NURS 335 FINAL EXAM 2025
NURS 335 FINAL EXAM 1 2025/2026
WESTERN KENTUCKY UNIVERSITY
COMPLETE QUESTIONS AND
ANSWERS WITH DETAILED
RATIONALES GRADED A+
The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the nurse to tell
them what sorts of therapies are likely to be employed for the child. The nurse's response
should include information about which of the following?
a. Using aversion therapy and valproic acid (Depakote)
b. Using role play and donepezil (Aricept)
c. Providing supportive therapy and lorazepam (Ativan)
d. Minimizing environmental stimuli and methylphenidate (Ritalin)
A+ 1
, NURS 335 FINAL EXAM 2025
d. Minimizing environmental stimuli and methylphenidate (Ritalin)
The nurse is caring for an autistic child who continually repeats phrases spoken by the nurse.
In addition to describing this behavior in a documentation note, what medical term can the
nurse use to refer to this behavior?
a. Echolalia
b. Aphasia
c. Apraxia
d. Clang associations
a. Echolalia
A female patient with anorexia nervosa is a member of pre-discharge support group. The
client verbalizes that she would like to buy some new clothes, but her finances are limited.
Group members brought some used clothes to the client. The client believes the new clothes
are too tight even though they hang off her loosely and reduces her calorie intake to 800
calories daily. A nurse evaluated this behavior as:
A. normal behavior
B. evidence of the clients disturbed body image
C. regression as the client is moving towards the community
D. indicative of the clients ambivalence about discharge
B. evidence of the clients disturbed body image
A+ 2
, NURS 335 FINAL EXAM 2025
A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this
sexual disorder from a sexual dysfunction.
A. symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas
symptoms of a sexual disorder include impairment in normal sexual response
B. symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms
of sexual dysfunction include impairment in normal sexual response
C. sexual dysfunction can be caused by increased levels of circulating androgens, whereas
levels of circulating androgens do not affect sexual dysfunction
D. sexual disorders can be caused by decreased levels of circulating androgens, whereas
levels of circulating androgens do not affect sexual dysfunction
B. symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms
of sexual dysfunction include impairment in normal sexual response
A female client on an inpatient unit enters the day area for visiting hours dressed in a see-
through blouse and wearing no undergarments. Which intervention should be a nurse's first
priority?
A. Discuss with the client the inappropriateness of her attire.
B. Avoid addressing her attention-seeking behavior.
C. Lead the client back to her room and assist her to choose appropriate clothing.
D. Restrict client to room until visiting hours are over.
C. Lead the client back to her room and assist her to choose appropriate clothing.
A+ 3
, NURS 335 FINAL EXAM 2025
A nurse is assessing a client diagnosed with sexual masochistic disorder. What would
differentiate this paraphilic disorder from sexual sadistic disorder?
A. symptoms of sexual masochistic disorder are chronic acts of humiliation, whereas
symptoms of sexual sadistic disorder are acute
B. symptoms of sexual sadistic disorder are chronic acts of humiliation, whereas symptoms of
sexual masochistic disorder are acute
C. masochistic acts can be performed alone, whereas sadistic acts must have a consenting or
non-consenting partner
D. sadistic acts can be performed alone, whereas masochistic acts much have a consenting or
non-consenting partner
C. masochistic acts can be performed alone, whereas sadistic acts must have a consenting or
non-consenting partner
A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days
after admission. Which information indicates that the patient is experiencing delirium rather
than dementia?
A. the patient was alert and oriented when admitted
B. the patients speech is fragmented and incoherent
C. the patient is oriented to person but disoriented to place and time
D. the patient has a history of increasing confusion over several years
A. the patient was alert and oriented when admitted
The nurse is administering a mental status examination to a 48-year-old patient who has
hypertension. The nurse suspects depression when the patient responds to the nurse's
A+ 4
NURS 335 FINAL EXAM 1 2025/2026
WESTERN KENTUCKY UNIVERSITY
COMPLETE QUESTIONS AND
ANSWERS WITH DETAILED
RATIONALES GRADED A+
The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the nurse to tell
them what sorts of therapies are likely to be employed for the child. The nurse's response
should include information about which of the following?
a. Using aversion therapy and valproic acid (Depakote)
b. Using role play and donepezil (Aricept)
c. Providing supportive therapy and lorazepam (Ativan)
d. Minimizing environmental stimuli and methylphenidate (Ritalin)
A+ 1
, NURS 335 FINAL EXAM 2025
d. Minimizing environmental stimuli and methylphenidate (Ritalin)
The nurse is caring for an autistic child who continually repeats phrases spoken by the nurse.
In addition to describing this behavior in a documentation note, what medical term can the
nurse use to refer to this behavior?
a. Echolalia
b. Aphasia
c. Apraxia
d. Clang associations
a. Echolalia
A female patient with anorexia nervosa is a member of pre-discharge support group. The
client verbalizes that she would like to buy some new clothes, but her finances are limited.
Group members brought some used clothes to the client. The client believes the new clothes
are too tight even though they hang off her loosely and reduces her calorie intake to 800
calories daily. A nurse evaluated this behavior as:
A. normal behavior
B. evidence of the clients disturbed body image
C. regression as the client is moving towards the community
D. indicative of the clients ambivalence about discharge
B. evidence of the clients disturbed body image
A+ 2
, NURS 335 FINAL EXAM 2025
A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this
sexual disorder from a sexual dysfunction.
A. symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas
symptoms of a sexual disorder include impairment in normal sexual response
B. symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms
of sexual dysfunction include impairment in normal sexual response
C. sexual dysfunction can be caused by increased levels of circulating androgens, whereas
levels of circulating androgens do not affect sexual dysfunction
D. sexual disorders can be caused by decreased levels of circulating androgens, whereas
levels of circulating androgens do not affect sexual dysfunction
B. symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms
of sexual dysfunction include impairment in normal sexual response
A female client on an inpatient unit enters the day area for visiting hours dressed in a see-
through blouse and wearing no undergarments. Which intervention should be a nurse's first
priority?
A. Discuss with the client the inappropriateness of her attire.
B. Avoid addressing her attention-seeking behavior.
C. Lead the client back to her room and assist her to choose appropriate clothing.
D. Restrict client to room until visiting hours are over.
C. Lead the client back to her room and assist her to choose appropriate clothing.
A+ 3
, NURS 335 FINAL EXAM 2025
A nurse is assessing a client diagnosed with sexual masochistic disorder. What would
differentiate this paraphilic disorder from sexual sadistic disorder?
A. symptoms of sexual masochistic disorder are chronic acts of humiliation, whereas
symptoms of sexual sadistic disorder are acute
B. symptoms of sexual sadistic disorder are chronic acts of humiliation, whereas symptoms of
sexual masochistic disorder are acute
C. masochistic acts can be performed alone, whereas sadistic acts must have a consenting or
non-consenting partner
D. sadistic acts can be performed alone, whereas masochistic acts much have a consenting or
non-consenting partner
C. masochistic acts can be performed alone, whereas sadistic acts must have a consenting or
non-consenting partner
A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days
after admission. Which information indicates that the patient is experiencing delirium rather
than dementia?
A. the patient was alert and oriented when admitted
B. the patients speech is fragmented and incoherent
C. the patient is oriented to person but disoriented to place and time
D. the patient has a history of increasing confusion over several years
A. the patient was alert and oriented when admitted
The nurse is administering a mental status examination to a 48-year-old patient who has
hypertension. The nurse suspects depression when the patient responds to the nurse's
A+ 4
