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NRS 3016: Final Exam Review Questions
With Complete Solutions
A group of nursing students is reviewing information about Freud's personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of aspect? a. Id b. Ego c. Unconscious d. Defense Mechanisms b A nurse is developing a plan of care integrating Maslow's hierarchy of needs. What should the nurse identify as the priority? a.Acceptance from family b.Positive self-image c.Predictable social environment d.Basic needs d Brainpower
Read More A nurse is giving a presentation to colleagues about the actions of neurotransmitters. The nurse correctly identifies which chemical as a neuropeptide? a. Glutamate b. Melatonin c. Gamma-aminobutyric acid d. Serotonin b A client is scheduled for a challenge test. Which information would the nurse include when explaining this test to the client? a. Application of electrodes to the scalp for monitoring b. Exposure to a flashing strobe light to elicit abnormal activity c. Intravenous administration of a substance to induce symptoms d. Evaluation of electrical impulses recorded on graph paper c The nurse is screening clients for risk factors associated with limited or no access to health care. Which client should the nurse identify as having the highest risk? a. The 5-year-old child who lives in the city and requires treatment for leukemia. b. The 20-year-old client who is homeless and requires treatment
c. To encourage self-reflection by the nurse d. To permit the client to gather his or her thoughts d A psychiatric-mental health nurse is educating a class at a community health center on social factors associated with mental illness. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk? a. Homeless individuals b. Older adults c. Individuals with physical disabilities d. Single-parent families a A group of nursing students is reviewing the standards of professional performance. The students demonstrate understanding when they identify which as a standard of professional performance? a. Consultation b. Prescriptive authority c. Planning d. Collaboration d
A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which statement would be most appropriate for the nurse to include about this process? a. "It is a step-by-step process from being ill to being well." b. "The client is helped to live a meaningful life to their fullest potential." c. "Although peer support is important, the self-acceptance is essential." d. "The client focuses mainly on the emotional aspects of their condition." b A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing? a. Phase III b. Phase I c. Phase II d. Phase IV a While interviewing a client, a nurse asks, "What do you do when you get angry?" Which client response indicates to the nurse that the client engages in anger suppression?
d. "Wear sunscreen when you are going to be outdoors in the summer." c When caring for a client with mania, which effect would the nurse most likely assess? a. Narrowed focus b. Logical thinking c. Slow, repetitive speech d. Unusual self-confidence? d A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?" a. Terminal insomnia b. Initial insomnia c. Hypersomnia d. Middle insomnia d A nurse is presenting information about psychotic disorders to a client's family. The family demonstrates a need for more discussion when they make which statement about
schizophreniform disorder? a. The individual experiences hallucinations and/or delusions b. Symptoms must be present for at least 1 month for the diagnosis c. The majority of individuals with the disorder recover completely d. The duration of the illness is usually less than 6 months c A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing this disorder, the nurse determines that the education was effective when they state which symptom should be reported immediately? a. Weight gain b. Tremor c. Elevated temperature d. Decreased blood pressure c The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as
A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use? a. "What do you think caused you to feel this way?" b. "Do you think you will be able to drive home?" c. "Are you feeling much better now that you are lying down?" d. "What did you experience just before and during the attack? d A client with a panic disorder has been prescribed a benzodiazepine medication. Which risk would the nurse emphasize as being associated with using this medication? a. Dietary restrictions b. Fecal impaction c. Agitation d. Withdrawal symptoms d A nurse is reviewing the medical record of a client diagnosed with borderline personality disorder. Which element would the nurse identify as one of the strongest risk factors for this disorder?
a. Parental alcohol abuse b. Abuse as a child c. History of depresion d. Poverty b The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories? a. Depression b. Paranoia c. Primary insomnia d. Aggression a A nurse is working with a client diagnosed with somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client? a. Monitoring the client's treatment program b. Relieving the client's anxiety c. Managing the client's pain d. Developing the therapeutic relationship d
burden of disease worldwide by the year 2030? a. Depression b. Anxiety c. Susbtance abuse d. Anorexia nervosa a A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do? a. Research information about the cultures of the population being served after assessing the client b. Recognize that one's own culture is the predominant way of addressing a client's health care needs c. Assume that any individual of a racial or ethnic group is the same as another individual in that group d. Demonstrate an appreciation of, and a genuine interest in, the individual and his or her cultural beliefs d A psychiatric-mental health nurse is working with a client who is being treated for depression. Which statement by the client would indicate that her spirituality is intact? a. "My church friends came to visit me this past Sunday
afternoon." b. "Nothing will ever be the same again; my life is not worth living." c. "I know I am as well off as I can be under the circumstances." d. "I know God must be punishing me for all my sins." c A group of nursing students is reviewing information about spirituality and religiousness. The group demonstrates understanding of these concepts when they identify religiousness as which of the following? a. Feeling of connected ness b. Way of interpreting life events c. Relationship with a unifying force d. Community participation in common worship d During an interview, a client tells the nurse that he has a feeling of connection to a higher power. The nurse interprets this as which of the following? a. Spirituality b. Transcendence beyond self c. Cultural identity d. Religiousness b
nurse's knowledge about surrounding breach of confidentiality, which response would be the most appropriate? a. "I'm sorry; we're not allowed to give out that information about our client." b. "I'll have to get the client's signed consent before we can send that information to you." c. "I am unable to acknowledge whether or not a Mr. Murray is a client on this unit." d. "Sure, give me your address, and I will see that the information is sent to you." c A client's psychiatrist informs her that he thinks she needs to participate in a 3-month outpatient aftercare program after her discharge. Which of the following would protect the client's right to request a second opinion before agreeing to this suggestion? a. Self-determinism b. Least restrictive environment c. Confidentiality d. Mandates to inform a A psychiatric-mental health nurse is documenting information in a client's medical record. Which of the following would be least
likely to increase the nurse's legal liability? a. "Client reported that he was feeling better today than yesterday." b. "Administered haloperidol 10 mg IM stat as ordered for agitation." c. "Client was talking with another staff member and started screaming." d. "Applied restraints to all four client extremities." b A client is involuntarily committed without a court order. The nurse understands that the emergency, short-term hospitalization can occur for how long? a. A maximum of 24 hours b. 48 to 92 hours c. 3 to 5 days d. 1 week b A nursing instructor has prepared a lecture about the scope and standards of practice of psychiatric nurses. The instructor determines that the education was effective when the students identify which of the following as common to both basic- and advanced-level practice of psychiatric nurses?
A nurse is developing a plan of care for a client experiencing expressive aphasia. The nurse incorporates knowledge that the client most likely has sustained damage to which of the following? a. The postcentral gyrus b. Broca's area c. Basal ganglia d. The hippocampus b A nurse is caring for a client who has experienced damage to the parietal lobes of the brain. The nurse anticipates that the client will have difficulty with which of the following? a. Perceiving sensory input b. Calculating a math problem c. Seeing objects in front of him d. Speaking fluently b A nurse is developing a plan of care for a client diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved? a. Acetylcholine b. Dopamine
c. Norepinephrine d. Serotonin b A client is talking to a nurse about the recent death of her grandmother. She is sad, and tears roll down her cheeks as she talks. The nurse remembers how she felt when her own grandmother died the previous summer. The nurse puts her hand on the client's shoulder and says, "This must be very difficult for you." The nurse is demonstrating empathy based on which of the following? a. The nurse's response reflects an attempt to communicate understanding of the client's feelings. b. The nurse's response and use of reassuring touch reinforce the nurse's concern for the client. c. The nurse demonstrates understanding of how the client feels because of her own grandmother's death. d. The nurse's statement expresses compassion and kindness toward the client. a A nurse is in the orientation phase of the nurse-client relationship with a client diagnosed with a mental disorder. When interviewing the client during this first encounter, which information about the client would be most important for the nurse to obtain?
