Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS
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The nurse is assessing a client diagnosed with severe
obsessive-compulsive
disorder. What symptom will likely be an issue for the
client's recovery?
a) sleep disturbance.
b) excessive socialization.
c) command hallucinations.
d) altered state of consciousness. - ANSWER-a) sleep
disturbance.
A client diagnosed with paranoid schizophrenia tells the
nurse, "I have to get
away. The volmers are coming to execute me." What is the
most therapeutic
response of the
nurse?
,a) "You are safe here. This is a locked unit, and no one can get
in."
b) "I do not believe I understand the word volmers. Tell me more
about them."
c) "Why do you think someone or something is going to harm
you?"
d) "It must be frightening to think something is going to harm
you." - ANSWER-
d) "It must be frightening to think something is going to harm
you."
The nurse is caring for a patient diagnosed with Schizophrenia
who has relapsed several times requiring repeated
hospitalizations. What intervention would be most effective for
to help the patient prevent relapse?
a) schedule the client to attend group therapy that includes
those who have relapsed.
b) Help the patient and family identify the warning signs of
relapse.
c) remind the client of the need to return for periodic blood
draws to minimize the risk for relapse.
,d) help the client and family adapt to the stigma of chronic
mental illness and periodic relapses. - ANSWER-b) Help the
patient and family identify the warning signs of relapse.
The client says to the nurse, "The voices are laughing at me and
telling me I am
worthless." What would be the priority nursing diagnosis
based on this
comment?
a) Altered Thought Process
b) Self-Care Deficit
c) Self-esteem, risk for low
d) Coping, ineffective - ANSWER-a) Altered Thought Process
The community nurse is caring for a client diagnosed with
schizophrenia who was discharged from the hospital several
monthis ago. He no longer has psychotic symptoms, but is
uninterested in community activities. He lacks initiative,
demonstrates both poverty of content of speech and poverty of
speech, and seems unable to follow the schedule for taking his
antipsychotic medication. What is the best nursing
intervention?
a) Evaluate for rehospitalization
, b) Discuss an increase in medication with the prescriber.
c) Evaluate client's experience and attitudes about prescribed
medication.
d) Warn the client that he will be rehospitalized if he does not
take the medication. - ANSWER-c) Evaluate client's
experience and attitudes about prescribed medication.
The nurse is caring for a client who has been receiving
Fluphenazine (Prolixin) Decanoate for several months. The
nurse notes some chewing like movements of the mouth that
have not been noted before. Upon assessment, the client is not
chewing gum or eating anything. What tool will be best for the
nurse to evaluate this further?
a) Hamilton Side Effect
Scale
b) Beck Depression
Scale
c) Abnormal Involuntary Movement Scale (AIMS)
d) Mini Mental Status Exam - ANSWER-c) Abnormal Involuntary
Movement
Scale (AIMS)
The nurse is caring for a client who has chronic auditory
hallucinations. The nurse and the client are reviewing some