NRSG 3200 Final Exam with
Guaranteed Pass Solutions 2026
Updated.
Ways to maintain confidentiality - Answer HIPPA, confidentiality agreements, closing charts
when leaving computer, and training.
Difference between justice and veracity, examples - Answer Justice is fairness Veracity: truth
Difference between assault and battery - Answer Assault: Verbal abuse/threats Battery:
Physical abuse/harm and injury
RN role with obtaining consents - Answer Only witness
Rules of proper delegation and prioritization - Answer Delegation: RN delegate to other RN,
LPN, or CNA. Tasks need to remain in the scope of practice for each person. RN is the only one
to assess. Prioritization: Deciding what/who needs to be done/seen first.
Examples of ethical dilemmas in every day nursing, what is our role and obligation? - Answer
Patient freedom vs. nurse control Advocate for the patient and let them make choices, but also
be there to support them and help them do what is best. Pediatric patients
What is professionalism in nursing - Answer Your professionalism will be judged in your
personal behaviors and how you present yourself to all those around you, and through those
behaviors, you tell the world who you are. Components of your professionalism include your
attitude, your appearance and your willingness to help others
Bipolar disorder: characteristics and nursing interventions - Answer S/S: mood swings from
profound depression to extreme euphoria with intervening periods of normalcy. NI: Encourage
therapies, ECT, give lithium (and watch for toxicity)
Delirium: causes, manifestations, nursing interventions - Answer Causes: serious medical,
surgical, or neurological conditions. (falls, elder abuse, medications/withdrawal, alcohol,
cannabis). Hypoxia, anoxia, diabetic problems, and electrolyte imbalances. CM: Confusion,
excitement, disorientation, and a clouding of consciousness. NI: Treat the underlying cause.
how does delirium differ from dementia? - Answer Delirium has a quick onset and is a
mental state characterized by a disturbance of cognition, which is manifested by confusion,
excitement, disorientation, and a clouding of consciousness. Hallucinations and illusions are
common.
,Nursing interventions in patients displaying signs of depression - Answer Therapies, MAOI's
(used when other drugs have failed), TCA's (used less because they produce severe side effects
at high doses), SSRI's (stops obsessive thought and gets rid of depression and anxiety),
Heterocyclics (patient can become suicide-prone) Serotonin (helps control anxiety and
depression),
Difference between major depressive disorder and dysthymia - Answer MDD is having a
depressed mood or loss of interest in daily activities for at least 2 weeks with a SIGNIFICANT
change in person's normal mood. Dysthymia is milder to MDD, and is being "down in the
dumps" or chronically depressed and just sad for most of the day and it happens more days
than not.
Signs and symptoms of serotonin syndrome - Answer Confusion, agitation, dilated pupils,
headache, changes in BP, nausea/vomiting, diarrhea, tachycardia, tremors, loss of muscle
control and heavy sweating.
Nursing consideration and lithium administration - Answer toxicity - Can happen from taking
too much lithium when treating depression/anxiety. s/s= diarrhea, vomiting, anorexia, muscle
weakness, lethargy, giddiness, milk shakiness. Monitor levels and administer slowly
Erikson's theory of psychosocial development - stages (name, stage of life, age) - Answer
Infancy Birth- 18 months, Trust vs. Mistrust, Hope, Emotional dissatisfaction with self and
others. Early Childhood 18 months- 3 years, Autonomy vs. shame and doubt, Will, Lack of self-
confidence.Late Childhood, 3 - 6 years, Initiative vs. guilt, Purpose, Feelings of inadequacy and a
sense of defeat. School Age, 6 - 12 year, Industry vs. inferiority, Competence+ Difficulty in
interpersonal relationships because of feelings of personal inadequacy. Adolescence, 12 - 20
years, Identity vs. Role confusion Fidelity, Sense of self-consciousness, doubt, and confusion
about one's role in life. Young Adulthood, 20 - 30 years, Intimacy vs. isolation, Love ,
Withdrawal, social isolation, and aloneness. Adulthood, 30 - 65 years, Generativity vs.
stagnation, Care Lack of concern for the welfare of others and total preoccupation with the self.
Old Age 65 - death, Ego integrity vs. despair, Wisdom, Sense of self-contempt and disgust with
how life has progressed.
Characterize disorders and symptomatology for personality disorders by clusters - Answer
Odd and eccentric: Mistrusting, social withdrawal, discomfort with human interaction,
suspiciousness, and overly sensitive. Erratic and dramatic: Socially irresponsible, guiltless,
disregard for others rights, highly impulsive, excessive emotionally, attention-seeking, excitable,
emotional, dramatic. Fearful and avoidant: Socially withdrawn, clinging with fears of separation,
pattern of perfectionism with inflexibility.
What are successful outcomes for each type of personality disorder? Include nursing
interventions - Answer Better self esteem, better social interaction, good coping skills, no
risk for self-harm, observe personal limits, communication skills,
, What measures can nurses take to ensure safety on behavioral units? - Answer Patient
monitoring, keeping them in front of us, stand by the doors, be assertive
Schizophrenia - clinical manifestations (by phase) and nursing interventions - Answer
Premorbid- social maladjustment, antagonistic thoughts and behavior, shy and withdrawn, poor
peer relationships, doing poorly in school, antisocial behavior. NI: encouraging interactions and
meds. Prodromal- Lasts from a few weeks to a few years, deterioration in role functioning and
social withdrawal, substantial functional impairment, sleep disturbance, anxiety, irritability,
depressed mood, poor concentration, fatigue, perceptual abnormalities, ideas of reference, and
suspiciousness herald onset of psychosis. WITHDRAWN. NI: promote interactions, decrease
anxiety/irritability/fatigue, orient to reality, meds. Active- psychotic symptoms are prominent
(delusions, hallucinations, impairment in work, social relations, and self-care). NI: Decrease
symptoms, increase social relations and self-care. Meds. Residual- symptoms similar to those of
the prodromal phase, flat affect and impairment in role functioning are prominent. NI: promote
self-care.
Pt teaching and nursing considerations with the use of antipsychotics - Answer Typical:
Haldol, prolixin, trilafon, thorazine. Atypical: Risperdal, Seroquel, Geodon, abilify, Clozaril,
Zyprexa. S/S: anticholinergic effects, orthostatic hypotension, weight gain, tardive kinesia,
photosensitivity, neuroleptic malignant syndrome. NI: lowers seizure threshold, may slow
growth rate, monitor for urinary retention, may cause hypotension's if given with
antihypertensives or nitrates. PT: avoid alcohol, possible risks with pregnancy, never stop drug
abruptly, know side effects so they know what can happen.
Positive outcomes and nursing interventions for pts with: - Answer Somatic symptom
disorder-There is risk of dangerous combinations of medical treatment with clients often
seeking concurrent treatment from multiple caregivers. Depression is common. Drug abuse and
dependence are also common complications of Somatic Symptom Disorder, since clients often
seek relief through overmedicating with analgesics and antianxiety agents. Illness anxiety
disorder -Answer questions, avoid doctor shopping and medical attention. Conversions disorder
-Treat symptoms as they resolve within a few weeks. Factitious disorder-Diagnosis is hard, but
asking questions can reveal what it is.
Positive outcomes and nursing interventions for patients with: - Answer Dissociative
amnesia: Most cases resolve spontaneously when patient is removed from stressful situation.
Supportive psychotherapy, hypnosis (amobarbital used cautiously). Ongoing supportive
psychotherapy, group psychotherapy, and cognitive therapy may help client integrate memories
into conscious state. Dissociative fugue: Avoid overwhelming with facts about life or questions,
stay calm. Dissociative identity disorder: Integration which requires intensive, long-term
psychotherapy. Depersonalization derealization disorder" medications have had sporadic
results, psychotherapy/hypnotherapy/cognitive behavior therapy may benefit.
Distinguish between types of gains: - Answer Primary Gain: allows the patient to avoid
stressful obligations, unpleasant activities, or postpone unwelcome challenges. An example
would be: A patient feels guilty about not being able to attend a family reunion, but if there is a
Guaranteed Pass Solutions 2026
Updated.
Ways to maintain confidentiality - Answer HIPPA, confidentiality agreements, closing charts
when leaving computer, and training.
Difference between justice and veracity, examples - Answer Justice is fairness Veracity: truth
Difference between assault and battery - Answer Assault: Verbal abuse/threats Battery:
Physical abuse/harm and injury
RN role with obtaining consents - Answer Only witness
Rules of proper delegation and prioritization - Answer Delegation: RN delegate to other RN,
LPN, or CNA. Tasks need to remain in the scope of practice for each person. RN is the only one
to assess. Prioritization: Deciding what/who needs to be done/seen first.
Examples of ethical dilemmas in every day nursing, what is our role and obligation? - Answer
Patient freedom vs. nurse control Advocate for the patient and let them make choices, but also
be there to support them and help them do what is best. Pediatric patients
What is professionalism in nursing - Answer Your professionalism will be judged in your
personal behaviors and how you present yourself to all those around you, and through those
behaviors, you tell the world who you are. Components of your professionalism include your
attitude, your appearance and your willingness to help others
Bipolar disorder: characteristics and nursing interventions - Answer S/S: mood swings from
profound depression to extreme euphoria with intervening periods of normalcy. NI: Encourage
therapies, ECT, give lithium (and watch for toxicity)
Delirium: causes, manifestations, nursing interventions - Answer Causes: serious medical,
surgical, or neurological conditions. (falls, elder abuse, medications/withdrawal, alcohol,
cannabis). Hypoxia, anoxia, diabetic problems, and electrolyte imbalances. CM: Confusion,
excitement, disorientation, and a clouding of consciousness. NI: Treat the underlying cause.
how does delirium differ from dementia? - Answer Delirium has a quick onset and is a
mental state characterized by a disturbance of cognition, which is manifested by confusion,
excitement, disorientation, and a clouding of consciousness. Hallucinations and illusions are
common.
,Nursing interventions in patients displaying signs of depression - Answer Therapies, MAOI's
(used when other drugs have failed), TCA's (used less because they produce severe side effects
at high doses), SSRI's (stops obsessive thought and gets rid of depression and anxiety),
Heterocyclics (patient can become suicide-prone) Serotonin (helps control anxiety and
depression),
Difference between major depressive disorder and dysthymia - Answer MDD is having a
depressed mood or loss of interest in daily activities for at least 2 weeks with a SIGNIFICANT
change in person's normal mood. Dysthymia is milder to MDD, and is being "down in the
dumps" or chronically depressed and just sad for most of the day and it happens more days
than not.
Signs and symptoms of serotonin syndrome - Answer Confusion, agitation, dilated pupils,
headache, changes in BP, nausea/vomiting, diarrhea, tachycardia, tremors, loss of muscle
control and heavy sweating.
Nursing consideration and lithium administration - Answer toxicity - Can happen from taking
too much lithium when treating depression/anxiety. s/s= diarrhea, vomiting, anorexia, muscle
weakness, lethargy, giddiness, milk shakiness. Monitor levels and administer slowly
Erikson's theory of psychosocial development - stages (name, stage of life, age) - Answer
Infancy Birth- 18 months, Trust vs. Mistrust, Hope, Emotional dissatisfaction with self and
others. Early Childhood 18 months- 3 years, Autonomy vs. shame and doubt, Will, Lack of self-
confidence.Late Childhood, 3 - 6 years, Initiative vs. guilt, Purpose, Feelings of inadequacy and a
sense of defeat. School Age, 6 - 12 year, Industry vs. inferiority, Competence+ Difficulty in
interpersonal relationships because of feelings of personal inadequacy. Adolescence, 12 - 20
years, Identity vs. Role confusion Fidelity, Sense of self-consciousness, doubt, and confusion
about one's role in life. Young Adulthood, 20 - 30 years, Intimacy vs. isolation, Love ,
Withdrawal, social isolation, and aloneness. Adulthood, 30 - 65 years, Generativity vs.
stagnation, Care Lack of concern for the welfare of others and total preoccupation with the self.
Old Age 65 - death, Ego integrity vs. despair, Wisdom, Sense of self-contempt and disgust with
how life has progressed.
Characterize disorders and symptomatology for personality disorders by clusters - Answer
Odd and eccentric: Mistrusting, social withdrawal, discomfort with human interaction,
suspiciousness, and overly sensitive. Erratic and dramatic: Socially irresponsible, guiltless,
disregard for others rights, highly impulsive, excessive emotionally, attention-seeking, excitable,
emotional, dramatic. Fearful and avoidant: Socially withdrawn, clinging with fears of separation,
pattern of perfectionism with inflexibility.
What are successful outcomes for each type of personality disorder? Include nursing
interventions - Answer Better self esteem, better social interaction, good coping skills, no
risk for self-harm, observe personal limits, communication skills,
, What measures can nurses take to ensure safety on behavioral units? - Answer Patient
monitoring, keeping them in front of us, stand by the doors, be assertive
Schizophrenia - clinical manifestations (by phase) and nursing interventions - Answer
Premorbid- social maladjustment, antagonistic thoughts and behavior, shy and withdrawn, poor
peer relationships, doing poorly in school, antisocial behavior. NI: encouraging interactions and
meds. Prodromal- Lasts from a few weeks to a few years, deterioration in role functioning and
social withdrawal, substantial functional impairment, sleep disturbance, anxiety, irritability,
depressed mood, poor concentration, fatigue, perceptual abnormalities, ideas of reference, and
suspiciousness herald onset of psychosis. WITHDRAWN. NI: promote interactions, decrease
anxiety/irritability/fatigue, orient to reality, meds. Active- psychotic symptoms are prominent
(delusions, hallucinations, impairment in work, social relations, and self-care). NI: Decrease
symptoms, increase social relations and self-care. Meds. Residual- symptoms similar to those of
the prodromal phase, flat affect and impairment in role functioning are prominent. NI: promote
self-care.
Pt teaching and nursing considerations with the use of antipsychotics - Answer Typical:
Haldol, prolixin, trilafon, thorazine. Atypical: Risperdal, Seroquel, Geodon, abilify, Clozaril,
Zyprexa. S/S: anticholinergic effects, orthostatic hypotension, weight gain, tardive kinesia,
photosensitivity, neuroleptic malignant syndrome. NI: lowers seizure threshold, may slow
growth rate, monitor for urinary retention, may cause hypotension's if given with
antihypertensives or nitrates. PT: avoid alcohol, possible risks with pregnancy, never stop drug
abruptly, know side effects so they know what can happen.
Positive outcomes and nursing interventions for pts with: - Answer Somatic symptom
disorder-There is risk of dangerous combinations of medical treatment with clients often
seeking concurrent treatment from multiple caregivers. Depression is common. Drug abuse and
dependence are also common complications of Somatic Symptom Disorder, since clients often
seek relief through overmedicating with analgesics and antianxiety agents. Illness anxiety
disorder -Answer questions, avoid doctor shopping and medical attention. Conversions disorder
-Treat symptoms as they resolve within a few weeks. Factitious disorder-Diagnosis is hard, but
asking questions can reveal what it is.
Positive outcomes and nursing interventions for patients with: - Answer Dissociative
amnesia: Most cases resolve spontaneously when patient is removed from stressful situation.
Supportive psychotherapy, hypnosis (amobarbital used cautiously). Ongoing supportive
psychotherapy, group psychotherapy, and cognitive therapy may help client integrate memories
into conscious state. Dissociative fugue: Avoid overwhelming with facts about life or questions,
stay calm. Dissociative identity disorder: Integration which requires intensive, long-term
psychotherapy. Depersonalization derealization disorder" medications have had sporadic
results, psychotherapy/hypnotherapy/cognitive behavior therapy may benefit.
Distinguish between types of gains: - Answer Primary Gain: allows the patient to avoid
stressful obligations, unpleasant activities, or postpone unwelcome challenges. An example
would be: A patient feels guilty about not being able to attend a family reunion, but if there is a
