NUR 215 - Final Exam
CNS depressants - answer- substances that slow down normal brain fx
- includes barbiturate’s, benzos, & etoh
A (intoxication): slurred speech, ataxia, drowsiness, disinhibition, impaired judgment,
impaired memory & attention, irritability
A (OD): cardiac or resp depression, shock, convulsions, coma death
A (withdrawal): elevated VS, N/V, tremors, paroxysmal sweats, anxiety, agitation,
insomnia, hallucinations, seizures, disorientation, delirium
c) reflecting & exploring - answerDuring a therapeutic encounter, the nurse remarks to a
pt "I noticed anger in your voice when you spoke of your father. Tell me about that."
What communication techniques are the nurse using?
a) presenting reality & encouraging planning
b) clarifying & suggesting collaboration
c) reflecting & exploring
d) giving information & encouraging evaluation
b) allow the pt to break the silence - answerDuring a clinical interview with a male nurse,
the client falls silent after disclosing that she was sexually abused as a child. The nurse
should
a) quickly break the silence & encourage the pt to continue
b) allow the pt to break the silence
c) reassure the pt that the abuse wasn't their fault
d) reach out & gently touch the pt's arm
B) transference - answerClient reactions of intense hostility or feelings of strong
affection toward the nurse are common forms of
A) resistance.
B) transference.
C) countertransference.
D) emotional reaction.
a) delirium - answerAcute onset of disordered thinking is most associated with
a) delirium
b) dementia
c) depression
d) transference
,c) delusions - answerWhich thought process describes the client's inability to leave his
apartment because he thought someone was waiting to kill him?
A) Hallucination
B) Phobia
C) Delusions
D) Confabulation.
a&b
We would give a short-acting anxiolytic (antianxiety agent) and a antipsychotic med -
answerSATA: The client becomes very agitated and angry, and he talks loudly to
himself as he waits to be seen by the health care provider. Which medication should the
nurse anticipate giving the client after securing a prescription from the health care
provider?
A) Short-acting anxiolytic
B) Antipsychotic medication
C) Mood-stabilizing medication
D) Non-benzo anxiolytic
a) detection of substances that may have caused Brian's delusions and/or hallucinations
- answerThe nurse understands that the purpose of the urine drug screen is to assess
Brian for what important information?
A) Detection of substances that may have caused Brian's delusions and/or
hallucinations
B) Determine the approximate time Brian stopped taking his medications
C) Provide information about the type of psychosis Brian is experiencing
D) Document medication noncompliance and reinforce need for hospitalization.
c) consistency - answerWhat additional intervention is essential to a successful plan?
A) Isolations
B) Daily activities
C) Consistency
D) Adequate rest
c) dopamine
Haldol brings down dopamine levels, which is how pts experience the extrapyramidal
effects - answerWhat neurotransmitter is targeted by haloperidol (Haldol)?
A) GABA
B) Serotonin
,C) Dopamine
D) Norepinephrine.
b) dystonia - answerSeveral hours after receiving his medication, Brian complains of
muscle spasms in his neck and jaw. What side effect of the medication should the nurse
suspect?
A) Akathisia
B) Dystonia
C) Tardive dyskinesia
D) Parkinsonism
a) psychoeducational groups - answerMedication education and health education are
types of
A) psychoeducational groups
B) insight-oriented groups
C) support groups
D) psychodrama
c) task - answerA group participant frequently reminds others of the group's main
purpose. What type of role is this person fulfilling?
A) Maintenance
B) Individual
C) Task
c) check BG level q 2-4 - answerA patient with type 1 diabetes calls the clinic with
complaints of nausea, vomiting, and diarrhea. It is most important that the nurse advise
the patient to
a) Withhold the regular dose of insulin.
b) Drink cool fluids with high glucose content.
c) Check the blood glucose level every 2 to 4 hours.
d) Use a less strenuous form of exercise than usual until the illness resolves.
c) enable the pts to become active participants in the mgmt of their disease -
answerThe nurse plans a class for patients who have newly diagnosed type 2 diabetes
mellitus. Which goal is most appropriate?
a. Make all patients responsible for the management of their disease.
b. Involve the family and significant others in the care of these patients.
c. Enable the patients to become active participants in the management of their
disease.
d. Provide the patients with as much information as soon as possible to prevent
complications.
, b) "you are at an increased risk for developing DM" - answerA patient screened for
diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmoL/L).
Which statement by the nurse is best?
a. "You will develop type 2 diabetes within 5 years."
b. "You are at increased risk for developing DM."
c. "The test is normal, and diabetes is not a problem."
d. "The laboratory test result is positive for type 2 diabetes."
a) hypokalemia - answerThe nurse is caring for a patient with type 1 diabetes mellitus
who is admitted for diabetic ketoacidosis. The nurse would expect which laboratory test
result?
a. Hypokalemia
b. Fluid overload
c. Hypoglycemia
d. Hyperphosphatemia
d) May have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic nonketotic coma. - answerIn planning care
for a patient with type 2 Diabetes admitted to the hospital with pneumonia, the nurse
recognizes the patient:
a) Must receive insulin therapy to prevent the development of ketoacidosis.
b) Has islet cell antibodies that have destroyed the ability of the pancreas to produce
insulin.
c) Has minimal or absent endogenous insulin secretion and requires daily insulin
injections.
d) May have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic nonketotic coma.
b) diastole - answerIn what phase of the cardiac cycle does blood flow to the coronary
arteries?
A. Systole
B. Diastole
C. Asystole
D. Adiastole
e) all of the above - answerThe left coronary artery arises from the aorta and divides
into 2 main branches: the left anterior descending artery and left circumflex artery.
These arteries supply which parts of the heart?
A. left atrium
B. left ventricle
CNS depressants - answer- substances that slow down normal brain fx
- includes barbiturate’s, benzos, & etoh
A (intoxication): slurred speech, ataxia, drowsiness, disinhibition, impaired judgment,
impaired memory & attention, irritability
A (OD): cardiac or resp depression, shock, convulsions, coma death
A (withdrawal): elevated VS, N/V, tremors, paroxysmal sweats, anxiety, agitation,
insomnia, hallucinations, seizures, disorientation, delirium
c) reflecting & exploring - answerDuring a therapeutic encounter, the nurse remarks to a
pt "I noticed anger in your voice when you spoke of your father. Tell me about that."
What communication techniques are the nurse using?
a) presenting reality & encouraging planning
b) clarifying & suggesting collaboration
c) reflecting & exploring
d) giving information & encouraging evaluation
b) allow the pt to break the silence - answerDuring a clinical interview with a male nurse,
the client falls silent after disclosing that she was sexually abused as a child. The nurse
should
a) quickly break the silence & encourage the pt to continue
b) allow the pt to break the silence
c) reassure the pt that the abuse wasn't their fault
d) reach out & gently touch the pt's arm
B) transference - answerClient reactions of intense hostility or feelings of strong
affection toward the nurse are common forms of
A) resistance.
B) transference.
C) countertransference.
D) emotional reaction.
a) delirium - answerAcute onset of disordered thinking is most associated with
a) delirium
b) dementia
c) depression
d) transference
,c) delusions - answerWhich thought process describes the client's inability to leave his
apartment because he thought someone was waiting to kill him?
A) Hallucination
B) Phobia
C) Delusions
D) Confabulation.
a&b
We would give a short-acting anxiolytic (antianxiety agent) and a antipsychotic med -
answerSATA: The client becomes very agitated and angry, and he talks loudly to
himself as he waits to be seen by the health care provider. Which medication should the
nurse anticipate giving the client after securing a prescription from the health care
provider?
A) Short-acting anxiolytic
B) Antipsychotic medication
C) Mood-stabilizing medication
D) Non-benzo anxiolytic
a) detection of substances that may have caused Brian's delusions and/or hallucinations
- answerThe nurse understands that the purpose of the urine drug screen is to assess
Brian for what important information?
A) Detection of substances that may have caused Brian's delusions and/or
hallucinations
B) Determine the approximate time Brian stopped taking his medications
C) Provide information about the type of psychosis Brian is experiencing
D) Document medication noncompliance and reinforce need for hospitalization.
c) consistency - answerWhat additional intervention is essential to a successful plan?
A) Isolations
B) Daily activities
C) Consistency
D) Adequate rest
c) dopamine
Haldol brings down dopamine levels, which is how pts experience the extrapyramidal
effects - answerWhat neurotransmitter is targeted by haloperidol (Haldol)?
A) GABA
B) Serotonin
,C) Dopamine
D) Norepinephrine.
b) dystonia - answerSeveral hours after receiving his medication, Brian complains of
muscle spasms in his neck and jaw. What side effect of the medication should the nurse
suspect?
A) Akathisia
B) Dystonia
C) Tardive dyskinesia
D) Parkinsonism
a) psychoeducational groups - answerMedication education and health education are
types of
A) psychoeducational groups
B) insight-oriented groups
C) support groups
D) psychodrama
c) task - answerA group participant frequently reminds others of the group's main
purpose. What type of role is this person fulfilling?
A) Maintenance
B) Individual
C) Task
c) check BG level q 2-4 - answerA patient with type 1 diabetes calls the clinic with
complaints of nausea, vomiting, and diarrhea. It is most important that the nurse advise
the patient to
a) Withhold the regular dose of insulin.
b) Drink cool fluids with high glucose content.
c) Check the blood glucose level every 2 to 4 hours.
d) Use a less strenuous form of exercise than usual until the illness resolves.
c) enable the pts to become active participants in the mgmt of their disease -
answerThe nurse plans a class for patients who have newly diagnosed type 2 diabetes
mellitus. Which goal is most appropriate?
a. Make all patients responsible for the management of their disease.
b. Involve the family and significant others in the care of these patients.
c. Enable the patients to become active participants in the management of their
disease.
d. Provide the patients with as much information as soon as possible to prevent
complications.
, b) "you are at an increased risk for developing DM" - answerA patient screened for
diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmoL/L).
Which statement by the nurse is best?
a. "You will develop type 2 diabetes within 5 years."
b. "You are at increased risk for developing DM."
c. "The test is normal, and diabetes is not a problem."
d. "The laboratory test result is positive for type 2 diabetes."
a) hypokalemia - answerThe nurse is caring for a patient with type 1 diabetes mellitus
who is admitted for diabetic ketoacidosis. The nurse would expect which laboratory test
result?
a. Hypokalemia
b. Fluid overload
c. Hypoglycemia
d. Hyperphosphatemia
d) May have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic nonketotic coma. - answerIn planning care
for a patient with type 2 Diabetes admitted to the hospital with pneumonia, the nurse
recognizes the patient:
a) Must receive insulin therapy to prevent the development of ketoacidosis.
b) Has islet cell antibodies that have destroyed the ability of the pancreas to produce
insulin.
c) Has minimal or absent endogenous insulin secretion and requires daily insulin
injections.
d) May have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic nonketotic coma.
b) diastole - answerIn what phase of the cardiac cycle does blood flow to the coronary
arteries?
A. Systole
B. Diastole
C. Asystole
D. Adiastole
e) all of the above - answerThe left coronary artery arises from the aorta and divides
into 2 main branches: the left anterior descending artery and left circumflex artery.
These arteries supply which parts of the heart?
A. left atrium
B. left ventricle
