Final Exam Review
1. The nurse is admitting a client with a diagnosis of suspected schizophrenia. Which of
the following clinical manifestations should the nurse assess as a positive clinical
manifestation of schizophrenia?
a) Anhedonia and blunted affect
b) Hallucinations and delusional thinking
c) Lack of motivation
d) Abnormal movements of the mouth
2. Which of the following should the nurse include in the plan of care for a client taking
an antidepressant drug?
a) Encourage the client to drink low-calorie beverages
a) Instruct the client to take the drug on an empty stomach
b) Inform the client that urinary frequency is an adverse reaction
c) Monitor the client for bradycardia prior to administration
3. The nurse should include which of the following adverse reactions to Olanzapine
(Zyprexa) in the drug instructions given to a client? Select all that apply:
a) Constipation
b) Weight loss
c) Loss of taste
d) Hypotonia (you would have hypertonia)
e) Insomnia
f) Urinary retention (you would have incontinence)
4. The nurse caring for a client administers sertraline (Zoloft) for which of the following
disorders?
a. Abnormal movement disorder
b. Brief reactive psychosis
c. Major depressive disorder
d. Schizophrenia
5. A client diagnosed with social phobia asks the nurse about the likelihood of children
inheriting this disorder from their parents. Which of the following is the most
appropriate response by the nurse?
a. “It is only inherited if the child’s father carries the trait.”
b. “There is no research supporting the heritability of social phobia.”
c. “The child of a parent with a social phobia has a 25% chance of inheriting it.”
d. “The chances of developing social phobia increase about 10% if a parent has the
disorder.”
1
, Final Exam Review
6. Which of the following characteristics should the nurse include when teaching a class
on the developmental theory of anxiety? Select all that apply:
a) Individuals respond physiologically when anxious
b) Anxiety disorder often evolves gradually when anxious temperament and normal
childhood fears interact with other predisposing factors
c) Excessive reliance on coping responses involving cognitive or behavioral avoidance
d) Interpret ambiguous stimuli or situations as threatening
e) Biased or distorted cognitive processing leads to an undue reliance on distraction and
avoidance as coping mechanisms
f) Incompetence with regard to social and emotional regulation and academic skills
7. Which of the following would be the most appropriate statement for the nurse to
make to a client found pacing in the hall?
a. “The ballgame is on in the dayroom. Perhaps you’d like to watch it.”
b. “I noticed you’ve been pacing. Can you tell me how you’re feeling?”
c. “I think you’d be much more comfortable in your room.”
d. “I can tell something is wrong. What is it?”
8. The nurse caring for a client with a somatic panic disorder includes which of the
following manifestations? Select all that apply:
a) Fear of dying
b) Palpitations
c) Sense of impending doom and helplessness
d) Sensation of choking
e) Takes safety precautions such as being with a “safe” person or avoiding places and
situations associated with panic attacks
f) Numbness or tingling
9. While assessing a new client, the nurse asks the client about any fears. The client
states, “Well, I’ve been afraid to go up and down the basement steps since my hip
replacement last fall. I let my children do the laundry.” The nurse should evaluate this
response as:
a. Manipulative behavior.
b. Normal anxiety.
c. A phobic reaction.
d. Chronic anxiety.
2
1. The nurse is admitting a client with a diagnosis of suspected schizophrenia. Which of
the following clinical manifestations should the nurse assess as a positive clinical
manifestation of schizophrenia?
a) Anhedonia and blunted affect
b) Hallucinations and delusional thinking
c) Lack of motivation
d) Abnormal movements of the mouth
2. Which of the following should the nurse include in the plan of care for a client taking
an antidepressant drug?
a) Encourage the client to drink low-calorie beverages
a) Instruct the client to take the drug on an empty stomach
b) Inform the client that urinary frequency is an adverse reaction
c) Monitor the client for bradycardia prior to administration
3. The nurse should include which of the following adverse reactions to Olanzapine
(Zyprexa) in the drug instructions given to a client? Select all that apply:
a) Constipation
b) Weight loss
c) Loss of taste
d) Hypotonia (you would have hypertonia)
e) Insomnia
f) Urinary retention (you would have incontinence)
4. The nurse caring for a client administers sertraline (Zoloft) for which of the following
disorders?
a. Abnormal movement disorder
b. Brief reactive psychosis
c. Major depressive disorder
d. Schizophrenia
5. A client diagnosed with social phobia asks the nurse about the likelihood of children
inheriting this disorder from their parents. Which of the following is the most
appropriate response by the nurse?
a. “It is only inherited if the child’s father carries the trait.”
b. “There is no research supporting the heritability of social phobia.”
c. “The child of a parent with a social phobia has a 25% chance of inheriting it.”
d. “The chances of developing social phobia increase about 10% if a parent has the
disorder.”
1
, Final Exam Review
6. Which of the following characteristics should the nurse include when teaching a class
on the developmental theory of anxiety? Select all that apply:
a) Individuals respond physiologically when anxious
b) Anxiety disorder often evolves gradually when anxious temperament and normal
childhood fears interact with other predisposing factors
c) Excessive reliance on coping responses involving cognitive or behavioral avoidance
d) Interpret ambiguous stimuli or situations as threatening
e) Biased or distorted cognitive processing leads to an undue reliance on distraction and
avoidance as coping mechanisms
f) Incompetence with regard to social and emotional regulation and academic skills
7. Which of the following would be the most appropriate statement for the nurse to
make to a client found pacing in the hall?
a. “The ballgame is on in the dayroom. Perhaps you’d like to watch it.”
b. “I noticed you’ve been pacing. Can you tell me how you’re feeling?”
c. “I think you’d be much more comfortable in your room.”
d. “I can tell something is wrong. What is it?”
8. The nurse caring for a client with a somatic panic disorder includes which of the
following manifestations? Select all that apply:
a) Fear of dying
b) Palpitations
c) Sense of impending doom and helplessness
d) Sensation of choking
e) Takes safety precautions such as being with a “safe” person or avoiding places and
situations associated with panic attacks
f) Numbness or tingling
9. While assessing a new client, the nurse asks the client about any fears. The client
states, “Well, I’ve been afraid to go up and down the basement steps since my hip
replacement last fall. I let my children do the laundry.” The nurse should evaluate this
response as:
a. Manipulative behavior.
b. Normal anxiety.
c. A phobic reaction.
d. Chronic anxiety.
2
