A 45-year-old male client experiences a sense of depression because he has not yet achieved his life's goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the client's feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Erikson's stages?

• A.Identity versus role confusion
• B.Integrity versus despair
• C.Intimacy versus isolation
• D.Generativity versus self-absorption

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The nurse working with a client who is out of control should follow a model of intervention that includes which of the following?

• A.Approach the client on a continuum of least restrictive care.
• B.Challenge client's behavior immediately with steps to prevent injury to self or others.
• C.Leave the aggressive client to himself or herself, and take other clients away.
• D.To ensure safety of other clients, place client in seclusion immediately when he or she begins shouting.

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Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:

• A.Assigning her to occupational therapy
• B.Having her sit with the nurses while they chart
• C.Helping her to make friends
• D.Facilitating communication

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A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

• A.Complaints of dyspnea
• B.Edema of face and hands
• C.Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks
• D.Hematocrit 39%

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A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:

• A.It is determined that he has no signs of wound infection
• B.He is able to eat a full meal without evidence of nausea or vomiting
• C.The nurse can detect bowel sounds in all four quadrants
• D.His blood pressure returns to its preoperative baseline level or greater

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