[单项选择]A client diagnosed as having panic disorder with agoraphobia is admitted to the inpatient psychiatric unit. Until her admission, she had been a virtual prisoner in her home for 5 weeks, afraid to go outside even to buy food. Which of the following should be the nurse’s overall goal of care
A. To help the client perform self-care activities.
B. To help the client function effectively in her environment.
C. To help control the client’s symptoms.
D. To help the client participate in group therapy.

[单项选择]A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders（　）
A. Thought disorder.
B. Amnestic disorder.
C. Personality disorder.
D. Mood disorder.

[单项选择]A client diagnosed with anxiety disorder is prescribed buspirone (BuSpar). Teaching instructions for newly prescribed buspirone should include which of the following（）
A. A warning that immediate sedation can occur with a resultant drop in pulse.
B. A reminder of the need to schedule blood work in 1 week to check blood levels of the drug.
C. A warning about the incidence of neuroleptic malignant syndrome (NMS).
D. A warning about the drug’s delayed therapeutic effect, which is from 14 to 30 days.

[单项选择]Proportionally, more persons diagnosed as having the brain disorder schizophrenia were born in the winter months than at any other time of year. A recent study suggests that the cause may have been the nutrient-poor diets of some expectant mothers during the coldest months of the year, when it was hardest for people to get, or afford, a variety of fresh foods. Which of the following, if true, helps to support the conclusion presented above
A. Over the years the number of cases of schizophrenia has not shown a correlation with degree of economic distress.
B. Most of the development of brain areas affected in schizophrenia occurs during the last month of the mother’s pregnancy.
C. Suicide rates are significantly higher in winter than in any other season.
D. The nutrients in fresh foods have the same effects on the development of the brain as do the nutrients in preserved foods.
E. (E) A sizable proportion of the patients involved in the study have a history of schizophrenia in the family.

[单项选择]A client diagnosed with hyperthyroidism has been started on propylthiouracil (PTU) as drug therapy. The nurse should closely observe the client for which of the following side effects
A. Unusual bleeding or bruising.
B. Hypertension.
C. Hypokalemia.
D. Peripheral edema.

[单项选择]A client diagnosed with tuberculosis is taking the prescribed chemotherapy of isoniazid, rifampin, and pyrazinamide. The nurse should evaluate the client for signs of which of the following commonly occurring toxicities（　）
A. Ototoxicity.
B. Nephrotoxicity.
C. Optic neuritis.
D. Hepatotoxieity.

[单项选择]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following（　）
A. Helplessness, hopelessness, hypersomnolence, and anorexia.
B. Truancy, a change of friends, social withdrawal, and oppositional behavior.
C. Curfew breaking, stealing from family members, truancy, and oppositional behavior.
D. Hypersomnolence, obsession with body image, and valuing of peers’ opinions.

[单项选择]The nurse is teaching a client recently diagnosed with myasthenia gravis. The nurse should teach the client that myasthenia gravis is caused by（）
A. genetic dysfunction.
B. upper and lower motor neuron lesions.
C. decreased conduction of impulses in an upper motor neuron lesion.
D. a lower motor neuron lesion.

[单项选择]A client with antisocial personality disorder refuses to take a shower for 3 days. Which response by the nurse is best（）
A. "It’s policy here for all clients to bathe daily. "
B. "It’s time for your shower. I’ll help you with it. "
C. "Don’t worry about your shower until tomorrow. "
D. "Do you want people to make fun of you"

[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find
A. Rigid abdomen, Levine’s sign, pain relief leaning forward.
B. Rebound tenderness, McBurney’s sign, low-grade fever.
C. Right lower quadrant pain, Chvostek’s sign, muscle guarding.
D. Periumbilical pain, Trousseau’s sign, pain relief with pressure.

[单项选择]A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcer’s location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assess（）
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.

[单项选择]A client with a history of panic attacks seeks to increase social interaction. Each time the client tries to go to the dayroom, she begins to perspire and becomes short of breath. Which action by the nurse will help ease the client’s feelings of panic
A. Have other clients volunteer to accompany the client.
B. Tell the client she has to overcome her fear.
C. Allow the client to stay in her room.
D. Walk with the client and stay with her while she’s in the dayroom.

[单项选择]A client is diagnosed with a herniated lumbar disk at the L-5 interspace. Which of the following symptoms would most likely be the one that first caused the client to seek health care（）
A. Loss of voluntary muscle control.
B. Loss of bladder control.
C. Back pain that is relieved with resting.
D. Back pain that radiates to the shoulders.

[单项选择]A client is diagnosed with hyperthyroidism. The clinical manifestations of hyperthyroidism are similar to which of the following（）
A. Hypovolemic shock.
B. Adrenergic stimulation.
C. Benzodiazepine overdose.
D. Addison’s disease.

[单项选择]A client is diagnosed with hyperthyroidism. The nurse should expect clinical manifestations similar to（）
A. hypovolemic shock.
B. adrenergic stimulation.
C. benzodiazepine overdose.
D. Addison’s disease.

[单项选择]A client with newly diagnosed type 1 diabetes mellitus is learning about diabetic foot care. Which of the following statements by the client indicates further instruction is needed（）
A. "I should use lotions. "
B. "I should use antiperspirants. "
C. "I should use foot soaks. "
D. "I should use nail files. "

[单项选择]A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client（）
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata aeuminata, can’t be transmitted during oral sex.

[单项选择]A family member is caring for a client diagnosed with Alzheimer’s disease. Which of the following is most likely to cause the caregiver depression and role strain（）
A. The caregiver had a close relationship with the client before diagnosis of the illness.
B. The caregiver has no formal support, such as a visiting nurse or day care worker.
C. The caregiver understands the full reality of the disease and its inevitable progression.
D. The caregiver feels unable to control the client and unable to cope with caregiving.