NU 334 FINAL EXAM WITH 100 QUESTIONS &
CORRECT ANSWERS
A client experienced PTSD after a significant assault and has been hospitalized for
nearly a week. He states to the nurse "I'm thinking of ending it all." Which
statement by the nurse would be most effective?
"You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states,
"Can't you hear him? It's the devil. He's telling me I'm going to hell." Which
nursing reply would be most helpful to Larry?
"The voices you are hearing sound scary. I don't hear any voices speaking. Can you
try to focus on my voice?"
Which of the following would indicate that a client is experiencing delusions?
"I think I was implanted with a computer chip by the doctor when I slept last night"
A client with schizophrenia has been maintained on Haldol (Haloperidol) for one
year. At his 12 month follow-up appointment at the mental health outpatient clinic,
his nurse noticed a twitch on the right side of his face and unusual tongue
movements. Which nursing intervention takes priority?
Hold the Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35-year-old female client is diagnosed with conversion disorder. She
demonstrates paralysis of the legs. What is the best nursing intervention for the
nurse to utilize?
Avoid focusing on the client's physical limitations
A female patient continuously presents to the ED with physical complaints. The
complaints range from lower right quadrant pain, nervousness, back pain, chest
pain, foot pain and a diffuse headache. All the physiological tests have come out
negative. The client has been diagnosed with anxiety disorder. Which short-term
goal would be realistic?
, Patient will recognize a link between her anxiety and her symptoms within the first
week from date of admission
A client diagnosed with schizoid personality disorder chooses solitary activities,
lacks close friends, and appears indifferent to criticism. Which nursing diagnosis
would be appropriate for the client's problems?
Social isolation R/T discomfort with human interactions as evidenced by avoiding
others
A client diagnosed with PTSD is experiencing a flashback. Which intervention
takes priority?
Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her
psychiatric diagnosis is adjustment disorder with depressed mood following the
loss of her closest friend. Which of the following is true regarding the diagnosis of
adjustment disorder?
A clients adjustment disorder may have been influenced by past experiences,
previous dysfunctional grief or constitutional factors
A client recently prescribed Seroquel (quetiapine), an antipsychotic, complains to
the nurse of severe muscle spasms. On examination, HR is 110, BP is 160/92, and
temp is 102.5. The nurse:
Immediately reports findings he/she suspects Neuroleptic malignant syndrome
A client was recently diagnosed with persistent depressive disorder. Her therapist
utilizes techniques primarily consistent with the cognitive therapy model. The goal
of cognitive therapy with depressed clients is to
identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which
client symptom would eliminate this diagnosis?
the client maxed out charge cards and exhibits promiscuous behaviors
A nurse teaches a group of community health colleagues about the use of
naltrexone (ReVia) in treating alcoholism. The nurse interprets that the teaching
was effective if the colleagues state that naltrexone (ReVia) is used to do which of
the following?
CORRECT ANSWERS
A client experienced PTSD after a significant assault and has been hospitalized for
nearly a week. He states to the nurse "I'm thinking of ending it all." Which
statement by the nurse would be most effective?
"You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states,
"Can't you hear him? It's the devil. He's telling me I'm going to hell." Which
nursing reply would be most helpful to Larry?
"The voices you are hearing sound scary. I don't hear any voices speaking. Can you
try to focus on my voice?"
Which of the following would indicate that a client is experiencing delusions?
"I think I was implanted with a computer chip by the doctor when I slept last night"
A client with schizophrenia has been maintained on Haldol (Haloperidol) for one
year. At his 12 month follow-up appointment at the mental health outpatient clinic,
his nurse noticed a twitch on the right side of his face and unusual tongue
movements. Which nursing intervention takes priority?
Hold the Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35-year-old female client is diagnosed with conversion disorder. She
demonstrates paralysis of the legs. What is the best nursing intervention for the
nurse to utilize?
Avoid focusing on the client's physical limitations
A female patient continuously presents to the ED with physical complaints. The
complaints range from lower right quadrant pain, nervousness, back pain, chest
pain, foot pain and a diffuse headache. All the physiological tests have come out
negative. The client has been diagnosed with anxiety disorder. Which short-term
goal would be realistic?
, Patient will recognize a link between her anxiety and her symptoms within the first
week from date of admission
A client diagnosed with schizoid personality disorder chooses solitary activities,
lacks close friends, and appears indifferent to criticism. Which nursing diagnosis
would be appropriate for the client's problems?
Social isolation R/T discomfort with human interactions as evidenced by avoiding
others
A client diagnosed with PTSD is experiencing a flashback. Which intervention
takes priority?
Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her
psychiatric diagnosis is adjustment disorder with depressed mood following the
loss of her closest friend. Which of the following is true regarding the diagnosis of
adjustment disorder?
A clients adjustment disorder may have been influenced by past experiences,
previous dysfunctional grief or constitutional factors
A client recently prescribed Seroquel (quetiapine), an antipsychotic, complains to
the nurse of severe muscle spasms. On examination, HR is 110, BP is 160/92, and
temp is 102.5. The nurse:
Immediately reports findings he/she suspects Neuroleptic malignant syndrome
A client was recently diagnosed with persistent depressive disorder. Her therapist
utilizes techniques primarily consistent with the cognitive therapy model. The goal
of cognitive therapy with depressed clients is to
identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which
client symptom would eliminate this diagnosis?
the client maxed out charge cards and exhibits promiscuous behaviors
A nurse teaches a group of community health colleagues about the use of
naltrexone (ReVia) in treating alcoholism. The nurse interprets that the teaching
was effective if the colleagues state that naltrexone (ReVia) is used to do which of
the following?
