NRSG 250 Exam 1 Questions Complete Solutions
A 48-year-old male client tells the nurse he wants to stop taking
his prazosin (Minipress).
Which questions should the nurse ask the client? Correct
Answers - "Are you experiencing impotence?"
- "Are you experiencing nasal congestion?"
- "Do you feel tired?"
A client ask the nurse which part of the brain controls anxiety
and insomnia. Which
response should the nurse provide? Correct Answers "The
limbic system and reticular activating system control anxiety
and insomnia."
A client asks the nurse about bipolar disorder. Which response
should the nurse provide? Correct Answers "Bipolar disorder
means you have cycles of depression as well as hyperactivity, or
mania."
A client asks the nurse about the characteristics of absence
seizures. Which explanation
should the nurse provide the client? Correct Answers "This type
of seizure is characterized by staring into space for a few
seconds."
A client asks the nurse how methadone (Dolophine) can help
with a heroin dependence. Correct Answers "Methadone
(Dolophine) does not cause euphoria like heroin does."
,A client asks the nurse how morphine will control pain. Which
response should the nurse
provide the client? Correct Answers "Interacts with receptors in
your body that produce analgesia."
A client asks the nurse how skeletal muscle relaxants work.
Which response should the
nurse provide the client? Correct Answers "They inhibit upper
motor neuron activity within the central nervous system."
A client asks the nurse if there are any over-the-counter herbs or
nonprescription medications that can be used to improve
insomnia. Which response should the nurse provide the client?
Correct Answers - "Diphenhydramine (Benadryl) and
doxylamine are over-the-counter meds sometimes taken to
produce drowsiness."
- "Valerian and melatonin are herbs commonly taken to improve
sleep."
A client asks the nurse to describe NREM stage 3 sleep. Which
response should the nurse
provide the client? Correct Answers "This is the deepest stage
of sleep; without it you will be tired and depressed."
A client asks the nurse what causes bipolar disorder. Which
neurotransmitters should the
nurse include when discussing the manic phase of the disorder?
Correct Answers - Excessive glutamate
- Excessive norepinephrine
- Deficiency of gamma-aminobutyric acid
,A client asks the nurse which prescriptions are commonly used
to treat insomnia. Which
pharmacological agents should the nurse discuss with the client?
Correct Answers - Ramelteon (Rozerem)
- Flurazepam (Dalmane)
- Zolpidem (Ambien)
A client asks the nurse which types of therapies are most helpful
for depression. Which
therapies should the nurse plan to discuss with the client?
Correct Answers - Behavioral therapy
- Interpersonal therapy
- Cognitive-behavioral therapy
- Psychodynamic therapy
A client asks the nurse why he or she is prescribed different
types of medications for his or
her anxiety and insomnia. Which response should the nurse
provide the client? Correct Answers - "You will be taking
medications known as sedative-hypnotics."
- "You will be taking medications known as antidepressants."
- "You will be taking medications known as benzodiazepines."
A client asks the nurse why he or she is receiving preoperative
prescriptions. Which
information should the nurse include in the education? Correct
Answers - Reduce anxiety and facilitate sedation
- Reduce the risk of aspiration pneumonia
- Manage pain
, A client asks the nurse why he or she will receive IV anesthesia
before inhaled anesthesia.
Which response should the nurse provide? Correct Answers
"The IV anesthesia will produce a rapid unconsciousness."
A client asks the nurse, "Can you tell me how capsaicin works to
treat muscle pain?" Which
statement should the nurse include in the response? Correct
Answers "Decreases the sensation of pain by interfering with
the chemical messengers."
A client diagnosed with epilepsy asks the nurse why he or she
will have to take a
prescription. Which response should the nurse provide the
client? Correct Answers "You will need to take a prescription
on a continual basis to control the seizures."
A client experiencing nervousness asks the nurse why
escitalopram was prescribed. Which
response should the nurse provide the client? Correct Answers
"The same brain chemicals are involved with anxiety and
depression."
A client has been in the intensive care unit for a week receiving
various procedures
throughout the day and night. Currently the client, though
physiologically stable, is irritable
and paranoid and complains of vivid dreams when dozing off to
sleep. Which are the best
actions for the nurse to take at this time? Correct Answers -
Request a prescription for a sleep hypnotic.
A 48-year-old male client tells the nurse he wants to stop taking
his prazosin (Minipress).
Which questions should the nurse ask the client? Correct
Answers - "Are you experiencing impotence?"
- "Are you experiencing nasal congestion?"
- "Do you feel tired?"
A client ask the nurse which part of the brain controls anxiety
and insomnia. Which
response should the nurse provide? Correct Answers "The
limbic system and reticular activating system control anxiety
and insomnia."
A client asks the nurse about bipolar disorder. Which response
should the nurse provide? Correct Answers "Bipolar disorder
means you have cycles of depression as well as hyperactivity, or
mania."
A client asks the nurse about the characteristics of absence
seizures. Which explanation
should the nurse provide the client? Correct Answers "This type
of seizure is characterized by staring into space for a few
seconds."
A client asks the nurse how methadone (Dolophine) can help
with a heroin dependence. Correct Answers "Methadone
(Dolophine) does not cause euphoria like heroin does."
,A client asks the nurse how morphine will control pain. Which
response should the nurse
provide the client? Correct Answers "Interacts with receptors in
your body that produce analgesia."
A client asks the nurse how skeletal muscle relaxants work.
Which response should the
nurse provide the client? Correct Answers "They inhibit upper
motor neuron activity within the central nervous system."
A client asks the nurse if there are any over-the-counter herbs or
nonprescription medications that can be used to improve
insomnia. Which response should the nurse provide the client?
Correct Answers - "Diphenhydramine (Benadryl) and
doxylamine are over-the-counter meds sometimes taken to
produce drowsiness."
- "Valerian and melatonin are herbs commonly taken to improve
sleep."
A client asks the nurse to describe NREM stage 3 sleep. Which
response should the nurse
provide the client? Correct Answers "This is the deepest stage
of sleep; without it you will be tired and depressed."
A client asks the nurse what causes bipolar disorder. Which
neurotransmitters should the
nurse include when discussing the manic phase of the disorder?
Correct Answers - Excessive glutamate
- Excessive norepinephrine
- Deficiency of gamma-aminobutyric acid
,A client asks the nurse which prescriptions are commonly used
to treat insomnia. Which
pharmacological agents should the nurse discuss with the client?
Correct Answers - Ramelteon (Rozerem)
- Flurazepam (Dalmane)
- Zolpidem (Ambien)
A client asks the nurse which types of therapies are most helpful
for depression. Which
therapies should the nurse plan to discuss with the client?
Correct Answers - Behavioral therapy
- Interpersonal therapy
- Cognitive-behavioral therapy
- Psychodynamic therapy
A client asks the nurse why he or she is prescribed different
types of medications for his or
her anxiety and insomnia. Which response should the nurse
provide the client? Correct Answers - "You will be taking
medications known as sedative-hypnotics."
- "You will be taking medications known as antidepressants."
- "You will be taking medications known as benzodiazepines."
A client asks the nurse why he or she is receiving preoperative
prescriptions. Which
information should the nurse include in the education? Correct
Answers - Reduce anxiety and facilitate sedation
- Reduce the risk of aspiration pneumonia
- Manage pain
, A client asks the nurse why he or she will receive IV anesthesia
before inhaled anesthesia.
Which response should the nurse provide? Correct Answers
"The IV anesthesia will produce a rapid unconsciousness."
A client asks the nurse, "Can you tell me how capsaicin works to
treat muscle pain?" Which
statement should the nurse include in the response? Correct
Answers "Decreases the sensation of pain by interfering with
the chemical messengers."
A client diagnosed with epilepsy asks the nurse why he or she
will have to take a
prescription. Which response should the nurse provide the
client? Correct Answers "You will need to take a prescription
on a continual basis to control the seizures."
A client experiencing nervousness asks the nurse why
escitalopram was prescribed. Which
response should the nurse provide the client? Correct Answers
"The same brain chemicals are involved with anxiety and
depression."
A client has been in the intensive care unit for a week receiving
various procedures
throughout the day and night. Currently the client, though
physiologically stable, is irritable
and paranoid and complains of vivid dreams when dozing off to
sleep. Which are the best
actions for the nurse to take at this time? Correct Answers -
Request a prescription for a sleep hypnotic.
