PN 107 ACTUAL FINAL EXAM 2025-2026 \LATEST
VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED 100%
\GRADED A+
A A pt who was responding to auditory hallucinations
Making sure space is earlier in the morning now approaches the nurse
present between the shaking a fist and shouts, "back off!" and then goes to
nurse and the patient the day room. while following the pt into the day
avoids invading the room, the nurse should:
patient's personal space. a. make sure there is adequate physical space
Personal space needs between the nurse and pt
increase when a patient b. move into a position that places the pt close to the
feels anxious and door
threatened. Allowing the c. maintain one arm's- length distance from the pt
patient to block the nurse's d. begin talking to the pt about appropriate behavior
exit from the room may
result in injury to the nurse.
Closeness may be
threatening to the patient
and provoke aggression.
Sitting is inadvisable until
further assessment
suggests the patient's
aggression is abating. One
arm's length is inadequate
space.
,B An intramuscular dose of antipsychotic medication
A patient gains feelings of needs to be administered to a pt who is becoming
security if he or she sees increasingly more aggressive and refused to leave the
others are present to help dayroom. the nurse should enter the say room:
with control. The nurse a. and say, "would you like to come to your room and
gives a simple direction, take some medication your health care provider
honestly states what is prescribed for you?"
going to happen, and b. accompanied by 3 staff members and say, "please
reassures the patient that come to your room so i can give you some
the intervention will be medication that will help you regain control."
helpful. This positive c. and place the pt patient in a basket-hold and they
approach assumes the say, "i am going to take you to your room to give you
patient can act an injection of medication to calm you."
responsibly and will d. accompanied by a male security guard and tell the
maintain control. Physical pt, "come to your room willingly so i can give you this
control measures are used medication, or the guard and i will take you there."
only as a last resort.
C After an assault by a patient, a nurse has difficulty
The desire for revenge sleeping, startles easily, and is preoccupied with the
signals an urgent need for incident. The nurse said, "That patient should not be
professional supervision allowed to get away with that behavior." Which
to work through anger response poses the greatest barrier to the nurse's
and counter the ability to provide therapeutic care?
aggressive feelings. a. startle reactions
Feelings of revenge create b. difficulty sleeping
a risk for harm to the c. a wish for revenge
patient. The distracters are d. preoccupation with the incident
normal in a person who
was assaulted. They
usually are relieved with
crisis intervention, help
the individual regain a
sense of control, and
make sense of the event.
,A The staff development coordinator plans to teach use
Intervention techniques of physical management techniques for use when
are learned behaviors and patients become assaultive. Which topic should the
must be practiced to be coordinator emphasize?
used in a smooth, a. practice and teamwork
organized fashion. Every b. spontaneity and surprise
member of the c. caution and superior size
intervention team should d. diversion and physical outlets
be assigned a specific task
to carry out before
beginning the
intervention. The other
options are useless if the
staff does not know how
to use physical techniques
and how to apply them in
an organized fashion.
B An adult patient assaulted another patient and was
The correct response then restrained. One hour later, which statement by
indicates impaired the restrained patient requires the nurse's immediate
circulation and attention?
necessitates the nurse's a. "i hate all of you."
immediate attention. The b. "my fingers are tingly."
incorrect responses c. "you wait until i tell my lawyer."
indicate the patient has d. "the other pt started the fight."
continued aggressiveness
and agitation.
, Which is an effective nursing intervention to assist an
angry patient learn to manage anger without
violence?
A
a. Help a patient identify a thought that produces
Anger has a strong
anger, evaluate the validity of the belief, and
cognitive component, so
substitute reality-based thinking.
using cognition
b. Provide negative reinforcement such as restraint or
techniques to manage
seclusion in response to angry outbursts, whether or
anger is logical. The
not violence is present.
incorrect options do
c. Use aversive conditioning, such as popping a
nothing to help the patient
rubber band on the wrist, to help extinguish angry
learn anger management.
feelings.
d. Administer an antipsychotic or anti-anxiety
medication.
B Which assessment finding presents the greatest risk
A history of prior for violent behavior directed at others? a. Severe
aggression or violence is agoraphobia
the best predictor of who b. History of spousal abuse
may become violent. c. Bizarre somatic delusions
Patients with anxiety d. Verbalized hopelessness and powerlessness
disorders are not
particularly prone to
violence unless panic
occurs. Patients
experiencing
hopelessness and
powerlessness may have
coexisting anger, but
violence is uncommon.
Patients with paranoid
delusions are at greater
risk for violence than
those with bizarre somatic
delusions.
VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED 100%
\GRADED A+
A A pt who was responding to auditory hallucinations
Making sure space is earlier in the morning now approaches the nurse
present between the shaking a fist and shouts, "back off!" and then goes to
nurse and the patient the day room. while following the pt into the day
avoids invading the room, the nurse should:
patient's personal space. a. make sure there is adequate physical space
Personal space needs between the nurse and pt
increase when a patient b. move into a position that places the pt close to the
feels anxious and door
threatened. Allowing the c. maintain one arm's- length distance from the pt
patient to block the nurse's d. begin talking to the pt about appropriate behavior
exit from the room may
result in injury to the nurse.
Closeness may be
threatening to the patient
and provoke aggression.
Sitting is inadvisable until
further assessment
suggests the patient's
aggression is abating. One
arm's length is inadequate
space.
,B An intramuscular dose of antipsychotic medication
A patient gains feelings of needs to be administered to a pt who is becoming
security if he or she sees increasingly more aggressive and refused to leave the
others are present to help dayroom. the nurse should enter the say room:
with control. The nurse a. and say, "would you like to come to your room and
gives a simple direction, take some medication your health care provider
honestly states what is prescribed for you?"
going to happen, and b. accompanied by 3 staff members and say, "please
reassures the patient that come to your room so i can give you some
the intervention will be medication that will help you regain control."
helpful. This positive c. and place the pt patient in a basket-hold and they
approach assumes the say, "i am going to take you to your room to give you
patient can act an injection of medication to calm you."
responsibly and will d. accompanied by a male security guard and tell the
maintain control. Physical pt, "come to your room willingly so i can give you this
control measures are used medication, or the guard and i will take you there."
only as a last resort.
C After an assault by a patient, a nurse has difficulty
The desire for revenge sleeping, startles easily, and is preoccupied with the
signals an urgent need for incident. The nurse said, "That patient should not be
professional supervision allowed to get away with that behavior." Which
to work through anger response poses the greatest barrier to the nurse's
and counter the ability to provide therapeutic care?
aggressive feelings. a. startle reactions
Feelings of revenge create b. difficulty sleeping
a risk for harm to the c. a wish for revenge
patient. The distracters are d. preoccupation with the incident
normal in a person who
was assaulted. They
usually are relieved with
crisis intervention, help
the individual regain a
sense of control, and
make sense of the event.
,A The staff development coordinator plans to teach use
Intervention techniques of physical management techniques for use when
are learned behaviors and patients become assaultive. Which topic should the
must be practiced to be coordinator emphasize?
used in a smooth, a. practice and teamwork
organized fashion. Every b. spontaneity and surprise
member of the c. caution and superior size
intervention team should d. diversion and physical outlets
be assigned a specific task
to carry out before
beginning the
intervention. The other
options are useless if the
staff does not know how
to use physical techniques
and how to apply them in
an organized fashion.
B An adult patient assaulted another patient and was
The correct response then restrained. One hour later, which statement by
indicates impaired the restrained patient requires the nurse's immediate
circulation and attention?
necessitates the nurse's a. "i hate all of you."
immediate attention. The b. "my fingers are tingly."
incorrect responses c. "you wait until i tell my lawyer."
indicate the patient has d. "the other pt started the fight."
continued aggressiveness
and agitation.
, Which is an effective nursing intervention to assist an
angry patient learn to manage anger without
violence?
A
a. Help a patient identify a thought that produces
Anger has a strong
anger, evaluate the validity of the belief, and
cognitive component, so
substitute reality-based thinking.
using cognition
b. Provide negative reinforcement such as restraint or
techniques to manage
seclusion in response to angry outbursts, whether or
anger is logical. The
not violence is present.
incorrect options do
c. Use aversive conditioning, such as popping a
nothing to help the patient
rubber band on the wrist, to help extinguish angry
learn anger management.
feelings.
d. Administer an antipsychotic or anti-anxiety
medication.
B Which assessment finding presents the greatest risk
A history of prior for violent behavior directed at others? a. Severe
aggression or violence is agoraphobia
the best predictor of who b. History of spousal abuse
may become violent. c. Bizarre somatic delusions
Patients with anxiety d. Verbalized hopelessness and powerlessness
disorders are not
particularly prone to
violence unless panic
occurs. Patients
experiencing
hopelessness and
powerlessness may have
coexisting anger, but
violence is uncommon.
Patients with paranoid
delusions are at greater
risk for violence than
those with bizarre somatic
delusions.
