Test your knowledge with real exam-style questions. Answers and rationales included.
Question 1 of 10
A client with schizophrenia says the TV is sending them personal messages. This is an example of:
📚 Rationale: Delusion of reference = false belief that TV/objects are sending personal messages. Hallucinations involve perceiving things without stimuli. Illusions are misperceptions of real stimuli.
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Question 2 of 10
Which response is most therapeutic for a depressed client?
📚 Rationale: Open-ended statements encourage expression. Cheer up minimizes feelings. I understand exactly is presumptuous. Focus on positive dismisses current feelings.
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Question 3 of 10
A client on haloperidol develops muscle rigidity, high fever, and altered consciousness. What is this?
📚 Rationale: NMS is a life-threatening emergency: high fever, rigidity, altered consciousness, autonomic instability. Stop antipsychotic immediately. Give dantrolene. High mortality if untreated.
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Question 4 of 10
A client with anorexia has K+ 2.8 mEq/L. Why is this most concerning?
📚 Rationale: Hypokalemia from restriction/purging causes fatal cardiac dysrhythmias. Monitor K+, Mg, phosphate, and ECG closely in eating disorder clients.
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Question 5 of 10
Priority nursing intervention for a client expressing suicidal ideation?
📚 Rationale: One-to-one continuous supervision ensures immediate safety. Remove harmful objects. Family notification and documentation follow safety measures.
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Question 6 of 10
A client in a manic episode needs which nursing intervention?
📚 Rationale: Provide low-stimulation structured environment with firm consistent limits during mania. High stimulation worsens mania.
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Question 7 of 10
Which client statement about lithium requires further teaching?
📚 Rationale: Lithium requires adequate fluids (2-3L/day) and consistent sodium. Restricting fluids or sodium causes lithium retention and toxicity.
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Question 8 of 10
A client in alcohol withdrawal has tremors and anxiety on day 2. Most appropriate medication?
📚 Rationale: Benzodiazepines are first-line for alcohol withdrawal — prevent seizures and delirium tremens. Haloperidol does not prevent seizures. Methadone is for opioid withdrawal.
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Question 9 of 10
What is the most therapeutic approach for a client with OCD rituals?
📚 Rationale: Exposure and Response Prevention (ERP) — allow ritual initially then gradually reduce. Abruptly stopping rituals dangerously increases anxiety.
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Question 10 of 10
A client with PTSD says they feel the trauma is happening right now. This is called:
📚 Rationale: Flashbacks are vivid re-experiencing of trauma as if happening now. Grounding techniques help interrupt flashbacks. Different from nightmares (during sleep).