NURS 136 EXAM 2 GALEN NEWEST ACTUAL EXAM
/WELL GRADED A+
A nurse is assessing a client who is currently taking perphenazine. Which of the
following findings should the nurse identify as an extrapyramidal symptom (EPS)?
(select all that apply)
A. decreased level of consciousness
B. drooling
C. involuntary arm movements
D. urinary retention
E. continual pacing - CORRECT ANSWERS-BCE
A nurse is providing discharge teaching for a client who has schizophrenia and a new
prescription for iloperidone. Which of the following client statements indicates
understanding of the teaching?
A. "I will be able to stop taking this medication as soon as I feel better"
B. "If I feel drowsy during the day, I will stop taking this medication and call my provider"
C. "I will be careful not to gain too much weight while taking this medication"
D. "this medication is highly addictive and must be withdrawn slowly" - CORRECT
ANSWERS-C
A charge nurse is reviewing kubler-ross: five stages of grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
teaching? (select all that apply)
A. disequilibrium
B. denial
C. bargaining
D. anger
E. depression - CORRECT ANSWERS-BCDE
A nurse is working with a client who has recently lost his mother. The nurse recognizes
that which of the following factors influence a client's grief and coping ability? (select all
that apply)
A. interpersonal relationships
B. culture
C. birth order
D. religious beliefs
E. prior experience with loss - CORRECT ANSWERS-ABDE
A nurse is discussing normal grief with a client who recently lost a child. Which of the
following statements made by the client indicates understanding? (select all that apply)
,A. "I may experience feelings of resentment"
B. "I will probably withdraw from others"
C. "I can expect to experience changes in sleep"
D. "it is possible that I will experience suicidal. thoughts"
E. "It is expected that I will have a loss of self-esteem" - CORRECT ANSWERS-ABC
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with
a metal rod
D. a client who has bipolar disorder and paces quickly around the room while talking to
himself - CORRECT ANSWERS-C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
because the unit is very short-staffed, and the client frequently fights with other clients.
The nurse's actions are an example of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
D. battery - CORRECT ANSWERS-B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yelling at me and threatening
me." Which of the following actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate
closely
C. tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention
to do so - CORRECT ANSWERS-C
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
, D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - CORRECT ANSWERS-BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - CORRECT ANSWERS-B
A charge nurse is conducting a class on therapeutic communication to a group of newly
licensed nurses. Which of the following aspects of communication should the nurse
identify as a component of verbal communication?
A. personal space
B. posture
C. eye contact
D. intonation - CORRECT ANSWERS-D
A nurse in an acute mental health facility is communication with a client. The client
states, "I can't sleep. I stay up all night." The nurse responds, "you are having difficulty
sleeping?" which of the following therapeutic communication techniques is the nurse
demonstrating?
A. offering general leads
B. summarizing
C. focusing
D. restating - CORRECT ANSWERS-D
A nurse is communicating with a client who was just admitted for treatment of a
substance use disorder. Which of the following communication techniques should the
nurse identify as a barrier to therapeutic communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - CORRECT ANSWERS-A
A nurse is caring for a client who has anorexia nervosa. Which of the following
examples demonstrates the nurse's use of interpersonal communication?
A. the nurse discusses the client's weight loss during a health care team meeting
B. the nurse examines her own personal feelings about clients who have anorexia
nervosa
C. the nurse asks the client about her body image perception
/WELL GRADED A+
A nurse is assessing a client who is currently taking perphenazine. Which of the
following findings should the nurse identify as an extrapyramidal symptom (EPS)?
(select all that apply)
A. decreased level of consciousness
B. drooling
C. involuntary arm movements
D. urinary retention
E. continual pacing - CORRECT ANSWERS-BCE
A nurse is providing discharge teaching for a client who has schizophrenia and a new
prescription for iloperidone. Which of the following client statements indicates
understanding of the teaching?
A. "I will be able to stop taking this medication as soon as I feel better"
B. "If I feel drowsy during the day, I will stop taking this medication and call my provider"
C. "I will be careful not to gain too much weight while taking this medication"
D. "this medication is highly addictive and must be withdrawn slowly" - CORRECT
ANSWERS-C
A charge nurse is reviewing kubler-ross: five stages of grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
teaching? (select all that apply)
A. disequilibrium
B. denial
C. bargaining
D. anger
E. depression - CORRECT ANSWERS-BCDE
A nurse is working with a client who has recently lost his mother. The nurse recognizes
that which of the following factors influence a client's grief and coping ability? (select all
that apply)
A. interpersonal relationships
B. culture
C. birth order
D. religious beliefs
E. prior experience with loss - CORRECT ANSWERS-ABDE
A nurse is discussing normal grief with a client who recently lost a child. Which of the
following statements made by the client indicates understanding? (select all that apply)
,A. "I may experience feelings of resentment"
B. "I will probably withdraw from others"
C. "I can expect to experience changes in sleep"
D. "it is possible that I will experience suicidal. thoughts"
E. "It is expected that I will have a loss of self-esteem" - CORRECT ANSWERS-ABC
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with
a metal rod
D. a client who has bipolar disorder and paces quickly around the room while talking to
himself - CORRECT ANSWERS-C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
because the unit is very short-staffed, and the client frequently fights with other clients.
The nurse's actions are an example of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
D. battery - CORRECT ANSWERS-B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yelling at me and threatening
me." Which of the following actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate
closely
C. tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention
to do so - CORRECT ANSWERS-C
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
, D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - CORRECT ANSWERS-BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - CORRECT ANSWERS-B
A charge nurse is conducting a class on therapeutic communication to a group of newly
licensed nurses. Which of the following aspects of communication should the nurse
identify as a component of verbal communication?
A. personal space
B. posture
C. eye contact
D. intonation - CORRECT ANSWERS-D
A nurse in an acute mental health facility is communication with a client. The client
states, "I can't sleep. I stay up all night." The nurse responds, "you are having difficulty
sleeping?" which of the following therapeutic communication techniques is the nurse
demonstrating?
A. offering general leads
B. summarizing
C. focusing
D. restating - CORRECT ANSWERS-D
A nurse is communicating with a client who was just admitted for treatment of a
substance use disorder. Which of the following communication techniques should the
nurse identify as a barrier to therapeutic communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - CORRECT ANSWERS-A
A nurse is caring for a client who has anorexia nervosa. Which of the following
examples demonstrates the nurse's use of interpersonal communication?
A. the nurse discusses the client's weight loss during a health care team meeting
B. the nurse examines her own personal feelings about clients who have anorexia
nervosa
C. the nurse asks the client about her body image perception
