CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
1. Mr. Marquez reports of losing his job, not being able to sleep at night, and
feeling upset with his wife. Nurse John responds to the client, “You may want to
talk about your employment situation in group today.” The Nurse is using which
therapeutic technique?
a. Observations
b. Restating
c. Exploring
d. Focusing
2. Tony refuses his evening dose of Haloperidol (Haldol), then becomes extremely
agitated in the dayroom while other clients are watching television. He begins
cursing and throwing furniture. Nurse Oliver first action is to:
a. Check the client’s medical record for an order for an as-needed I.M. dose of
medication for agitation.
b. Place the client in full leather restraints.
c. Call the attending physician and report the behavior.
d. Remove all other clients from the dayroom.
3. Tina who is manic, but not yet on medication, comes to the drug treatment
center. The nurse would not let this client join the group session because:
a. The client is disruptive.
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
,CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
b. The client is harmful to self.
c. The client is harmful to others.
d. The client needs to be on medication first.
4. Dervid, an adolescent boy was admitted for substance abuse and hallucinations.
The client’s mother asks Nurse Armando to talk with his husband when he arrives
at the hospital. The mother says that she is afraid of what the father might say to
the boy. The most appropriate nursing intervention would be to:
a. Inform the mother that she and the father can work through this problem
themselves.
b. Refer the mother to the hospital social worker.
c. Agree to talk with the mother and the father together.
d. Suggest that the father and son work things out.
5. What is Nurse John likely to note in a male client being admitted for alcohol
withdrawal?
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
,CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
a. Perceptual disorders.
b. Impending coma.
c. Recent alcohol intake.
d. Depression with mutism.
6. Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it
“doesn’t help” and refuses to take it. What should the nurse say or do?
a. Withhold the drug.
b. Record the client’s response.
c. Encourage the client to tell the doctor.
d. Suggest that it takes awhile before seeing the results.
7. Dervid, an adolescent has a history of truancy from school, running away from
home and “barrowing” other people’s things without their permission. The
adolescent denies stealing, rationalizing instead that as long as no one was using
the items, it was all right to borrow them. It is important for the nurse to
understand the psychodynamically, this behavior may be largely attributed to a
developmental defect related to the:
a. Id
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
, CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
b. Ego
c. Superego
d. Oedipal complex
8. In preparing a female client for electroconvulsive therapy (ECT), Nurse
Michelle knows that succinylcoline (Anectine) will be administered for which
therapeutic effect?
a. Short-acting anesthesia
b. Decreased oral and respiratory secretions.
c. Skeletal muscle paralysis.
d. Analgesia.
9. Nurse Gina is aware that the dietary implications for a client in manic
phase of bipolar disorder is:
a. Serve the client a bowl of soup, buttered French bread, and apple slices.
b. Increase calories, decrease fat, and decrease protein.
c. Give the client pieces of cut-up steak, carrots, and an apple.
d. Increase calories, carbohydrates, and protein.
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
1. Mr. Marquez reports of losing his job, not being able to sleep at night, and
feeling upset with his wife. Nurse John responds to the client, “You may want to
talk about your employment situation in group today.” The Nurse is using which
therapeutic technique?
a. Observations
b. Restating
c. Exploring
d. Focusing
2. Tony refuses his evening dose of Haloperidol (Haldol), then becomes extremely
agitated in the dayroom while other clients are watching television. He begins
cursing and throwing furniture. Nurse Oliver first action is to:
a. Check the client’s medical record for an order for an as-needed I.M. dose of
medication for agitation.
b. Place the client in full leather restraints.
c. Call the attending physician and report the behavior.
d. Remove all other clients from the dayroom.
3. Tina who is manic, but not yet on medication, comes to the drug treatment
center. The nurse would not let this client join the group session because:
a. The client is disruptive.
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
,CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
b. The client is harmful to self.
c. The client is harmful to others.
d. The client needs to be on medication first.
4. Dervid, an adolescent boy was admitted for substance abuse and hallucinations.
The client’s mother asks Nurse Armando to talk with his husband when he arrives
at the hospital. The mother says that she is afraid of what the father might say to
the boy. The most appropriate nursing intervention would be to:
a. Inform the mother that she and the father can work through this problem
themselves.
b. Refer the mother to the hospital social worker.
c. Agree to talk with the mother and the father together.
d. Suggest that the father and son work things out.
5. What is Nurse John likely to note in a male client being admitted for alcohol
withdrawal?
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
,CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
a. Perceptual disorders.
b. Impending coma.
c. Recent alcohol intake.
d. Depression with mutism.
6. Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it
“doesn’t help” and refuses to take it. What should the nurse say or do?
a. Withhold the drug.
b. Record the client’s response.
c. Encourage the client to tell the doctor.
d. Suggest that it takes awhile before seeing the results.
7. Dervid, an adolescent has a history of truancy from school, running away from
home and “barrowing” other people’s things without their permission. The
adolescent denies stealing, rationalizing instead that as long as no one was using
the items, it was all right to borrow them. It is important for the nurse to
understand the psychodynamically, this behavior may be largely attributed to a
developmental defect related to the:
a. Id
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
, CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
b. Ego
c. Superego
d. Oedipal complex
8. In preparing a female client for electroconvulsive therapy (ECT), Nurse
Michelle knows that succinylcoline (Anectine) will be administered for which
therapeutic effect?
a. Short-acting anesthesia
b. Decreased oral and respiratory secretions.
c. Skeletal muscle paralysis.
d. Analgesia.
9. Nurse Gina is aware that the dietary implications for a client in manic
phase of bipolar disorder is:
a. Serve the client a bowl of soup, buttered French bread, and apple slices.
b. Increase calories, decrease fat, and decrease protein.
c. Give the client pieces of cut-up steak, carrots, and an apple.
d. Increase calories, carbohydrates, and protein.
CON 102 NURSING PRACTICE V- Care Of Clients With
Physiologic And Psychosocial Alterations Exam
With Answers And Rationales New Update 2022
