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NRS 3016. Final Exam Review Questions with Solutions

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NRS 3016. Final Exam Review

Instelling
NRS
Vak
NRS

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NRS 3016. Final Exam Review

A group of nursing students is reviewing information about Freud's personality structure.
The students demonstrate understanding of this information when they identify the
ability to form mutually satisfying relationships as a function of aspect?

a. Id
b. Ego
c. Unconscious
d. Defense Mechanisms - answerb

A nurse is developing a plan of care integrating Maslow's hierarchy of needs. What
should the nurse identify as the priority?

a.Acceptance from family
b.Positive self-image
c.Predictable social environment
d.Basic needs - answerd

A nurse is giving a presentation to colleagues about the actions of neurotransmitters.
The nurse correctly identifies which chemical as a neuropeptide?

a. Glutamate
b. Melatonin
c. Gamma-aminobutyric acid
d. Serotonin - answerb

A client is scheduled for a challenge test. Which information would the nurse include
when explaining this test to the client?

a. Application of electrodes to the scalp for monitoring
b. Exposure to a flashing strobe light to elicit abnormal activity
c. Intravenous administration of a substance to induce symptoms
d. Evaluation of electrical impulses recorded on graph paper - answerc

The nurse is screening clients for risk factors associated with limited or no access to
health care. Which client should the nurse identify as having the highest risk?

a. The 5-year-old child who lives in the city and requires treatment for leukemia.
b. The 20-year-old client who is homeless and requires treatment for diabetes mellitus.
c. The 23-year-old client who is a veteran and requires treatment for post-traumatic
stress disorder (PTSD).

,d. The 10-year-old child who lives on a farm and requires treatment for depression. -
answerd

The nurse is leading a support group on the mental health unit. Which action should the
nurse take first?

a. Promote comfort by allowing each client to find a place to sit that makes the client
comfortable with in the room.
b. Establish a connection by greeting each client by name and thanking each for joining
the group.
c. Empower each client to share as much or as little as desired within the group.
d. Encourage each client to invite a peer support person to come with him or her to the
group sessions. - answerb

A nurse responds to a client's statement with silence, because the nurse knows that this
technique is used primarily for what reason?

a. To allow the nurse to determine an appropriate response
b. To demonstrate passive listening
c. To encourage self-reflection by the nurse
d. To permit the client to gather his or her thoughts - answerd

A psychiatric-mental health nurse is educating a class at a community health center on
social factors associated with mental illness. When describing the influence of poverty
and effects of the downward economic spiral on mental health, which population would
the nurse identify as being the most at risk?

a. Homeless individuals
b. Older adults
c. Individuals with physical disabilities
d. Single-parent families - answera

A group of nursing students is reviewing the standards of professional performance.
The students demonstrate understanding when they identify which as a standard of
professional performance?

a. Consultation
b. Prescriptive authority
c. Planning
d. Collaboration - answerd

A nurse is explaining recovery to the family of a client diagnosed with a mental disorder.
Which statement would be most appropriate for the nurse to include about this process?

a. "It is a step-by-step process from being ill to being well."
b. "The client is helped to live a meaningful life to their fullest potential."

, c. "Although peer support is important, the self-acceptance is essential."
d. "The client focuses mainly on the emotional aspects of their condition." - answerb

A nurse is working as part of a team involved with the testing of a new psychiatric
medication. The drug is currently being used in multiple clinical trials at various different
sites. The nurse is engaged in which phase of testing?

a. Phase III
b. Phase I
c. Phase II
d. Phase IV - answera

While interviewing a client, a nurse asks, "What do you do when you get angry?" Which
client response indicates to the nurse that the client engages in anger suppression?

a. "I usually approach the person directly to talk about it."
b. "I try to discuss how I'm feeling with a close friend."
c. "I've been know to fly off the handle when I'm angry."
d. "People say I withdraw and pout about the problem." - answerd

A nurse administers a prescribed dose of lithium at 8 PM. The nurse should schedule a
specimen to be obtained for a blood level at which time?

a. 12 am
b. 8 am
c. 4 am
d. 10 pm - answerb

A client asks the nurse whether he needs to alter any of his activities because he is
taking lithium carbonate. Which responses would be most appropriate?

a. "No changes are necessary for strenuous activities that you do outdoors."
b. "Drink less fluid than usual now that you are taking this drug."
c. "Increase your salt intake if an activity causes you to perspire heavily."
d. "Wear sunscreen when you are going to be outdoors in the summer." - answerc

When caring for a client with mania, which effect would the nurse most likely assess?

a. Narrowed focus
b. Logical thinking
c. Slow, repetitive speech
d. Unusual self-confidence? - answerd

A client has been diagnosed with major depression. The client reports that he often
wakes up during the night and has trouble returning to sleep. The nurse interprets this
finding as suggesting which of the following?"

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