©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU 334 Final Exam Practice Questions and Answers
A client experienced PTSD after a significant assault and has been hospitalized for nearly a week. He
states to the nurse, "I'm thinking of ending it all." Which statement by the nurse would be the most
effective? - Ans:✔✔-"You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states, "Can't you hear him? It's
the devil. He's telling me I'm going to hell." Which nursing reply would be most helpful to Larry? -
Ans:✔✔-"The voices you are hearing sound scary. I don't hear any voices speaking. Can you try and focus
on my voice?"
Which of the following would indicate that a client is experiencing delusions? - Ans:✔✔-"I think I was
implanted with a computer chip by the doctor when I slept last night."
A client with schizophrenia has been maintained on Haldol for one year. At his 12 month follow-up
appointment at the Mental Health outpatient clinic, his nurse noticed a twitch on the right side of his
face and unusual tongue movements. Which nursing intervention takes priority? - Ans:✔✔-Hold the
Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35 year old female client is diagnosed with conversion disorder. She demonstrates paralysis of the legs.
What is the best nursing intervention for the nurse to utilize? - Ans:✔✔-Avoid focusing on the client's
physical limitations
Page 1/18
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A female patient continuously presents to the ED with physical complaints. The complaints range from
lower right quadrant pain, nervousness, back pain, chest pain, foot pain, and a diffuse headache. All
physiological tests have come out negative. The client has been diagnosed with anxiety disorder. Which
short term goal would be realistic? - Ans:✔✔-The patient will participate in group therapy to discuss her
illnesses
A client diagnosed with a schizoid personality disorder chooses solitary activities, lacks close friends, and
appears indifferent to criticism. Which nursing diagnosis would be appropriate for this client's problems?
- Ans:✔✔-Social isolation related to discomfort with human interactions as evidenced by avoiding others
A client diagnosed with PTSD is experiencing a flashback. Which intervention takes priority? - Ans:✔✔-
Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her psychiatric diagnosis is
adjustment disorder with depressed mood following the loss of her closest friend. Which of the
following is true regarding the diagnosis of adjustment disorder? - Ans:✔✔-A client's adjustment
disorder may have been influenced by past experiences, previous dysfunctional grief, or constitutional
factors
A client recently prescribed Seroquel, an antipsychotic, complains to the nurse of severe muscle spasms.
On examination, heart rate is 110, blood pressure is 160/92 mmHg, and temperature is 102.5 degrees.
The should should: - Ans:✔✔-Immediately report findings as he/she suspects neuroleptic malignant
syndrome
Page 2/18
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A client was recently diagnosed with persistent depressive disorder. Her therapist utilizes techniques
primarily consistent with the cognitive therapy model. The goal of cognitive therapy with depressed
clients is to: - Ans:✔✔-Identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which client symptom would
eliminate this diagnosis? - Ans:✔✔-The client has maxed-out charge cards and exhibits promiscuous
behavior
A nurse teaches a group of community health colleagues about the use of naltrexone in treating
alcoholism. The nurse interprets that the teaching was effective if the colleagues state that the
naltrexone is used to do which of the following? - Ans:✔✔-Reduces the craving for alcohol
A nurse works with a client who begins to escalate in anger. Which risk factor would the nurse recognize
as the most reliable indicator of potential client violence? - Ans:✔✔-History of a assaultive behavior
A client diagnosed with antisocial personality disorder spits, curses, and refuses to answer assessment
questions. He believes that he was wrongfully admitted. Which is the most appropriate nursing
statement to address this behavior? - Ans:✔✔-"I understand that you are angry, but this behavior will
not be tolerated"
During the initial interview with a patient, the nurse begins to feel uncomfortable and realizes that the
patient's behaviors and mannerisms remind the nurse of the nurse's abusive parent. The nurse
concludes that the current situation represents which phenomenon? - Ans:✔✔-Countertransference
Page 3/18
FIRST PUBLISH OCTOBER 2024
NU 334 Final Exam Practice Questions and Answers
A client experienced PTSD after a significant assault and has been hospitalized for nearly a week. He
states to the nurse, "I'm thinking of ending it all." Which statement by the nurse would be the most
effective? - Ans:✔✔-"You must be feeling very sad right now"
A client with psychotic symptoms is in an inpatient psychiatric unit. He states, "Can't you hear him? It's
the devil. He's telling me I'm going to hell." Which nursing reply would be most helpful to Larry? -
Ans:✔✔-"The voices you are hearing sound scary. I don't hear any voices speaking. Can you try and focus
on my voice?"
Which of the following would indicate that a client is experiencing delusions? - Ans:✔✔-"I think I was
implanted with a computer chip by the doctor when I slept last night."
A client with schizophrenia has been maintained on Haldol for one year. At his 12 month follow-up
appointment at the Mental Health outpatient clinic, his nurse noticed a twitch on the right side of his
face and unusual tongue movements. Which nursing intervention takes priority? - Ans:✔✔-Hold the
Haldol and let the doctor know of a suspicion of tardive dyskinesia
A 35 year old female client is diagnosed with conversion disorder. She demonstrates paralysis of the legs.
What is the best nursing intervention for the nurse to utilize? - Ans:✔✔-Avoid focusing on the client's
physical limitations
Page 1/18
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A female patient continuously presents to the ED with physical complaints. The complaints range from
lower right quadrant pain, nervousness, back pain, chest pain, foot pain, and a diffuse headache. All
physiological tests have come out negative. The client has been diagnosed with anxiety disorder. Which
short term goal would be realistic? - Ans:✔✔-The patient will participate in group therapy to discuss her
illnesses
A client diagnosed with a schizoid personality disorder chooses solitary activities, lacks close friends, and
appears indifferent to criticism. Which nursing diagnosis would be appropriate for this client's problems?
- Ans:✔✔-Social isolation related to discomfort with human interactions as evidenced by avoiding others
A client diagnosed with PTSD is experiencing a flashback. Which intervention takes priority? - Ans:✔✔-
Stay with the patient during the flashback
A client is being treated by a nurse therapist for an adjustment disorder. Her psychiatric diagnosis is
adjustment disorder with depressed mood following the loss of her closest friend. Which of the
following is true regarding the diagnosis of adjustment disorder? - Ans:✔✔-A client's adjustment
disorder may have been influenced by past experiences, previous dysfunctional grief, or constitutional
factors
A client recently prescribed Seroquel, an antipsychotic, complains to the nurse of severe muscle spasms.
On examination, heart rate is 110, blood pressure is 160/92 mmHg, and temperature is 102.5 degrees.
The should should: - Ans:✔✔-Immediately report findings as he/she suspects neuroleptic malignant
syndrome
Page 2/18
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A client was recently diagnosed with persistent depressive disorder. Her therapist utilizes techniques
primarily consistent with the cognitive therapy model. The goal of cognitive therapy with depressed
clients is to: - Ans:✔✔-Identify and change dysfunctional patterns of thinking
A nurse assesses a client suspected of having major depressive disorder. Which client symptom would
eliminate this diagnosis? - Ans:✔✔-The client has maxed-out charge cards and exhibits promiscuous
behavior
A nurse teaches a group of community health colleagues about the use of naltrexone in treating
alcoholism. The nurse interprets that the teaching was effective if the colleagues state that the
naltrexone is used to do which of the following? - Ans:✔✔-Reduces the craving for alcohol
A nurse works with a client who begins to escalate in anger. Which risk factor would the nurse recognize
as the most reliable indicator of potential client violence? - Ans:✔✔-History of a assaultive behavior
A client diagnosed with antisocial personality disorder spits, curses, and refuses to answer assessment
questions. He believes that he was wrongfully admitted. Which is the most appropriate nursing
statement to address this behavior? - Ans:✔✔-"I understand that you are angry, but this behavior will
not be tolerated"
During the initial interview with a patient, the nurse begins to feel uncomfortable and realizes that the
patient's behaviors and mannerisms remind the nurse of the nurse's abusive parent. The nurse
concludes that the current situation represents which phenomenon? - Ans:✔✔-Countertransference
Page 3/18
