GALEN COLLEGE OF NURSING
Excellence in Nursing Education
NURS 340
HEALTH ASSESSMENT
EXAM 1 — TEST BANK
TOPICS COVERED
✦ Mental Health & Psychiatric Nursing
✦ Palliative & End-of-Life Care
✦ Diabetes Mellitus — Types 1 & 2
✦ Spinal Cord Injuries & Neurologic Disorders
✦ Multiple Sclerosis, ALS & Myasthenia Gravis
✦ Stroke (CVA) — Assessment & Rehabilitation
✦ Parkinson's Disease & Movement Disorders
148 Questions | Fill-in-the-Blank Format
For Educational Purposes Only · Galen College of Nursing
,NURS 340 — HEALTH ASSESSMENT EXAM 1 TEST BANK
QUESTIONS & ANSWERS (Q1 – Q148)
Q1. In the shift change of report, an off-going nurse criticizes a patient who wears heavy makeup; which
comment by the nurse who received the report best demonstrates advocacy?
■ ANSWER: Our patients need our help to learn behaviors that will help them get along in society.
Q2. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the
community with serious and persistent mental illness; within 2 months, the patient will…?
■ ANSWER: Report a sense of well-being.
Q3. A staff nurse completes orientation to a psychiatric unit; the nurse may expect an advanced practice nurse
to perform which additional assessment?
■ ANSWER: Prescribe psychotropic medication.
Q4. Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?
■ ANSWER: Reports a consistently sad, discouraged mood.
Q5. Which indicates that the goal 'demonstrate mentally healthy behavior' was achieved?
■ ANSWER: Sees self as capable of achieving ideals and meeting demands.
Q6. A nurse encounters an unfamiliar psychiatric disorder; which resource should the nurse consult to
determine criteria used to establish the diagnosis?
■ ANSWER: Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Q7. A nurse wants to find a description of diagnostic criteria for anxiety disorders; which resource would have
the most complete information?
■ ANSWER: Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Q8. Which individual is demonstrating the highest level of resilience?
■ ANSWER: An individual who takes a temporary job to maintain financial stability after the loss of a job.
Q9. Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural
groups?
■ ANSWER: Direct confrontation to solve problems.
Galen College of Nursing | Confidential Study Material Page 2
, NURS 340 — HEALTH ASSESSMENT EXAM 1 TEST BANK
Q1 A Haitian patient with depression tells the nurse 'there's nothing you can do; this is punishment'; what does
0. this tell the nurse?
■ ANSWER: The patient may believe the distress is the result of a curse or spell.
Q1 A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with coworkers
1. and accusing them of conspiracy; today the person shouts 'they're all plotting to destroy me'; select the
nurse's most therapeutic response.
■ ANSWER: Feeling that people want to destroy you must be very frightening.
Q1 A newly admitted patient diagnosed with schizophrenia is hyper-vigilant and constantly scans the
2. environment; he states 'I saw two doctors talking in the hall; they were plotting to kill me'; the nurse may
correctly assess this behavior as:
■ ANSWER: An idea of reference.
Q1 A patient diagnosed with schizophrenia begins to talk about 'cracklomers' in the local shopping mall; the
3. term should be documented as:
■ ANSWER: A neologism.
Q1 A patient's care plan includes monitoring for auditory hallucinations; which assessment findings suggest he
4. may be hallucinating?
■ ANSWER: Darting eyes, tilted head, and mumbling to self.
Q1 A patient diagnosed with schizophrenia tells the nurse 'I eat skiller; tend to end; easter; it blows away; get
5. it?'; select the nurse's best response.
■ ANSWER: I am having difficulty understanding what you are saying.
Q1 When a patient diagnosed with schizophrenia was discharged six months ago, Haldol was prescribed; he
6. now says 'I stopped taking those pills; they made me feel like a robot'; what common side effects should the
nurse validate with the patient?
■ ANSWER: Sedation and muscle stiffness.
Q1 According to the WHO, palliative care is an approach that improves quality of life for patients and their
7. families who face problems associated with life-threatening illnesses; what are some specific goals of
palliative care?
■ ANSWER: Regard dying as a normal process; provide relief from symptoms, including pain; affirm life and
neither hasten nor postpone death; support holistic patient care and enhance quality of life; offer support to
patients to live as actively as possible until death; offer support to the family during the patient's illness and their
own bereavement.
Galen College of Nursing | Confidential Study Material Page 3
Excellence in Nursing Education
NURS 340
HEALTH ASSESSMENT
EXAM 1 — TEST BANK
TOPICS COVERED
✦ Mental Health & Psychiatric Nursing
✦ Palliative & End-of-Life Care
✦ Diabetes Mellitus — Types 1 & 2
✦ Spinal Cord Injuries & Neurologic Disorders
✦ Multiple Sclerosis, ALS & Myasthenia Gravis
✦ Stroke (CVA) — Assessment & Rehabilitation
✦ Parkinson's Disease & Movement Disorders
148 Questions | Fill-in-the-Blank Format
For Educational Purposes Only · Galen College of Nursing
,NURS 340 — HEALTH ASSESSMENT EXAM 1 TEST BANK
QUESTIONS & ANSWERS (Q1 – Q148)
Q1. In the shift change of report, an off-going nurse criticizes a patient who wears heavy makeup; which
comment by the nurse who received the report best demonstrates advocacy?
■ ANSWER: Our patients need our help to learn behaviors that will help them get along in society.
Q2. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the
community with serious and persistent mental illness; within 2 months, the patient will…?
■ ANSWER: Report a sense of well-being.
Q3. A staff nurse completes orientation to a psychiatric unit; the nurse may expect an advanced practice nurse
to perform which additional assessment?
■ ANSWER: Prescribe psychotropic medication.
Q4. Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?
■ ANSWER: Reports a consistently sad, discouraged mood.
Q5. Which indicates that the goal 'demonstrate mentally healthy behavior' was achieved?
■ ANSWER: Sees self as capable of achieving ideals and meeting demands.
Q6. A nurse encounters an unfamiliar psychiatric disorder; which resource should the nurse consult to
determine criteria used to establish the diagnosis?
■ ANSWER: Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Q7. A nurse wants to find a description of diagnostic criteria for anxiety disorders; which resource would have
the most complete information?
■ ANSWER: Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Q8. Which individual is demonstrating the highest level of resilience?
■ ANSWER: An individual who takes a temporary job to maintain financial stability after the loss of a job.
Q9. Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural
groups?
■ ANSWER: Direct confrontation to solve problems.
Galen College of Nursing | Confidential Study Material Page 2
, NURS 340 — HEALTH ASSESSMENT EXAM 1 TEST BANK
Q1 A Haitian patient with depression tells the nurse 'there's nothing you can do; this is punishment'; what does
0. this tell the nurse?
■ ANSWER: The patient may believe the distress is the result of a curse or spell.
Q1 A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with coworkers
1. and accusing them of conspiracy; today the person shouts 'they're all plotting to destroy me'; select the
nurse's most therapeutic response.
■ ANSWER: Feeling that people want to destroy you must be very frightening.
Q1 A newly admitted patient diagnosed with schizophrenia is hyper-vigilant and constantly scans the
2. environment; he states 'I saw two doctors talking in the hall; they were plotting to kill me'; the nurse may
correctly assess this behavior as:
■ ANSWER: An idea of reference.
Q1 A patient diagnosed with schizophrenia begins to talk about 'cracklomers' in the local shopping mall; the
3. term should be documented as:
■ ANSWER: A neologism.
Q1 A patient's care plan includes monitoring for auditory hallucinations; which assessment findings suggest he
4. may be hallucinating?
■ ANSWER: Darting eyes, tilted head, and mumbling to self.
Q1 A patient diagnosed with schizophrenia tells the nurse 'I eat skiller; tend to end; easter; it blows away; get
5. it?'; select the nurse's best response.
■ ANSWER: I am having difficulty understanding what you are saying.
Q1 When a patient diagnosed with schizophrenia was discharged six months ago, Haldol was prescribed; he
6. now says 'I stopped taking those pills; they made me feel like a robot'; what common side effects should the
nurse validate with the patient?
■ ANSWER: Sedation and muscle stiffness.
Q1 According to the WHO, palliative care is an approach that improves quality of life for patients and their
7. families who face problems associated with life-threatening illnesses; what are some specific goals of
palliative care?
■ ANSWER: Regard dying as a normal process; provide relief from symptoms, including pain; affirm life and
neither hasten nor postpone death; support holistic patient care and enhance quality of life; offer support to
patients to live as actively as possible until death; offer support to the family during the patient's illness and their
own bereavement.
Galen College of Nursing | Confidential Study Material Page 3
