ACTUAL EXAM 230 QUESTIONS AND
EXPERT VERIFIED ANSWERS
GRADED A+
A nurse is caring for a client and notes that the client appears disheveled,
frightened, and seems to be talking to someone who is not there. The
nurse should identify that this is an example of which of the following
steps of the nursing process?
A. planning
B. Assessment
C. Analysis
D. Evaluation - ANSWER- Assessment
A nurse is working to build rapport and trust with new clients. Which of
the following actions should the nurse take?
A. fulfill a promise by allowing a client to visit with family members
B. use clinical terminology to help a client better understand their
diagnosis
C. explain the importance of treatment to a client who speaks a language
different from the nurse
D. Minimize contact with a client who is angry - ANSWER- fulfill a
promise by allowing a client to visit with family members
,A nurse is performing a spiritual assessment for a client using the FICA
tool. Which of the following questions should the nurse ask to address
the "C" in the FICA tool?
A. do you consider yourself religious?
b. are you a member of a spiritual organization or group
c. what importance does spirituality have your life
d. how would you like us as a healthcare providers to help with any
spiritual concerns - ANSWER- are you a member of a spiritual
organization or group
A nurse is caring for a client who has sleep dysregulation, poor memory,
and poor concentration. Which of the following neurotransmitters should
the nurse identify as being responsible for the client's manifestations?
a. serotonin
b. dopamine
c. norepinephrine
d. histamine - ANSWER- serotonin
A nurse is providing mental health education to a group of high school
students. Which of the following information about screening for mental
illness should the nurse include?
a. mental illnesses can be detected through regular blood tests
b. risk factors for developing a mental illness are unknown, making
screening difficult
,c. screening for mental illness is difficult because most mental illnesses
cannot be detected through laboratory testing
d. regular physical examinations are commonly used to diagnose mental
illness - ANSWER- screening for mental illness is difficult because
most mental illnesses cannot be detected through laboratory testing
A nurse is educating a newly licensed nurse about psychiatric
pharmacogenomic testing. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
a. psychiatric pharmacogenomic testing allows providers to determine
the cause of mental illness based on genetics
b. psychiatric pharmacogenomic testing allows providers to determine
the likelihood that a treatment will produce a cure - ANSWER-
psychiatric pharmacogenomic testing allows providers to determine
effective treatment modalities
A nurse is caring for a client who has been prescribed clozapine. Which
of the following topics should the nurse prepare to discuss with the
client? - ANSWER- the importance of medication adherence after
the resolution of acute psychosis when taking an antipsychotic
A nurse is providing education to the family of a client who has
Alzheimer's disease. Which of the following statements should the nurse
make when explaining the role of acetylcholine in this disease process? -
ANSWER- acetylcholine plays a central role in findings of
alzheimer's disease
, A nurse is providing education to a group of clients about the process of
neurotransmission. Which of the following statements about
neurotransmission should the nurse make? - ANSWER-
neurotransmitters are found throughout the body
A nurse manager and a newly licensed nurse are engaged in an interview
with a client. The newly licensed nurse tells the client, "You look like
my sister. I love my sister and would do anything for her." Which of the
following actions should the nurse manager take? - ANSWER- assign
the newly licensed nurse to a different client
A nurse is providing care for a client who experienced sexual assault.
Which of the following communication strategies should the nurse use?
- ANSWER- speak softly to the client
a nurse is presenting an in-service about the cycle of violence to the
nursing staff. the nurse should include that which of the following
occurs during phase 1 of the cycle of violence? - ANSWER- arguments
increase in frequency
a sexual assault nurse examiner is a caring for a client who experienced
sexual assault. which of the following actions should the nurse take? -
ANSWER- protect the client from further harm
a nurse is providing care to a client who is aggressive and demonstrating
self-injurious behaviors. Which of the following disorders does the nurse
identify as being consistent with this behavior? - ANSWER- autism
spectrum disorder