NURS 275 Exam 1 | All Questions and Correct
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A nurse is caring for a client with schizoaffective disorder. Which of the following
statements indicates the client is experiencing depersonalization?
A. "I am a superhero and am immortal"
B. "I am no one and everyone is me"
C. "I feel monsters pinching me all over"
D. "I know that you are stealing my thoughts" ---------CORRECT ANSWER--------------
---B
A nurse is caring for a client on an acute mental health unit. The client reports
hearing voices that are stating, "kill your doctor." Which of the following actions
should the nurse take first?
A. Encourage client to participate in group therapy on the unit
B. Initiate one to one observation of the client
C. Focus the client on reality
D. Notify provider of client's statements ---------CORRECT ANSWER-----------------B
,A nurse is speaking with a client who has schizophrenia when the client suddenly
seems to stop focusing on the nurses' questions and begins looking at the ceiling
and talking to themselves. Which of the following actions should the nurse take?
A. Stop the interview at this point, and resume later when the client is better able
to concentrate
B. Ask the client, "Are you seeing something on the ceiling?"
C. Tell the client, "You seem to be looking at something on the ceiling. I see
something there too.:
D. Continue the interview without comment on the client's behavior ---------
CORRECT ANSWER-----------------B
A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as
being effectively treated by first generation antipsychotics? (Select all that apply)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia ---------CORRECT ANSWER-----------------A, C, D
A nurse is planning care for a client who has bipolar disorder and is experiencing a
manic episode. Which of the following interventions should the nurse include in
the plan of care? (Select all that apply)
, A. Provide flexible client behavior expectations
B. Offer concise explanations
C. Establish consistent limits
D. Disregard client concerns
E. Use a firm approach with communication ---------CORRECT ANSWER----------------
-B, C, E
A nurse is teaching a newly licensed nurse about the use of ECT for the treatment
of bipolar disorder. Which of the following statements by the newly licensed
nurse indicates understanding?
A. "ECT is the recommended initial treatment for bipolar disorder"
B. "ECT is contraindicated for clients who have suicidal ideation"
C. "ECT is effective for clients who are experiencing severe mania"
D. "ECT is prescribed to prevent relapse of bipolar disorder" ---------CORRECT
ANSWER-----------------C
A nurse is caring for a client who has bipolar disorder. Which of the following is
the priority nursing action?
A. Set consistent limits for expected client behavior
B. Administer prescribed meds as scheduled
C. Provide client with step by step instructions during hygiene activities
Answers | Already Graded A+ | Verified
Answers | Latest Version
A nurse is caring for a client with schizoaffective disorder. Which of the following
statements indicates the client is experiencing depersonalization?
A. "I am a superhero and am immortal"
B. "I am no one and everyone is me"
C. "I feel monsters pinching me all over"
D. "I know that you are stealing my thoughts" ---------CORRECT ANSWER--------------
---B
A nurse is caring for a client on an acute mental health unit. The client reports
hearing voices that are stating, "kill your doctor." Which of the following actions
should the nurse take first?
A. Encourage client to participate in group therapy on the unit
B. Initiate one to one observation of the client
C. Focus the client on reality
D. Notify provider of client's statements ---------CORRECT ANSWER-----------------B
,A nurse is speaking with a client who has schizophrenia when the client suddenly
seems to stop focusing on the nurses' questions and begins looking at the ceiling
and talking to themselves. Which of the following actions should the nurse take?
A. Stop the interview at this point, and resume later when the client is better able
to concentrate
B. Ask the client, "Are you seeing something on the ceiling?"
C. Tell the client, "You seem to be looking at something on the ceiling. I see
something there too.:
D. Continue the interview without comment on the client's behavior ---------
CORRECT ANSWER-----------------B
A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as
being effectively treated by first generation antipsychotics? (Select all that apply)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia ---------CORRECT ANSWER-----------------A, C, D
A nurse is planning care for a client who has bipolar disorder and is experiencing a
manic episode. Which of the following interventions should the nurse include in
the plan of care? (Select all that apply)
, A. Provide flexible client behavior expectations
B. Offer concise explanations
C. Establish consistent limits
D. Disregard client concerns
E. Use a firm approach with communication ---------CORRECT ANSWER----------------
-B, C, E
A nurse is teaching a newly licensed nurse about the use of ECT for the treatment
of bipolar disorder. Which of the following statements by the newly licensed
nurse indicates understanding?
A. "ECT is the recommended initial treatment for bipolar disorder"
B. "ECT is contraindicated for clients who have suicidal ideation"
C. "ECT is effective for clients who are experiencing severe mania"
D. "ECT is prescribed to prevent relapse of bipolar disorder" ---------CORRECT
ANSWER-----------------C
A nurse is caring for a client who has bipolar disorder. Which of the following is
the priority nursing action?
A. Set consistent limits for expected client behavior
B. Administer prescribed meds as scheduled
C. Provide client with step by step instructions during hygiene activities
