NUR 354 Exam 2 Complete Study Questions And
Answers With Verified Solutions
What part of the brain is dysfunctional in persons with schizophrenia? Research has implicated the:
A. medulla and cortex.
B. cerebellum and cerebrum.
C. hypothalamus and medulla.
D. prefrontal and limbic cortices ANS D. prefrontal and limbic cortices
The nursing diagnosis most likely to be applicable for a person who has schizophrenia, paranoid type, is:
A. social isolation related to impaired ability to trust.
B. impaired mobility related to fear of losing control of hostile impulses.
C. fear of being alone related to lack of confidence in significant others.
D. impaired memory related to poor information processing associated with brain deficits. ANS A.
social isolation related to impaired ability to trust.
The medical record of a patient diagnosed with schizophrenia states that the patient has cognitive
dysfunction. From this statement, the nurse can expect to see evidence of:
A. anxiety, fear, and agitation.
B. aggression, anger, hostility, or violence.
C. blunted or flat affect or inappropriate affective responses.
D. impaired memory and attention as well as formal thought disorder. ANS D.impaired memory and
attention as well as formal thought disorder.
Which neurological deficits would the nurse be most likely to encounter when assessing a patient
diagnosed with schizophrenia?
A.Weakness and loss of function
,B.Paralysis and diminished reflexes
C.Droopy eyelids and reddened cornea
D.Increased blinking and impaired fine motor skills ANS D.Increased blinking and impaired fine
motor skills
A patient chart reports he is displaying positive symptoms of schizophrenia. The nurse can expect the
patient to show evidence of:
A.delusions and hallucinations.
B.grimacing and mannerisms.
C.echopraxia and echolalia.
D.avolition and anhedonia. ANS A.delusions and hallucinations.
A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes, it's March.
March is Little Women. That's literal you know." These statements illustrate:
A.Loose associations
B.Word salad
C.Flight of ideas
D.Echolalia ANS A.Loose associations
A young adult client is admitted to the hospital with a diagnosis of schizophrenia, paranoid type. The
client has been saying, "The voices in heaven are telling me to come home to God." Initial nursing care
should focus on the client's:
A.Disturbed self-esteem
B.Potential for self-harm
C.Dysfunctional verbal communication
D.Impaired perception of environmental stimuli ANS B.Potential for self-harm
The nurse finds a client with schizophrenia lying under a bench in the hall. The client states, "God told me
to lie here." What is the best response by the nurse?
,A."I didn't hear anyone talking. Come with me to your room."
B."What you heard was in your head; it was your imagination."
C."Come to the dayroom and watch television. You will feel better."
D."God would not tell you to lie in the hall. God wants you to behave reasonably." ANS A."I didn't
hear anyone talking. Come with me to your room."
When caring for a withdrawn, reclusive, psychotic client, the priority goal is for the client to develop:
A.Trust
B.Self-worth
C.A sense of identity
D.An ability to socialize ANS A.Trust
Which factor presents the highest risk for a child to develop a psychiatric disorder?
a. Having an uncle with schizophrenia
b. Living with an alcoholic parent
c. Being the oldest child in a family
d. Being an only child ANS b. Living with an alcoholic parent
Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?
a. Impaired social interaction related to difficulty relating to others
b. Chronic low self-esteem related to excessive negative feedback
c. Deficient fluid volume related to abnormal eating habits
d. Anxiety related to nightmares and repetitive activities ANS a. Impaired social interaction related to
difficulty relating to others
Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder
was effective? The child:
, a. plays with one toy for 30 minutes.
b. repeats words spoken by a parent.
c. holds the parent's hand while walking.
d. spins around and claps hands while walking. ANS c. holds the parent's hand while walking.
A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive
to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse
plans interventions designed to:
a. promote integration of self-concept.
b. provide inpatient treatment for the child.
c. reduce loneliness and increase self-esteem.
d. improve language and communication skills. ANS c. reduce loneliness and increase self-esteem.
A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit
hyperactivity disorder (ADHD). Which medication will the information focus on?
a. Paroxetine (Paxil)
b. Methyphenidate (Ritalin)
c. Imipramine (Tofranil)
d. Carbamazepine (Tegretol) ANS b. Methyphenidate (Ritalin)
What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin)
for attention deficit hyperactivity disorder (ADHD)?
a. Dystonia, akinesia, and extrapyramidal symptoms
b. Bradycardia and hypotensive episodes
c. Sleep disturbances and weight loss
d. Neuroleptic malignant syndrome ANS c. Sleep disturbances and weight loss
Answers With Verified Solutions
What part of the brain is dysfunctional in persons with schizophrenia? Research has implicated the:
A. medulla and cortex.
B. cerebellum and cerebrum.
C. hypothalamus and medulla.
D. prefrontal and limbic cortices ANS D. prefrontal and limbic cortices
The nursing diagnosis most likely to be applicable for a person who has schizophrenia, paranoid type, is:
A. social isolation related to impaired ability to trust.
B. impaired mobility related to fear of losing control of hostile impulses.
C. fear of being alone related to lack of confidence in significant others.
D. impaired memory related to poor information processing associated with brain deficits. ANS A.
social isolation related to impaired ability to trust.
The medical record of a patient diagnosed with schizophrenia states that the patient has cognitive
dysfunction. From this statement, the nurse can expect to see evidence of:
A. anxiety, fear, and agitation.
B. aggression, anger, hostility, or violence.
C. blunted or flat affect or inappropriate affective responses.
D. impaired memory and attention as well as formal thought disorder. ANS D.impaired memory and
attention as well as formal thought disorder.
Which neurological deficits would the nurse be most likely to encounter when assessing a patient
diagnosed with schizophrenia?
A.Weakness and loss of function
,B.Paralysis and diminished reflexes
C.Droopy eyelids and reddened cornea
D.Increased blinking and impaired fine motor skills ANS D.Increased blinking and impaired fine
motor skills
A patient chart reports he is displaying positive symptoms of schizophrenia. The nurse can expect the
patient to show evidence of:
A.delusions and hallucinations.
B.grimacing and mannerisms.
C.echopraxia and echolalia.
D.avolition and anhedonia. ANS A.delusions and hallucinations.
A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes, it's March.
March is Little Women. That's literal you know." These statements illustrate:
A.Loose associations
B.Word salad
C.Flight of ideas
D.Echolalia ANS A.Loose associations
A young adult client is admitted to the hospital with a diagnosis of schizophrenia, paranoid type. The
client has been saying, "The voices in heaven are telling me to come home to God." Initial nursing care
should focus on the client's:
A.Disturbed self-esteem
B.Potential for self-harm
C.Dysfunctional verbal communication
D.Impaired perception of environmental stimuli ANS B.Potential for self-harm
The nurse finds a client with schizophrenia lying under a bench in the hall. The client states, "God told me
to lie here." What is the best response by the nurse?
,A."I didn't hear anyone talking. Come with me to your room."
B."What you heard was in your head; it was your imagination."
C."Come to the dayroom and watch television. You will feel better."
D."God would not tell you to lie in the hall. God wants you to behave reasonably." ANS A."I didn't
hear anyone talking. Come with me to your room."
When caring for a withdrawn, reclusive, psychotic client, the priority goal is for the client to develop:
A.Trust
B.Self-worth
C.A sense of identity
D.An ability to socialize ANS A.Trust
Which factor presents the highest risk for a child to develop a psychiatric disorder?
a. Having an uncle with schizophrenia
b. Living with an alcoholic parent
c. Being the oldest child in a family
d. Being an only child ANS b. Living with an alcoholic parent
Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?
a. Impaired social interaction related to difficulty relating to others
b. Chronic low self-esteem related to excessive negative feedback
c. Deficient fluid volume related to abnormal eating habits
d. Anxiety related to nightmares and repetitive activities ANS a. Impaired social interaction related to
difficulty relating to others
Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder
was effective? The child:
, a. plays with one toy for 30 minutes.
b. repeats words spoken by a parent.
c. holds the parent's hand while walking.
d. spins around and claps hands while walking. ANS c. holds the parent's hand while walking.
A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive
to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse
plans interventions designed to:
a. promote integration of self-concept.
b. provide inpatient treatment for the child.
c. reduce loneliness and increase self-esteem.
d. improve language and communication skills. ANS c. reduce loneliness and increase self-esteem.
A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit
hyperactivity disorder (ADHD). Which medication will the information focus on?
a. Paroxetine (Paxil)
b. Methyphenidate (Ritalin)
c. Imipramine (Tofranil)
d. Carbamazepine (Tegretol) ANS b. Methyphenidate (Ritalin)
What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin)
for attention deficit hyperactivity disorder (ADHD)?
a. Dystonia, akinesia, and extrapyramidal symptoms
b. Bradycardia and hypotensive episodes
c. Sleep disturbances and weight loss
d. Neuroleptic malignant syndrome ANS c. Sleep disturbances and weight loss
