NUR 3678 Test 2 Questions With Complete Solutions
A client after the withdrawal from a hallucinogen says, "I feel I
am still on the drug." What is the condition of the client?
a. Paranoia
b. Euphoria
c. Flashback
d. Panic reaction Correct Answers C
A client diagnosed with chronic alcoholism
says to the nurse, "Im tired of using and I want to stop. Is there a
medication that can help me maintain sobriety?" About which
medication would the nurse provide information?
a. Carbamazepine (Tegretol)
b. Clonidine (Catapres)
c. Disulfiram (Antabuse)
d. Folic acid (Folvite) Correct Answers C
A client diagnosed with schizophrenia experiences identity
confusion and communicates with the nurse using echolalia.
What is the client attempting to do by using this form of speech?
a. Identify with the person speaking
b. Imitate the nurse's movements
c. Alleviate alogia
d. Alleviate avolition Correct Answers A
A client has been admitted to a drug detox center because she
was acting suspiciously, and agitated. She tells the nurse that she
,was on weight loss pills. The nurse should recognize that the
client's behavior is most likely related to the use of:
a. amphetamines (appetite suppressants)
b. barbiturates
c. hallucinogens
d. phencyclidine (PCP) Correct Answers A
A client has been diagnosed with major depression. The
psychiatrist prescribes Paroxetine (Paxil). Which of the
following medication information should the nurse include in
discharge teaching?
a. Do not eat chocolate while taking this medication.
b. The medication may cause priapism.
c. The medication should not be discontinued abruptly.
d. The medication may cause photosensitivity. Correct Answers
C
A client has been feeling "down in the dumps" because of the
loss of a pet two years ago. Which condition would the nurse
suspect in the client?
a. Depressive psychosis
b. Major depressive disorder
c. Dysthymia
d. Premenstrual dysphoric disorder Correct Answers C
*chronically depressed mood for one day at least 2 years; down
in the dumps*
,A client is admitted into the psychiatric unit with symptoms of
hypomania. The client's history indicates that the client has
never experienced a full manic episode. What should the nurse
infer from these findings?
a. The client has schizophrenia.
b. The client has bipolar I disorder.
c. The client has bipolar II disorder.
d. The client has obsessive-compulsive disorder. Correct
Answers C
A client is admitted with a diagnosis of brief psychotic disorder,
with catatonic features. Which symptoms are associated with the
catatonic specifier?
a. Strong ego boundaries and abstract thinking
b. Ataxia and akinesia
c. Stupor, muscle rigidity, and negativism
d. Substance abuse and cachexia Correct Answers C
A client is brought to the emergency department. The client is
aggressive, has slurred speech, and impaired motor coordination.
Blood alcohol level is 347 mg/dL. Among the physician's orders
is thiamine. Which is the rationale for this intervention?
a. To prevent nutritional deficits
b. To prevent pancreatitis
c. To prevent alcoholic hepatitis
d. To prevent Wernicke's encephalopathy Correct Answers D
, A client reports to the psychiatrist, "I feel very confident in the
morning, but I get worse as the day progresses. I am unable to
sleep at night due to headache, backache, chest pain, and
abdominal pain. It all started after I broke up with my
girlfriend." Which type of depression is the client experiencing?
a. Mild depression
b. Severe depression
c. Transient depression
d. Moderate depression Correct Answers D
*second stage, client experiences lack of sleep, chest &
abdominal pain, headache & backache with variation in mood*
A client states I have nothing to live for. How should the nurse
respond?
a. ask directly about the suicide plans
b. keep watching the client
c. say nothing and wait for the client to go on
d. focus on the client's thinking on the positive aspects of life
Correct Answers A
A client tells the nurse, "Brad Pitt is in love with me and often
sends me flowers." Which type of delusion does the nurse
document for the client based on this statement?
a. Jealous
b. Grandiose
c. Erotomanic
d. Persecutory Correct Answers C
A client after the withdrawal from a hallucinogen says, "I feel I
am still on the drug." What is the condition of the client?
a. Paranoia
b. Euphoria
c. Flashback
d. Panic reaction Correct Answers C
A client diagnosed with chronic alcoholism
says to the nurse, "Im tired of using and I want to stop. Is there a
medication that can help me maintain sobriety?" About which
medication would the nurse provide information?
a. Carbamazepine (Tegretol)
b. Clonidine (Catapres)
c. Disulfiram (Antabuse)
d. Folic acid (Folvite) Correct Answers C
A client diagnosed with schizophrenia experiences identity
confusion and communicates with the nurse using echolalia.
What is the client attempting to do by using this form of speech?
a. Identify with the person speaking
b. Imitate the nurse's movements
c. Alleviate alogia
d. Alleviate avolition Correct Answers A
A client has been admitted to a drug detox center because she
was acting suspiciously, and agitated. She tells the nurse that she
,was on weight loss pills. The nurse should recognize that the
client's behavior is most likely related to the use of:
a. amphetamines (appetite suppressants)
b. barbiturates
c. hallucinogens
d. phencyclidine (PCP) Correct Answers A
A client has been diagnosed with major depression. The
psychiatrist prescribes Paroxetine (Paxil). Which of the
following medication information should the nurse include in
discharge teaching?
a. Do not eat chocolate while taking this medication.
b. The medication may cause priapism.
c. The medication should not be discontinued abruptly.
d. The medication may cause photosensitivity. Correct Answers
C
A client has been feeling "down in the dumps" because of the
loss of a pet two years ago. Which condition would the nurse
suspect in the client?
a. Depressive psychosis
b. Major depressive disorder
c. Dysthymia
d. Premenstrual dysphoric disorder Correct Answers C
*chronically depressed mood for one day at least 2 years; down
in the dumps*
,A client is admitted into the psychiatric unit with symptoms of
hypomania. The client's history indicates that the client has
never experienced a full manic episode. What should the nurse
infer from these findings?
a. The client has schizophrenia.
b. The client has bipolar I disorder.
c. The client has bipolar II disorder.
d. The client has obsessive-compulsive disorder. Correct
Answers C
A client is admitted with a diagnosis of brief psychotic disorder,
with catatonic features. Which symptoms are associated with the
catatonic specifier?
a. Strong ego boundaries and abstract thinking
b. Ataxia and akinesia
c. Stupor, muscle rigidity, and negativism
d. Substance abuse and cachexia Correct Answers C
A client is brought to the emergency department. The client is
aggressive, has slurred speech, and impaired motor coordination.
Blood alcohol level is 347 mg/dL. Among the physician's orders
is thiamine. Which is the rationale for this intervention?
a. To prevent nutritional deficits
b. To prevent pancreatitis
c. To prevent alcoholic hepatitis
d. To prevent Wernicke's encephalopathy Correct Answers D
, A client reports to the psychiatrist, "I feel very confident in the
morning, but I get worse as the day progresses. I am unable to
sleep at night due to headache, backache, chest pain, and
abdominal pain. It all started after I broke up with my
girlfriend." Which type of depression is the client experiencing?
a. Mild depression
b. Severe depression
c. Transient depression
d. Moderate depression Correct Answers D
*second stage, client experiences lack of sleep, chest &
abdominal pain, headache & backache with variation in mood*
A client states I have nothing to live for. How should the nurse
respond?
a. ask directly about the suicide plans
b. keep watching the client
c. say nothing and wait for the client to go on
d. focus on the client's thinking on the positive aspects of life
Correct Answers A
A client tells the nurse, "Brad Pitt is in love with me and often
sends me flowers." Which type of delusion does the nurse
document for the client based on this statement?
a. Jealous
b. Grandiose
c. Erotomanic
d. Persecutory Correct Answers C
