NU 334 Final Exam Questions and All
Correct Answers 2026/2027 Update.
A client experienced PTSD after a significant assault and has been hospitalized for nearly a
week. He states to the nurse, "I'm thinking of ending it all." Which statement by the nurse
would be the most effective? - Answer "You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states, "Can't you hear
him? It's the devil. He's telling me I'm going to hell." Which nursing reply would be most helpful
to Larry? - Answer "The voices you are hearing sound scary. I don't hear any voices speaking.
Can you try and focus on my voice?"
Which of the following would indicate that a client is experiencing delusions? - Answer "I
think I was implanted with a computer chip by the doctor when I slept last night."
A client with schizophrenia has been maintained on Haldol for one year. At his 12 month follow-
up appointment at the Mental Health outpatient clinic, his nurse noticed a twitch on the right
side of his face and unusual tongue movements. Which nursing intervention takes priority? -
Answer Hold the Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35 year old female client is diagnosed with conversion disorder. She demonstrates paralysis of
the legs. What is the best nursing intervention for the nurse to utilize? - Answer Avoid
focusing on the client's physical limitations
A female patient continuously presents to the ED with physical complaints. The complaints
range from lower right quadrant pain, nervousness, back pain, chest pain, foot pain, and a
diffuse headache. All physiological tests have come out negative. The client has been diagnosed
with anxiety disorder. Which short term goal would be realistic? - Answer The patient will
participate in group therapy to discuss her illnesses
A client diagnosed with a schizoid personality disorder chooses solitary activities, lacks close
friends, and appears indifferent to criticism. Which nursing diagnosis would be appropriate for
this client's problems? - Answer Social isolation related to discomfort with human
interactions as evidenced by avoiding others
A client diagnosed with PTSD is experiencing a flashback. Which intervention takes priority? -
Answer Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her psychiatric
diagnosis is adjustment disorder with depressed mood following the loss of her closest friend.
Which of the following is true regarding the diagnosis of adjustment disorder? - Answer A
, client's adjustment disorder may have been influenced by past experiences, previous
dysfunctional grief, or constitutional factors
A client recently prescribed Seroquel, an antipsychotic, complains to the nurse of severe muscle
spasms. On examination, heart rate is 110, blood pressure is 160/92 mmHg, and temperature is
102.5 degrees. The should should: - Answer Immediately report findings as he/she suspects
neuroleptic malignant syndrome
A client was recently diagnosed with persistent depressive disorder. Her therapist utilizes
techniques primarily consistent with the cognitive therapy model. The goal of cognitive therapy
with depressed clients is to: - Answer Identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which client symptom
would eliminate this diagnosis? - Answer The client has maxed-out charge cards and exhibits
promiscuous behavior
A nurse teaches a group of community health colleagues about the use of naltrexone in treating
alcoholism. The nurse interprets that the teaching was effective if the colleagues state that the
naltrexone is used to do which of the following? - Answer Reduces the craving for alcohol
A nurse works with a client who begins to escalate in anger. Which risk factor would the nurse
recognize as the most reliable indicator of potential client violence? - Answer History of a
assaultive behavior
A client diagnosed with antisocial personality disorder spits, curses, and refuses to answer
assessment questions. He believes that he was wrongfully admitted. Which is the most
appropriate nursing statement to address this behavior? - Answer "I understand that you are
angry, but this behavior will not be tolerated"
During the initial interview with a patient, the nurse begins to feel uncomfortable and realizes
that the patient's behaviors and mannerisms remind the nurse of the nurse's abusive parent.
The nurse concludes that the current situation represents which phenomenon? - Answer
Countertransference
A female presents in the ED with multiple contusions and a broken wrist. She tells the nurse
that her husband hit her, stating "It's ok though. He apologized and I believe that he can
change." Which phase does this represent in the cycle of violence? - Answer Phase III
Honeymoon phase, calm
A client's psychiatric nurse practitioner has prescribed the atypical antipsychotic, clozapine. The
nurse should evaluate which laboratory test to establish a baseline for comparison in order to
Correct Answers 2026/2027 Update.
A client experienced PTSD after a significant assault and has been hospitalized for nearly a
week. He states to the nurse, "I'm thinking of ending it all." Which statement by the nurse
would be the most effective? - Answer "You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states, "Can't you hear
him? It's the devil. He's telling me I'm going to hell." Which nursing reply would be most helpful
to Larry? - Answer "The voices you are hearing sound scary. I don't hear any voices speaking.
Can you try and focus on my voice?"
Which of the following would indicate that a client is experiencing delusions? - Answer "I
think I was implanted with a computer chip by the doctor when I slept last night."
A client with schizophrenia has been maintained on Haldol for one year. At his 12 month follow-
up appointment at the Mental Health outpatient clinic, his nurse noticed a twitch on the right
side of his face and unusual tongue movements. Which nursing intervention takes priority? -
Answer Hold the Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35 year old female client is diagnosed with conversion disorder. She demonstrates paralysis of
the legs. What is the best nursing intervention for the nurse to utilize? - Answer Avoid
focusing on the client's physical limitations
A female patient continuously presents to the ED with physical complaints. The complaints
range from lower right quadrant pain, nervousness, back pain, chest pain, foot pain, and a
diffuse headache. All physiological tests have come out negative. The client has been diagnosed
with anxiety disorder. Which short term goal would be realistic? - Answer The patient will
participate in group therapy to discuss her illnesses
A client diagnosed with a schizoid personality disorder chooses solitary activities, lacks close
friends, and appears indifferent to criticism. Which nursing diagnosis would be appropriate for
this client's problems? - Answer Social isolation related to discomfort with human
interactions as evidenced by avoiding others
A client diagnosed with PTSD is experiencing a flashback. Which intervention takes priority? -
Answer Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her psychiatric
diagnosis is adjustment disorder with depressed mood following the loss of her closest friend.
Which of the following is true regarding the diagnosis of adjustment disorder? - Answer A
, client's adjustment disorder may have been influenced by past experiences, previous
dysfunctional grief, or constitutional factors
A client recently prescribed Seroquel, an antipsychotic, complains to the nurse of severe muscle
spasms. On examination, heart rate is 110, blood pressure is 160/92 mmHg, and temperature is
102.5 degrees. The should should: - Answer Immediately report findings as he/she suspects
neuroleptic malignant syndrome
A client was recently diagnosed with persistent depressive disorder. Her therapist utilizes
techniques primarily consistent with the cognitive therapy model. The goal of cognitive therapy
with depressed clients is to: - Answer Identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which client symptom
would eliminate this diagnosis? - Answer The client has maxed-out charge cards and exhibits
promiscuous behavior
A nurse teaches a group of community health colleagues about the use of naltrexone in treating
alcoholism. The nurse interprets that the teaching was effective if the colleagues state that the
naltrexone is used to do which of the following? - Answer Reduces the craving for alcohol
A nurse works with a client who begins to escalate in anger. Which risk factor would the nurse
recognize as the most reliable indicator of potential client violence? - Answer History of a
assaultive behavior
A client diagnosed with antisocial personality disorder spits, curses, and refuses to answer
assessment questions. He believes that he was wrongfully admitted. Which is the most
appropriate nursing statement to address this behavior? - Answer "I understand that you are
angry, but this behavior will not be tolerated"
During the initial interview with a patient, the nurse begins to feel uncomfortable and realizes
that the patient's behaviors and mannerisms remind the nurse of the nurse's abusive parent.
The nurse concludes that the current situation represents which phenomenon? - Answer
Countertransference
A female presents in the ED with multiple contusions and a broken wrist. She tells the nurse
that her husband hit her, stating "It's ok though. He apologized and I believe that he can
change." Which phase does this represent in the cycle of violence? - Answer Phase III
Honeymoon phase, calm
A client's psychiatric nurse practitioner has prescribed the atypical antipsychotic, clozapine. The
nurse should evaluate which laboratory test to establish a baseline for comparison in order to
