NU334 Exam 2 Questions with
Complete Answers.
The nurse assigns a client with obsessive compulsive disorder a nursing diagnosis of "ineffective
impulse control" related to recurrent thoughts and demonstrated by constant hand washing
with hand wipes. Nursing interventions will be aimed at: - Answer Helping patient maintain
anxiety at a manageable level in order to reduce the need for ritualistic behavior
A female client who is at high risk for suicide needs close supervision. To best ensure the client's
safety, the nurse will: - Answer Check the client frequently at irregular intervals throughout
the day
A newly admitted client who is diagnosed with major depressive disorder isolates herself in her
room and stares out the window. Which nursing intervention would be the most appropriate to
implement when first establishing a nurse client relationship? - Answer Sit with client and
offer support frequently. Provide positive feedback on accomplishments achieved.
A depressed client is on reglan a common antiemetic which is known to interact with SSSRIs and
increase the risk of serotonin syndrome. The prescribing provider orders paxil anyway. - Answer
Constipation
A newly admitted client is experiencing a manic episode. He is pacing and has extreme
psychomotor agitation. The client's nursing dx is imbalance nutrition, less than body req. Which
meal is most appropriate for this client? - Answer sandwich, granola bar, carrot stick,
A client with bipolar disorder is prescribed lamictal a mood stabilizer. What statement by the
patient indicates an understanding of proper measures to be taken with lamictal. - Answer I
should call my doctor if I have a rash.
A 17-year-old female client is brought to an inpatient psychiatric unit by her parents. She has
been given a provisional dx of Major Depressive Disorder. Which assessment finding best
indicates that she is experiencing a depressive disorder? - Answer parents state that she is no
longer enjoys cheer practice and states she feels sad all the time for more than 2 weeks
A client is admitted to the behavioral health unit with a diagnosis of major depression (MAOI) -
Answer red wine
A male diagnosed with schizophrenia denies any homicidal or suicidal ideations. He has no
history of violent behaviors. His voices are telling him that he is a kind and benevolent king and
master. He states that all he wants to do is "sit on his golden throne" pointing to the chair in his
room. Based upon this data and history, what might be the nurses primary diagnosis: - Answer
Disturbed thought processes as evidenced by auditory hallucinations, illusions, and delusions.
, A newly admitted client is dx'd with anxiety disorder. Which short term outcome is appropriate?
- Answer The client will rate anxiety as 3 out of 10 by day 4 of admission
A client is newly diagnosed with obsessive compulsive disorder and spends 45 minutes folding
and rearranging them in drawers. Which nursing intervention would best address this clients
problem? - Answer Discuss the anxiety-provoking triggers that precipitate the ritualistic
behaviors
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed
with generalized anxiety disorder (GAD)? - Answer Hyperventilation is common in GAD and
rare in panic disorder
A client presents to the OP clinic complaining of "severe PMS" Which assessment factors lead
the nurse clinician to suspect premenstrual dysphoric disorder? - Answer the client describes
symptoms which usually start the week prior
A client prescribed lithium is experiencing an excessive output of dilute urine, tremors, mental
confusion, and muscular irritability. These sxs would lead the nurse to expect? *(0.6-1.2 normal
range) - Answer 1.5mEq/L or 2.6mEq/L
a 25 year old female client present with a diagnosis of schizophrenia. Initially she was placed on
this medication, Geodon. It is an atypical, second generation antipsychotic. Given the
medication Geodon, what test should she have expected that the physician would order prior to
prescribing Geodon? - Answer ???
The nurse observes that a client is pacing, agitated, aggressive gestures. Client's speech is rapid,
affect is belligerent. What is the nurse's immediate priority of care? - Answer provide safety
for the client and other clients on the unit
The physician orders typical antipsychotic Haldol and Benztropine PRN. What client behavior
would indicate the need for nurse to administer Benztropine? - Answer restlessness and
muscle rigidity
A 22 year old female client is admitted to an inpatient psychiatric unit with paranoid
schizophrenia. The nurse is assessing her for symptoms related to her disorder. What would..... -
Answer Bland or flat affect
A client has a nursing dx: Risk for Violence self directed or other directed as evidenced by manic
excitement, delusional thinking and hallucinations. Best short term goal? - Answer client will
not harm self or others this shift
Complete Answers.
The nurse assigns a client with obsessive compulsive disorder a nursing diagnosis of "ineffective
impulse control" related to recurrent thoughts and demonstrated by constant hand washing
with hand wipes. Nursing interventions will be aimed at: - Answer Helping patient maintain
anxiety at a manageable level in order to reduce the need for ritualistic behavior
A female client who is at high risk for suicide needs close supervision. To best ensure the client's
safety, the nurse will: - Answer Check the client frequently at irregular intervals throughout
the day
A newly admitted client who is diagnosed with major depressive disorder isolates herself in her
room and stares out the window. Which nursing intervention would be the most appropriate to
implement when first establishing a nurse client relationship? - Answer Sit with client and
offer support frequently. Provide positive feedback on accomplishments achieved.
A depressed client is on reglan a common antiemetic which is known to interact with SSSRIs and
increase the risk of serotonin syndrome. The prescribing provider orders paxil anyway. - Answer
Constipation
A newly admitted client is experiencing a manic episode. He is pacing and has extreme
psychomotor agitation. The client's nursing dx is imbalance nutrition, less than body req. Which
meal is most appropriate for this client? - Answer sandwich, granola bar, carrot stick,
A client with bipolar disorder is prescribed lamictal a mood stabilizer. What statement by the
patient indicates an understanding of proper measures to be taken with lamictal. - Answer I
should call my doctor if I have a rash.
A 17-year-old female client is brought to an inpatient psychiatric unit by her parents. She has
been given a provisional dx of Major Depressive Disorder. Which assessment finding best
indicates that she is experiencing a depressive disorder? - Answer parents state that she is no
longer enjoys cheer practice and states she feels sad all the time for more than 2 weeks
A client is admitted to the behavioral health unit with a diagnosis of major depression (MAOI) -
Answer red wine
A male diagnosed with schizophrenia denies any homicidal or suicidal ideations. He has no
history of violent behaviors. His voices are telling him that he is a kind and benevolent king and
master. He states that all he wants to do is "sit on his golden throne" pointing to the chair in his
room. Based upon this data and history, what might be the nurses primary diagnosis: - Answer
Disturbed thought processes as evidenced by auditory hallucinations, illusions, and delusions.
, A newly admitted client is dx'd with anxiety disorder. Which short term outcome is appropriate?
- Answer The client will rate anxiety as 3 out of 10 by day 4 of admission
A client is newly diagnosed with obsessive compulsive disorder and spends 45 minutes folding
and rearranging them in drawers. Which nursing intervention would best address this clients
problem? - Answer Discuss the anxiety-provoking triggers that precipitate the ritualistic
behaviors
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed
with generalized anxiety disorder (GAD)? - Answer Hyperventilation is common in GAD and
rare in panic disorder
A client presents to the OP clinic complaining of "severe PMS" Which assessment factors lead
the nurse clinician to suspect premenstrual dysphoric disorder? - Answer the client describes
symptoms which usually start the week prior
A client prescribed lithium is experiencing an excessive output of dilute urine, tremors, mental
confusion, and muscular irritability. These sxs would lead the nurse to expect? *(0.6-1.2 normal
range) - Answer 1.5mEq/L or 2.6mEq/L
a 25 year old female client present with a diagnosis of schizophrenia. Initially she was placed on
this medication, Geodon. It is an atypical, second generation antipsychotic. Given the
medication Geodon, what test should she have expected that the physician would order prior to
prescribing Geodon? - Answer ???
The nurse observes that a client is pacing, agitated, aggressive gestures. Client's speech is rapid,
affect is belligerent. What is the nurse's immediate priority of care? - Answer provide safety
for the client and other clients on the unit
The physician orders typical antipsychotic Haldol and Benztropine PRN. What client behavior
would indicate the need for nurse to administer Benztropine? - Answer restlessness and
muscle rigidity
A 22 year old female client is admitted to an inpatient psychiatric unit with paranoid
schizophrenia. The nurse is assessing her for symptoms related to her disorder. What would..... -
Answer Bland or flat affect
A client has a nursing dx: Risk for Violence self directed or other directed as evidenced by manic
excitement, delusional thinking and hallucinations. Best short term goal? - Answer client will
not harm self or others this shift
