NURX212/NUR 212 Final Exam
NURX212/NUR 212 FINAL EXAM NEWEST 2025/2026 COMPLETE
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Alterations in Mental Health
What is an appropriate, expected short-term outcome for a patient hospitalized
with acute depression?
Patient will verbalize increased feelings of self-worth.
Patient will verbally contract for safety.
Patient will verbalize insight into contributing stressors.
Patient will successfully complete ADLs without prompting.
1) This is a long-term outcome.
*2) Contracting for safety is an expected short-term outcome for a patient with
acute depression.
3) The development of insight into contributing stressors is a long-term outcome.
4) The ability to successfully complete ADLs is an expected long-term outcome.
Alterations in Mental Health
An RN is evaluating outcomes for a patient with obsessive-compulsive disorder
(OCD) who has started on anti-anxiety medication. The RN notes that anxiety and
fear related to not performing rituals has diminished significantly. but the patient
is now expressing concern about having professional problems, due to sedation
from the medication. Which nursing diagnosis statement is most appropriate at
this time?
1|Page
, NURX212/NUR 212 Final Exam
Ineffective Role Performance related to medication side effects
Impaired Role Performance related to effects of illness on lifestyle
Noncompliance related to inability to manage side effects of medication
Ineffective Coping related to not understanding the therapeutic effects of the
medication
*1) Ineffective Role Performance is the correct NANDA-I nomenclature and is
defined as the inability to fulfill usual patterns of responsibility. The etiology is not
the effects of the illness, but the side effects of the medication the patient is
taking.
2) Role performance is impaired not because of the effects of the illness on
lifestyle, but because of the side effects of the medication.
3) There is no indication that the patient is not compliant with medication. The
priority patient concern is the impact of sedation from medication on role
performance.
4) There is not enough data to conclude that the patient is engaging in a pattern of
ineffective coping. The patient has been able to express concerns about the
impact of the medication on some aspects of role function appropriately. There is
not enough data to conclude the patient does not understand the therapeutic
effects of the medication.
Alterations in Mental Health
What is the goal of family therapy as a component of treatment for a patient who
has schizophrenia?
Assess family history of schizophrenia.
Increase family's caregiving ability.
Reduce family's stress level.
Teach family case management skills.
2|Page
, NURX212/NUR 212 Final Exam
1) This is not the appropriate goal.
2) See 1).
*3) Family stress is a very real need for the family with a member who has
schizophrenia. Reducing the family's stress level is the priority goal.
4) See 1).
Alterations in Mental Health
Which statement made by a patient indicates a readiness to learn, regarding
reality perception?
"I am not taking that medicine. You want to hurt me."
"There's nothing wrong with me. I've just been under a lot of stress."
"I am not here for a mental illness; I have blood clots in my legs."
"I think maybe those voices I heard aren't real. How can I make them go away?"
1) This comment indicates a lack of trust.
2) This comment demonstrates unrealistic self-perception.
3) This comment reflects a distortion of reality.
*4) The patient recognizes reality distortions and seeks to learn strategies to
manage symptoms.
Alterations in Mental Health
Which statement made by a patient is an example of delusions of grandeur?
"The FBI has bugged my room and intends to kill me."
"I just discovered a cure for cancer."
3|Page
, NURX212/NUR 212 Final Exam
"Someone is trying to get a message to me through this television show."
"I'm not really here. I'm already dead."
1) This is an example of delusions of persecution.
*2) This is an example of delusions of grandeur.
3) This is an example of delusions of reference.
4) This is an example of a nihilistic delusion.
Alterations in Mental Health
A patient presents with a history of borderline personality disorder. The patient
exhibits alternating clinging and distancing behaviors, staff splitting, and
manipulation. Based on this information, which is the most appropriate nursing
diagnosis label?
Disturbed Personal Identity
Impaired Social Interaction
Risk for Other-Directed Violence
Risk for Self-Mutilation
1) Disturbed Personal Identity includes feelings of depersonalization and
derealization.
*2) Alternating clinging and distancing behaviors, staff splitting, and manipulation
are consistent with a nursing diagnosis label of Impaired Social Interaction.
3) Risk for Other-Directed Violence may include threatening body language, a
history of childhood abuse, and transient psychotic symptomotology.
4) Risk for Self-Mutilation includes a history of self-injurious behavior, impulsivity,
and an irresistible urge to damage self.
4|Page
NURX212/NUR 212 FINAL EXAM NEWEST 2025/2026 COMPLETE
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Alterations in Mental Health
What is an appropriate, expected short-term outcome for a patient hospitalized
with acute depression?
Patient will verbalize increased feelings of self-worth.
Patient will verbally contract for safety.
Patient will verbalize insight into contributing stressors.
Patient will successfully complete ADLs without prompting.
1) This is a long-term outcome.
*2) Contracting for safety is an expected short-term outcome for a patient with
acute depression.
3) The development of insight into contributing stressors is a long-term outcome.
4) The ability to successfully complete ADLs is an expected long-term outcome.
Alterations in Mental Health
An RN is evaluating outcomes for a patient with obsessive-compulsive disorder
(OCD) who has started on anti-anxiety medication. The RN notes that anxiety and
fear related to not performing rituals has diminished significantly. but the patient
is now expressing concern about having professional problems, due to sedation
from the medication. Which nursing diagnosis statement is most appropriate at
this time?
1|Page
, NURX212/NUR 212 Final Exam
Ineffective Role Performance related to medication side effects
Impaired Role Performance related to effects of illness on lifestyle
Noncompliance related to inability to manage side effects of medication
Ineffective Coping related to not understanding the therapeutic effects of the
medication
*1) Ineffective Role Performance is the correct NANDA-I nomenclature and is
defined as the inability to fulfill usual patterns of responsibility. The etiology is not
the effects of the illness, but the side effects of the medication the patient is
taking.
2) Role performance is impaired not because of the effects of the illness on
lifestyle, but because of the side effects of the medication.
3) There is no indication that the patient is not compliant with medication. The
priority patient concern is the impact of sedation from medication on role
performance.
4) There is not enough data to conclude that the patient is engaging in a pattern of
ineffective coping. The patient has been able to express concerns about the
impact of the medication on some aspects of role function appropriately. There is
not enough data to conclude the patient does not understand the therapeutic
effects of the medication.
Alterations in Mental Health
What is the goal of family therapy as a component of treatment for a patient who
has schizophrenia?
Assess family history of schizophrenia.
Increase family's caregiving ability.
Reduce family's stress level.
Teach family case management skills.
2|Page
, NURX212/NUR 212 Final Exam
1) This is not the appropriate goal.
2) See 1).
*3) Family stress is a very real need for the family with a member who has
schizophrenia. Reducing the family's stress level is the priority goal.
4) See 1).
Alterations in Mental Health
Which statement made by a patient indicates a readiness to learn, regarding
reality perception?
"I am not taking that medicine. You want to hurt me."
"There's nothing wrong with me. I've just been under a lot of stress."
"I am not here for a mental illness; I have blood clots in my legs."
"I think maybe those voices I heard aren't real. How can I make them go away?"
1) This comment indicates a lack of trust.
2) This comment demonstrates unrealistic self-perception.
3) This comment reflects a distortion of reality.
*4) The patient recognizes reality distortions and seeks to learn strategies to
manage symptoms.
Alterations in Mental Health
Which statement made by a patient is an example of delusions of grandeur?
"The FBI has bugged my room and intends to kill me."
"I just discovered a cure for cancer."
3|Page
, NURX212/NUR 212 Final Exam
"Someone is trying to get a message to me through this television show."
"I'm not really here. I'm already dead."
1) This is an example of delusions of persecution.
*2) This is an example of delusions of grandeur.
3) This is an example of delusions of reference.
4) This is an example of a nihilistic delusion.
Alterations in Mental Health
A patient presents with a history of borderline personality disorder. The patient
exhibits alternating clinging and distancing behaviors, staff splitting, and
manipulation. Based on this information, which is the most appropriate nursing
diagnosis label?
Disturbed Personal Identity
Impaired Social Interaction
Risk for Other-Directed Violence
Risk for Self-Mutilation
1) Disturbed Personal Identity includes feelings of depersonalization and
derealization.
*2) Alternating clinging and distancing behaviors, staff splitting, and manipulation
are consistent with a nursing diagnosis label of Impaired Social Interaction.
3) Risk for Other-Directed Violence may include threatening body language, a
history of childhood abuse, and transient psychotic symptomotology.
4) Risk for Self-Mutilation includes a history of self-injurious behavior, impulsivity,
and an irresistible urge to damage self.
4|Page
