BNKN601 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Jonathon has been prescribed
Risperidone, 2 mg BD. The nurse would
assess neuroleptic malignant
syndrome (NMS) if the client had a
Answer:
temperature reading of 38 degrees C.
Question:
2. Jonathon presents to the emergency
department with a broken leg. He
comments to the nurse, "God told me
he would protect me from harm, but
the devil broke my leg anyway". This
statement would be included in a
mental status examination in which of
the following categories?
Answer:
insight.
Question:
3. Jonathon is observed muttering to
himself and is hyper-vigilant. Which of
the following nursing diagnosis is most
appropriate for this?
Answer:
disturbed sensory perception.
Question:
4. Jonathon continues to voice delusional
ideation. Which of the following
interventions should the nurse plan to
use to reduce his focus on delusional
thinking?
Answer:
Focusing on feelings suggested by the delusion.
, Question:
5. In planning care for a newly admitted
client with depression, the highest
priority for the nurse is:
Answer:
providing a safe environment.
Question:
6. A client with depression mentions to
the nurse, "My mother says depression
is a chemical disorder. What does she
mean?" The nurses' response is based
on the theory that depression primarily
involves the following
neurotransmitters
Answer:
serotonin and dopamine
Question:
7. A person with depression is struggling
to explore and solve a problem. The
nurse determines that it would be
therapeutic to offer alternatives. Which
of the following approaches should
the nurse use to achieve this
objective?
Answer:
"Have you thought of............?"
Question:
8. Which piece of subjective data
obtained during the nurse's psychiatric
assessment of a client experiencing
severe anxiety would indicate the
possibility of posttraumatic stress
disorder?
Answer:
"I keep reliving the rape."
CORRECT ANSWERS
Question:
1. Jonathon has been prescribed
Risperidone, 2 mg BD. The nurse would
assess neuroleptic malignant
syndrome (NMS) if the client had a
Answer:
temperature reading of 38 degrees C.
Question:
2. Jonathon presents to the emergency
department with a broken leg. He
comments to the nurse, "God told me
he would protect me from harm, but
the devil broke my leg anyway". This
statement would be included in a
mental status examination in which of
the following categories?
Answer:
insight.
Question:
3. Jonathon is observed muttering to
himself and is hyper-vigilant. Which of
the following nursing diagnosis is most
appropriate for this?
Answer:
disturbed sensory perception.
Question:
4. Jonathon continues to voice delusional
ideation. Which of the following
interventions should the nurse plan to
use to reduce his focus on delusional
thinking?
Answer:
Focusing on feelings suggested by the delusion.
, Question:
5. In planning care for a newly admitted
client with depression, the highest
priority for the nurse is:
Answer:
providing a safe environment.
Question:
6. A client with depression mentions to
the nurse, "My mother says depression
is a chemical disorder. What does she
mean?" The nurses' response is based
on the theory that depression primarily
involves the following
neurotransmitters
Answer:
serotonin and dopamine
Question:
7. A person with depression is struggling
to explore and solve a problem. The
nurse determines that it would be
therapeutic to offer alternatives. Which
of the following approaches should
the nurse use to achieve this
objective?
Answer:
"Have you thought of............?"
Question:
8. Which piece of subjective data
obtained during the nurse's psychiatric
assessment of a client experiencing
severe anxiety would indicate the
possibility of posttraumatic stress
disorder?
Answer:
"I keep reliving the rape."
