NRS 3016 FINAL EXAM QUESTIONS
COMPLETE WITH OUTLINED
ANSWERS
\.A client has been admitted to the inpatient facility with a diagnosis of PTSD after
a history of violence by the client's significant other. During the initial assessment
interview, which assessment would be the priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status - ANSWERS✔-C. Suicide risk
\.The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her son, 48 years old. Which is important for the nurse to
keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants to
leave the situation
C. The main focus of the nurse's actions should be on improving the elderly
mother's self-esteem
,D. Placement of the older adult woman in a nursing home within the community
is crucial - ANSWERS✔-B. The nurse must allow the older adult mother to decide
whether she wants to leave the situation
\.The school nurse is aware that a student has requested "Tylenol" three times
during the past week because his "back hurts." The nurse has noticed that he
often wears long-sleeved sweaters and sweatshirts, even in warm weather. The
nurse suspects that the student may be the victim of physical abuse. The nurse is
preparing to ask the child about his ongoing backache. Which would the nurse
anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain
the injuries
C. Carefully explain that the client's mother provides discipline because she loves
the client
D. Explain that his father is beating him on a regular basis - ANSWERS✔-A. Be
reluctant to report abuse because of shame or fear of retaliation
\.A client has been in a physically abusive relationship for more than a decade.
Which statement best demonstrates that the client understands of how fear can
influence a reluctance to leave such a relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure - ANSWERS✔-D. My
partner would hunt me down and kill me for sure
,\.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 client's eyes are fixed on the ceiling. The nurse interprets this finding as which
condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
D. Tardive dyskinesia - ANSWERS✔-B. Oculogyric crisis
\.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
education was effective when they state which symptom should be reported
immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor - ANSWERS✔-C. Elevated temp
\.Assessment of a client with schizophrenia reveals that the client is hearing voices
that say people are staring, and that the client is seeing illusions. When
developing the plan of care for this client, which nursing diagnosis would be
appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
, D. Risk for self-directed violence - ANSWERS✔-C. Disturbed sensory perceptions
\.A nurse is presenting information about psychotic disorders to a client's family.
The family demonstrates a need for more discussion when they make which
statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months - ANSWERS✔-A. The
majority of individuals with the disorder recover completely
\.The nurse is assessing a client age 78 years who lives alone in their own home.
To assess the client's instrumental activities of daily living, which question would
be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? - ANSWERS✔-D. How often
do you go to the store to buy groceries?
\.A nurse is assessing a client diagnosed with Alzheimer disease. As part of the
assessment, the nurse asks the client to identify common objects. The nurse is
assessing for which of the following?
A. Aphasia
B. Agnosia
COMPLETE WITH OUTLINED
ANSWERS
\.A client has been admitted to the inpatient facility with a diagnosis of PTSD after
a history of violence by the client's significant other. During the initial assessment
interview, which assessment would be the priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status - ANSWERS✔-C. Suicide risk
\.The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her son, 48 years old. Which is important for the nurse to
keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants to
leave the situation
C. The main focus of the nurse's actions should be on improving the elderly
mother's self-esteem
,D. Placement of the older adult woman in a nursing home within the community
is crucial - ANSWERS✔-B. The nurse must allow the older adult mother to decide
whether she wants to leave the situation
\.The school nurse is aware that a student has requested "Tylenol" three times
during the past week because his "back hurts." The nurse has noticed that he
often wears long-sleeved sweaters and sweatshirts, even in warm weather. The
nurse suspects that the student may be the victim of physical abuse. The nurse is
preparing to ask the child about his ongoing backache. Which would the nurse
anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain
the injuries
C. Carefully explain that the client's mother provides discipline because she loves
the client
D. Explain that his father is beating him on a regular basis - ANSWERS✔-A. Be
reluctant to report abuse because of shame or fear of retaliation
\.A client has been in a physically abusive relationship for more than a decade.
Which statement best demonstrates that the client understands of how fear can
influence a reluctance to leave such a relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure - ANSWERS✔-D. My
partner would hunt me down and kill me for sure
,\.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 client's eyes are fixed on the ceiling. The nurse interprets this finding as which
condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
D. Tardive dyskinesia - ANSWERS✔-B. Oculogyric crisis
\.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
education was effective when they state which symptom should be reported
immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor - ANSWERS✔-C. Elevated temp
\.Assessment of a client with schizophrenia reveals that the client is hearing voices
that say people are staring, and that the client is seeing illusions. When
developing the plan of care for this client, which nursing diagnosis would be
appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
, D. Risk for self-directed violence - ANSWERS✔-C. Disturbed sensory perceptions
\.A nurse is presenting information about psychotic disorders to a client's family.
The family demonstrates a need for more discussion when they make which
statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months - ANSWERS✔-A. The
majority of individuals with the disorder recover completely
\.The nurse is assessing a client age 78 years who lives alone in their own home.
To assess the client's instrumental activities of daily living, which question would
be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? - ANSWERS✔-D. How often
do you go to the store to buy groceries?
\.A nurse is assessing a client diagnosed with Alzheimer disease. As part of the
assessment, the nurse asks the client to identify common objects. The nurse is
assessing for which of the following?
A. Aphasia
B. Agnosia
