Hondros NUR 180 FINAL Exam Questions and Answers, Updated 2024/2025 (100% Correct) Graded A+

)You have a patient with mental and emotional difficulties is sensitive to sound and light. What actions will you take? - ANSWER 1 .Place the patient in a carpeted room, 2. be sure that no lights are flickering, 3. provide the patient with recordings of ocean waves and light rain. (3 SATA)You are assessing the coping patterns of a new patient. What data would you expect to find? - ANSWER 1. Current stressors 2. Use of drugs or alcohol 3. Recent weight loss (3 SATA) What characteristics will you be looking for in a patient that you suspect has substance abuse disorder - ANSWER 1. neglect of self care 2. impaired family functioning 3. increased use of the substance despite negative consequences. (4 SATA)Which of the following would mental health professionals strive to help patients develop and maintain regarding spiritual care? - ANSWER 1. Inner strength 2. Self awareness 3. Life's meaning and purpose 4.Relationships to others (4 SATA)Collecting data of religious beliefs and practices from patients. What should you include? - ANSWER 1. What role does religion play in your life? 2. What is your source of strength and hope? 3. What brings you comfort and joy? 4. Does your religion have any special days? Patient prescribed Laxopam for anxiety. What indicates needs for further teaching? - ANSWER Hondros NUR 180 FINAL Exam Questions and Answers 2024/2025 (100% Correct) Graded A+ "I can take this medication to relieve everyday stress" You have a patient scheduled for surgery and wants to wear a bracelet that has significant meaning to them. When you ask them to remove it, they say they really wish they could wear it during the procedure. What do you do next? - ANSWER Determine if the item may remain in place during the procedure You have a muslim patient wishing to face MECCA. What position should the nurse place the patient's bed? - ANSWER South East direction from the United States You have a patient that is a jehovah's witness and the physician orders 2 units of blood ASAP but she refuses to sign the consent form. What should you do next. - ANSWER Notify the physician STAT and Report the patient's refusal You have a patient that recently lost a loved one and would like to attend a grief meeting but does not drive, cannot afford a taxi, doesn't wish to burden family or friends. What would you do next? - ANSWER Offer to acquire information about senior services that may help the patient. You have a dying patient and family reports that the dying patient is speaking to a deceased loved one. Family comes to the nurses station concerned about too much pain medication. How should the nurse respond? - ANSWER This is a normal sign of approaching death and it is important that we do all we can to keep her pain tolerable. You have a patient prescribed Fluoxetine. Which response indicates further teaching is needed? - ANSWER The patient states "I must take this medication with a full meal." You have a patient admitted to the mental health unit. They have toothbrush, toothpaste, and dental floss in their pockets. They perform dental care as often as every 1/2 hour. How do you interpret these actions? - ANSWER Attempt to relieve anxiety. You have a patient having an acute panic attack. What would you do? - ANSWER Stay near the patient and reassure them they are safe. You have a patient that has a ritual that includes making and remaking their bed 30 times before they can go to sleep.Most of the time, they do not get into the bed until 3 AM. What action would you take? - ANSWER Suggest they begin their ritual earlier in the day. Patient arrives in the ER in a severe state of anxiety following a traumatic event. What intervention would you implement? - ANSWER Remain with the patient in a quiet room What behavior is expected from someone who just received elective convulsive therapy? - ANSWER Confusion and short-term memory loss What information would you convey to a patient about the type of therapy that could help treat depression? - ANSWER Cognitive behavior therapy What actions will you take first for a patient admitted for anxiety? - ANSWER Making an effort to establish therapeutic rapport Patient has been taking benzodiazepines. How would you expect it to be used after discharge - ANSWER Prescribed at lower doses as needed What information is essential to teach the patient about MAIO's? - ANSWER To avoid all foods with thymine Patient beginning antidepressant therapy with first line medication. What information would you prioritize for the patient? - ANSWER Stopping the medication abruptly could cause discontinuation syndrome. Which mental health disorder does this sound like? "I have always felt this way, and have been sad and negative for as long as I can remember." - ANSWER Dysrhythmic disorder What intervention would you do for a patient dressed in bright clothing that doesn't match and has been talking and pacing endlessly for the last 6 hours? - ANSWER Offer hydration, nutrition, and consider a PRN sedative. Which condition sounds like this "weight loss, insomnia, and loss of interest in activities she use to enjoy"? - ANSWER Depression What manifestation will indicate lithium is having the desired effect? - ANSWER Patient reports consistent stable mood What intervention would you include for a patient that has hopelessness, headaches, sleep disturbances, and self-destructive thoughts? - ANSWER Assess for suicidal behaviors, and assist with ADL's What symptoms would you emphasize on a patient taking lithium? - ANSWER Vomiting, diarrhea, and tremors Which patient should you examine first? - ANSWER Patient who recently overdosed with an opiate and was given a narcan an hour ago What symptom would require immediate action from the nurse for a newly admitted patient has a blood alcohol level of 41%. - ANSWER CNS depression Patient has moods between wildly euphoric and energetic to deeply melancholy and depressed. What would be your priority? - ANSWER Symptoms related to bi-polar disorder You are working on a peds unit with a child who's father was recently deployed oversees. Child has been unusually quiet, melancholy, and disturbed sleep patterns. What would you tell the mother? - ANSWER These are signs of situational depression related to the father leaving. Should return to normal when the father returns. Which intervention would address feelings that frequently occur in survivors of suicide victims - ANSWER Feelings of guilt, anger, and shame You are working with a patient that has Wernicke's. The nurse anticipates giving thymine to this patient. What will this accomplish? - ANSWER It will help prevent irreversible brain damage. What is the purpose of giving Naltrexone (Narco)? - ANSWER To reverese opioid overdose How would you interpret a patient who is very anxious and irritable with course hand tremors that reports their last drink over an hour ago? - ANSWER The patient is withdrawing from alcohol and may need treatment to prevent seizures You make it a point to examine an elderly patient for sexual abuse and victimization. What is the rationale? - ANSWER Sexual abuse for the elderly is often unrecognized by health care providers. What characteristics in a child that has been bullied by a group of teens for the last two weeks? - ANSWER Depressed mood, headaches, and stomach aches. What are specific signs of elderly abuse or neglect? - ANSWER Malnourishment, poor hygiene, and unexplained bruises