NSG 209 Exam 3 Questions With 100%
Pass
A nurse is providing teaching to the partner of a client who has Alzheimer's
disease & has a new script for donepezil. Which of the following statements by
the partner indicates the teaching is effective?
A. this med should increase my husband's appetite
B. this med should help my husband sleep better
C. this med should help my husband's daily function
D. this med should increase my husband's energy level
A nurse working in a long-term care facility is planning care for a client who has
moderate Alzheimer's (mild or moderate stage). Which of the following
interventions should be included in the plan of care?
A. use a gait belt for ambulation
B. thicken all liquids
C. provide protective undergarments
D. reorient client to self & current events
A nurse is making a home visit to a client who has AD. The client's partner states
that the client is often disoriented to time & place, is unsteady, & has a history of
wandering. Which of the following safety measures should the nurse review with
the partner? SATA
A. remove floor rugs
B. have door locks that can easily be opened
C. provide increased lighting in stairwells
D. install handrails in the bathroom
E. place the mattress on the floor
A nurse is caring for a client who has AD & falls frequently. Which of the
following actions should the nurse take 1st to keep the client safe?
A. keep call light near the client
B. place client in a room close to nurses' station
C. encourage client to ask for assistance
D. remind client to walk with someone for support
,A nurse is caring for a client who has Alzheimer's. A family member asks the
nurse about risk factors for the disease. Which of the following should be
included? SATA
A. exposure to metal waste products
B. long term estrogen therapy
C. sustained use of Vit E
D. previous head injury
E. hx of herpes infection
A nurse manager is discussing the care of a client who has a personality disorder
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. I can promote my client's sense of control by establishing a schedule
B. I should encourage clients who have a schizoid personality disorder to
increase socialization
C. I should practice limit-setting to help prevent client manipulation
D. I should implement assertiveness training with clients who have antisocial
personality disorder
A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality
disorder?
A. I'm scared that you're going to leave me
B. I'll go to group therapy if you'll let me smoke
C. I need to feel that everyone admires me
D. I sometimes feel better if I cut myself
A nurse assisting with a court-ordered eval of a client who has antisocial
personality disorder. Which of the following findings should the nurse expect?
SATA
A. demonstrates extreme anxiety when placed in a social situation
B. often engages in magical thinking
C. attempts to convince other clients to relinquish their belongings
D. becomes agitated is personal area is not neat & orderly
E. blames others for personal past & current problems
A charge nurse is preparing staff education session on personality disorders.
Which of the following personality characteristics assoc. with all the personality
disorders should be included in the teaching? SATA
A. difficulty getting along with other members of a group
B. belief in ability to become invisible during times of stress
C. display of defense mechanisms when routines are changed
,D. claiming to be more important than other persons
E. difficulty understanding why it is inappropriate to have a personal relationship
with staff
A nurse is working with a client who exhibits extreme superstition, elaborate
speech patterns, and eccentric behavior. The nurse should identify these features
as which of the following personality disorders?
A. paranoid
B. historionic
C. antisocial
D. schizotypal
This disorder include a pattern of social impairments & cognitive alterations, including
superstitious actions that are not congruent w the client's cultural norms & speech
changes (ex: increase in use of metaphors & other elaborate speech patterns)
An order is written for Haldol decanoate 5mg IM q4hrs PRN agitation. Do you give
this?
NO, it is a long-acting medication
An order is written for haloperidol 5mg, diphenhydramine 50mg, and lorazepam
2mg IM q4hrs PRN agitation. Why this combination?
Helps with agitation, diphen with help with potential side effects from Haldol
A nurse is caring for a client who has borderline personality disorder. The client
says, "the nurse on the evening shift is always nice! You are the meanest nurse
ever!". The nurse should recognize the client's statement as an example of which
of the following defense mechanisms?
A. regression
B. splitting
C. undoing
D. identification
Splitting occurs when person is unable to see both positive & negative qualities at the
same time. Person who has borderline tends to see a person as all bad one time & all
good another time
, A nurse is caring for a client who displays manifestations of stage III Parkinson's
disease. Which of the following actions should the nurse include?
A. recommend a community support group
B. integrate daily exercise routine
C. provide a walker for ambulation
D. perform ADLs for the client
A nurse is developing a plan of care for the nutritional needs of a client who has
stage IV Parkinson's. Which of the following actions should the nurse include?
SATA
A. provide 3 large balanced meals daily
B. record diet & fluid intake daily
C. document weight every other week
D. offer cold fluids such as milkshakes
E. offer nutritional supplements btw meals
A nurse is reinforcing teaching with a client who has Parkinson's & has a new
script for bromocriptine. Which of the following instructions should the nurse
include?
A. rise slowly when standing
B. expect urine to become dark-colored
C. avoid foods containing tyramine
D. report any skin discoloration
bromocriptine is a dopamine agonist & common side effects include orthostatic
hypotension & dizziness
A nurse is assessing a client for manifestations of Parkinson's. Which of the
following are expected findings? SATA
A. decreased vision
B. pill-rolling tremor of fingers
C. shuffling gait
D. drooling
E. bilateral ankle edema
F. lack of facial expression
A nurse is caring for a client who has Parkinson's & is starting to display
bradykinesia. Which of the following is an appropriate action by the nurse?
A. teach client to walk more quickly when ambulating
B. complete passive ROM exercises daily
Pass
A nurse is providing teaching to the partner of a client who has Alzheimer's
disease & has a new script for donepezil. Which of the following statements by
the partner indicates the teaching is effective?
A. this med should increase my husband's appetite
B. this med should help my husband sleep better
C. this med should help my husband's daily function
D. this med should increase my husband's energy level
A nurse working in a long-term care facility is planning care for a client who has
moderate Alzheimer's (mild or moderate stage). Which of the following
interventions should be included in the plan of care?
A. use a gait belt for ambulation
B. thicken all liquids
C. provide protective undergarments
D. reorient client to self & current events
A nurse is making a home visit to a client who has AD. The client's partner states
that the client is often disoriented to time & place, is unsteady, & has a history of
wandering. Which of the following safety measures should the nurse review with
the partner? SATA
A. remove floor rugs
B. have door locks that can easily be opened
C. provide increased lighting in stairwells
D. install handrails in the bathroom
E. place the mattress on the floor
A nurse is caring for a client who has AD & falls frequently. Which of the
following actions should the nurse take 1st to keep the client safe?
A. keep call light near the client
B. place client in a room close to nurses' station
C. encourage client to ask for assistance
D. remind client to walk with someone for support
,A nurse is caring for a client who has Alzheimer's. A family member asks the
nurse about risk factors for the disease. Which of the following should be
included? SATA
A. exposure to metal waste products
B. long term estrogen therapy
C. sustained use of Vit E
D. previous head injury
E. hx of herpes infection
A nurse manager is discussing the care of a client who has a personality disorder
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. I can promote my client's sense of control by establishing a schedule
B. I should encourage clients who have a schizoid personality disorder to
increase socialization
C. I should practice limit-setting to help prevent client manipulation
D. I should implement assertiveness training with clients who have antisocial
personality disorder
A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality
disorder?
A. I'm scared that you're going to leave me
B. I'll go to group therapy if you'll let me smoke
C. I need to feel that everyone admires me
D. I sometimes feel better if I cut myself
A nurse assisting with a court-ordered eval of a client who has antisocial
personality disorder. Which of the following findings should the nurse expect?
SATA
A. demonstrates extreme anxiety when placed in a social situation
B. often engages in magical thinking
C. attempts to convince other clients to relinquish their belongings
D. becomes agitated is personal area is not neat & orderly
E. blames others for personal past & current problems
A charge nurse is preparing staff education session on personality disorders.
Which of the following personality characteristics assoc. with all the personality
disorders should be included in the teaching? SATA
A. difficulty getting along with other members of a group
B. belief in ability to become invisible during times of stress
C. display of defense mechanisms when routines are changed
,D. claiming to be more important than other persons
E. difficulty understanding why it is inappropriate to have a personal relationship
with staff
A nurse is working with a client who exhibits extreme superstition, elaborate
speech patterns, and eccentric behavior. The nurse should identify these features
as which of the following personality disorders?
A. paranoid
B. historionic
C. antisocial
D. schizotypal
This disorder include a pattern of social impairments & cognitive alterations, including
superstitious actions that are not congruent w the client's cultural norms & speech
changes (ex: increase in use of metaphors & other elaborate speech patterns)
An order is written for Haldol decanoate 5mg IM q4hrs PRN agitation. Do you give
this?
NO, it is a long-acting medication
An order is written for haloperidol 5mg, diphenhydramine 50mg, and lorazepam
2mg IM q4hrs PRN agitation. Why this combination?
Helps with agitation, diphen with help with potential side effects from Haldol
A nurse is caring for a client who has borderline personality disorder. The client
says, "the nurse on the evening shift is always nice! You are the meanest nurse
ever!". The nurse should recognize the client's statement as an example of which
of the following defense mechanisms?
A. regression
B. splitting
C. undoing
D. identification
Splitting occurs when person is unable to see both positive & negative qualities at the
same time. Person who has borderline tends to see a person as all bad one time & all
good another time
, A nurse is caring for a client who displays manifestations of stage III Parkinson's
disease. Which of the following actions should the nurse include?
A. recommend a community support group
B. integrate daily exercise routine
C. provide a walker for ambulation
D. perform ADLs for the client
A nurse is developing a plan of care for the nutritional needs of a client who has
stage IV Parkinson's. Which of the following actions should the nurse include?
SATA
A. provide 3 large balanced meals daily
B. record diet & fluid intake daily
C. document weight every other week
D. offer cold fluids such as milkshakes
E. offer nutritional supplements btw meals
A nurse is reinforcing teaching with a client who has Parkinson's & has a new
script for bromocriptine. Which of the following instructions should the nurse
include?
A. rise slowly when standing
B. expect urine to become dark-colored
C. avoid foods containing tyramine
D. report any skin discoloration
bromocriptine is a dopamine agonist & common side effects include orthostatic
hypotension & dizziness
A nurse is assessing a client for manifestations of Parkinson's. Which of the
following are expected findings? SATA
A. decreased vision
B. pill-rolling tremor of fingers
C. shuffling gait
D. drooling
E. bilateral ankle edema
F. lack of facial expression
A nurse is caring for a client who has Parkinson's & is starting to display
bradykinesia. Which of the following is an appropriate action by the nurse?
A. teach client to walk more quickly when ambulating
B. complete passive ROM exercises daily
