NURS 307: Final Exam Study Set
Exam and All Correct Answers 2026-
2027 Updated.
Which of the following patients on the acute care psychiatric unit needs the immediate
attention of the nurse?
Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of control
Patient skipping and dancing down the hall singing - Answer patient recently admitted with
schizophrenia and is an alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug free. The patient
is experiencing repeated occurrences of vivid frightening images and thoughts. Which term
would the nurse use to document this finding?
Tolerance
Flashbacks
Withdrawal
Synergistic effects - Answer Flashbacks
Which condition would the nurse be most concerned about when caring for a patient who
abuses alcohol?
Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome - Answer Suicidal potential
Which patient response to the question "have you ever drank more alcohol or used more drugs
that you meant to?" should immediately cause the nurse to assess further?
"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get drunk."
"I figured you would ask me about that."
,"Yes I did that once and will never so it again." - Answer "I figured you would ask me about
that."
Which patient behaviors should the nurse suspect as related to alcohol withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
Paranoid delusions, fever, fluctuated levels of consciousness - Answer hyperalert state, jerky
movements, easily startled
A patient in community mental health centre, smokes up to half a pack of cigarettes daily but
has tried with limited success to cut back over the last two weeks. Today he asked the
pharmacist about various products that could aid his attempts to quit smoking in time for him
to manage a long overseas flight next month with his friends who are allergic to smoke. What
phase of change is this patient demonstrating?
Precontemplation
Contemplation
Preparation
Action - Answer preparation
Which of the following describes characteristics of generalized anxiety disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Fear of performing a task in public, fear of a specific object, and fear of losing control. - Answer
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
, The nurse is performing health education with a patient who lives with an anxiety disorder. The
patient states that he is eager to adopt new strategies that will help him to deal more effectively
with his anxiety. Which of the following actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to desensitize his
anxiety response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis, especially when
stressors are anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but
I'll be okay." - Answer Repeating positive statements to himself when he feels anxious, such
as "I'm anxious now, but I'll be okay."
A patient has presented in the emergency department stating that she is having a "heart
attack." Assessment reveals, however, that the patient is having a panic attack. The nurse will
most likely administer what drug?
Alprazolam (Xanax)
Clomipramine (Anafranil)
Phenelzine (Nardil)
Sertraline (Zoloft) - Answer Alprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated by the
family, treatment often occurs in the community, complete recovery is possible but relapse rates
are high
Few outward signs, binge and purge in secret, treatment often delayed for years, treatment
initiated when control of eating is lost, complete recovery is expected after treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the patient,
treatment initiated when control of eating is lost, complete recovery after treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years, treatment is
often initiated by the family, treatment initiated before control of eating is lost, complete
Exam and All Correct Answers 2026-
2027 Updated.
Which of the following patients on the acute care psychiatric unit needs the immediate
attention of the nurse?
Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of control
Patient skipping and dancing down the hall singing - Answer patient recently admitted with
schizophrenia and is an alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug free. The patient
is experiencing repeated occurrences of vivid frightening images and thoughts. Which term
would the nurse use to document this finding?
Tolerance
Flashbacks
Withdrawal
Synergistic effects - Answer Flashbacks
Which condition would the nurse be most concerned about when caring for a patient who
abuses alcohol?
Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome - Answer Suicidal potential
Which patient response to the question "have you ever drank more alcohol or used more drugs
that you meant to?" should immediately cause the nurse to assess further?
"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get drunk."
"I figured you would ask me about that."
,"Yes I did that once and will never so it again." - Answer "I figured you would ask me about
that."
Which patient behaviors should the nurse suspect as related to alcohol withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
Paranoid delusions, fever, fluctuated levels of consciousness - Answer hyperalert state, jerky
movements, easily startled
A patient in community mental health centre, smokes up to half a pack of cigarettes daily but
has tried with limited success to cut back over the last two weeks. Today he asked the
pharmacist about various products that could aid his attempts to quit smoking in time for him
to manage a long overseas flight next month with his friends who are allergic to smoke. What
phase of change is this patient demonstrating?
Precontemplation
Contemplation
Preparation
Action - Answer preparation
Which of the following describes characteristics of generalized anxiety disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Fear of performing a task in public, fear of a specific object, and fear of losing control. - Answer
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
, The nurse is performing health education with a patient who lives with an anxiety disorder. The
patient states that he is eager to adopt new strategies that will help him to deal more effectively
with his anxiety. Which of the following actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to desensitize his
anxiety response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis, especially when
stressors are anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but
I'll be okay." - Answer Repeating positive statements to himself when he feels anxious, such
as "I'm anxious now, but I'll be okay."
A patient has presented in the emergency department stating that she is having a "heart
attack." Assessment reveals, however, that the patient is having a panic attack. The nurse will
most likely administer what drug?
Alprazolam (Xanax)
Clomipramine (Anafranil)
Phenelzine (Nardil)
Sertraline (Zoloft) - Answer Alprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated by the
family, treatment often occurs in the community, complete recovery is possible but relapse rates
are high
Few outward signs, binge and purge in secret, treatment often delayed for years, treatment
initiated when control of eating is lost, complete recovery is expected after treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the patient,
treatment initiated when control of eating is lost, complete recovery after treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years, treatment is
often initiated by the family, treatment initiated before control of eating is lost, complete
