NUR 180 FINAL EXAM STUDY GUIDE 2025
1. The LPN has a patient with mental and emotional difficulties who is sensitive to sound
and light.
What actions will the LPN take? Ans - Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain (soothing sounds)
2. The LPN is assessing the coping patterns of a new patient.
What data would the LPN expect to find? Ans - Current stressors
- Drug or alcohol abuse
- Weight changes
3. What characteristics will the LPN be looking for in a patient that is suspected of having
a substance abuse disorder? Ans - Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job
, NUR 180 FINAL EXAM STUDY GUIDE 2025
4. Substance abuse interventions Ans - Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving
5. Alcohol abuse Ans - Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
6. Antabuse Ans - Disulfiram
- No cologne, perfume, cough syrup, mouthwash
7. Which of the following would mental health professionals strive to help patients develop
& maintain regarding spiritual care? Ans - Inner strength
- Self awareness
- Life's meaning & purpose
- Relationships with others
8. Collecting data of religious beliefs & practices from patients.
What should the LPN include? Ans - What role does religion play in
your life? - What is your source of strength & hope?
- What brings you comfort and joy?
- Does your religion have any special days?
, NUR 180 FINAL EXAM STUDY GUIDE 2025
9. Patient prescribed Laxopam for anxiety.
What indicates a need for further teaching? Ans I can take this medication to relieve
everyday stress
10. Patient scheduled for surgery who wants to wear a bracelet that has significant
religious meaning. When the LPN asks them to remove it, they say they really wish they
could wear it during the procedure.
What does the LPN do next? Ans Determine if the item may remain in place during
the procedure
11. Muslim patient wishing to face MECCA.
What position should the nurse place the patient's bed? Ans South east direction from US
12. Patient is a Jehovah's Witness, and the physician orders 2 units of blood ASAP.
She refuses to sign the consent form.
What should the LPN do next? Ans - Notify supervisor/physician STAT
- Report patient's refusal
13. Nurses & spirituality Ans - Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
, NUR 180 FINAL EXAM STUDY GUIDE 2025
14. Elderly patient that recently lost a loved one & would like to attend a grief meeting
but does not drive, cannot afford a taxi, doesn't wish to burden family or friends.
What would the LPN do next? Ans Offer to acquire information about senior services that
may help the patient
15. Dying patient & family reports that the dying patient is speaking to a deceased
loved one. Family comes to the nurses station concerned about too much pain
medication.
How should the nurse respond? Ans Normal sign of approaching death & it is important
that we do all we can to keep her pain tolerable
16. Patient prescribed Fluoxetine.
Which response indicates further teaching is needed? Ans I must take this medication with
a full meal
17. Patient admitted to the mental health unit. They have a toothbrush, toothpaste,
and dental floss in their pockets. They perform dental care as often as every 1/2 hour.
How does the LPN interpret these actions? Ans Attempt to relieve
anxiety
1. The LPN has a patient with mental and emotional difficulties who is sensitive to sound
and light.
What actions will the LPN take? Ans - Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain (soothing sounds)
2. The LPN is assessing the coping patterns of a new patient.
What data would the LPN expect to find? Ans - Current stressors
- Drug or alcohol abuse
- Weight changes
3. What characteristics will the LPN be looking for in a patient that is suspected of having
a substance abuse disorder? Ans - Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job
, NUR 180 FINAL EXAM STUDY GUIDE 2025
4. Substance abuse interventions Ans - Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving
5. Alcohol abuse Ans - Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
6. Antabuse Ans - Disulfiram
- No cologne, perfume, cough syrup, mouthwash
7. Which of the following would mental health professionals strive to help patients develop
& maintain regarding spiritual care? Ans - Inner strength
- Self awareness
- Life's meaning & purpose
- Relationships with others
8. Collecting data of religious beliefs & practices from patients.
What should the LPN include? Ans - What role does religion play in
your life? - What is your source of strength & hope?
- What brings you comfort and joy?
- Does your religion have any special days?
, NUR 180 FINAL EXAM STUDY GUIDE 2025
9. Patient prescribed Laxopam for anxiety.
What indicates a need for further teaching? Ans I can take this medication to relieve
everyday stress
10. Patient scheduled for surgery who wants to wear a bracelet that has significant
religious meaning. When the LPN asks them to remove it, they say they really wish they
could wear it during the procedure.
What does the LPN do next? Ans Determine if the item may remain in place during
the procedure
11. Muslim patient wishing to face MECCA.
What position should the nurse place the patient's bed? Ans South east direction from US
12. Patient is a Jehovah's Witness, and the physician orders 2 units of blood ASAP.
She refuses to sign the consent form.
What should the LPN do next? Ans - Notify supervisor/physician STAT
- Report patient's refusal
13. Nurses & spirituality Ans - Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
, NUR 180 FINAL EXAM STUDY GUIDE 2025
14. Elderly patient that recently lost a loved one & would like to attend a grief meeting
but does not drive, cannot afford a taxi, doesn't wish to burden family or friends.
What would the LPN do next? Ans Offer to acquire information about senior services that
may help the patient
15. Dying patient & family reports that the dying patient is speaking to a deceased
loved one. Family comes to the nurses station concerned about too much pain
medication.
How should the nurse respond? Ans Normal sign of approaching death & it is important
that we do all we can to keep her pain tolerable
16. Patient prescribed Fluoxetine.
Which response indicates further teaching is needed? Ans I must take this medication with
a full meal
17. Patient admitted to the mental health unit. They have a toothbrush, toothpaste,
and dental floss in their pockets. They perform dental care as often as every 1/2 hour.
How does the LPN interpret these actions? Ans Attempt to relieve
anxiety
