Exam 2
. A nurse is caring for a client with delirium who is experiencing illusions. What environment
conditions should the nurse arrange for the client?
Provide a well lite room without glares or shadows with minimal noise
. You have received a report on a male client diagnosed with schizoaffective disorder. The nurse
informs you that his verbal communication includes circumstantially what interventions is the
most therapeutic when caring for this client?
redirect the conversation to assist him in focusing on the topic
. What are the symptoms of neutropenic malignant syndrome (NMS)
Muscle rigidity and hyperpyrexia
a nurse is caring for a client who exhibits manifestations of major depressive disorder the
provider wants to rule out any other medical conditions that may be contributing or causing
the symptoms which diagnostic test should the nurse expect to be ordered
Complete blood count CBC
74. A client with schizophrenia has begun a new prescription of clozapine the nurse should
assess the results of which laboratory study to monitor for adverse effects
white blood count
53. A client is admitted to the hospital for alcohol intoxication and family reports that he is a
heavy drinker and has been admitted several times for alcohol detoxification when can the
nurse expect to observe the first symptoms of withdrawal
72 hours
44. A 76-year-old client is diagnosed with major depressive disorder she expresses feelings of
hopelessness in her dependence on her family what is the most critical question for the nurse to
ask the client?
Are you currently having thoughts that life is not worth living
18. A nurse is teaching a group of clients regarding the use of naltrexone and treating
alcoholism what would the nurse teach about the effectiveness of this drug
It reduces the craving for alcohol
36. the client diagnosed with schizophrenia is experiencing delusional of persecution. how
would the client expresse feelings persecuted?
Client please the center intelligence agency (CIA) is hunting for him to destroy him
41. The nurse is admitting a client with the diagnosis of schizophreniform disorder what should
the nurse expect to find?
The client has been experiencing hallucination and delusions for less than six months
Page 1|6
, 19. States in report that the client is experiencing positive symptoms of schizophrenia what
symptoms would the nurse receiving report expect to observe?
Hallucinations and delusions
28. A female client staggers today treatment smelling strongly of alcohol she uses the defense
mechanism “rationalization” when approached by the nurse in questions about her recent
alcohol consumption how is this expressed
“I have to drink to relax to come to day treatment”
2. Which of the following individuals would be considered highest risk for suicide?
A 70-year-old white male, Methodist low socioeconomic group diagnosis of metastic s cancer of
the pancreas
73. A client is experiencing delusions of influence how is the client expressing this delusion?
“A new tooth filling is controlling my thoughts”
7. A nurse suspects the client is experiencing delirium which of the following assessments
finding would support the nurses suspicion?
Decrease level of consciousness with intermittent periods of hypervigilance
70. Client is showing early signs of dementia the clients spouse asks. What may I expect next
what is the nurse’s best response?
He may begin to cover recognitions of his memory loss by creating events
69. Which symptoms should the nurse recognize as differentiating a client diagnosed with Nora
cognitive disorder from a client diagnosed with delirium
Symptoms of delirium develop rapidly whereas symptoms of NCD develop more slowly
75. Which statement made by the nurse would be most appropriate to an elderly client who's
confused has no history of dementia and is hospitalized for an acute urinary tract infection?
Things this may be upsetting and confusing right now, but your confusion should clear as you
get better
56. Benzotropine is ordered as needed for a client taking haloperidol after being diagnosed
with schizoaffective disorder which of the five assessment by the nurse would indicate a need
for this medication
client has extrapyramidal symptoms EPS
17. The nurse is admitting a client with dual diagnosis of major depressive disorder and
alcoholism what is the primary intervention.
place the client on continuous observation
Page 2|6
. A nurse is caring for a client with delirium who is experiencing illusions. What environment
conditions should the nurse arrange for the client?
Provide a well lite room without glares or shadows with minimal noise
. You have received a report on a male client diagnosed with schizoaffective disorder. The nurse
informs you that his verbal communication includes circumstantially what interventions is the
most therapeutic when caring for this client?
redirect the conversation to assist him in focusing on the topic
. What are the symptoms of neutropenic malignant syndrome (NMS)
Muscle rigidity and hyperpyrexia
a nurse is caring for a client who exhibits manifestations of major depressive disorder the
provider wants to rule out any other medical conditions that may be contributing or causing
the symptoms which diagnostic test should the nurse expect to be ordered
Complete blood count CBC
74. A client with schizophrenia has begun a new prescription of clozapine the nurse should
assess the results of which laboratory study to monitor for adverse effects
white blood count
53. A client is admitted to the hospital for alcohol intoxication and family reports that he is a
heavy drinker and has been admitted several times for alcohol detoxification when can the
nurse expect to observe the first symptoms of withdrawal
72 hours
44. A 76-year-old client is diagnosed with major depressive disorder she expresses feelings of
hopelessness in her dependence on her family what is the most critical question for the nurse to
ask the client?
Are you currently having thoughts that life is not worth living
18. A nurse is teaching a group of clients regarding the use of naltrexone and treating
alcoholism what would the nurse teach about the effectiveness of this drug
It reduces the craving for alcohol
36. the client diagnosed with schizophrenia is experiencing delusional of persecution. how
would the client expresse feelings persecuted?
Client please the center intelligence agency (CIA) is hunting for him to destroy him
41. The nurse is admitting a client with the diagnosis of schizophreniform disorder what should
the nurse expect to find?
The client has been experiencing hallucination and delusions for less than six months
Page 1|6
, 19. States in report that the client is experiencing positive symptoms of schizophrenia what
symptoms would the nurse receiving report expect to observe?
Hallucinations and delusions
28. A female client staggers today treatment smelling strongly of alcohol she uses the defense
mechanism “rationalization” when approached by the nurse in questions about her recent
alcohol consumption how is this expressed
“I have to drink to relax to come to day treatment”
2. Which of the following individuals would be considered highest risk for suicide?
A 70-year-old white male, Methodist low socioeconomic group diagnosis of metastic s cancer of
the pancreas
73. A client is experiencing delusions of influence how is the client expressing this delusion?
“A new tooth filling is controlling my thoughts”
7. A nurse suspects the client is experiencing delirium which of the following assessments
finding would support the nurses suspicion?
Decrease level of consciousness with intermittent periods of hypervigilance
70. Client is showing early signs of dementia the clients spouse asks. What may I expect next
what is the nurse’s best response?
He may begin to cover recognitions of his memory loss by creating events
69. Which symptoms should the nurse recognize as differentiating a client diagnosed with Nora
cognitive disorder from a client diagnosed with delirium
Symptoms of delirium develop rapidly whereas symptoms of NCD develop more slowly
75. Which statement made by the nurse would be most appropriate to an elderly client who's
confused has no history of dementia and is hospitalized for an acute urinary tract infection?
Things this may be upsetting and confusing right now, but your confusion should clear as you
get better
56. Benzotropine is ordered as needed for a client taking haloperidol after being diagnosed
with schizoaffective disorder which of the five assessment by the nurse would indicate a need
for this medication
client has extrapyramidal symptoms EPS
17. The nurse is admitting a client with dual diagnosis of major depressive disorder and
alcoholism what is the primary intervention.
place the client on continuous observation
Page 2|6
