NUR2811 Midterm Latest Exam
NUR2811 Midterm Latest Exam Review
ICHS Nursing Capstone (NUR2811) Exam
QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS
The nurse should withhold the next scheduled dose of a client's haloperidol (Haldol) based on
which assessment finding?
o Dizziness when standing.
o Shuffling gait and hand tremors.
o Urinary retention.
o Fever of 102 F.
A+ TEST BANK 1
, NUR2811 Midterm Latest Exam
o Fever of 102 F.
· A fever may indicate neuroleptic malignant syndrome (NMS), a potentially fatal complication of
antipsychotics. The healthcare provider should be contacted before administering the next dose
of Haldol. The other findings are adverse effects of Haldol which are not life threatening.
An older female client with Alzheimer's disease is wandering the busy halls of the extended
care facility and asks the nurse, "Where should I stand for the parade?" Which response
should the nurse provide?
o Anywhere you want to stand as long as you do not get hurt by those in the parade.
o You are confused because of all the activity in the hall. There is no parade.
o Let's go back to the activity room and see what is going on in there.
o Remember I told you that this is a nursing home and I am your nurse.
o Let's go back to the activity room and see what is going on in there.
· It is common for those with Alzheimer's disease (AD) to use the wrong words. Redirecting the
client, using an accepting non-judgmental dialogue, to a safer place and familiar activities is most
helpful because clients with AD experience short-term memory loss. The other responses dismiss
the client's attempt to find order, do not help her relate to the surroundings, and are frustrating
which increase anxiety level.
A 35-year-old male client on the psychiatric unit of a general hospital believes that someone is
trying to poison him. The nurse understands that a client's delusions are most likely related to
which client assessment finding?
o early childhood experiences involving authority issues.
o anger about being hospitalized.
o erroneous interpretation of reality.
A+ TEST BANK 2
, NUR2811 Midterm Latest Exam
o phobic fear of food.
o erroneous interpretation of reality.
· Psychotic clients have difficulty with trust and interpreting reality. Nursing care should be
directed at building trust and promoting an accurate reality. Activities with limited
concentration and no competition should be encouraged in order to build self-esteem. The other
assessment findings are not specifically related to the development of delusions.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin) is being
discharged in the morning. A repeat dose of medication is scheduled for 20 days after
discharge. The client tells the nurse that he is going on vacation in the Bahamas and will
return in 18 days. Which statement by the client indicates a need for health teaching?
o When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
o While I am on vacation and when I return, I will not eat or drink anything that contains
alcohol.
o I will notify the healthcare provider if I have a sore throat or flu-like symptoms.
o I will continue to take my benztropine mesylate (Cogentin) every day.
o When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
· Photosensitivity is a side effect of Prolixin and a vacation in a tropical climate increases the
client's chance of experiencing this side effect. The nurse should teach the client to avoid direct
sun and wear sunscreen. The other client statements do not indicate the need for further
teaching.
Which statement about contemporary mental health nursing practice is accurate?
o There is one approved theoretical framework for psychiatric nursing practice.
A+ TEST BANK 3
, NUR2811 Midterm Latest Exam
o Psychiatric nursing has yet to be recognized as a core mental health discipline.
o Contemporary practice of psychiatric nursing is primarily focused on inpatient care.
o The psychiatric nursing client may be an individual, family, group, organization, or
community.
o The psychiatric nursing client may be an individual, family, group, organization, or
community.
· Mental health nursing is not only concerned with one-on-one interactions. Mental health
stressors can impact and be reflected in the overall direction, activities, behaviors, and
responses involving families, groups, and entire communities. The other statements are not
consistent with mental health nursing.
A male client is admitted to a mental health unit on Friday afternoon and is very upset on
Sunday because he has not had the opportunity to talk with the healthcare provider. Which
response is best for the nurse to provide this client?
o Let me call and leave a message for your healthcare provider.
o The healthcare provider should be here on Monday morning.
o How can I help answer your questions?
o What concerns do you have at this time?
o Let me call and leave a message for your healthcare provider.
· Clients have the right to information about their treatment. The nurse should reassure the
client that a call to notify the healthcare provider will be readily placed. The other responses are
not the highest priority intervention.
The nurse is planning discharge for a male client with schizophrenia. The client insists that he
is returning to his apartment, although the healthcare provider informed him that he will be
A+ TEST BANK 4
NUR2811 Midterm Latest Exam Review
ICHS Nursing Capstone (NUR2811) Exam
QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS
The nurse should withhold the next scheduled dose of a client's haloperidol (Haldol) based on
which assessment finding?
o Dizziness when standing.
o Shuffling gait and hand tremors.
o Urinary retention.
o Fever of 102 F.
A+ TEST BANK 1
, NUR2811 Midterm Latest Exam
o Fever of 102 F.
· A fever may indicate neuroleptic malignant syndrome (NMS), a potentially fatal complication of
antipsychotics. The healthcare provider should be contacted before administering the next dose
of Haldol. The other findings are adverse effects of Haldol which are not life threatening.
An older female client with Alzheimer's disease is wandering the busy halls of the extended
care facility and asks the nurse, "Where should I stand for the parade?" Which response
should the nurse provide?
o Anywhere you want to stand as long as you do not get hurt by those in the parade.
o You are confused because of all the activity in the hall. There is no parade.
o Let's go back to the activity room and see what is going on in there.
o Remember I told you that this is a nursing home and I am your nurse.
o Let's go back to the activity room and see what is going on in there.
· It is common for those with Alzheimer's disease (AD) to use the wrong words. Redirecting the
client, using an accepting non-judgmental dialogue, to a safer place and familiar activities is most
helpful because clients with AD experience short-term memory loss. The other responses dismiss
the client's attempt to find order, do not help her relate to the surroundings, and are frustrating
which increase anxiety level.
A 35-year-old male client on the psychiatric unit of a general hospital believes that someone is
trying to poison him. The nurse understands that a client's delusions are most likely related to
which client assessment finding?
o early childhood experiences involving authority issues.
o anger about being hospitalized.
o erroneous interpretation of reality.
A+ TEST BANK 2
, NUR2811 Midterm Latest Exam
o phobic fear of food.
o erroneous interpretation of reality.
· Psychotic clients have difficulty with trust and interpreting reality. Nursing care should be
directed at building trust and promoting an accurate reality. Activities with limited
concentration and no competition should be encouraged in order to build self-esteem. The other
assessment findings are not specifically related to the development of delusions.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin) is being
discharged in the morning. A repeat dose of medication is scheduled for 20 days after
discharge. The client tells the nurse that he is going on vacation in the Bahamas and will
return in 18 days. Which statement by the client indicates a need for health teaching?
o When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
o While I am on vacation and when I return, I will not eat or drink anything that contains
alcohol.
o I will notify the healthcare provider if I have a sore throat or flu-like symptoms.
o I will continue to take my benztropine mesylate (Cogentin) every day.
o When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
· Photosensitivity is a side effect of Prolixin and a vacation in a tropical climate increases the
client's chance of experiencing this side effect. The nurse should teach the client to avoid direct
sun and wear sunscreen. The other client statements do not indicate the need for further
teaching.
Which statement about contemporary mental health nursing practice is accurate?
o There is one approved theoretical framework for psychiatric nursing practice.
A+ TEST BANK 3
, NUR2811 Midterm Latest Exam
o Psychiatric nursing has yet to be recognized as a core mental health discipline.
o Contemporary practice of psychiatric nursing is primarily focused on inpatient care.
o The psychiatric nursing client may be an individual, family, group, organization, or
community.
o The psychiatric nursing client may be an individual, family, group, organization, or
community.
· Mental health nursing is not only concerned with one-on-one interactions. Mental health
stressors can impact and be reflected in the overall direction, activities, behaviors, and
responses involving families, groups, and entire communities. The other statements are not
consistent with mental health nursing.
A male client is admitted to a mental health unit on Friday afternoon and is very upset on
Sunday because he has not had the opportunity to talk with the healthcare provider. Which
response is best for the nurse to provide this client?
o Let me call and leave a message for your healthcare provider.
o The healthcare provider should be here on Monday morning.
o How can I help answer your questions?
o What concerns do you have at this time?
o Let me call and leave a message for your healthcare provider.
· Clients have the right to information about their treatment. The nurse should reassure the
client that a call to notify the healthcare provider will be readily placed. The other responses are
not the highest priority intervention.
The nurse is planning discharge for a male client with schizophrenia. The client insists that he
is returning to his apartment, although the healthcare provider informed him that he will be
A+ TEST BANK 4
