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PNU Adult Health II Spring 2023 Exam 2

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Exam Details !

Title : PNU Adult Health II Spring 2023 Exam 2

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Adult Health (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 130 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Adult Health questions tailored for RN students.

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No.

1 :
A nurse is caring for a client in an acute care mental health unit who was involuntarily admitted for 72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Whether the client is financially incapable of paying for prescribed medications.

Whether the client is a danger to herself or others.

Whether the client is unable to make arrangements to stay with someone.

Whether the client is unwilling to accept that treatment is needed.

Hint : 🤔Think of the legal threshold that justifies restricting a person’s liberty in mental health settings.

Correct Answers:

No Correct Answers Available !

Rationale :

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2 :
A nurse in a community clinic is speaking to other nurses about risk factors for domestic violence. Which of the following statements by one of the other nurses indicates the need for further teaching?

"I have heard that abusers try to keep their partner isolated from others."

"I know that abusers lack social support and social skills."

"I have heard that abusers think of themselves as important and have high self-esteem."

"I know that men who are abusers gain power through intimidation."

Hint : 🔎Choose the statement that contradicts common power-and-control dynamics seen in intimate partner violence.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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3 :
A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly tells the nurse, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?

Projection

Displacement

Denial

Undoing

Hint : 🧯Identify the defense that minimizes or rejects the impact of a threatening experience.

Correct Answers:

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Rationale :

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Distractor Analysis :

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4 :
A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicates adaptive coping? (Select all that apply.)

"I sleep in the mornings."

"I isolate myself in my room for a few hours when things get overwhelming."

"I call a friend who makes me smile and laugh."

"I think about being on my favorite beach vacation."

"I tense and release my muscles, starting with my feet."

Hint : 🌱Pick strategies that lower arousal or increase healthy connection rather than avoidance.

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Rationale :

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5 :
A nurse is helping a client relieve stress through cognitive reframing. Which of the following actions by the client demonstrates effective use of cognitive reframing?

The client imagines being in a quiet, relaxing environment.

The client trains his mind to relax by using deep inner resources.

The client learns to change negative thoughts into positive statements.

The client learns the source of his stress by writing down daily events.

Hint : 🧭Look for the approach that changes the meaning of the thought, not just the body’s tension.

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6 :
A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)

Stay with the client during meals and for 1 hr afterward.

Give the client a weight gain goal of 4 to 5 lb per week.

Monitor the client's weight daily after first voiding.

Encourage the client to keep a diary of daily food intake.

Offer specific privileges for sustained weight gain.

Hint : ⏳Prioritize measures that prevent compensation and ensure steady restoration.

Correct Answers:

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Rationale :

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7 :
A nurse is discussing comorbidities associated with eating disorders with a newly licensed nurse. Which of the following comorbidities should the nurse include in the discussion? (Select all that apply.)

Depression

Anxiety

Breathing-related sleep disorder

Obsessive-compulsive disorder

Schizophrenia

Hint : 🧭Think of conditions marked by internalizing symptoms and rigidity that mirror strict eating rituals.

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Rationale :

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8 :
An assistive personnel (AP) says to the nurse, "This client is incontinent of stool three or four times a day. I get angry because I think that the client might be doing it just to get attention." Which of the following responses by the nurse is therapeutic?

"You are probably right. Soiling the bed is a way of getting attention from the nursing staff."

"Tell me what makes you feel the client is doing this on purpose?"

"Why don't you spend more time with the client if you think that she is trying to get attention?"

"Next time this happens, tell me and I'll talk to the client about his behavior."

Hint : 🌿Select the response that opens space for exploration rather than judging, agreeing, or fixing.

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9 :
A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?

Encourage verbalization of feelings.

Provide an activity for diversion.

Remain with the client.

Have the client identify two coping skills.

Hint : 🚨Begin with the step that stabilizes and reassures before any teaching or problem-solving.

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Rationale :

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10 :
A nurse is collecting data from a female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Decreased cholesterol levels

Heavy monthly periods

Elevated serum potassium level

Low bone density

Hint : 🧲Consider how malnutrition and low estrogen affect skeletal remodeling over time.

Correct Answers:

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Total Questions: 10

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Ans

PNU Adult Health II Spring 2023 Exam 2

No.

1 : A nurse is caring for a client in an acute care mental health unit who was involuntarily admitted for 72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

2 : A nurse in a community clinic is speaking to other nurses about risk factors for domestic violence. Which of the following statements by one of the other nurses indicates the need for further teaching?

3 : A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly tells the nurse, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?

4 : A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicates adaptive coping? (Select all that apply.)

5 : A nurse is helping a client relieve stress through cognitive reframing. Which of the following actions by the client demonstrates effective use of cognitive reframing?

6 : A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)

7 : A nurse is discussing comorbidities associated with eating disorders with a newly licensed nurse. Which of the following comorbidities should the nurse include in the discussion? (Select all that apply.)

8 : An assistive personnel (AP) says to the nurse, "This client is incontinent of stool three or four times a day. I get angry because I think that the client might be doing it just to get attention." Which of the following responses by the nurse is therapeutic?

9 : A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?

10 : A nurse is collecting data from a female client who has anorexia nervosa. Which of the following findings should the nurse expect?

1 :
A nurse is caring for a client in an acute care mental health unit who was involuntarily admitted for 72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

2 :
A nurse in a community clinic is speaking to other nurses about risk factors for domestic violence. Which of the following statements by one of the other nurses indicates the need for further teaching?

3 :
A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly tells the nurse, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?

4 :
A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicates adaptive coping? (Select all that apply.)

5 :
A nurse is helping a client relieve stress through cognitive reframing. Which of the following actions by the client demonstrates effective use of cognitive reframing?

6 :
A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)

7 :
A nurse is discussing comorbidities associated with eating disorders with a newly licensed nurse. Which of the following comorbidities should the nurse include in the discussion? (Select all that apply.)

8 :
An assistive personnel (AP) says to the nurse, "This client is incontinent of stool three or four times a day. I get angry because I think that the client might be doing it just to get attention." Which of the following responses by the nurse is therapeutic?

9 :
A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?

10 :
A nurse is collecting data from a female client who has anorexia nervosa. Which of the following findings should the nurse expect?