NURS 300 Exam 2 – Questions With Clear Solutions
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Terms in this set (91)
1. A mother is concerned about her D. This type of crisis is precipitated by normal life-
ability to perform in her new role. She cycle transitions that overwhelm the client.
is quite anxious and refuses to leave
the postpartum unit. To offer effective
client care, a nurse should recognize
which information about this type of
crisis?
A. This type of crisis is precipitated by
unexpected external stressors.
B. This type of crisis is precipitated by
preexisting psychopathology.
C. This type of crisis is precipitated by
an acute response to an external
situational stressor.
D. This type of crisis is precipitated by
normal life-cycle transitions that
overwhelm the client.
2. A wife brings her husband to an B. Psychiatric emergency crisis
emergency department after an
attempt to hang himself. He is a full-
time student and works 8 hours at
night to support his family. He states, I
cant function any longer under all this
stress. Which type of crisis is the client
experiencing?
A. Maturational/developmental crisis
B. Psychiatric emergency crisis
C. Anticipated life transition crisis
D. Traumatic stress crisis
,3. A client comes to a psychiatric D. The client will return to previous adaptive levels of
clinic, experiencing sudden extreme functioning by week 6.
fatigue and decreased sleep and
appetite. The client works 12 hours a
day and rates anxiety as 8/10 on a
numeric scale. What correctly written
long-term outcome is realistic in
addressing this clients crisis?
A. The client will change his or her
type A personality traits to more
adaptive ones by week 1.
B. The client will list five positive self-
attributes.
C. The client will examine how
childhood events led to an
overachieving orientation.
D. The client will return to previous
adaptive levels of functioning by week
6.
4. A high school student has learned C. Risk for self-directed violence R/T hopelessness
that she cannot graduate. Her
boyfriend will be attending a college
out of state that she planned to also
attend. She is admitted to a psychiatric
unit after overdosing on Tylenol.
Which is the correctly written priority
nursing diagnosis for this client?
A. Ineffective coping R/T situational
crisis AEB powerlessness
B. Anxiety R/T fear of failure
C. Risk for self-directed violence R/T
hopelessness
D. Risk for low self-esteem R/T loss
events AEB suicidal ideations
,5. After threatening to jump off a A. Are you currently thinking about harming yourself?
bridge, a client is brought to an
emergency department by police. To
assess for suicide potential, which
question should a nurse ask first?
A. Are you currently thinking about
harming yourself?
B. Why do you want to harm yourself?
C. Have you thought about the
consequences of your actions?
D. Who is your emergency contact
person?
6. An involuntarily committed client, D. With staff support and a show of solidarity, set firm
when offered a dinner tray, pushes it limits on the behavior.
off the bedside table onto the floor.
Which intervention should a nurse
prioritize to address this behavior?
A. Initiate forced medication protocol.
B. Help the client to explore the
source of anger.
C. Ignore the act to avoid reinforcing
the behavior.
D. With staff support and a show of
solidarity, set firm limits on the
behavior.
7. A college student who was nearly D. I carry mace when I jog. It makes me feel safe and
raped while jogging completes a secure.
series of appointments with a rape
crisis nurse. At the final session, which
client statement most clearly suggests
that the goals of crisis intervention
have been met?
A. Youve really been helpful. Can I
count on you for continued support?
B. I dont work out anymore.
C. Im really glad I didnt go home. It
would have been hard to come back.
D. I carry mace when I jog. It makes
me feel safe and secure.
, 8. A despondent client, who has B. This may not be the best time for you to make such
recently lost her husband of 30 years, an important decision.
tearfully states, Ill feel a lot better if I
sell my house and move away. Which
nursing reply is most appropriate?
A. Im confident you know whats best
for you.
B. This may not be the best time for
you to make such an important
decision.
C. Your children will be terribly
disappointed.
D. Tell me why you want to make this
change.
9. An inpatient client with a known B. The client has a tense facial expression and body
history of violence suddenly begins to language.
pace. Which client behavior should
alert a nurse to escalating anger and
aggression?
A. The client requests prn
medications.
B. The client has a tense facial
expression and body language.
C. The client refuses to eat lunch.
D. The client sits in group therapy with
back to peers.
Save
Terms in this set (91)
1. A mother is concerned about her D. This type of crisis is precipitated by normal life-
ability to perform in her new role. She cycle transitions that overwhelm the client.
is quite anxious and refuses to leave
the postpartum unit. To offer effective
client care, a nurse should recognize
which information about this type of
crisis?
A. This type of crisis is precipitated by
unexpected external stressors.
B. This type of crisis is precipitated by
preexisting psychopathology.
C. This type of crisis is precipitated by
an acute response to an external
situational stressor.
D. This type of crisis is precipitated by
normal life-cycle transitions that
overwhelm the client.
2. A wife brings her husband to an B. Psychiatric emergency crisis
emergency department after an
attempt to hang himself. He is a full-
time student and works 8 hours at
night to support his family. He states, I
cant function any longer under all this
stress. Which type of crisis is the client
experiencing?
A. Maturational/developmental crisis
B. Psychiatric emergency crisis
C. Anticipated life transition crisis
D. Traumatic stress crisis
,3. A client comes to a psychiatric D. The client will return to previous adaptive levels of
clinic, experiencing sudden extreme functioning by week 6.
fatigue and decreased sleep and
appetite. The client works 12 hours a
day and rates anxiety as 8/10 on a
numeric scale. What correctly written
long-term outcome is realistic in
addressing this clients crisis?
A. The client will change his or her
type A personality traits to more
adaptive ones by week 1.
B. The client will list five positive self-
attributes.
C. The client will examine how
childhood events led to an
overachieving orientation.
D. The client will return to previous
adaptive levels of functioning by week
6.
4. A high school student has learned C. Risk for self-directed violence R/T hopelessness
that she cannot graduate. Her
boyfriend will be attending a college
out of state that she planned to also
attend. She is admitted to a psychiatric
unit after overdosing on Tylenol.
Which is the correctly written priority
nursing diagnosis for this client?
A. Ineffective coping R/T situational
crisis AEB powerlessness
B. Anxiety R/T fear of failure
C. Risk for self-directed violence R/T
hopelessness
D. Risk for low self-esteem R/T loss
events AEB suicidal ideations
,5. After threatening to jump off a A. Are you currently thinking about harming yourself?
bridge, a client is brought to an
emergency department by police. To
assess for suicide potential, which
question should a nurse ask first?
A. Are you currently thinking about
harming yourself?
B. Why do you want to harm yourself?
C. Have you thought about the
consequences of your actions?
D. Who is your emergency contact
person?
6. An involuntarily committed client, D. With staff support and a show of solidarity, set firm
when offered a dinner tray, pushes it limits on the behavior.
off the bedside table onto the floor.
Which intervention should a nurse
prioritize to address this behavior?
A. Initiate forced medication protocol.
B. Help the client to explore the
source of anger.
C. Ignore the act to avoid reinforcing
the behavior.
D. With staff support and a show of
solidarity, set firm limits on the
behavior.
7. A college student who was nearly D. I carry mace when I jog. It makes me feel safe and
raped while jogging completes a secure.
series of appointments with a rape
crisis nurse. At the final session, which
client statement most clearly suggests
that the goals of crisis intervention
have been met?
A. Youve really been helpful. Can I
count on you for continued support?
B. I dont work out anymore.
C. Im really glad I didnt go home. It
would have been hard to come back.
D. I carry mace when I jog. It makes
me feel safe and secure.
, 8. A despondent client, who has B. This may not be the best time for you to make such
recently lost her husband of 30 years, an important decision.
tearfully states, Ill feel a lot better if I
sell my house and move away. Which
nursing reply is most appropriate?
A. Im confident you know whats best
for you.
B. This may not be the best time for
you to make such an important
decision.
C. Your children will be terribly
disappointed.
D. Tell me why you want to make this
change.
9. An inpatient client with a known B. The client has a tense facial expression and body
history of violence suddenly begins to language.
pace. Which client behavior should
alert a nurse to escalating anger and
aggression?
A. The client requests prn
medications.
B. The client has a tense facial
expression and body language.
C. The client refuses to eat lunch.
D. The client sits in group therapy with
back to peers.
