After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

• A.Suicide
• B.Exacerbation of depressive symptoms
• C.Violence toward others
• D.Psychotic behavior

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A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:

• A.Encourages the client to discuss the voices
• B.Attempts to direct the client's attention to the here and now
• C.Exhibits sincere interest in the delusional voices
• D.Gives the medication as necessary for the acting-out behavior

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A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:

• A.Crying
• B.Falling asleep
• C.Rolling from his back to his tummy
• D.Sucking his thumb

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A 3-year-old child is admitted with a diagnosis of possible noncommunicating hydrocephalus. What is the first symptom that indicates increased intracranial pressure?

• A.Bulging fontanelles
• B.Seizure
• C.Headache
• D.Ataxia

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The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

• A.Exercise should be performed 30 minutes before meals.
• B.A snack may be needed before and/or during exercise.
• C.Hyperglycemia may occur 2-4 hours after exercise.
• D.The blood glucose level should be 100 mg or below before exercise is begun.

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