NURS 221 FINAL EXAM 2024 NEWEST ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1. Counseling interventions for a patient experiencing mild anxiety.
T states that before taking an examination he feels a heightened sense of awareness
and a sense of restlessness. What nursing intervention would be most suitable for
assisting T? - ANSWER: Explain his symptoms as resulting from mild anxiety and
discuss the helpful aspects of mild anxiety.
promoting safety and comfort,
therapeutic communication,
managing anxiety, and
providing patient and family education
2. Nursing diagnosis for patients with panic level anxiety. - ANSWER: risk for
injury/safety
3. Communication intervention rationale for encouraging patient to express their
feelings
A nurse encourages an anxious patient to talk about feelings and concerns. What is
the rationale for this intervention? - ANSWER: Concerns stated aloud become less
overwhelming and help problem solving to begin.
4-5. Common grief process points
4. A patient's fiancé died in an automobile accident several days ago. The patient
reports crying and experiencing feelings of guilt and anger. This behavior is
characteristic of which stage of acute grief? - ANSWER: Development of awareness -
guilt, crying and blaming the staff are common in this stage
6. Nursing diagnosis applicable to a patient experiencing terminal illness with
dysfunctional signs - ANSWER: complicated grieving
risk for complicated grieving
7. Successful completion of grieving
Which finding indicates successful completion of an individual's grieving process? -
ANSWER: After 15 months, a widowed person realistically remembers both the
pleasures and disappointments of the relationship with the spouse.
8. Effective coping for a loss of a family member.
A child drowned while swimming in a local lake 4 years ago. Which behavior
indicates the parents are coping effectively with their loss? The parents: - ANSWER:
throw flowers on the lake at each anniversary date of the accident.
, 9-10. Therapeutic active listening responses by the nurse caring for someone with a
terminal illness
#9 A patient with metastatic brain cancer says, "I'm dying, but I'm still living. I want
to be in control as long as I can." Which reply shows the nurse was actively listening?
- ANSWER: #9 "Your mind and spirit are healthy, although your body is weak."
11. You are assessing the oral intake of a patient with an eating disorder.
A patient who is referred to the eating disorders clinic has lost 35 pounds in the past
3 months. To assess the patients oral intake, the nurse should ask: - ANSWER: What
do you eat in a typical day?
focuses on the eating patterns.
12. Evaluating the perception of a patient with anorexia and how they perceive their
body image.
A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago
and has lost 25% of body weight. A nurse asks, Describe what you think about your
present weight and how you look. Which response by the patient is most consistent
with the diagnosis? - ANSWER: I am fat and ugly.
13. Nursing diagnosis for an anorexia patient who lost 25% of their body weight.
normal potassium lab value is 3.5-5.2
A patient was diagnosed with anorexia nervosa. The history shows the patient
virtually stopped eating 5 months ago and has lost 25% of body weight. The patient's
current serum potassium is 2.7 mg/dl. Which nursing diagnosis is most applicable? -
ANSWER: Imbalanced nutrition: less than body requirements, related to malnutrition
as evidenced by loss of 25% of body weight and hypokalemia
14. Interventions for bulimia patients with binging and purging
Which nursing intervention has the highest priority for a patient diagnosed with
bulimia nervosa? - ANSWER: -Assist the patient to identify triggers to binge eating.
The triggers are often anxiety-producing situations.
-the need to promote physical safety assumes the highest priority.
-Food restriction and skipping meals lead to rebound bingeing.
-Teaching the patient to eat a small meal after purging will probably perpetuate the
need to induce vomiting.
-Teaching the patient to concentrate intake after 4 PM will lead to late-day bingeing.
15. Patient teaching for a bulimia patient with binging and purging and what they
should monitor for
While providing health teaching for a patient diagnosed with bulimia nervosa, a
nurse should emphasize information about: - ANSWER: Hypokalemia results from
potassium loss associated with vomiting. Physiologic integrity can be maintained if
the patient can self-diagnose potassium deficiency and adjust the diet or seek
medical assistance.
16. Therapeutic communication to reinforce positive self-esteem in a depressed
patient. Pg. 207
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1. Counseling interventions for a patient experiencing mild anxiety.
T states that before taking an examination he feels a heightened sense of awareness
and a sense of restlessness. What nursing intervention would be most suitable for
assisting T? - ANSWER: Explain his symptoms as resulting from mild anxiety and
discuss the helpful aspects of mild anxiety.
promoting safety and comfort,
therapeutic communication,
managing anxiety, and
providing patient and family education
2. Nursing diagnosis for patients with panic level anxiety. - ANSWER: risk for
injury/safety
3. Communication intervention rationale for encouraging patient to express their
feelings
A nurse encourages an anxious patient to talk about feelings and concerns. What is
the rationale for this intervention? - ANSWER: Concerns stated aloud become less
overwhelming and help problem solving to begin.
4-5. Common grief process points
4. A patient's fiancé died in an automobile accident several days ago. The patient
reports crying and experiencing feelings of guilt and anger. This behavior is
characteristic of which stage of acute grief? - ANSWER: Development of awareness -
guilt, crying and blaming the staff are common in this stage
6. Nursing diagnosis applicable to a patient experiencing terminal illness with
dysfunctional signs - ANSWER: complicated grieving
risk for complicated grieving
7. Successful completion of grieving
Which finding indicates successful completion of an individual's grieving process? -
ANSWER: After 15 months, a widowed person realistically remembers both the
pleasures and disappointments of the relationship with the spouse.
8. Effective coping for a loss of a family member.
A child drowned while swimming in a local lake 4 years ago. Which behavior
indicates the parents are coping effectively with their loss? The parents: - ANSWER:
throw flowers on the lake at each anniversary date of the accident.
, 9-10. Therapeutic active listening responses by the nurse caring for someone with a
terminal illness
#9 A patient with metastatic brain cancer says, "I'm dying, but I'm still living. I want
to be in control as long as I can." Which reply shows the nurse was actively listening?
- ANSWER: #9 "Your mind and spirit are healthy, although your body is weak."
11. You are assessing the oral intake of a patient with an eating disorder.
A patient who is referred to the eating disorders clinic has lost 35 pounds in the past
3 months. To assess the patients oral intake, the nurse should ask: - ANSWER: What
do you eat in a typical day?
focuses on the eating patterns.
12. Evaluating the perception of a patient with anorexia and how they perceive their
body image.
A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago
and has lost 25% of body weight. A nurse asks, Describe what you think about your
present weight and how you look. Which response by the patient is most consistent
with the diagnosis? - ANSWER: I am fat and ugly.
13. Nursing diagnosis for an anorexia patient who lost 25% of their body weight.
normal potassium lab value is 3.5-5.2
A patient was diagnosed with anorexia nervosa. The history shows the patient
virtually stopped eating 5 months ago and has lost 25% of body weight. The patient's
current serum potassium is 2.7 mg/dl. Which nursing diagnosis is most applicable? -
ANSWER: Imbalanced nutrition: less than body requirements, related to malnutrition
as evidenced by loss of 25% of body weight and hypokalemia
14. Interventions for bulimia patients with binging and purging
Which nursing intervention has the highest priority for a patient diagnosed with
bulimia nervosa? - ANSWER: -Assist the patient to identify triggers to binge eating.
The triggers are often anxiety-producing situations.
-the need to promote physical safety assumes the highest priority.
-Food restriction and skipping meals lead to rebound bingeing.
-Teaching the patient to eat a small meal after purging will probably perpetuate the
need to induce vomiting.
-Teaching the patient to concentrate intake after 4 PM will lead to late-day bingeing.
15. Patient teaching for a bulimia patient with binging and purging and what they
should monitor for
While providing health teaching for a patient diagnosed with bulimia nervosa, a
nurse should emphasize information about: - ANSWER: Hypokalemia results from
potassium loss associated with vomiting. Physiologic integrity can be maintained if
the patient can self-diagnose potassium deficiency and adjust the diet or seek
medical assistance.
16. Therapeutic communication to reinforce positive self-esteem in a depressed
patient. Pg. 207
