NR 326 CMS Exam
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1. What is Nurse John likely to note in a male Option A: Frightening visual
client being admitted for alcohol withdraw- hallucinations are especial-
al? ly common in clients experi-
A. Perceptual disorders encing alcohol withdrawal
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism
2. June has agreed to take amitriptyline HCL Option D: The client needs
(Elavil) for 3 days, but now complains that a specific response; that
it "doesn't help" and refuses to take it. What it takes 2 to 3 weeks
should the nurse say or do? (a delayed effect) until the
A. Withhold the drug therapeutic blood level is
B. Record the client's response reached.
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing
the results.
3. In preparing a female client for electrocon- Option C: Succinylcholine
vulsive therapy (ECT), Nurse Michelle knows (Anectine)is a depolariz-
that succinylcholine (Anectine) will be ad- ing muscle relaxant causing
ministered for which therapeutic effect? paralysis. It is used to re-
A. Short acting anesthesia duce the intensity of muscle
B. Decreased oral and respiratory secretions contractions during the con-
C. Skeletal muscle paralysis vulsive stage, thereby re-
D. Analgesia ducing the risk of bone frac-
tures or dislocation
4. Nurse Gina is aware that the dietary implica- Option D: This client needs
tions for a client in manic phase of bipolar increased protein for tis-
disorder is: sue building and increased
A. Serve the client a bowl of soup calories to replace what
B. Increase calories, decrease fat, and de- is burned up (usually via
crease carbohydrates carbohydrates); preferable,
C. Give the client pieces of cut up steak, portable d/t acute mania sx
potatoes, peas Potatoes- does not indicate
D. Increase calories, increase carbohy- if portable
drates, and increase protein
, NR 326 CMS Exam
Study online at https://quizlet.com/_9pxgwa
5. What parental behavior toward a child during Option C: Acting over-
an admission procedure should cause Nurse ly solicitous (overly con-
Ron to suspect child abuse? cerned, mindful, anxiously
A. Flat affect concerned) toward the child
B. Expressing guilt This behavior is an example
C. Acting overly solicitous toward the child of reaction formation, a cop-
D. Ignoring the child ing mechanism.
6. Nurse Lynnette notices that a female client CORRECT - Option A:
with obsessive-compulsive disorder washes The nurse should desig-
her hands for long periods each day. How nate times during which the
should the nurse respond to this compulsive client can focus on the com-
behavior? pulsive behavior or obses-
A. By designating times during which the sive thoughts.
client can focus on the behavior Option B: The nurse should
B. By urging the client to reduce the frequen- urge the client to reduce
cy of the behavior as rapidly as possible the frequency of the com-
C. By calling attention to, or attempting to pulsive behavior gradually,
prevent the behavior not rapidly.
D. By discouraging the client from verbaliz- Option C: She shouldn't call
ing anxieties attention to, or try to pre-
vent the behavior. Trying to
prevent the behavior may
cause pain and terror to the
client.
Option D: The nurse should
encourage the client to ver-
balize anxieties to help dis-
tract attention from the com-
pulsive behavior.
7. After seeking help at an outpatient mental CORRECT - Option D: The
health clinic, Ruby, who was raped while client with PTSD needs
walking her dog, is diagnosed with posttrau- encouragement to exam-
matic stress disorder (PTSD). Three months ine and understand the
later, Ruby returns to the clinic, complaining meaning of the traumatic
of fear, loss of control, and helpless feelings. event and consequent loss-
Which nursing intervention is most appropri- es. Otherwise, symptoms
ate for Ruby? may worsen and the client
, NR 326 CMS Exam
Study online at https://quizlet.com/_9pxgwa
A. Recommending a high protein, low-fat diet may become depressed or
B. Giving sleep medication, as prescribed, to engage in self-destructive
restore a normal sleep-wake cycle behavior such as substance
C. Allowing the client time to heal abuse.
D. Exploring the meaning of the traumatic Option A: A special diet isn't
event with the client indicated unless the client
also has an eating disorder
or a nutritional problem.
Option B: The physician
may prescribe antianxiety
agents or antidepressants
cautiously to avoid depen-
dence; sleep medication is
rarely appropriate.
Option C: The client must
explore the meaning of the
event and won't heal with-
out this, no matter how
much time passes. Behav-
ioral techniques, such as re-
laxation therapy, may help
decrease the client's anxi-
ety and induce sleep. Expo-
sure therapy may also be
indicated.
8. Meryl, age 19, is highly dependent on her CORRECT - Option C: The
parents and fears leaving home to go away to nurse must be honest with
college. Shortly before the semester starts, the client by telling her that
she complains that her legs are paralyzed the paralysis has no physio-
and is rushed to the emergency department. logic cause while also con-
When physical examination rules out a phys- veying empathy and ac-
ical cause for her paralysis, the physician knowledging that her symp-
admits her to the psychiatric unit where she toms are real. The client
is diagnosed with conversion disorder. Meryl will benefit from psychiatric
asks the nurse, "Why has this happened to treatment, which will help
me?" What is the nurse's best response? her understand the underly-
A. "You've developed this paralysis so you ing cause of her symptoms.
can stay with your parents. You must deal After the psychological con-
Study online at https://quizlet.com/_9pxgwa
1. What is Nurse John likely to note in a male Option A: Frightening visual
client being admitted for alcohol withdraw- hallucinations are especial-
al? ly common in clients experi-
A. Perceptual disorders encing alcohol withdrawal
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism
2. June has agreed to take amitriptyline HCL Option D: The client needs
(Elavil) for 3 days, but now complains that a specific response; that
it "doesn't help" and refuses to take it. What it takes 2 to 3 weeks
should the nurse say or do? (a delayed effect) until the
A. Withhold the drug therapeutic blood level is
B. Record the client's response reached.
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing
the results.
3. In preparing a female client for electrocon- Option C: Succinylcholine
vulsive therapy (ECT), Nurse Michelle knows (Anectine)is a depolariz-
that succinylcholine (Anectine) will be ad- ing muscle relaxant causing
ministered for which therapeutic effect? paralysis. It is used to re-
A. Short acting anesthesia duce the intensity of muscle
B. Decreased oral and respiratory secretions contractions during the con-
C. Skeletal muscle paralysis vulsive stage, thereby re-
D. Analgesia ducing the risk of bone frac-
tures or dislocation
4. Nurse Gina is aware that the dietary implica- Option D: This client needs
tions for a client in manic phase of bipolar increased protein for tis-
disorder is: sue building and increased
A. Serve the client a bowl of soup calories to replace what
B. Increase calories, decrease fat, and de- is burned up (usually via
crease carbohydrates carbohydrates); preferable,
C. Give the client pieces of cut up steak, portable d/t acute mania sx
potatoes, peas Potatoes- does not indicate
D. Increase calories, increase carbohy- if portable
drates, and increase protein
, NR 326 CMS Exam
Study online at https://quizlet.com/_9pxgwa
5. What parental behavior toward a child during Option C: Acting over-
an admission procedure should cause Nurse ly solicitous (overly con-
Ron to suspect child abuse? cerned, mindful, anxiously
A. Flat affect concerned) toward the child
B. Expressing guilt This behavior is an example
C. Acting overly solicitous toward the child of reaction formation, a cop-
D. Ignoring the child ing mechanism.
6. Nurse Lynnette notices that a female client CORRECT - Option A:
with obsessive-compulsive disorder washes The nurse should desig-
her hands for long periods each day. How nate times during which the
should the nurse respond to this compulsive client can focus on the com-
behavior? pulsive behavior or obses-
A. By designating times during which the sive thoughts.
client can focus on the behavior Option B: The nurse should
B. By urging the client to reduce the frequen- urge the client to reduce
cy of the behavior as rapidly as possible the frequency of the com-
C. By calling attention to, or attempting to pulsive behavior gradually,
prevent the behavior not rapidly.
D. By discouraging the client from verbaliz- Option C: She shouldn't call
ing anxieties attention to, or try to pre-
vent the behavior. Trying to
prevent the behavior may
cause pain and terror to the
client.
Option D: The nurse should
encourage the client to ver-
balize anxieties to help dis-
tract attention from the com-
pulsive behavior.
7. After seeking help at an outpatient mental CORRECT - Option D: The
health clinic, Ruby, who was raped while client with PTSD needs
walking her dog, is diagnosed with posttrau- encouragement to exam-
matic stress disorder (PTSD). Three months ine and understand the
later, Ruby returns to the clinic, complaining meaning of the traumatic
of fear, loss of control, and helpless feelings. event and consequent loss-
Which nursing intervention is most appropri- es. Otherwise, symptoms
ate for Ruby? may worsen and the client
, NR 326 CMS Exam
Study online at https://quizlet.com/_9pxgwa
A. Recommending a high protein, low-fat diet may become depressed or
B. Giving sleep medication, as prescribed, to engage in self-destructive
restore a normal sleep-wake cycle behavior such as substance
C. Allowing the client time to heal abuse.
D. Exploring the meaning of the traumatic Option A: A special diet isn't
event with the client indicated unless the client
also has an eating disorder
or a nutritional problem.
Option B: The physician
may prescribe antianxiety
agents or antidepressants
cautiously to avoid depen-
dence; sleep medication is
rarely appropriate.
Option C: The client must
explore the meaning of the
event and won't heal with-
out this, no matter how
much time passes. Behav-
ioral techniques, such as re-
laxation therapy, may help
decrease the client's anxi-
ety and induce sleep. Expo-
sure therapy may also be
indicated.
8. Meryl, age 19, is highly dependent on her CORRECT - Option C: The
parents and fears leaving home to go away to nurse must be honest with
college. Shortly before the semester starts, the client by telling her that
she complains that her legs are paralyzed the paralysis has no physio-
and is rushed to the emergency department. logic cause while also con-
When physical examination rules out a phys- veying empathy and ac-
ical cause for her paralysis, the physician knowledging that her symp-
admits her to the psychiatric unit where she toms are real. The client
is diagnosed with conversion disorder. Meryl will benefit from psychiatric
asks the nurse, "Why has this happened to treatment, which will help
me?" What is the nurse's best response? her understand the underly-
A. "You've developed this paralysis so you ing cause of her symptoms.
can stay with your parents. You must deal After the psychological con-
