NUR 162 FINAL EXAM | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE NURSING
STUDY GUIDE 2026/2027
What was the proposed benefit of using the tranquilizing chair? - correct answer ✔✔Quiet the
insane by letting brain rest
The patient comes to the alcohol detox center asking for admission for detox of alcohol and
placement after treatment stating, "I have nowhere to go. My spouse will not have me back and
my parent's won't allow me to stay with them." Under which DSM Axis is this information? -
correct answer ✔✔DSM Axis IV: Psychosocial & Environmental problems
What central component must the nurse bring to the therapeutic nurse client relationship? -
correct answer ✔✔empathy
What about self-disclosure does the nurse need to know? - correct answer ✔✔Only self-
disclose if it will benefit pt
The client tells the nurse they have a secret. What is it about secrets? - correct answer
✔✔Cannot keep secrets from medical team
During a conversation the nurse asks a patient to explore and evaluate how treatment this time
is different from treatment in the past. The nurse and the client are most likely at which phase
of the therapeutic relationship? - correct answer ✔✔Exploitation
The nurse is developing a concept map for the care of a patient. Which action is first? - correct
answer ✔✔Choose a nursing diagnosis
When is it okay for a nurse to offer advice to a patient? - correct answer ✔✔NEVER give pt
advice, only provide the info
, If a patent tells you, "I'm really nervous about a procedure", what do you tell them? - correct
answer ✔✔It's okay to be nervous. What are your concerns?
Patient is on Zyprexa, an atypical antipsychotic medication. What should the patient do? -
correct answer ✔✔Use sunscreen and wear protective clothing during daylight hours (It's an
anti-psychotic)
What does Cogentin cause? - correct answer ✔✔Constipation! (anti-cholinergic) It does NOT
cause pupil constriction, hypertension, or urinary retention.
What is the therapeutic Lithium level? - correct answer ✔✔1.2 (norm 0.6 - 1.2)
Patient on lithium (in regard to sodium) should... - correct answer ✔✔Maintain salt intake (do
not decrease or increase salt intake - just remain normal)
What is the potentially irreversible side effect that can develop caused by long term use of
neuroleptic medications that is used to treat patients with schizophrenia? - correct answer
✔✔Tardive dyskinesia
What lab should a nurse monitor on a patient taking Clozaril? - correct answer ✔✔WBC - can
cause agranulosis (Get baseline before Tx, then check wkly)
Haldol deconate is ordered STAT, what should the nurse do? - correct answer ✔✔Question the
order because it's a loading dose. It's not given for immediate reaction or emergent reaction.
How often should patients just starting lithium have their blood tested? - correct answer ✔✔q
2-3 days til therapeutic level is reached
The client's head is twisted to one side, back is arched, eyes are rolled back in their head and
have recently begun IV Haldol. Cogentin PRN is ordered. Based on this assessment, which action
STUDY GUIDE 2026/2027
What was the proposed benefit of using the tranquilizing chair? - correct answer ✔✔Quiet the
insane by letting brain rest
The patient comes to the alcohol detox center asking for admission for detox of alcohol and
placement after treatment stating, "I have nowhere to go. My spouse will not have me back and
my parent's won't allow me to stay with them." Under which DSM Axis is this information? -
correct answer ✔✔DSM Axis IV: Psychosocial & Environmental problems
What central component must the nurse bring to the therapeutic nurse client relationship? -
correct answer ✔✔empathy
What about self-disclosure does the nurse need to know? - correct answer ✔✔Only self-
disclose if it will benefit pt
The client tells the nurse they have a secret. What is it about secrets? - correct answer
✔✔Cannot keep secrets from medical team
During a conversation the nurse asks a patient to explore and evaluate how treatment this time
is different from treatment in the past. The nurse and the client are most likely at which phase
of the therapeutic relationship? - correct answer ✔✔Exploitation
The nurse is developing a concept map for the care of a patient. Which action is first? - correct
answer ✔✔Choose a nursing diagnosis
When is it okay for a nurse to offer advice to a patient? - correct answer ✔✔NEVER give pt
advice, only provide the info
, If a patent tells you, "I'm really nervous about a procedure", what do you tell them? - correct
answer ✔✔It's okay to be nervous. What are your concerns?
Patient is on Zyprexa, an atypical antipsychotic medication. What should the patient do? -
correct answer ✔✔Use sunscreen and wear protective clothing during daylight hours (It's an
anti-psychotic)
What does Cogentin cause? - correct answer ✔✔Constipation! (anti-cholinergic) It does NOT
cause pupil constriction, hypertension, or urinary retention.
What is the therapeutic Lithium level? - correct answer ✔✔1.2 (norm 0.6 - 1.2)
Patient on lithium (in regard to sodium) should... - correct answer ✔✔Maintain salt intake (do
not decrease or increase salt intake - just remain normal)
What is the potentially irreversible side effect that can develop caused by long term use of
neuroleptic medications that is used to treat patients with schizophrenia? - correct answer
✔✔Tardive dyskinesia
What lab should a nurse monitor on a patient taking Clozaril? - correct answer ✔✔WBC - can
cause agranulosis (Get baseline before Tx, then check wkly)
Haldol deconate is ordered STAT, what should the nurse do? - correct answer ✔✔Question the
order because it's a loading dose. It's not given for immediate reaction or emergent reaction.
How often should patients just starting lithium have their blood tested? - correct answer ✔✔q
2-3 days til therapeutic level is reached
The client's head is twisted to one side, back is arched, eyes are rolled back in their head and
have recently begun IV Haldol. Cogentin PRN is ordered. Based on this assessment, which action
