Title RECALLS 9 (NP5) - STUDENT COPY ✅

3 | Page A. Recline the client to avoid seeing the blood. B. Provide the client with a popular magazine to read. C. Change the client into a hospital gown. D. Cover the client’s eyes with a bath towel. 36. Which action should the nurse take first if the client’s children are present during the visit? A. Invite the family members to participate in the discussion freely. B. Ensure the assessment is conducted in a private setting. C. Confirm the names and relationships of those present. D. Offer to share the findings of the assessment with the client’s family. 37. During a client interview, the nurse wants to obtain the most detailed information about family support. Which question is most effective for gathering in-depth responses? A. “Can you describe your family to me?” B. “Are you living with a spouse?” C. “Who is your closest relative?” D. “Can you list your family members for me?” Which question would best assess the client’s ability to recall past events? A. “How old are you?” B. “What is today’s date?” C. “When were you born?” D. “What do you remember about last year?” 39. An older adult provides several inappropriate responses during an interview. What is the best way for the nurse to determine whether this is due to communication difficulties or cognitive impairment? A. Ask the client to repeat the question before responding. B. Use simple yes-or-no questions. C. Obtain responses from a family member or caregiver. D. Ask questions the client is guaranteed to know the answers to. 40. A 68-year-old patient with major depression is admitted to a medical unit following severe abdominal pain. Which assessment finding suggests the highest risk for suicide? A. The client expresses feelings of hopelessness about the future. B. The client has developed a specific plan for suicide. C. The client states that dying would bring relief. D. The client describes their distress as unbearable. 41. A client has been prescribed imipramine hydrochloride (Tofranil) for depression. Which therapeutic effect should the nurse assess first? A. Reduction in suicidal thoughts B. Increased ability to focus C. Decreased restlessness and anxiety D. Stabilized mood 42. A nurse is administering oral medication to a client diagnosed with depression. Which nursing action is most essential? A. Encouraging fluid intake with a full glass of water B. Ensuring the client has swallowed all prescribed medications C. Administering the medication before meals on an empty stomach D. Providing medications one at a time to the client 43. A client has undergone an electroconvulsive therapy (ECT) session for treatment-resistant depression. Which reaction is most likely in the immediate recovery period? A. Brief absence seizure episodes B. Increased sensitivity to light and blurred vision C. Temporary memory impairment and headaches D. Unexpected episodes of fear and anxiety 44. A client taking doxepin (Sinequan) at bedtime reports feeling dizzy when standing up in the morning. What advice should the nurse provide? A. “Apply a cool compress to your forehead.” B. “Rise slowly and sit at the bedside before standing.” C. “Stay in bed with your legs elevated.” D. “Take deep breaths before getting out of bed.” 45. A nurse is assessing a 66-year-old client receiving home care who has been referred for a mental health evaluation due to possible depression. Which of the following findings is most indicative of depression? A. The client becomes short-tempered after a visit from grandchildren. B. The client frequently reports various unrelated physical ailments. C. The client takes long naps in the late afternoon. D. The client tears up when discussing the loss of a spouse. 46. A client recently started taking sertraline (Zoloft) for depression. Which new symptom is most likely a side effect of the medication? A. Excessive urination B. Double vision C. Increased drooling D. Difficulty sleeping 47. A client with a history of chronic mental illness is transferred to a nursing home after long-term use of haloperidol (Haldol). The physician discontinues the medication. Which new symptom is most likely related to the previous antipsychotic therapy? A. Uncontrollable facial twitches and eye movements B. Depressed mood C. Patches of missing hair D. Persistent daytime drowsiness 48. A nurse on a dementia care unit observes a confused client entering other residents’ rooms. What is the most effective way to help reorient the client? A. Place a clearly marked sign with the client’s name on their room door. B. Keep all room doors locked to prevent wandering. C. Use physical restraints when the client is left unattended. D. Explain to the client why entering others’ rooms is inappropriate. 49. A 70-year-old client with dementia begins undressing and walks naked through the hallway of a long-term care facility. Which nursing action should be taken first? A. Remind the client that public areas require clothing. B. Direct the client to put their clothes back on. C. Inform other residents that the client has cognitive impairment. D. Guide the client to a private area. 50. A nurse is developing a care plan for residents in a memory care unit. Which intervention is most effective in helping clients remain oriented? A. Address each resident by their first name. B. Encourage residents to set daily goals. C. Assign residents to greet visitors upon arrival. D. Display a large calendar with the current date. 51. A nurse is looking for ways to minimize confusion among dementia patients in a long-term care unit. Which approach would be most beneficial? A. Ensure all staff wear name badges while on duty. B. Maintain a consistent daily routine. C. Offer occasional field trips for stimulation. D. Provide a written list of daily activities. 52. A nurse is assisting a client with dementia who struggles to follow conversations. Which communication strategy is best? A. Speak louder to ensure the client hears clearly. B. Use short, simple sentences. C. Write instructions for the client to follow. D. Encourage the client to listen to news broadcasts. 53. A client with dementia frequently states, "I want to go home." What is the most appropriate nursing response? A. “You are already at home.” B. “This is where you will be staying.” C. “Do you not like it here?” D. “You should call your family.” 54. The spouse of a dementia client visits daily but appears exhausted and overwhelmed.
4 | Page What is the most beneficial nursing intervention? A. Suggest scheduling a physical exam for the spouse. B. Encourage the spouse to take breaks from caregiving. C. Remind the spouse of designated visiting hours. D. Reassure the spouse that staff are providing good care. 55. A client’s daughter expresses sadness, saying, "I don’t think my mom recognizes me anymore." Which nursing response is most therapeutic? A. “This is just part of the disease progression.” B. “It sounds like you’re feeling very upset about this.” C. “Don’t worry, she’s receiving excellent care.” D. “Some days are better than others.” 56. An older adult with Alzheimer’s disease appears confused about how to use a fork during mealtime. Which nursing action would best help the client maintain independence in self-care? A. Request a physician’s order for a liquid diet. B. Seat the client in a way that allows them to observe others eating. C. Serve the client first to provide additional time for eating. D. Place the client in a private area to minimize embarrassment. 57. A client’s daughter wants to take her mother, who has Alzheimer’s disease, home for the day. What is the most critical nursing assessment before the visit? A. The caregiver’s awareness of the client’s symptoms. B. The caregiver’s knowledge of the time the client should return. C. The caregiver’s understanding of medication administration. D. The caregiver’s ability to assist with hygiene needs. 58. A nurse is educating a family about the recovery process for a client struggling with alcoholism. Which action is considered the first step toward recovery? A. Acknowledging the inability to control drinking. B. Developing a strong support system. C. Strengthening religious or spiritual beliefs. D. Enrolling in an inpatient rehabilitation program. 59. During a routine clinic visit, a nurse suspects a 20-year-old client may be experiencing domestic abuse. Which action is most appropriate to assess the situation? A. Ask the client directly if they are being abused. B. Schedule a follow-up appointment to gather more information. C. Examine any young children for signs of abuse. D. Speak with family members or neighbors to gather more details. 60. A nurse is working with a client who remains in a physically abusive relationship. Which belief is most common among individuals who stay in such situations? A. The abuse is not serious or life-threatening. B. Family members will provide protection if needed. C. They can prevent the abuse by behaving a certain way. D. They have the freedom to leave at any time. 61. A rape survivor arrives at the emergency department visibly distressed. Which nursing action is most effective in reducing the client’s anxiety? A. Determine the client’s last menstrual period. B. Collect forensic evidence for legal proceedings. C. Assess the client’s physical injuries. D. Stay with the client to provide continuous support. 62. A rape survivor has arrived at the emergency department seeking care. Which nursing intervention is the highest priority at this time? A. Recording details of the assault for documentation. B. Minimizing the number of interactions with unfamiliar staff. C. Offering sedative medication to help calm the client. D. Providing hygiene supplies, including a gown and washcloth. 63. The nurse in the emergency department explains each procedure before performing it on a rape victim. What is the primary reason for this approach? A. It helps the victim regain a sense of control. B. It helps alleviate the victim’s anxiety. C. It aligns with hospital policies for trauma care. D. It ensures the victim is fully educated about their care. 64. A nurse is advising a client with bulimia on strategies to manage their condition. Which recommendation is most effective in helping control the disorder? A. Limit access to the restroom immediately after eating. B. Keep a list of all food options available in the cafeteria. C. Avoid dining at fast food restaurants. D. Track daily calorie intake. 65. A client with bulimia has been taking an antidepressant for several weeks. Which outcome would indicate the most significant therapeutic improvement? A. The client reports a decrease in depressive symptoms. B. The client is consuming a more balanced diet. C. The client engages in fewer binge-eating episodes. D. The client experiences a reduction in suicidal thoughts. 66. During a support group for eating disorders, a client with bulimia tells another, “You’re pathetic if you think you have a weight problem.” What is the most appropriate nursing intervention? A. Confront the client about their inappropriate remark. B. Comfort the client who was insulted. C. Encourage group members to address the situation. D. Respond with a similar remark to the client who made the comment. 67. A client experiencing chest pain is diagnosed with panic disorder. What is the most likely cause of this symptom? A. An unknown medical condition B. Symptoms that are being exaggerated C. A way to gain attention from others D. An overwhelming sense of fear 68. A nurse is educating a group of nursing students about Freud’s psychosexual stages. One student asks, "At what stage does a child develop unconscious desires toward the opposite- sex parent, leading to possible gender identity struggles?" Which response by the nurse is correct? A. Oral B. Latent C. Genital D. Phallic 69. A nurse is supporting a client during a panic attack. Which message is most crucial to communicate? A. "You are safe." B. "I believe you." C. "I trust you." D. "You are accepted." 70. A client begins to cry and states, "Nurse, I feel like I’m going to die." Which response is most therapeutic? A. "Try not to cry—it won’t change anything right now." B. "You wouldn’t want the doctor to see you like this." C. "Everyone feels scared in situations like this." D. "I will stay with you until you feel better." 71. A client with panic disorder is prescribed alprazolam (Xanax). Which instruction is most important for the nurse to provide? A. "Avoid drinking alcohol while taking this medication." B. "You can safely take this medication long-term without dependence." C. "This drug may cause difficulty sleeping in some people." D. "Regular blood tests will be required while using this medication." 72. A client is experiencing increasingly frequent panic attacks.