2
NUR 609 Final Dunphy Set 3 Exam with || || || || || || || ||
accurate detailed solutions || ||
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when
|| || || || || || || || || || || || || || || || || ||
the client is conversing with other clients, he repeats what they are saying word for word. The
|| || || || || || || || || || || || || || || || ||
nurse interprets this finding and documents it as which of the following?
|| || || || || || || || || || || ||
A) Echopraxia
|| ||
B) Neologisms
|| ||
C) Tangentiality
|| ||
D) Echolalia - ✔✔D) Echolalia
|| || || ||
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is
|| || || || || || || || || || || || || || ||
listening to the radio. The client tells the nurse that the radio commentator is speaking directly to
|| || || || || || || || || || || || || || || || ||
him. The nurse interprets this finding as which of the following?
|| || || || || || || || || || ||
A) Autistic thinking
|| || ||
B) Concrete thinking
|| || ||
C) Referential thinking
|| || ||
D) Illusional thinking - ✔✔C) Referential thinking
|| || || || || ||
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone.
|| || || || || || || || || || || || || ||
His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor.
|| || || || || || || || || || || || || || || || ||
During an interview, the clients family voices a desire for the client to live with them when he is
|| || || || || || || || || || || || || || || || || || ||
discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
|| || || || || || || || || || || || ||
A) Ineffective Role Performance related to symptoms of schizophrenia.
|| || || || || || || || ||
B) Social Isolation related to auditory hallucinations.
|| || || || || || ||
C) Dysfunctional Family Processes related to psychosis.
|| || || || || || ||
D) Bathing Self-Care Deficit related to symptoms of schizophrenia - ✔✔D) Bathing Self-Care
|| || || || || || || || || || || || ||
Deficit related to symptoms of schizophrenia
|| || || || ||
,2
The nurse is caring for an elderly client who has been taking an antipsychotic medication for 1
|| || || || || || || || || || || || || || || || ||
week. The nurse notifies the physician when he observes that the client has muscle rigidity that
|| || || || || || || || || || || || || || || ||
resembles Parkinsons disease. Which agent would the nurse expect the physician to prescribe?
|| || || || || || || || || || || || ||
A) Anticholinergic
|| ||
B) Anxiolytic
|| ||
C) Benzodiazepine
|| ||
D) Beta-blocker - ✔✔A) Anticholinergic
|| || || ||
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
|| || || || || || || || || || || || || || || ||
antipsychotic medications for 1 week when the nurse observes that the clients eyes are fixed on
|| || || || || || || || || || || || || || || ||
the ceiling. The nurse interprets this finding as which of the following?
|| || || || || || || || || || || ||
A) Akathisia
|| ||
B) Oculogyric crisis
|| || ||
C) Retrocollis
|| ||
D) Tardive dyskinesia - ✔✔B) Oculogyric crisis
|| || || || || ||
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing
|| || || || || || || || || || ||
the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the
|| || || || || || || || || || || || || || || ||
nurse expect to administer?
|| || || ||
A) Diphenhydramine (Benadryl)
|| || ||
B) Propranolol (Inderal)
|| || ||
C) Risperidone (Risperdal)
|| || ||
D) Aripiprazole (Abilify) - ✔✔A) Diphenhydramine (Benadryl)
|| || || || || ||
The nurse is caring for a client who has been receiving treatment for schizophrenia with
|| || || || || || || || || || || || || || ||
chlorpromazine for the past year. It would be essential for the nurse to monitor the client for || || || || || || || || || || || || || || || || ||
which of the following? || || || ||
A) Weight loss
|| || ||
B) Torticollis
|| ||
C) Hypoglycemia
|| ||
, 2
D) Tardive dyskinesia - ✔✔D) Tardive dyskinesia
|| || || || || ||
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for
|| || || || || || || || || || || || ||
the past 2 months. The nurse would be especially alert for which of the following? A) Weight loss
|| || || || || || || || || || || || || || || || || ||
B) Hypertension C) Diarrhea D) Diabetes - ✔✔D) Diabetes
|| || || || || || || ||
the nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client
|| || || || || || || || || || || || || || || || || ||
tells the nurse, My throat is sore, and I feel weak. The nurse assesses the clients vital signs and
|| || || || || || || || || || || || || || || || || || ||
finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain
|| || || || || || || || || || || || || || || || ||
which laboratory test? || || ||
A) A white blood cell count
|| || || || || ||
B) Liver function studies
|| || || ||
C) Serum potassium level
|| || || ||
D) Serum sodium level - ✔✔A) A white blood cell count
|| || || || || || || || || ||
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and
|| || || || || || || || || || || || || || ||
treatment with antipsychotic medications. After teaching the client and family about managing
|| || || || || || || || || || || || ||
the disorder, the nurse determines that the teaching was effective when they state which of the
|| || || || || || || || || || || || || || || ||
following should be reported immediately? || || || || ||
A) Elevated temperature
|| || ||
B) Tremor || ||
C) Decreased blood pressure
|| || || ||
D) Weight gain - ✔✔A) Elevated temperature
|| || || || || ||
A nurse is preparing an in-service program for a group of psychiatric mental health nurses about
|| || || || || || || || || || || || || || || ||
schizophrenia. Which of the following would the nurse include as a major reason for relapse? A) || || || || || || || || || || || || || || || ||
Lack of family support B) Accessibility to community resources C) Non-adherence to prescribed
|| || || || || || || || || || || || ||
medications D) Stigmatization of mental illness - ✔✔C) Non-adherence to prescribed || || || || || || || || || || ||
medications
NUR 609 Final Dunphy Set 3 Exam with || || || || || || || ||
accurate detailed solutions || ||
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when
|| || || || || || || || || || || || || || || || || ||
the client is conversing with other clients, he repeats what they are saying word for word. The
|| || || || || || || || || || || || || || || || ||
nurse interprets this finding and documents it as which of the following?
|| || || || || || || || || || || ||
A) Echopraxia
|| ||
B) Neologisms
|| ||
C) Tangentiality
|| ||
D) Echolalia - ✔✔D) Echolalia
|| || || ||
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is
|| || || || || || || || || || || || || || ||
listening to the radio. The client tells the nurse that the radio commentator is speaking directly to
|| || || || || || || || || || || || || || || || ||
him. The nurse interprets this finding as which of the following?
|| || || || || || || || || || ||
A) Autistic thinking
|| || ||
B) Concrete thinking
|| || ||
C) Referential thinking
|| || ||
D) Illusional thinking - ✔✔C) Referential thinking
|| || || || || ||
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone.
|| || || || || || || || || || || || || ||
His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor.
|| || || || || || || || || || || || || || || || ||
During an interview, the clients family voices a desire for the client to live with them when he is
|| || || || || || || || || || || || || || || || || || ||
discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
|| || || || || || || || || || || || ||
A) Ineffective Role Performance related to symptoms of schizophrenia.
|| || || || || || || || ||
B) Social Isolation related to auditory hallucinations.
|| || || || || || ||
C) Dysfunctional Family Processes related to psychosis.
|| || || || || || ||
D) Bathing Self-Care Deficit related to symptoms of schizophrenia - ✔✔D) Bathing Self-Care
|| || || || || || || || || || || || ||
Deficit related to symptoms of schizophrenia
|| || || || ||
,2
The nurse is caring for an elderly client who has been taking an antipsychotic medication for 1
|| || || || || || || || || || || || || || || || ||
week. The nurse notifies the physician when he observes that the client has muscle rigidity that
|| || || || || || || || || || || || || || || ||
resembles Parkinsons disease. Which agent would the nurse expect the physician to prescribe?
|| || || || || || || || || || || || ||
A) Anticholinergic
|| ||
B) Anxiolytic
|| ||
C) Benzodiazepine
|| ||
D) Beta-blocker - ✔✔A) Anticholinergic
|| || || ||
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
|| || || || || || || || || || || || || || || ||
antipsychotic medications for 1 week when the nurse observes that the clients eyes are fixed on
|| || || || || || || || || || || || || || || ||
the ceiling. The nurse interprets this finding as which of the following?
|| || || || || || || || || || || ||
A) Akathisia
|| ||
B) Oculogyric crisis
|| || ||
C) Retrocollis
|| ||
D) Tardive dyskinesia - ✔✔B) Oculogyric crisis
|| || || || || ||
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing
|| || || || || || || || || || ||
the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the
|| || || || || || || || || || || || || || || ||
nurse expect to administer?
|| || || ||
A) Diphenhydramine (Benadryl)
|| || ||
B) Propranolol (Inderal)
|| || ||
C) Risperidone (Risperdal)
|| || ||
D) Aripiprazole (Abilify) - ✔✔A) Diphenhydramine (Benadryl)
|| || || || || ||
The nurse is caring for a client who has been receiving treatment for schizophrenia with
|| || || || || || || || || || || || || || ||
chlorpromazine for the past year. It would be essential for the nurse to monitor the client for || || || || || || || || || || || || || || || || ||
which of the following? || || || ||
A) Weight loss
|| || ||
B) Torticollis
|| ||
C) Hypoglycemia
|| ||
, 2
D) Tardive dyskinesia - ✔✔D) Tardive dyskinesia
|| || || || || ||
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for
|| || || || || || || || || || || || ||
the past 2 months. The nurse would be especially alert for which of the following? A) Weight loss
|| || || || || || || || || || || || || || || || || ||
B) Hypertension C) Diarrhea D) Diabetes - ✔✔D) Diabetes
|| || || || || || || ||
the nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client
|| || || || || || || || || || || || || || || || || ||
tells the nurse, My throat is sore, and I feel weak. The nurse assesses the clients vital signs and
|| || || || || || || || || || || || || || || || || || ||
finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain
|| || || || || || || || || || || || || || || || ||
which laboratory test? || || ||
A) A white blood cell count
|| || || || || ||
B) Liver function studies
|| || || ||
C) Serum potassium level
|| || || ||
D) Serum sodium level - ✔✔A) A white blood cell count
|| || || || || || || || || ||
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and
|| || || || || || || || || || || || || || ||
treatment with antipsychotic medications. After teaching the client and family about managing
|| || || || || || || || || || || || ||
the disorder, the nurse determines that the teaching was effective when they state which of the
|| || || || || || || || || || || || || || || ||
following should be reported immediately? || || || || ||
A) Elevated temperature
|| || ||
B) Tremor || ||
C) Decreased blood pressure
|| || || ||
D) Weight gain - ✔✔A) Elevated temperature
|| || || || || ||
A nurse is preparing an in-service program for a group of psychiatric mental health nurses about
|| || || || || || || || || || || || || || || ||
schizophrenia. Which of the following would the nurse include as a major reason for relapse? A) || || || || || || || || || || || || || || || ||
Lack of family support B) Accessibility to community resources C) Non-adherence to prescribed
|| || || || || || || || || || || || ||
medications D) Stigmatization of mental illness - ✔✔C) Non-adherence to prescribed || || || || || || || || || || ||
medications
