2 FINAL EXAM STUDY GUIDE 2025/2026 ACCURATE
QUESTIONS AND VERIFIED CORRECT SOLUTIONS WITH
RATIONALES || 100% GUARANTEED PASS
<LATEST VERSION>
1. Alterations in Mental Health
An RN would expect to assess which of the following as an increased risk
for violence among patients with schizophrenia?
Erratic sleep habits
Lack of exercise
Substance abuse
Unsafe sex - ANSWER ✓ 1) Erratic sleeping habits is not associated with
increased risk for violence in patients with schizophrenia.
2) Lack of exercise is not associated with increased risk for violence in
patients with schizophrenia.
*3) Substance abuse is associated with a variety of negative outcomes such
as homelessness, violence, and suicide in patients with schizophrenia.
4) Unsafe sex is not associated with increased risk for violence in patients
with schizophrenia.
2. Alterations in Mental Health
An RN is reviewing dietary restrictions with a patient who is on a
monoamine oxidase inhibitor (MAOI). Which dietary choice indicates that
the patient understood the teaching?
Chicken wings and blue cheese
Shrimp and fried rice
Pepperoni pizza
, Hamburger and french fries - ANSWER ✓ 1) Blue cheese has high tyramine
content; the ingestion of tyramine with the use of MAOIs will lead to
hypertensive crisis.
2) Shrimp fried rice contains soy sauce and MSG; both ingredients have
high tyramine content.
3) Pepperoni has a high tyramine content. Patients taking MAOIs should
avoid it.
*4) Of the meals listed, hamburger and french fries is the most appropriate
option.
3. Alterations in Mental Health
An RN is evaluating care for an outpatient who is receiving lithium
carbonate (Lithane). Which statement reflects the need for further instruction
regarding the medication?
"I will report any nausea, vomiting, or diarrhea."
"I will adhere to a low-salt diet."
"I will have my blood tested for lithium every month."
"I will not take over-the-counter medications." - ANSWER ✓ 1) The patient
should report these side effects and stop taking the drug, since dehydration
can raise lithium levels. Further instruction is not necessary.
*2) The patient should not follow a low-salt diet. A low-sodium intake
causes a relative increase in lithium retention, which can lead to toxicity.
Further instruction is necessary.
3) Lithium levels are monitored very closely (monthly) at first. No further
instruction is necessary.
4) The patient should avoid taking over-the-counter medications. No further
instruction is necessary.
4. Neurocognitive Impairment, Neurodevelopmental Disorders, Disruptive
Behavior Disorders
, The public health department has received a grant to develop resources to
assist the caregivers of people with Alzheimer's disease. Which resource
should be developed first to reduce caregiver role strain?
A class for the caregivers on meeting the self-care needs of the patient with
Alzheimer's disease
A meal delivery service that provides two hot meals a day to patients with
Alzheimer's disease and their caregivers
A respite care program that allows caregivers time for personal business and
socialization
A program on medications that significantly enhance memory and cognitive
function in patients with Alzheimer's disease - ANSWER ✓ 1) This is
valuable information, but it does not address the issue of caregiver role
strain. The information may be better provided in written form rather than
asking the caregivers to attend a class.
2) There are wide variations in caregiver involvement in meal preparation.
Such a program does not address role strain for a broad spectrum of
caregiver relationships.
*3) Respite care is a valuable service for a community to provide to all
caregivers. It directly addresses role strain.
4) This program may be of interest to some, but does not address role strain.
The information should be available in written form, as well.
5. Neurocognitive Impairment, Neurodevelopmental Disorders, Disruptive
Behavior Disorders
A patient with vascular dementia and short term memory deficits asks the
RN, "When is my spouse coming?" When the RN responds, "Your husband
died years ago," the patient cries inconsolably. The second time the patient
asks when the spouse will visit, the RN replies, "later on today." The RN's
second response reflects application of which ethical principle?
Autonomy
Fidelity
Justice
, Nonmaleficence - ANSWER ✓ 1) Autonomy pertains to the patient's self-
determinism.
2) Fidelity is the duty to the patient, to follow through with care.
3) This principle ensures that each patient is treated fairly and equally.
*4) This principle states that the RN must take action to do no harm. They
must assist the patient in avoiding suffering. Each time the patient was told
her husband died, she became upset.
6. A school nurse wants to decrease the rate of obesity among children. Which
of the following actions in the community would be most effective?
a.
Lobby legislators to enact stronger legislation regarding school lunches and
snack machines in schools.
b.
Increase nutrition programs in schools that teach children to make healthy
food choices.
c.
Involve the entire family in the planning and managing of nutrition,
especially when a child in the family is obese.
d.
Provide after-school and summer camps that focus on diet and exercise. -
ANSWER ✓ ANS: C
Interventions need to be based on goals of lifestyle changes for the entire
family. The goal is to modify the way the family eats, exercises, and plans
daily activities. Although it is important to teach nutrition, exercise, and
proper food choice, if the family does not, for example, prepare the proper
foods from which they can choose, the knowledge of the child is
insignificant.
7. A nurse wants to establish a program to decrease the death rate among
children. Which of the following health problems should be the target of this
program?
a.
Accidents and injuries
b.
AIDS