NURS 6675 FINAL EXAM 3 Questions and
Revised Correct Answers 100% Guarantee
Pass GRADED A+
A client on the psychiatric unit seeks out a particular nurse and imitates her mannerisms.
Which defense mechanism does the nurse recognize in this client?
A. Sublimation
B. Identification
C. Introjection
D. Repression –
Correct Answer :B. Identification
Identification is an attempt to be like someone or emulate the personality traits of another.
Option A is substituting an unacceptable feeling with one that is more socially acceptable.
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Option C is incorporating the values or qualities of an admired person or group into one's own
ego structure. Option D is the involuntary exclusion of painful thoughts or memories from
one's awareness.
The nurse is planning care for a client in the depressed phase of bipolar disorder. What foods
will the nurse include in the client's plan of care? (Select all that apply.)
A. A chocolate and caramel candy bar
B. Celery filled with peanut butter
C. A mixture of nuts and dried fruit
D. Greek yogurt with mixed berries and granola
E. Dried "O" shaped wheat cereal without milk –
Correct Answer :B. Celery filled with peanut butter
C. A mixture of nuts and dried fruit
D. Greek yogurt with mixed berries and granola
The goal is to offer small, high calorie and high protein nutritional foods throughout the day.
The depressed client will often feel like not eating. Hand-held foods could be less intimidating
to eat in lieu of a large meal. A chocolate caramel candy bar is filled with empty calories. "O"
shaped cereal has carbohydrates but little protein.
The emergency department nurse assesses a new client and finds constricted pupils,
drowsiness, impaired memory, and slurred speech. Which vital sign would be most concerning
to the nurse?
A. B/P 108/64 mm Hg
B. Temperature 99°F/37.2°C
C. Respirations 10 breaths/min
D. Pulse 64 beats/min –
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Correct Answer :C. Respirations 10 breaths/min
The client is demonstrating signs of opioid intoxication. Depression of the respiratory center is
most concerning for this client. Blood pressure and pulse can also run low with opioid
intoxication. The temperature is mildly elevated.
The nurse is talking to a client with heightened anxiety. What actions will the nurse include
when providing care for this client? (Select all that apply.)
A. Ask, "Do you have any idea what happened to increase your anxiety level?"
B. Encourage the client to play an individual player card game, like solitaire.
C. Have the client work with others in the kitchen to prepare an afternoon snack.
D. Have the client review recent events that may have triggered the change.
E. State, "Tell me what you are thinking and feeling now." –
Correct Answer :A. Ask, "Do you have any idea what happened to increase your anxiety
level?"
D. Have the client review recent events that may have triggered the change.
E. State, "Tell me what you are thinking and feeling now."
The nurse must attempt to solicit the preceding events and feelings prior to the increase in
anxiety. Playing solitaire does not include any therapeutic actions by the nurse. Having the
client work with others may trigger even more anxiety, especially if the root of the anxiety is
one of the others in the kitchen.
Which behavior indicates to the nurse that a client with paranoid ideas is improving?
A. Arrives on time for all activities.
B. Talks more openly about plans to protect his possessions.
C. Aggressively uses the punching bag in the gym.
D. Discusses his feelings of anxiety with the nurse. –
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Correct Answer :D. Discusses his feelings of anxiety with the nurse.
Anxious feelings increase paranoid ideation. If the client is able to discuss these feelings, then
the client is improving because of fewer paranoid ideas. Option A would indicate that a client
with depression or one who is passive-aggressive is improving. Option B indicates feelings of
paranoia. Option C indicates the release of anger, and "anger turned inward" is sometimes
used as a definition for depression.
A client mumbles out loud regardless if anyone else is talking, and the client also mumbles in
group when others are talking. The nurse determines that the client is experiencing
hallucinations. Which action should the nurse take first?
A. Respond to the client's feelings rather than the illogical thoughts.
B. Identify beliefs and thoughts about what the client is experiencing.
C. Provide the client with hope that the voices will eventually go away.
D. Ask the client how she has previously managed the voices.
- Correct Answer :D. Ask the client how she has previously managed the voices.
The nurse should promote symptom management and determine how the client previously
managed the voices. Options A and B are interventions that are useful with clients who are
experiencing delusions. Option C is important, but the most important intervention is to
promote symptom management.
The emergency department nurse is assigned to a client with a blood alcohol level of 0.14%.
What questions will the nurse include in the assessment? (Select all that apply.)
A. "How much alcohol have you consumed today?"
B. "When did you last consume alcohol?"
C. "How long have you been drinking alcohol?"
D. "Did you know you are just below the legal limit for our State?"
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