Nsg 211 Northern Virginia Community College -NSG 211
Final Practice Questions | 2026/2027 | Answers Correct |
With Complete Solutions
18. A client who is complaining of tinnitus is describing a
symptom that is:
1. Objective
2. Subjective
3. Functional
4. Prodromal Correct Answers 2. Subjective.
A subjective symptom such as ringing in the ears can be felt
only by the client.
A 5-year-old boy is diagnosed to have autistic disorder. Which
of the following manifestations may be noted in a client with
autistic disorder?
A. Argumentativeness, disobedience, angry outburst
B. limited social skills, labile mood, Intolerance to change
C. Distractibility, impulsiveness, and overactivity
D. Aggression, truancy, stealing, lying Correct Answers B.
limited social skills, labile mood, Intolerance to change
These are manifestations of autistic disorder. A. These
manifestations are noted in Oppositional Defiant Disorder, a
disruptive disorder among children. C. These are manifestations
of Attention Deficit Disorder D. These are the manifestations of
Conduct Disorder
,A client diagnosed with dementia states, "I can't believe it's the
4th of July and it's snowing outside." Which is the nurse's most
appropriate response?
1. "What makes you think it's the 4th of July?"
2. "How can it be July in winter?"
3. "Today is March 12, 2007. Look, your lunch is ready."
4. "I'll check to see if it's time for your PRN haloperidol
(Haldol)." Correct Answers The answer is 3!
1. Questioning the client's perception shows contempt for the
client's ideas or behaviors. Asking a client to provide reasons for
thoughts can be intimidating and implies that the client must
defend his or her behavior or feelings.
2. Challenging the client belittles the client and discourages
further interactions.
3. Orienting the client to person, place, and time, as necessary,
refocuses the client to the here and now. Casually reminding the
client of a noon meal redirects the client in a manner that is
considerate and respectful. It is imperative to preserve the
client's self-esteem.
4. PRN medication at this time would do noth- ing to reorient
the client to the here and now. PRN haloperidol (Haldol) would
be appro- priate if the client were exhibiting agitation or
uncontrolled behavior, not confusion and disorientation.
TEST-TAKING HINT: When clients are diagnosed with
dementia, it is important to preserve self- esteem. These clients
do not have the capacity to correct impaired orientation. When
the nurse challenges the client's thought processes, as in "1" and
"2," the client's self-esteem is decreased. Medicating a client, as
, in "4," without pursuing other avenues of problem solving is
inappropriate.
A client newly diagnosed with Alzheimer's disease was admitted
72 hours ago. The client states, "Last night I went on a
wonderful dinner cruise." Which type of communication is this
client expressing, and what is the underlying reason for its use?
1. The client is using confabulation to achieve secondary gains.
2. The client is using confabulation to protect the ego.
3. The client is using perseveration to divert attention.
4. The client is using perseveration to maintain self-esteem.
Correct Answers The answer is 2!
The client in the question is using confabulation. Confabulation
is the creation of imaginary events to fill in memory gaps.
1. Although the client is using confabulation,
the underlying reason is to protect the ego by maintaining self-
esteem, not to achieve secondary gains.
2. Clients diagnosed with Alzheimer's disease use confabulation
to create imaginary events to fill in memory gaps. This "hid-
ing" is actually a form of denial, which is a protective ego
defense mechanism used to maintain self-esteem and avoid
losing one's place in the world.
3. The client in the question is using confabulation, not
perseveration. A client who exhibits perseveration persistently
repeats the same word or idea in response to different questions.
4. Although maintaining self-esteem is important for individuals
diagnosed with Alzheimer's disease, the use of perseveration
does not increase self-esteem. The client in the question is using
confabulation, not perseveration. A client who exhibits
Final Practice Questions | 2026/2027 | Answers Correct |
With Complete Solutions
18. A client who is complaining of tinnitus is describing a
symptom that is:
1. Objective
2. Subjective
3. Functional
4. Prodromal Correct Answers 2. Subjective.
A subjective symptom such as ringing in the ears can be felt
only by the client.
A 5-year-old boy is diagnosed to have autistic disorder. Which
of the following manifestations may be noted in a client with
autistic disorder?
A. Argumentativeness, disobedience, angry outburst
B. limited social skills, labile mood, Intolerance to change
C. Distractibility, impulsiveness, and overactivity
D. Aggression, truancy, stealing, lying Correct Answers B.
limited social skills, labile mood, Intolerance to change
These are manifestations of autistic disorder. A. These
manifestations are noted in Oppositional Defiant Disorder, a
disruptive disorder among children. C. These are manifestations
of Attention Deficit Disorder D. These are the manifestations of
Conduct Disorder
,A client diagnosed with dementia states, "I can't believe it's the
4th of July and it's snowing outside." Which is the nurse's most
appropriate response?
1. "What makes you think it's the 4th of July?"
2. "How can it be July in winter?"
3. "Today is March 12, 2007. Look, your lunch is ready."
4. "I'll check to see if it's time for your PRN haloperidol
(Haldol)." Correct Answers The answer is 3!
1. Questioning the client's perception shows contempt for the
client's ideas or behaviors. Asking a client to provide reasons for
thoughts can be intimidating and implies that the client must
defend his or her behavior or feelings.
2. Challenging the client belittles the client and discourages
further interactions.
3. Orienting the client to person, place, and time, as necessary,
refocuses the client to the here and now. Casually reminding the
client of a noon meal redirects the client in a manner that is
considerate and respectful. It is imperative to preserve the
client's self-esteem.
4. PRN medication at this time would do noth- ing to reorient
the client to the here and now. PRN haloperidol (Haldol) would
be appro- priate if the client were exhibiting agitation or
uncontrolled behavior, not confusion and disorientation.
TEST-TAKING HINT: When clients are diagnosed with
dementia, it is important to preserve self- esteem. These clients
do not have the capacity to correct impaired orientation. When
the nurse challenges the client's thought processes, as in "1" and
"2," the client's self-esteem is decreased. Medicating a client, as
, in "4," without pursuing other avenues of problem solving is
inappropriate.
A client newly diagnosed with Alzheimer's disease was admitted
72 hours ago. The client states, "Last night I went on a
wonderful dinner cruise." Which type of communication is this
client expressing, and what is the underlying reason for its use?
1. The client is using confabulation to achieve secondary gains.
2. The client is using confabulation to protect the ego.
3. The client is using perseveration to divert attention.
4. The client is using perseveration to maintain self-esteem.
Correct Answers The answer is 2!
The client in the question is using confabulation. Confabulation
is the creation of imaginary events to fill in memory gaps.
1. Although the client is using confabulation,
the underlying reason is to protect the ego by maintaining self-
esteem, not to achieve secondary gains.
2. Clients diagnosed with Alzheimer's disease use confabulation
to create imaginary events to fill in memory gaps. This "hid-
ing" is actually a form of denial, which is a protective ego
defense mechanism used to maintain self-esteem and avoid
losing one's place in the world.
3. The client in the question is using confabulation, not
perseveration. A client who exhibits perseveration persistently
repeats the same word or idea in response to different questions.
4. Although maintaining self-esteem is important for individuals
diagnosed with Alzheimer's disease, the use of perseveration
does not increase self-esteem. The client in the question is using
confabulation, not perseveration. A client who exhibits
