NUR 180 FINAL EXAM QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
The LPN has a patient with mental and emotional difficulties who is sensitive to sound
and light.
What actions will the LPN take? - Answers - - Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain (soothing sounds)
The LPN is assessing the coping patterns of a new patient.
What data would the LPN expect to find? - Answers - - Current stressors
- Drug or alcohol abuse
- Weight changes
What characteristics will the LPN be looking for in a patient that is suspected of having a
substance abuse disorder? - Answers - - Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job
Substance abuse interventions - Answers - - Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving
Alcohol abuse - Answers - - Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
Antabuse - Answers - - Disulfiram
- No cologne, perfume, cough syrup, mouthwash
Which of the following would mental health professionals strive to help patients develop
& maintain regarding spiritual care? - Answers - - Inner strength
- Self awareness
- Life's meaning & purpose
- Relationships with others
Collecting data of religious beliefs & practices from patients.
,What should the LPN include? - Answers - - What role does religion play in your life?
- What is your source of strength & hope?
- What brings you comfort and joy?
- Does your religion have any special days?
Patient prescribed Laxopam for anxiety.
What indicates a need for further teaching? - Answers - I can take this medication to
relieve everyday stress
Patient scheduled for surgery who wants to wear a bracelet that has significant religious
meaning. When the LPN asks them to remove it, they say they really wish they could
wear it during the procedure.
What does the LPN do next? - Answers - Determine if the item may remain in place
during the procedure
Muslim patient wishing to face MECCA.
What position should the nurse place the patient's bed? - Answers - South east direction
from US
Patient is a Jehovah's Witness, and the physician orders 2 units of blood ASAP. She
refuses to sign the consent form.
What should the LPN do next? - Answers - - Notify supervisor/physician STAT
- Report patient's refusal
Nurses & spirituality - Answers - - Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
Elderly patient that recently lost a loved one & would like to attend a grief meeting but
does not drive, cannot afford a taxi, doesn't wish to burden family or friends.
What would the LPN do next? - Answers - Offer to acquire information about senior
services that may help the patient
Dying patient & family reports that the dying patient is speaking to a deceased loved
one. Family comes to the nurses station concerned about too much pain medication.
How should the nurse respond? - Answers - Normal sign of approaching death & it is
important that we do all we can to keep her pain tolerable
Patient prescribed Fluoxetine.
Which response indicates further teaching is needed? - Answers - I must take this
medication with a full meal
Patient admitted to the mental health unit. They have a toothbrush, toothpaste, and
dental floss in their pockets. They perform dental care as often as every 1/2 hour.
How does the LPN interpret these actions? - Answers - Attempt to relieve anxiety
, Patient having an acute panic attack.
What should the LPN do? - Answers - - Stay near the patient
- Reassure them that they are safe
Patient who has a ritual that includes making and remaking their bed 30 times before
they can go to sleep. Most of the time, they do not get into the bed until 3 AM.
What action should the LPN take? - Answers - Suggest the patient begin their ritual
earlier in the day
Patient arrives in the ER in a severe state of anxiety following a traumatic event.
What intervention should the LPN implement? - Answers - Remain w/ the patient in a
quiet room
What behavior is expected from someone who just received elective convulsive
therapy? - Answers - - Confusion
- Short-term memory loss
What information would the LPN convey to a patient about the type of therapy that could
help treat depressive disorder? - Answers - Cognitive behavior therapy
What is 1 thing to avoid with any patient? - Answers - Social media
What actions will the LPN take first for a patient admitted for anxiety? - Answers -
Making an effort to establish therapeutic rapport
Patient has been taking benzodiazepines.
How would the LPN expect it to be used after discharge? - Answers - - PRN
- Lower dose & frequency
What information is essential to teach the patient about MAIO's? - Answers - Avoid all
foods with thymine
Tx of OCD - Answers - Desensitization
Tx of phobias - Answers - Flooding
Patient beginning antidepressant therapy w/ first line medication.
What information would the LPN prioritize for the patient? - Answers - Stopping the
medication abruptly could cause discontinuation syndrome
Which mental health disorder does this sound like? "I have always felt this way, & have
been sad and negative for as long as I can remember." - Answers - Dysthymic disorder
What intervention would the LPN do for a patient dressed in bright clothing that doesn't
match and has been talking and pacing endlessly for the last 6 hours? - Answers - Offer
hydration, nutrition, & consider a PRN sedative
ACCURATE ANSWERS
The LPN has a patient with mental and emotional difficulties who is sensitive to sound
and light.
What actions will the LPN take? - Answers - - Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain (soothing sounds)
The LPN is assessing the coping patterns of a new patient.
What data would the LPN expect to find? - Answers - - Current stressors
- Drug or alcohol abuse
- Weight changes
What characteristics will the LPN be looking for in a patient that is suspected of having a
substance abuse disorder? - Answers - - Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job
Substance abuse interventions - Answers - - Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving
Alcohol abuse - Answers - - Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
Antabuse - Answers - - Disulfiram
- No cologne, perfume, cough syrup, mouthwash
Which of the following would mental health professionals strive to help patients develop
& maintain regarding spiritual care? - Answers - - Inner strength
- Self awareness
- Life's meaning & purpose
- Relationships with others
Collecting data of religious beliefs & practices from patients.
,What should the LPN include? - Answers - - What role does religion play in your life?
- What is your source of strength & hope?
- What brings you comfort and joy?
- Does your religion have any special days?
Patient prescribed Laxopam for anxiety.
What indicates a need for further teaching? - Answers - I can take this medication to
relieve everyday stress
Patient scheduled for surgery who wants to wear a bracelet that has significant religious
meaning. When the LPN asks them to remove it, they say they really wish they could
wear it during the procedure.
What does the LPN do next? - Answers - Determine if the item may remain in place
during the procedure
Muslim patient wishing to face MECCA.
What position should the nurse place the patient's bed? - Answers - South east direction
from US
Patient is a Jehovah's Witness, and the physician orders 2 units of blood ASAP. She
refuses to sign the consent form.
What should the LPN do next? - Answers - - Notify supervisor/physician STAT
- Report patient's refusal
Nurses & spirituality - Answers - - Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
Elderly patient that recently lost a loved one & would like to attend a grief meeting but
does not drive, cannot afford a taxi, doesn't wish to burden family or friends.
What would the LPN do next? - Answers - Offer to acquire information about senior
services that may help the patient
Dying patient & family reports that the dying patient is speaking to a deceased loved
one. Family comes to the nurses station concerned about too much pain medication.
How should the nurse respond? - Answers - Normal sign of approaching death & it is
important that we do all we can to keep her pain tolerable
Patient prescribed Fluoxetine.
Which response indicates further teaching is needed? - Answers - I must take this
medication with a full meal
Patient admitted to the mental health unit. They have a toothbrush, toothpaste, and
dental floss in their pockets. They perform dental care as often as every 1/2 hour.
How does the LPN interpret these actions? - Answers - Attempt to relieve anxiety
, Patient having an acute panic attack.
What should the LPN do? - Answers - - Stay near the patient
- Reassure them that they are safe
Patient who has a ritual that includes making and remaking their bed 30 times before
they can go to sleep. Most of the time, they do not get into the bed until 3 AM.
What action should the LPN take? - Answers - Suggest the patient begin their ritual
earlier in the day
Patient arrives in the ER in a severe state of anxiety following a traumatic event.
What intervention should the LPN implement? - Answers - Remain w/ the patient in a
quiet room
What behavior is expected from someone who just received elective convulsive
therapy? - Answers - - Confusion
- Short-term memory loss
What information would the LPN convey to a patient about the type of therapy that could
help treat depressive disorder? - Answers - Cognitive behavior therapy
What is 1 thing to avoid with any patient? - Answers - Social media
What actions will the LPN take first for a patient admitted for anxiety? - Answers -
Making an effort to establish therapeutic rapport
Patient has been taking benzodiazepines.
How would the LPN expect it to be used after discharge? - Answers - - PRN
- Lower dose & frequency
What information is essential to teach the patient about MAIO's? - Answers - Avoid all
foods with thymine
Tx of OCD - Answers - Desensitization
Tx of phobias - Answers - Flooding
Patient beginning antidepressant therapy w/ first line medication.
What information would the LPN prioritize for the patient? - Answers - Stopping the
medication abruptly could cause discontinuation syndrome
Which mental health disorder does this sound like? "I have always felt this way, & have
been sad and negative for as long as I can remember." - Answers - Dysthymic disorder
What intervention would the LPN do for a patient dressed in bright clothing that doesn't
match and has been talking and pacing endlessly for the last 6 hours? - Answers - Offer
hydration, nutrition, & consider a PRN sedative
