NUR 180 EXAM 1 QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
A nurse is examining a patient, the patient states that he had an accident on the way to
the hospital, the nurse notes that he has High Blood pressure, High Respirations, High
Heart Rate, and dilated pupils what does these signs indicate? - Answers - Showing
signs of acute stress response.
The nurse is caring for a patient who presented to the emergency room with acute
hallucinations and paranoid behavior, which level of care is expected - Answers - The
patient will be impatient.
The nurse understands that the priority of care for people with mental health problems
is. - Answers - Least restriction to meet their needs.
A nurse is assessing a patient mental health and the patient stares at the floor, what
should the nurse do - Answers - Nurse establishes therapeutic communication.
. A patient approaches the nurse and tell the nurse that they are hearing frightening
voices, and the nurse responds "Okay" what form of communication is the nurse
establishing? - Answers - Un therapeutic communication
A college nurse is taking care of a teenage patient who complains they can't cope, or
they can't sleep, what will the nurse recommend - Answers - It is a crisis, so stabilize the
patient and give them time is needed.
An adult patient becomes combative during med administration, what administration will
the med take - Answers - Maintaining safety while deescalating the combative behavior
The nurse is trying to develop trust with a patient, what action will she perform -
Answers - The patient follows through with the patient.
A woman with two children who has been in an abusive relationship. Decided to leave
her abusive relationship, what will the nurse do at the crisis center - Answers - Offer
emotional support
. A patient with frequent readmission to the inpatient unit refuse to eat or take part in
any activities what would the nurse do? - Answers - Provide encouragement
Provide finger foods
The nurse is receiving documentation from the previous shift and notice notion that
indicate, a pt of experiencing a deep sleep similar level of consciousness, how should
the nurse behave? - Answers - Repeat their name loudly a few times
,The nurse is trying to develop trust with a newly admitted patient, (female)and to
establish therapeutic relationship the nurse is currently administering medication on the
unit the new patient wants to sit and talk with you, what will the nurse do - Answers -
Tell the patient that they will talk after she do her med pass.
A nurse is working with a male in a mental clinic, the patient voice the desire to be
autonomous (making decisions for themselves) what will the nurse do? - Answers -
Encourage the patient to check schedule and calendar for themselves
The nurse is trying to develop a therapeutic relationship with a patient on a mental
health unit, what action will the nurse take - Answers - Encourage the nurse to express
their thoughts and feelings.
The nurse is caring for a nurse with bipolar disorder the patient voices concern of their
future with this diagnosis, how would the nurse respond? - Answers - Know about
lithium (not very clear) lithium is primarily used to treat bipolar disorder
The nurse is contributing to a plan of care, for a patient with ineffective coping skills
what action would the nurse include in the plan of care - Answers - The patient would
need to identify someone to share their feelings with if they can't talk to you NB: family
or friend.
. A nurse witnesses a caregiver is sick, what would you do - Answers - Have another
family member care for them.
The nurse observes a patent screaming at another patient in the day room, how would
you maintain? - Answers - Talk to the patient, find out why they are doing what they are
doing. assess the situation
. Another client is monopolizing a group session and not allowing others to participate
what will the nurse do? - Answers - Be assertive to the patient, distracting others (be
strong and stop them)
The nurse student assigned to a patient to do an interview and asked to practice
therapeutic communication and the sharing of perception, what will the student nurse
say to the patient. - Answers - Restate, clarify, and have them tell you more *DON'T
CHOOSE TELL ME MORE WHEN ANGRY*
A female patient receiving or attending a group therapy for support in an abusive
relationship has a daughter (10 years old) and says that se does have the strength to
live, what will the nurse do? - Answers - Give her information contact as to where she
can find help.
While the nurse is talking to a female patient the patient becomes silent in a second,
what action will the nurse do? - Answers - You Also be silent
, An adult patient inpatient with the diagnosis of paranoid schizophrenia, will not take med
due to thinking of being poisoned, what will the nurse do? - Answers - Have the patient
open the med themselves
The nurse is talking to a patient concerning his, recent relapse of alcohol due to a fight
with his wife, what is the nurse action - Answers - Ask the patient to tell me more, and
what is going on, (Inquire)
. A patient who is usually active in a therapy group tells the nurse she is not feeling well
today and would rather not attend the meeting today what would you do. - Answers -
Always clarify the information
Do a reinstatement
ENCOURAGE TO GO
A suspicious and socially isolated patient that lives alone, eats one meal a day at a
nearby shelter and spend the rest of his money on cigarettes, what will the nurse do? -
Answers - Assess the safety of the patient
Take the patients weight to know if his weight meets the normal BMI
Determine what food the patient is eating, and what amount to be sure that they are
getting enough nutrition
A patient state that their food is poisoned, what is the nurse action - Answers - Give the
patient unopened food if that's an option
Have him observe other people eating
The nurse is receiving a new patient from the ER with the diagnosis of noncompliance
to medication, what action will the nurse take, what do you include in your assessment?
- Answers - Know why they don't want to take their medication Know their attitude
toward the medication treatment, and their side effect
A patient who is voluntarily admitting their self to the psych unit threaten to sue the
home what will we tell the patient? - Answers - We are keeping her for safety
CALL PHP
The nurse is caring for a patient with Alzheimer's disease, The patient becomes agitated
when he's asked to take his medication, how do you respond? - Answers - Give them
time to relax and calm down.
. Nursing students are learning about patients' rights, and protection laws, what
statement by the nurse indicated correct understanding of the right of mental health
patient - Answers - They have a right just like everybody else
In which way would the nurse demonstrate the principle of caring during a patient
interaction. - Answers - Addressing the patient by MR. and MRS.
Respect the client unique personality
ACCURATE ANSWERS
A nurse is examining a patient, the patient states that he had an accident on the way to
the hospital, the nurse notes that he has High Blood pressure, High Respirations, High
Heart Rate, and dilated pupils what does these signs indicate? - Answers - Showing
signs of acute stress response.
The nurse is caring for a patient who presented to the emergency room with acute
hallucinations and paranoid behavior, which level of care is expected - Answers - The
patient will be impatient.
The nurse understands that the priority of care for people with mental health problems
is. - Answers - Least restriction to meet their needs.
A nurse is assessing a patient mental health and the patient stares at the floor, what
should the nurse do - Answers - Nurse establishes therapeutic communication.
. A patient approaches the nurse and tell the nurse that they are hearing frightening
voices, and the nurse responds "Okay" what form of communication is the nurse
establishing? - Answers - Un therapeutic communication
A college nurse is taking care of a teenage patient who complains they can't cope, or
they can't sleep, what will the nurse recommend - Answers - It is a crisis, so stabilize the
patient and give them time is needed.
An adult patient becomes combative during med administration, what administration will
the med take - Answers - Maintaining safety while deescalating the combative behavior
The nurse is trying to develop trust with a patient, what action will she perform -
Answers - The patient follows through with the patient.
A woman with two children who has been in an abusive relationship. Decided to leave
her abusive relationship, what will the nurse do at the crisis center - Answers - Offer
emotional support
. A patient with frequent readmission to the inpatient unit refuse to eat or take part in
any activities what would the nurse do? - Answers - Provide encouragement
Provide finger foods
The nurse is receiving documentation from the previous shift and notice notion that
indicate, a pt of experiencing a deep sleep similar level of consciousness, how should
the nurse behave? - Answers - Repeat their name loudly a few times
,The nurse is trying to develop trust with a newly admitted patient, (female)and to
establish therapeutic relationship the nurse is currently administering medication on the
unit the new patient wants to sit and talk with you, what will the nurse do - Answers -
Tell the patient that they will talk after she do her med pass.
A nurse is working with a male in a mental clinic, the patient voice the desire to be
autonomous (making decisions for themselves) what will the nurse do? - Answers -
Encourage the patient to check schedule and calendar for themselves
The nurse is trying to develop a therapeutic relationship with a patient on a mental
health unit, what action will the nurse take - Answers - Encourage the nurse to express
their thoughts and feelings.
The nurse is caring for a nurse with bipolar disorder the patient voices concern of their
future with this diagnosis, how would the nurse respond? - Answers - Know about
lithium (not very clear) lithium is primarily used to treat bipolar disorder
The nurse is contributing to a plan of care, for a patient with ineffective coping skills
what action would the nurse include in the plan of care - Answers - The patient would
need to identify someone to share their feelings with if they can't talk to you NB: family
or friend.
. A nurse witnesses a caregiver is sick, what would you do - Answers - Have another
family member care for them.
The nurse observes a patent screaming at another patient in the day room, how would
you maintain? - Answers - Talk to the patient, find out why they are doing what they are
doing. assess the situation
. Another client is monopolizing a group session and not allowing others to participate
what will the nurse do? - Answers - Be assertive to the patient, distracting others (be
strong and stop them)
The nurse student assigned to a patient to do an interview and asked to practice
therapeutic communication and the sharing of perception, what will the student nurse
say to the patient. - Answers - Restate, clarify, and have them tell you more *DON'T
CHOOSE TELL ME MORE WHEN ANGRY*
A female patient receiving or attending a group therapy for support in an abusive
relationship has a daughter (10 years old) and says that se does have the strength to
live, what will the nurse do? - Answers - Give her information contact as to where she
can find help.
While the nurse is talking to a female patient the patient becomes silent in a second,
what action will the nurse do? - Answers - You Also be silent
, An adult patient inpatient with the diagnosis of paranoid schizophrenia, will not take med
due to thinking of being poisoned, what will the nurse do? - Answers - Have the patient
open the med themselves
The nurse is talking to a patient concerning his, recent relapse of alcohol due to a fight
with his wife, what is the nurse action - Answers - Ask the patient to tell me more, and
what is going on, (Inquire)
. A patient who is usually active in a therapy group tells the nurse she is not feeling well
today and would rather not attend the meeting today what would you do. - Answers -
Always clarify the information
Do a reinstatement
ENCOURAGE TO GO
A suspicious and socially isolated patient that lives alone, eats one meal a day at a
nearby shelter and spend the rest of his money on cigarettes, what will the nurse do? -
Answers - Assess the safety of the patient
Take the patients weight to know if his weight meets the normal BMI
Determine what food the patient is eating, and what amount to be sure that they are
getting enough nutrition
A patient state that their food is poisoned, what is the nurse action - Answers - Give the
patient unopened food if that's an option
Have him observe other people eating
The nurse is receiving a new patient from the ER with the diagnosis of noncompliance
to medication, what action will the nurse take, what do you include in your assessment?
- Answers - Know why they don't want to take their medication Know their attitude
toward the medication treatment, and their side effect
A patient who is voluntarily admitting their self to the psych unit threaten to sue the
home what will we tell the patient? - Answers - We are keeping her for safety
CALL PHP
The nurse is caring for a patient with Alzheimer's disease, The patient becomes agitated
when he's asked to take his medication, how do you respond? - Answers - Give them
time to relax and calm down.
. Nursing students are learning about patients' rights, and protection laws, what
statement by the nurse indicated correct understanding of the right of mental health
patient - Answers - They have a right just like everybody else
In which way would the nurse demonstrate the principle of caring during a patient
interaction. - Answers - Addressing the patient by MR. and MRS.
Respect the client unique personality
