NUR 212 COMPLETED EXAM QNS & ANS 20232024 (EXCELSIOR UNI), Exams of Nursing

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NUR 212

COMPLETED EXAM

QNS & ANS

1. A client with Alzheimer’s disease has had recent episodes of confabulation. The client is most likely in which stage of Alzheimer’s? Stage 5
2. Which instruction should the nurse include in medication teaching to a patient and her husband regarding lithium therapy? Regular blood tests are vital to assre serum lithium levels remain below 1.5 mE/q/L. Fluid intake should be 2and a third to 5L saily. Thyroid function should be monitored exery 0 to 12 months
3. Which statement made by a client in a mental health clinic demonstrates the use of denial as a coping measure? I am not going to come in anymore, as I have no problems
4. Which behavior suggests that a patient would benefit from a prescribed as needed dose of lorazepam? Becoming noticeably agitated

9. Which nursing intervention is the most appropriate use of behavior therapy when caring for a client with Bordorline Personality Disorder? Encourage the client to keep a journal of feelings to manage mood swings
10. Lorazepam therapy should not be stopped abruptly because doing so will likely result in which consequences? Triggering of withdrawal symptoms
11. A nurse is teaching a client about taking Lithium for his bipolar disorder. Which teaching topics should be included? Serum lithium levels can be elevated by use of NSAIDS. Polyuria and thirst occur frequently as side effects of the medication
12. The client with dementia has been ordered all these medications. Which medication is indicated for agitation and wandering haloperidol
13. What is the RN’s most appropriate response to a client who is experiencing a PostTraumatic Stress Disorder (PTSD) reaction? “You are safe here and in good hands.”
14. Which is the priority short-term outcome for the nursing diagnosis Imbalanced nutrition:

less than body requirements related to binging and purging? Client will gain a prescribed amount of weight daily

15. A client who lost a leg in a small plane crash is having flashbacks of the accident and has been diagnosed with Post-Traumatic Stress Disorder (PTSD). Which behavior would cause the RN to notify the Health Care Provider that the condition is worsening? Restless sleep
16. Which statement is the most appropriate response to a client who is highly anxious “You must be feeling pretty stressed right now.”
17. Which action by the RN best demonstrates the ethical principle of beneficence as applied to a client with severe mental illness? Acting as an advocate for the client to secure essential mental-health services
18. Which is the most appropriate action by the RN when a client treated for depression

posttraumatic stress disorder after returning from a military deployment? Assess for changes in mood or cognition

23. A client with schizophrenia has been taking olanzapine. Which assessment is most important to report to the provider? Smacking of the lips.
24. The RN should include which interventions in the plan of care for a client admitted to the emergency room after an attempted suicide? Have client sign a no-suicide contract. Search the client’s belongings. Administer medications and watch the patient swallow them
25. The school RN assesses a child who is complaining of a toothache for the second time this month. The RN notes a dirty and unkempt appeaerance and the presence of multiple dental caries. What is the priority action by the RN Call the child abuse hotline.
26. A toddler has been brought to the Emergency Room by the parents. Upon assessment, the

RN notices round-shaped burn marks on the upper arms and thighs of the patient. Which is the most appropriate action by the RN? Call for consultation with social services

27. Which points should be included in the discharge teaching plan for a client with depression who has been prescribed an SSRI? The phone number for a suicide hotline The medication may cause sexual dysfunction Some common side effects of SSRIs are dry mouth, headache and weight gain.
28. What is the RN’s priority action for a client experiencing auditory hallucinations Maintain a safe environment
29. A client on the in-patient addictions unit criticizes himself and his family for contributing to his addiction. Which outcome would be appropriate for this client? Client states personal strengths in therapy session
30. Which of the following characterizes an inhibited response to grieving Inability to grieve