleeves so
she can take his blood pressure. The client replies
3. An attorney who throws books around the office “If you want I can go naked for you.” The most
after losing a case is referred to the company therapeutic response by the nurse is:
nurse. The nurse knows that this behavior is: A. “You’re attractive but I’m not interested.”
a. Regression c. Reaction-formation B. “You wouldn’t be the first that I will see naked.”
b. Projection d. Intellectualization C. “I will report you to the guard if you don’t control
yourself.”
4. Louise, 20 years old is an unattractive girl but is D. “I only need access to your arm. Putting up your
in the dean’s list. This is noted as: sleeve is fine.”
a. Displacement c.
Compensation 13. The nurse knows that a crisis will usually
b. Regression d. projection resolve within:
a. 1-2 weeks c. 2-4 weeks
5. Upon admission, a patient says to the nurse: b. 4-6 weeks d. 6-8 weeks
“Why am I here? I’m not sick. I don’t have any
14. The role of the nurse during crisis intervention
health problem.” his statement exemplifies the is:
defense mechanism known as: a. active and directive c. passive
a. Conversion c. regression b. counselor d. technician
b. Denial d.
Suppression 15. Freud explains anxiety as:
A. Strives to gratify the needs for satisfaction and
security
6. In a home visit done by the nurse, she suspects
B. Conflict between id and superego
that the wife and her child are victims of abuse. C. A hypothalamic-pituitary-adrenal reaction to
Which of the following is the most appropriate for stress
the nurse to ask? D. A conditioned response to stressors
A. “Are you being threatened or hurt by your
partner? 16. The essential foundation that must be
B. “Are you frightened of you partner” established early in the therapeutic relationship is:
C. “Is something bothering you?” a. Confidence b. Trust c. Insight
d. Change
D. “What happens when you and your partner
argue?” 17. Andy was admitted because of disturbed
thoughts. He believes that he has committed a lot
7. The wife admits that she is a victim of abuse and of sins. Andy is demonstrating:
opens up about her persistent distaste for sex. This a. Delusion of grandeur c. Somatic
sexual disorder is: delusion
a. Sexual desire disorder c. . Sexual b. Religious delusion d. Referential
delusion
arousal Disorder
b. Orgasm Disorder d. Sexual Pain 18. A delusion is:
Disorder a. Psychomotor disturbance c. Thought
disturbance
8. What would be the best approach for a wife who b. Mood disturbance d. Perceptual
is still living with her abusive husband? disturbance
A. “Here’s the number of a crisis center that you
19. The nursing goal for Andy is:
can call for help .” a. Arrange for a confession
B. “Its best to leave your husband.” b. Encourage him to pray to atone for his sins
C. “Did you discuss this with your family?” c. Help him develop a positive self-image
D. “ Why do you allow yourself to be treated this d. Socialize him to a group to keep him in touch
way” with reality

20. Which of this client situation illustrates


9. Which comment about a 3 year old child if made
horticulture therapy?
by the parent may indicate child abuse? a. the therapist plays bongos, tambourine and bells
A. “Once my child is toilet trained, I can still expect b. Tommy, Jonny, and Karen play scrabble every
her to have some" night
B. “When I tell my child to do something once, I c. Vic goes to the garden every afternoon
expect him to do it.” d. Paul sketches and paints every other day
C. “My child is expected to try to do things such as,
21. Annie has morbid fear of heights. She asks the
dress and feed.”
nurse what desensitization therapy is. The accurate
D. “My 3 year old loves to say NO.”
information of the nurse regarding the goal of
desensitization is:
a. To help the clients work up on anxiety through
imagery
b. To provide corrective experiences through one-
on-one intensive relationship
c.

. Situation: A 30 year old male employee frequently


complains of low back pain that leads to frequent
absences from work. Consultation and tests reveal
negative results.he client has which somatoform
disorder?
A. Somatization Disorder
B. Hypochondriaisis
C. Conversion Disorder
D. Somatoform Pain Disorder

13. The following are appropriate nursing diagnosis


for the client EXCEPT:
A. Ineffective individual coping
B. Alteration in comfort, pain
C. Altered role performance
D. Impaired social interaction

14. The following statements describe somatoform


disorders:
A. Physical symptoms are explained by organic
causes
B. It is a voluntary expression of psychological
conflicts
C. Expression of conflicts through bodily symptoms
D. Management entails a specific medical
treatment

15. What would be the best response to the client’s


repeated complaints of pain:
A. “I know the feeling is real tests revealed
negative results.”
B. .“I think you’re exaggerating things a little bit.”
C. “Try to forget this feeling and have activities to
take it off your mind”
D. “So tell me more about the pain”

16. When planning school interventions for a child


with a diagnosis of attention deficit hyperactivity
disorder, a guide to remember is to:
A. provide as much structure as possible for the
child
B. ignore the child’s overactivity.
C. encourage the child to engage in any play
activity to dissipate energy
D. remove the child from the classroom when
disruptive behavior occurs

17. The child with conduct disorder will likely


demonstrate:
A. Easy distractibility to external stimuli.
B. Ritualistic behaviors
C. Preference for inanimate objects.
D. Serious violations of age related norms.

18. Ritalin is the drug of choice for chidren with


ADHD. The side effects of the following may be
noted:
A. increased attention span and concentration
B. increase in appetite
C. sleepiness and lethargy
D. bradycardia and diarrhea

19. School phobia is usually treated by:


A. Returning the child to the school immediately
B. Calmly explaining why attendance in school is
necessary
C. Allowing the child to enter the school before the
other children
D. Allowing the parent to accompany the child in
the classroom
an hour ago. He is actively hallucinating, agitated,
20. A 10 year old child has very limited vocabulary with irritated nasal septum.
and interaction skills. She has an I.Q. of 45. She is A. Heroin
diagnosed to have Mental retardation of this
B. cocaine
classification:
A. Profound C. LSD
B. Mild D. marijuana
C. Moderate
D. Severe 30. A client is admitted with needle tracts on his
arm, stuporous and with pin point pupil will likely
21. The nurse teaches the parents of a mentally be managed with:
retarded child regarding her care. The following
A. Naltrexone (Revia)
guidelines may be taught except:
A. overprotection of the child B. Narcan (Naloxone)
B. patience, routine and repetition C. Disulfiram (Antabuse)
C. assisting the parents set realistic goals D. Methadone (Dolophine)
D. giving reasonable compliments
31. Situation: An old woman was brought for
22. The parents express apprehensions on their evaluation due to the hospital for evaluation due to
ability to care for their maladaptive child. The nurse
increasing forgetfulness and limitations in daily
identifies what nursing diagnosis:
A. hopelessness function.The daughter revealed that the client used
B. altered parenting role her toothbrush to comb her hair. She is
C. altered family process manifesting:
D. ineffective coping A. apraxia
B. aphasia
23. A 5 year old boy is diagnosed to have autistic
C. agnosia
disorder. Which of the following manifestations may
be noted in a client with autistic disorder? D. amnesia
A. argumentativeness, disobedience, angry
outburst 32. She tearfully tells the nurse “I can’t take it
B. intolerance to change, disturbed relatedness, when she accuses me of stealing her things.”
stereotypes Which response by the nurse will be most
C. distractibility, impulsiveness and overactivity therapeutic?
D. aggression, truancy, stealing, lying
A. ”Don’t take it personally. Your mother does not
mean it.”
24. The therapeutic approach in the care of an
B. “Have you tried discussing this with your
autistic child include the following EXCEPT:
mother?”
A. Engage in diversionary activities when acting
C. “This must be difficult for you and your mother.”
-out
D. “Next time ask your mother where her things
B. Provide an atmosphere of acceptance
were last seen.”
C. Provide safety measures
D. Rearrange the environment to activate the child
33. The primary nursing intervention in working
with a client with moderate stage dementia is
25. According to Piaget a 5 year old is in what ensuring that the client:
stage of development: A. receives adequate nutrition and hydration
A. Sensory motor stage B. will reminisce to decrease isolation
B. Concrete operations C. remains in a safe and secure environment
C. Pre-operational D. independently performs self care
D. Formal operation
34. She says to the nurse who offers her breakfast,
26. A 45 years old male revealed that he “Oh no, I will wait for my husband. We will eat
experienced a marked increase in his intake of together” The therapeutic response by the nurse is:
alcohol to achieve the desired effect This indicates: A. “Your husband is dead. Let me serve you your
A. withdrawal breakfast.”
B. tolerance B. “I’ve told you several times that he is dead. It’s
C. intoxication time to eat.”
D. psychological dependence C. “You’re going to have to wait a long time.”
D. “What made you say that your husband is alive?
27. The client admitted for alcohol detoxification
develops increased tremors, irritability,
hypertension and fever. The nurse should be alert 35. Dementia unlike delirium is characterized by:
for impending: A. slurred speech
A. delirium tremens B. insidious onset
B. Korsakoff’s syndrome C. clouding of consciousness
C. esophageal varices D. sensory perceptual change
D. Wernicke’s syndrome
36. A 17 year old gymnast is admitted to the
28. The care for the client places priority to which hospital due to weight loss and dehydration
of the following: secondary to starvation. Which of the following
A. Monitoring his vital signs every hour nursing diagnoses will be given priority for the
B. Providing a quiet, dim room client?
C. Encouraging adequate fluids and nutritious foods A. altered self-image
D. Administering Librium as ordered B. fluid volume deficit
C. altered nutrition less than body requirements
29. Another client is brought to the emergency D. altered family process
room by friends who state that he took something
37. What is the best intervention to teach the client fear.
when she feels the need to starve?
A. Allow her to starve to relieve her anxiety 46. Which of the following should be included in the
B. Do a short term exercise until the urge passes health teachings among clients receiving Valium:
C. Approach the nurse and talk out her feelings A. Avoid taking CNS depressant like alcohol.
D. Call her mother on the phone and tell her how B. There are no restrictions in activities.
she feels C. Limit fluid intake.
D. Any beverage like coffee may be taken
38. The client with anorexia nervosa is improving if:
A. She eats meals in the dining room. 47. A 20 year old college student is admitted to the
B. Weight gain medical ward because of sudden onset of paralysis
C. She attends ward activities. of both legs. Extensive examination revealed no
D. She has a more realistic self concept. physical basis for the complaint.
The nurse plans intervention based on which
39. The characteristic manifestation that will correct statement about conversion disorder?
differentiate bulimia nervosa from anorexia A. The symptoms are conscious effort to control
nervosa is that bulimic individuals anxiety
A. have episodic binge eating and purging B. The client will experience high level of anxiety in
B. have repeated attempts to stabilize their weight response to the paralysis.
C. have peculiar food handling patterns C. The conversion symptom has symbolic meaning
D. have threatened self-esteem to the client
D. A confrontational approach will be beneficial for
40. A nursing diagnosis for bulimia nervosa is the client.
powerlessness related to feeling not in control of
eating habits. The goal for this problem is: 48. A CLIENT reveals that the boyfriend has been
A. Patient will learn problem solving skills pressuring her to engage in premarital sex. The
B. Patient will have decreased symptoms of most therapeutic response by the nurse is:
anxiety. A. “I can refer you to a spiritual counselor if you
C. Patient will perform self care activities daily. like.”
D. Patient will verbalize how to set limits on others. B. “You shouldn’t allow anyone to pressure you into
sex.”
41. In the management of bulimic patients, the C. “It sounds like this problem is related to your
following nursing interventions will promote a paralysis.”
therapeutic relationship EXCEPT: D. “How do you feel about being pressured into sex
A. Establish an atmosphere of trust by your boyfriend?”
B. Discuss their eating behavior.
C. Help patients identify feelings associated with
binge-purge behavior 49. Malingering is different from somatoform
D. Teach patient about bulimia nervosa disorder because the former:
A. Has evidence of an organic basis.
42. Situation: A 35 year old male has intense fear B. It is a deliberate effort to handle upsetting
of riding an elevator. He claims “ As if I will die events
inside.” This has affected his studies. The client is C. Gratification from the environment are obtained.
suffering from: D. Stress is expressed through physical symptoms.
A. agoraphobia
B. social phobia
C. Claustrophobia 50. Unlike psychophysiologic disorder Linda may be
D. xenophobia best managed with:
A. medical regimen
43. Initial intervention for the client should be to: B. milieu therapy
A. Encourage to verbalize his fears as much as he C. stress management techniques
wants.
B. Assist him to find meaning to his feelings in
51. Which is the best indicator of success in the
relation to his past.
long term management of the client?
C. Establish trust through a consistent approach.
A. His symptoms are replaced by indifference to his
D. Accept her fears without criticizing.
feelings
B. He participates in diversionary activities.
44. The nurse develops a countertransference
C. He learns to verbalize his feelings and concerns
reaction. This is evidenced by:
D. He states that his behavior is irrational.
A. Revealing personal information to the client
B. Focusing on the feelings of the client.
C. Confronting the client about discrepancies in 52. A young woman is brought to the emergency
verbal or non-verbal behavior room appearing depressed. The nurse learned that
D. The client feels angry towards the nurse who her child died a year ago due to an accident. The
resembles his mother. initial nursing diagnosis is dysfunctional grieving.
The statement of the woman that supports this
45. Which is the desired outcome in conducting diagnosis is:
desensitization: A. “I feel envious of mothers who have toddlers”
A. The client verbalize his fears about the situation B. “I haven’t been able to open the door and go
B. The client will voluntarily attend group therapy in into my baby’s room “
the social hall. C. “I watch other toddlers and think about their
C. The client will socialize with others willingly play activities and I cry.”
D. The client will be able to overcome his disabling D. “I often find myself thinking of how funny and
silly my baby was.” 61. A widow age 28, whose husband died one year
ago due to AIDS, has just been told that she has
53. The client said “I can’t even take care of my AIDS. Pamela says to the nurse, “Why me? How
baby. I’m good for nothing.” Which is the could God do this to me?” This reaction is one of:
appropriate nursing diagnosis? A. Depression
A. Ineffective individual coping related to loss. B. Denial
B. Impaired verbal communication related to C. anger
inadequate social skills. D. bargaining
C. Low esteem related to failure in role
performance
D. Impaired social interaction related to repressed 62. (Refer to 61)The nurse’s therapeutic response
anger. is:
A. “I will refer you to a clergy who can help you
54. The following medications will likely be understand what is happening to you.”
prescribed for the client EXCEPT: B. “ It isn’t fair that an innocent like you will suffer
A. Prozac from AIDS.”
B. Tofranil C. “That is a negative attitude.”
C. Parnate D. ”It must really be frustrating for you. How can I
D. Zyprexa best help you?”

55. Which is the highest priority in the post ECT 63. One morning the nurse sees the client in a
care? depressed mood. The nurse asks her “What are you
A. Observe for confusion thinking about?” This communication technique is:
B. Monitor respiratory status A. focusing
C. Reorient to time, place and person B. validating
D. Document the client’s response to the treatment C. reflecting
D. giving broad opening

56. A 27 year old writer is admitted for the second 64. The client says to the nurse ” Pray for me” and
time accompanied by his wife. He is demanding, entrusts her wedding ring to the nurse. The nurse
arrogant talked fast and hyperactive. knows that this may signal which of the following:
Initially the nurse should plan this for a manic A. anxiety
client: B. suicidal ideation
A. set realistic limits to the client’s behavior C. Major depression
B. repeat verbal instructions as often as needed D. Hopelessness
C. allow the client to get out feelings to relieve
tension
D. assign a staff to be with the client at all times to 65. Which of the following interventions should be
help maintain control prioritized in the care of the suicidal client?
A. Remove all potentially harmful items from the
57. An activity appropriate for a manic client is: client’s room.
A. table tennis B. Allow the client to express feelings of
B. painting hopelessness.
C. chess C. Note the client’s capabilities to increase self
D. cleaning esteem.
D. Set a “no suicide” contract with the client.
58. The client is arrogant and manipulative. In
ensuring a therapeutic milieu, the nurse does one 66. A 14 year old male was admitted to a medical
of the following: ward due to bronchial asthma after learning that
A. Agree on a consistent approach among the staff his mother was leaving soon for U.K. to work as
assigned to the client. nurse.
B. Suggest that the client take a leading role in the The client has which of the following developmental
social activities focus:
C. Provide the client with extra time for one on one A. Establishing relationship with the opposite sex
sessions and career planning.
D. Allow the client to negotiate the plan of care B. Parental and societal responsibilities.
C. Establishing ones sense of competence in
59. The nurse exemplifies awareness of the rights school.
of a client whose anger is escalating by: D. Developing initial commitments and
A. Taking a directive role in verbalizing feelings collaboration in work
B. Using an authoritarian, confrontational approach
C. Putting the client in a seclusion room 67. The personality type of Ryan is:
D. Applying mechanical restraints A. conforming
B. dependent
60. A client on Lithium has diarrhea and vomiting. C. perfectionist
What should the nurse do first: D. masochistic
A. Recognize this as a drug interaction
B. Give the client Cogentin 68. The nurse ensures a therapeutic environment
C. Reassure the client that these are common side for the client. Which of the following best describes
effects of lithium therapy a therapeutic milieu?
D. Hold the next dose and obtain an order for a stat A. A therapy that rewards adaptive behavior
serum lithium level B. A cognitive approach to change behavior
C. A living, learning or working environment.
D. A permissive and congenial environment A. What is causing you to become agitated?
B. You need to stop that behavior now.
69. Included as priority of care for the client will be: C. You will need to be restrained if you do not
A. Encourage verbalization of concerns instead of change your behavior.
demonstrating them through the body D. You will need to be placed in seclusion.
B. Divert attention to ward activities
C. Place in semi-fowlers position and render O2 77. The nurse closely observes the client who has
inhalation as ordered been displaying aggressive behavior. The nurse
D. Help her recognize that her physical condition observes that the client’s anger is escalating.
has an emotional component Which approach is least helpful for the client at this
time?
70. The client is concerned about his coming A. Acknowledge the client’s behavior
discharge, manifested by being unusually sad. B. Maintain a safe distance from the client
Which is the most therapeutic approach by the C. Assist the client to an area that is quiet
nurse? D. Initiate confinement measures
A. “You are much better than when you were
admitted so there’s no reason to worry.” 78. The charge nurse of a psychiatric unit is
B. “What would you like to do now that you’re planning the client assignment for the day. The
about to go home?” most appropriate staff to be assigned to a client
C. “You seem to have concerns about going home.” with a potential for violence is which of the
D. “Aren’t you glad that you’re going home soon?” following:
A. A timid nurse
71. The most basic factor in the intervention with B. A mature experienced nurse
clients in the area of sexuality is: C. an inexperienced nurse
A. Knowledge about sexuality. D. a soft spoken nurse
B. Experience in dealing with clients with sexual
problems 79. The nurse exemplifies awareness of the rights
C. Comfort with one’s sexuality of a client whose anger is escalating by:
D. Ability to communicate effectively A. Taking a directive role in verbalizing feelings
B. Using an authoritarian, confrontational approach
72. Which of the following statements is true for C. Putting the client in a seclusion room
gender identity disorder? D. Applying mechanical restraints
A. It is the sexual pleasure derived from inanimate
objects. 80. The client jumps up and throws a chair out of
B. It is the pleasure derived from being humiliated the window. He was restrained after his behavior
and made to suffer can no longer be controlled by the staff. Which of
C. It is the pleasure of shocking the victim with these documentations indicates the safeguarding
exposure of the genitalia of the patient’s rights?
D. It is the desire to live or involve in reactions of A. There was a doctor’s order for
the opposite sex restraints/seclusion
B. The patient’s rights were explained to him.
73. The sexual response cycle in which the sexual C. The staff observed confidentiality
interest continues to build: D. The staff carried out less restrictive measures
A. Sexual Desire but were unsuccessful.
B. Sexual arousal
C. Orgasm 81. Clients with personality disorder will most
D. Resolution likely:
A. recover with therapeutic intervention
74. The inability to maintain the physiologic B. respond to antianxiety medication
requirements in sexual intercourse is: C. manifest enduring patterns of inflexible
A. Sexual Desire Disorder behaviors
B. Sexual Arousal Disorder D. Seek treatment willingly from some personally
C. Orgasm Disorder distressing symptoms
D. Sexual Pain disorder
82. A client tends to be insensitive to others,
engages in abusive behaviors and does not have a
75. The nurse asks a client to roll up his sleeves so sense of remorse. Which personality disorder is he
she can take his blood pressure. The client replies likely to have?
“If you want I can go naked for you.” The most A. Narcissistic
therapeutic response by the nurse is: B. Paranoid
A. “You’re attractive but I’m not interested.” C. Histrionic
B. “You wouldn’t be the first that I will see naked.” D. Antisocial
C. “I will report you to the guard if you don’t control
yourself.” 83. The client joins a support group and frequently
D. “I only need access to your arm. Putting up your preaches against abuse, is demonstrating the use
sleeve is fine.”. of:
A. denial
B. reaction formation
76. A nurse observes that a client with a potential
C. rationalization
for violence is agitated, pacing up and down the
D. projection
hallway and making aggressive remarks. Which of
the following statements is most appropriate to
84. A teenage girl is diagnosed to have borderline
make to this patient?
personality disorder. Which manifestations support
the diagnosis? C. She postpones the physical assessment until the
A. Lack of self esteem, strong dependency needs client is calm
and impulsive behavior D. Explains to the client that her reactions are
normal
B. social withdrawal, inadequacy, sensitivity to
rejection and criticism 94. Crisis intervention carried out to the client has
C. Suspicious, hypervigilance and coldness this primary goal:
D. Preoccupation with perfectionism, orderliness A. Assist the client to express her feelings
and need for control B. Help her identify her resources
C. Support her adaptive coping skills
85. The plan of care for clients with borderline D. Help her return to her pre-rape level of function
personality should include:
95. Five months after the incident the client
A. Limit setting and flexibility in schedule complains of difficulty to concentrate, poor
B. Giving medications to prevent acting out appetite, inability to sleep and guilt. She is likely
C. Restricting her from other clients suffering from:
D. Ensuring she adheres to certain restrictions A. Adjustment disorder
B. Somatoform Disorder
86. A 42 year old male client, is admitted in the C. Generalized Anxiety Disorder
D. Post traumatic disorder
ward because of bizarre behaviors. He is given a
diagnosis of schizophrenia paranoid type. 96. A 29 year old client newly diagnosed with
The client should have achieved the developmental breast cancer is pacing, with rapid speech
task of: headache and inability to focus with what the
A. Trust vs. mistrust doctor was saying.
B. Industry vs. inferiority The nurse assesses the level of anxiety as:
A. Mild
C. Generativity vs. stagnation
B. Moderate
D. Ego integrity vs. despair C. Severe
D. Panic
87. Clients who are suspicious primarily use
projection for which purpose: 97. Anxiety is caused by:
A. deny reality A. an objective threat
B. to deal with feelings and thoughts that are not B. a subjectively perceived threat
C. hostility turned to the self
acceptable
D. masked depression
C. to show resentment towards others
D. manipulate others 98. It would be most helpful for the nurse to deal
with a client with severe anxiety by:
A. Give specific instructions using speak in concise
88. The client says “ the NBI is out to get me.” The statements.
nurse’s best response is: B. Ask the client to identify the cause of her
A. “The NBI is not out to catch you.” anxiety.
B. “I don’t believe that.” C. Explain in detail the plan of care developed
C. “I don’t know anything about that. You are afraid D. Urge the client to focus on what the nurse is
of being harmed.” saying
D. “ What made you think of that.”
99. Which of the following medications will likely be
89. The client on Haldol has pill rolling tremors and ordered for the client?”
muscle rigidity. He is likely manifesting: A. Prozac
A. tardive dyskinesia B. Valium
B. Pseudoparkinsonism C. Risperdal
C. akathisia D. Lithium
D. dystonia
100. Which of the following is included in the health
90. The client is very hostile toward one of the staff teachings among clients receiving Valium?:
for no apparent reason. The client is manifesting: A. Avoid foods rich in tyramine.
A. Splitting B. Take the medication after meals.
B. Transference C. It is safe to stop it anytime after long term use.
C. Countertransference D. Double up the dose if the client forgets her
D. Resistance medication.

91. An 18 year old female was sexually attacked


while on her way home from work. She is brought
to the hospital by her mother. Rape is an example
of which type of crisis:
A. Situational
B. Adventitious
C. Developmental
D. Internal

92. During the initial care of rape victims the


following are to be considered EXCEPT:
A. Assure privacy.
B. Touch the client to show acceptance and
empathy
C. Accompany the client in the examination room.
D. Maintain a non-judgmental approach.

93. The nurse acts as a patient advocate when she


does one of the following:
A. She encourages the client to express her feeling
regarding her experience.
B. She assesses the client for injuries.

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