Psych Nursing Exam 3 questions with
verified answers rated A+
B. "An individual is supported by peers while striving for abstinence one day at a time." - correct
answer ✔✔ Chapter 22
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help me?"
Select the nurse's best response.
A. "The goal of AA is for members to learn controlled drinking with the support of a higher
power."
B. "An individual is supported by peers while striving for abstinence one day at a time."
C. "You must make a commitment to permanently abstain from alcohol and other drugs."
D. "You will be assigned a sponsor who will plan your treatment program."
C. consult the health care provider - correct answer ✔✔ A nurse reviews vital signs for a patient
admitted with an injury sustained while intoxicated. The medical record shows these blood
pressure and pulse readings at the times listed:
0200: 118/78 mm Hg and 72 beats/min
0400: 126/80 mm Hg and 76 beats/min
0600: 128/82 mm Hg and 72 beats/min
0800: 132/88 mm Hg and 80 beats/min
1000: 148/94 mm Hg and 96 beats/min
What is the nurse's priority action?
A. Force Fludis
B. Obtain a clean -catch urine sample
,C. consult the health care provider
D. Place the patient in a vest-type restraint.
B. Respiratory - correct answer ✔✔ A nurse cares for a patient diagnosed with an opioid
overdose. Which focused assessment has the highest priority?
A. Cardiovascular
B. Respiratory
C. Neurologic
D. Hepatic
C. has symptoms of alcohol-withdrawal delirium - correct answer ✔✔ A patient admitted for
injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky,
irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/min. The
patient shouts, "Bugs are crawling on my bed. I've got to get out of here." Select the most
accurate assessment of this situation. The patient:
A. is attempting to obtain attention by manipulating staff.
B. may have sustained a head injury before admission.
C. has symptoms of alcohol-withdrawal delirium
D. is having an acute psychosis.
D. Risk for injury - correct answer ✔✔ A patient admitted yesterday for injuries sustained while
intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and
diaphoretic. What is the priority nursing diagnosis?
A. Disturbed sensory perception
B. Ineffective coping
,C. Ineffective denial
D. Risk for injury
A. "You are feeling violated because you thought you could trust your partner." - correct answer
✔✔ Chapter 28
Which comment by the nurse would best support relationship building with a survivor of
intimate partner abuse?
A. "You are feeling violated because you thought you could trust your partner."
B. "I'm here for you. I want you to tell me about the bad things that happened to you."
C. "I was very worried about you. I knew you were living in a potentially violent situation."
D. "Abusers often target people who are passive. I will refer you to an assertiveness class."
C. Emotional - correct answer ✔✔ An 11-year-old reluctantly tells the nurse, "My parents don't
like me. They said they wish I was never born." Which type of abuse is likely?
A. Sexual
B. Physical
C. Emotional
D. Economic
D. have been abused - correct answer ✔✔ The parents of a 15-year-old seek to have this teen
declared a delinquent because of excessive drinking, habitually running away, and prostitution.
The nurse interviewing the patient should recognize these behaviors often occur in adolescents
who:
A. are attention seeking.
B. have eating disorders.
, C. are developmentally delayed.
D. have been abused
C. Report the suspicion according to state regulations - correct answer ✔✔ What is a nurse's
legal responsibility if child abuse or neglect is suspected?
A. Discuss the findings with the child's parent and health care provider.
B. Document the observation and suspicion in the medical record.
C. Report the suspicion according to state regulations
D. Continue the assessment.
D. Physical Injuries - correct answer ✔✔ An adult has recently been absent from work for 3-day
periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and
body bruises were apparent. What is occupational health nurse's priority assessment?
A. Work responsibilities
B. Interpersonal relationships
C. Socialization skills
D. Physical injuries
A. Sexual dysfunction may result from use of prescription medications for management of
hypertension. - correct answer ✔✔ Chapter 20
A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the
rationale for including questions about prescribed medications and their effects on sexual
function in the assessment?
A. Sexual dysfunction may result from use of prescription medications for management of
hypertension.
verified answers rated A+
B. "An individual is supported by peers while striving for abstinence one day at a time." - correct
answer ✔✔ Chapter 22
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help me?"
Select the nurse's best response.
A. "The goal of AA is for members to learn controlled drinking with the support of a higher
power."
B. "An individual is supported by peers while striving for abstinence one day at a time."
C. "You must make a commitment to permanently abstain from alcohol and other drugs."
D. "You will be assigned a sponsor who will plan your treatment program."
C. consult the health care provider - correct answer ✔✔ A nurse reviews vital signs for a patient
admitted with an injury sustained while intoxicated. The medical record shows these blood
pressure and pulse readings at the times listed:
0200: 118/78 mm Hg and 72 beats/min
0400: 126/80 mm Hg and 76 beats/min
0600: 128/82 mm Hg and 72 beats/min
0800: 132/88 mm Hg and 80 beats/min
1000: 148/94 mm Hg and 96 beats/min
What is the nurse's priority action?
A. Force Fludis
B. Obtain a clean -catch urine sample
,C. consult the health care provider
D. Place the patient in a vest-type restraint.
B. Respiratory - correct answer ✔✔ A nurse cares for a patient diagnosed with an opioid
overdose. Which focused assessment has the highest priority?
A. Cardiovascular
B. Respiratory
C. Neurologic
D. Hepatic
C. has symptoms of alcohol-withdrawal delirium - correct answer ✔✔ A patient admitted for
injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky,
irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/min. The
patient shouts, "Bugs are crawling on my bed. I've got to get out of here." Select the most
accurate assessment of this situation. The patient:
A. is attempting to obtain attention by manipulating staff.
B. may have sustained a head injury before admission.
C. has symptoms of alcohol-withdrawal delirium
D. is having an acute psychosis.
D. Risk for injury - correct answer ✔✔ A patient admitted yesterday for injuries sustained while
intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and
diaphoretic. What is the priority nursing diagnosis?
A. Disturbed sensory perception
B. Ineffective coping
,C. Ineffective denial
D. Risk for injury
A. "You are feeling violated because you thought you could trust your partner." - correct answer
✔✔ Chapter 28
Which comment by the nurse would best support relationship building with a survivor of
intimate partner abuse?
A. "You are feeling violated because you thought you could trust your partner."
B. "I'm here for you. I want you to tell me about the bad things that happened to you."
C. "I was very worried about you. I knew you were living in a potentially violent situation."
D. "Abusers often target people who are passive. I will refer you to an assertiveness class."
C. Emotional - correct answer ✔✔ An 11-year-old reluctantly tells the nurse, "My parents don't
like me. They said they wish I was never born." Which type of abuse is likely?
A. Sexual
B. Physical
C. Emotional
D. Economic
D. have been abused - correct answer ✔✔ The parents of a 15-year-old seek to have this teen
declared a delinquent because of excessive drinking, habitually running away, and prostitution.
The nurse interviewing the patient should recognize these behaviors often occur in adolescents
who:
A. are attention seeking.
B. have eating disorders.
, C. are developmentally delayed.
D. have been abused
C. Report the suspicion according to state regulations - correct answer ✔✔ What is a nurse's
legal responsibility if child abuse or neglect is suspected?
A. Discuss the findings with the child's parent and health care provider.
B. Document the observation and suspicion in the medical record.
C. Report the suspicion according to state regulations
D. Continue the assessment.
D. Physical Injuries - correct answer ✔✔ An adult has recently been absent from work for 3-day
periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and
body bruises were apparent. What is occupational health nurse's priority assessment?
A. Work responsibilities
B. Interpersonal relationships
C. Socialization skills
D. Physical injuries
A. Sexual dysfunction may result from use of prescription medications for management of
hypertension. - correct answer ✔✔ Chapter 20
A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the
rationale for including questions about prescribed medications and their effects on sexual
function in the assessment?
A. Sexual dysfunction may result from use of prescription medications for management of
hypertension.
