NUR 384 FINAL EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
A client, who recently delivered a stillborn baby, has a diagnosis of adjustment
disorder unspecified. The nurse case manager should expect which client presentation that is
characteristic of this diagnosis?
1. The client worries continually and appears nervous and jittery.
2. The client complains of a depressed mood, is tearful, and feels hopeless.
3. The client is belligerent, violates others' rights, and defaults on legal responsibilities.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.
A client has been extremely nervous ever since a person died as a result of the
client's drunk driving. When assessing for the diagnosis of AD, within what time frame should the nurse
expect the client to exhibit symptoms?
1. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 1 year
of the accident.
2. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 3
months of the accident.
3. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 6
months of the accident.
4. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 9
months of the accident
2. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 3
months of the accident.
1|Page
,A 20-year-old client and a 60-year-old client have had drunk driving accidents
and are both experiencing extreme anxiety. From a psychosocial theory perspective, which of these
clients would be predisposed to the diagnosis of adjustment disorder?
1. The 60-year-old, because of memory deficits
2. The 60-year-old, because of decreased cognitive processing ability
3. The 20-year-old, because of limited cognitive experiences
4. The 20-year-old, because of lack of developmental maturity
4. The 20-year-old, because of lack of developmental maturity
A client diagnosed with an adjustment disorder says to the nurse, "Tell me about
medications that will cure this problem." Which of the following are appropriate nursing responses?
(Select all that apply.)
1. "Medications can interfere with your ability to find a more permanent solution."
2. "Medications may mask the real problem at the root of this diagnosis."
3. "Adjustment disorders are not commonly treated with medications."
4. "Psychoactive drugs carry the potential for physiological and psychological
dependence."
5. "Psychoactive drugs will be prescribed only if your problems persist for more than
three months."
1. "Medications can interfere with your ability to find a more permanent solution."
2. "Medications may mask the real problem at the root of this diagnosis."
3. "Adjustment disorders are not commonly treated with medications."
4. "Psychoactive drugs carry the potential for physiological and psychological
dependence."
A nurse is admitting a client who has been diagnosed with PTSD. Which of the
following symptoms might the nurse expect to assess? (Select all that apply.)
1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance
3. Relationship problems
4. High levels of anxiety
5. Escalating symptoms lasting less than one month
1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance
3. Relationship problems
4. High levels of anxiety
A family asks the nurse why their son was diagnosed with PTSD and others in the accident were not.
Which of the following information should the nurse offer? (Select all that apply.)
1. An individual's religious affiliation can affect response to trauma.
2|Page
,2. Responses are affected by how an individual handled previous trauma.
3. Protectiveness of family and friends can help an individual deal with trauma.
4. Control over the possibility of recurrence can affect the response to trauma.
5. The time in which the trauma occurred can affect the individual's response.
2. Responses are affected by how an individual handled previous trauma.
3. Protectiveness of family and friends can help an individual deal with trauma.
4. Control over the possibility of recurrence can affect the response to trauma.
5. The time in which the trauma occurred can affect the individual's response.
A nurse recognizes which of the following as the best predictors of PTSD in
Vietnam veterans? (Select all that apply.)
1. The severity of the stressor
2. The degree of ego strength
3. The degree of psychosocial isolation in the recovery environment
4. The attitudes of society regarding the experience
5. The presence of preexisting psychopathology
1. The severity of the stressor
3. The degree of psychosocial isolation in the recovery environment
A client diagnosed with posttraumatic stress disorder (PTSD) states, "Why did my
doctor prescribe an antidepressant rather than an antianxiety drug for me?" Which of the following are
the most appropriate nursing responses? (Select all that apply.)
1. "I'm not sure, because antianxiety drugs have been approved by the FDA for
PTSD."
2. "Antidepressants are now considered first-line treatment choice for PTSD."
3. "Many people have adverse reactions to antianxiety drugs."
4. "Because of their addictive properties, antianxiety drugs are less desirable."
5. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
2. "Antidepressants are now considered first-line treatment choice for PTSD."
4. "Because of their addictive properties, antianxiety drugs are less desirable."
5. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
Order the eight-phase process of eye movement desensitization and reprocessing (EMDR).
________ Instillation
________ Body scan
________ Closure
________ Reevaluation
________ Preparation
________ History and treatment planning
________ Desensitization
________ Assessment
3|Page
, 1. History and treatment planning
2. Preparation
3. Assessment
4. Desensitization
5. Instillation
6. Body scan
7. Closure
8. Reevaluation
An extremely distressing experience that causes severe emotional shock and may have long-lasting
psychological effects is called _________________.
trauma
A nursing instructor is teaching about the Community Health Centers Act of 1963.
What was a deterring factor to the proper implementation of this act?
1. Many prospective clients did not meet criteria for mental illness diagnostic-related groups.
2. Zoning laws discouraged the development of community mental health centers.
3. States could not match federal funds to establish community mental health centers
4. There was not a sufficient employment pool to staff community mental health
centers.
3. States could not match federal funds to establish community mental health centers
A nurse is implementing care within the parameters of tertiary prevention. Which
nursing action is an example of this type of care?
1. Teaching an adolescent about pregnancy prevention
2. Teaching a client the reportable side effects of a newly prescribed neuroleptic
medication
3. Teaching a client to cook meals, make a grocery list, and establish a budget
4. Teaching a client about his or her new diagnosis of bipolar disorder
3. Teaching a client to cook meals, make a grocery list, and establish a budget
A nursing instructor is teaching about case management. What student statement
indicates that learning has occurred?
1. "Case management is a method used to achieve independent client care."
2. "Case management provides coordination of services required to meet client needs."
3. "Case management exists mainly to facilitate client admission to needed inpatient services."
4. "Case management is a method to facilitate physician reimbursement."
2. "Case management provides coordination of services required to meet client needs."
A client at the mental health clinic tells the case manager, "I can't think about
living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
A client, who recently delivered a stillborn baby, has a diagnosis of adjustment
disorder unspecified. The nurse case manager should expect which client presentation that is
characteristic of this diagnosis?
1. The client worries continually and appears nervous and jittery.
2. The client complains of a depressed mood, is tearful, and feels hopeless.
3. The client is belligerent, violates others' rights, and defaults on legal responsibilities.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.
A client has been extremely nervous ever since a person died as a result of the
client's drunk driving. When assessing for the diagnosis of AD, within what time frame should the nurse
expect the client to exhibit symptoms?
1. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 1 year
of the accident.
2. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 3
months of the accident.
3. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 6
months of the accident.
4. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 9
months of the accident
2. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within 3
months of the accident.
1|Page
,A 20-year-old client and a 60-year-old client have had drunk driving accidents
and are both experiencing extreme anxiety. From a psychosocial theory perspective, which of these
clients would be predisposed to the diagnosis of adjustment disorder?
1. The 60-year-old, because of memory deficits
2. The 60-year-old, because of decreased cognitive processing ability
3. The 20-year-old, because of limited cognitive experiences
4. The 20-year-old, because of lack of developmental maturity
4. The 20-year-old, because of lack of developmental maturity
A client diagnosed with an adjustment disorder says to the nurse, "Tell me about
medications that will cure this problem." Which of the following are appropriate nursing responses?
(Select all that apply.)
1. "Medications can interfere with your ability to find a more permanent solution."
2. "Medications may mask the real problem at the root of this diagnosis."
3. "Adjustment disorders are not commonly treated with medications."
4. "Psychoactive drugs carry the potential for physiological and psychological
dependence."
5. "Psychoactive drugs will be prescribed only if your problems persist for more than
three months."
1. "Medications can interfere with your ability to find a more permanent solution."
2. "Medications may mask the real problem at the root of this diagnosis."
3. "Adjustment disorders are not commonly treated with medications."
4. "Psychoactive drugs carry the potential for physiological and psychological
dependence."
A nurse is admitting a client who has been diagnosed with PTSD. Which of the
following symptoms might the nurse expect to assess? (Select all that apply.)
1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance
3. Relationship problems
4. High levels of anxiety
5. Escalating symptoms lasting less than one month
1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance
3. Relationship problems
4. High levels of anxiety
A family asks the nurse why their son was diagnosed with PTSD and others in the accident were not.
Which of the following information should the nurse offer? (Select all that apply.)
1. An individual's religious affiliation can affect response to trauma.
2|Page
,2. Responses are affected by how an individual handled previous trauma.
3. Protectiveness of family and friends can help an individual deal with trauma.
4. Control over the possibility of recurrence can affect the response to trauma.
5. The time in which the trauma occurred can affect the individual's response.
2. Responses are affected by how an individual handled previous trauma.
3. Protectiveness of family and friends can help an individual deal with trauma.
4. Control over the possibility of recurrence can affect the response to trauma.
5. The time in which the trauma occurred can affect the individual's response.
A nurse recognizes which of the following as the best predictors of PTSD in
Vietnam veterans? (Select all that apply.)
1. The severity of the stressor
2. The degree of ego strength
3. The degree of psychosocial isolation in the recovery environment
4. The attitudes of society regarding the experience
5. The presence of preexisting psychopathology
1. The severity of the stressor
3. The degree of psychosocial isolation in the recovery environment
A client diagnosed with posttraumatic stress disorder (PTSD) states, "Why did my
doctor prescribe an antidepressant rather than an antianxiety drug for me?" Which of the following are
the most appropriate nursing responses? (Select all that apply.)
1. "I'm not sure, because antianxiety drugs have been approved by the FDA for
PTSD."
2. "Antidepressants are now considered first-line treatment choice for PTSD."
3. "Many people have adverse reactions to antianxiety drugs."
4. "Because of their addictive properties, antianxiety drugs are less desirable."
5. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
2. "Antidepressants are now considered first-line treatment choice for PTSD."
4. "Because of their addictive properties, antianxiety drugs are less desirable."
5. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
Order the eight-phase process of eye movement desensitization and reprocessing (EMDR).
________ Instillation
________ Body scan
________ Closure
________ Reevaluation
________ Preparation
________ History and treatment planning
________ Desensitization
________ Assessment
3|Page
, 1. History and treatment planning
2. Preparation
3. Assessment
4. Desensitization
5. Instillation
6. Body scan
7. Closure
8. Reevaluation
An extremely distressing experience that causes severe emotional shock and may have long-lasting
psychological effects is called _________________.
trauma
A nursing instructor is teaching about the Community Health Centers Act of 1963.
What was a deterring factor to the proper implementation of this act?
1. Many prospective clients did not meet criteria for mental illness diagnostic-related groups.
2. Zoning laws discouraged the development of community mental health centers.
3. States could not match federal funds to establish community mental health centers
4. There was not a sufficient employment pool to staff community mental health
centers.
3. States could not match federal funds to establish community mental health centers
A nurse is implementing care within the parameters of tertiary prevention. Which
nursing action is an example of this type of care?
1. Teaching an adolescent about pregnancy prevention
2. Teaching a client the reportable side effects of a newly prescribed neuroleptic
medication
3. Teaching a client to cook meals, make a grocery list, and establish a budget
4. Teaching a client about his or her new diagnosis of bipolar disorder
3. Teaching a client to cook meals, make a grocery list, and establish a budget
A nursing instructor is teaching about case management. What student statement
indicates that learning has occurred?
1. "Case management is a method used to achieve independent client care."
2. "Case management provides coordination of services required to meet client needs."
3. "Case management exists mainly to facilitate client admission to needed inpatient services."
4. "Case management is a method to facilitate physician reimbursement."
2. "Case management provides coordination of services required to meet client needs."
A client at the mental health clinic tells the case manager, "I can't think about
living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my
4|Page
