Module 8 and 9 Practice Questions

1. A child has been diagnosed with Autism Spectrum Disorder. The distraught mother cries out, “I’m such a terrible mother. What did I do to cause this?” Which nursing reply is most appropriate?

A. “Researchers really don’t know what causes autistic disorder, but the relationship between autistic disorder and fetal alcohol syndrome is being explored.” B. “Poor parenting doesn’t cause autism. Research has shown that abnormalities in brain structure and/or function are to blame. This is beyond your control.” C. “Research has shown that the mother appears to play a greater role in the development of this disorder than does the father.” D. “Lack of early infant bonding with the mother has shown to be a cause of autistic disorder. Did you breastfeed or bottle-feed?”

2. In planning care for a child diagnosed with autistic spectrum disorder, which is a realistic client outcome?

A. The client will communicate all needs verbally by discharge. B. The client will participate with peers in a team sport by day 4. C. The client will establish trust with at least one caregiver by day 5. D. The client will perform most self-care tasks independently.

3. Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client’s home environment should the nurse associate with the development of this disorder?

A. The home environment maintains loose personal boundaries. B. The home environment places an overemphasis on food. C. The home environment is overprotective and demands perfection. D. The home environment condones corporal punishment.

4. A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred?

A. “Clients diagnosed with Anorexia Nervosa experience extreme nutritional deficits, whereas clients diagnosed with Bulimia Nervosa do not.” B. “Clients diagnosed with Bulimia Nervosa experience amenorrhea, whereas clients diagnosed with Anorexia Nervosa do not.” C. “Clients diagnosed with Bulimia Nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with Anorexia nervosa do not.” D. “Clients diagnosed with Anorexia Nervosa have eroded tooth enamel, whereas clients diagnosed with Bulimia Nervosa do not.”

5. Which nursing intervention is appropriate when caring for clients diagnosed with either Anorexia Nervosa or Bulimia Nervosa?

A. Provide privacy during meals. B. Remain with the client for at least 1 hour after the meal. C. Encourage the client to keep a journal to document types of food consumed. D. Restrict client privileges when provided food is not completely consumed.

6. The nurse observes dental deterioration when assessing a client diagnosed with Bulimia Nervosa. Which best explains this assessment finding?

A. Emesis from purging corrodes the tooth enamel. B. Purging causes the depletion of dietary calcium. C. Food is rapidly ingested without proper mastication. D. Poor dental and oral hygiene leads to dental caries.

7. Which client statement indicates to the nurse that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?

A. “I will limit my intake of fluids daily.” B. “I will maintain normal salt intake.” C. “I will take Lithobid on an empty stomach.” D. “I will increase my caloric intake to prevent weight loss.”

8. A client diagnosed with Bipolar Disorder states, “I hate oatmeal. Let’s get everybody together to do exercises. I’m thirsty and I’m burning up. Get out of my way; I have to see that guy.” Which is the priority nursing action?

A. Assess the client’s vital signs. B. Offer to have the dietitian discuss food preferences. C. Encourage the client to lead the exercise program in the community meeting. D. Acknowledge the client briefly and then walk away.

9. A newly admitted client is diagnosed with Bipolar Disorder: Manic Episode. Which symptom related to altered thought is the nurse most likely to assess?

A. Pacing B. Flight of ideas C. Lability of mood D. Irritability

10. A client is admitted in a manic episode of bipolar I disorder. Which nursing intervention is most therapeutic for this client?

A. Use a calm, unemotional approach during client interactions. B. Focus primarily on enforcing limits. C. Limit interactions to decrease external stimuli. D. Encourage the client to establish social relationships with peers.

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