NURS 315: Exam #2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Which of the following would be considered a situational (something that is likely to happen in
someone's life that causes disruption/is out of the ordinary but is not traumatic) crisis? -
CORRECT ANSWER -Job Promotion; as it can cause disruption or disequilibrium;
making life unstable for a little while
Which of the following is accurate regarding a crisis? (crisis is personalized, depends on the
perception from that person, overwhelmed by an event that is occuring, poor coping skills) -
CORRECT ANSWER -Occurs when an individual is at a breaking point
For a patient in crisis, the assessment of the psychological domain focuses on which of the
following? - CORRECT ANSWER -Coping strengths
The immediate, priority assessment that must be made during crisis intervention therapy is -
CORRECT ANSWER -Whether external controls are needed. In this, you need to ensure
patient safety.
Jake and Mary Patternson are sending their only daughter, Allie, off to college. Jake is worried
about how he is going to pay for the increased costs of housing, tuition, and living expenses,
Mary is just as distressed about this event, nut her worries surround her daughter's safety while
being unsupervised in a college town. Which factor determines which parent will experience the
worst crisis? - CORRECT ANSWER -Each parent's perception of his or her ability to cope
- it is each person's perception, as it is individualized. (Balancing factors)
Effective interventions while providing care during a crisis include - CORRECT
ANSWER -Resolving immediate problems perceived as most threatening to the client.
You need to assist the patient to resolve immediate problems that they may perceive as
overwhelming.
The nurse is assessing a client in crisis, The client states "I don't feel like I can't go on anymore."
Which of the following is the nurse's best response? - CORRECT ANSWER -"Are you
having thoughts of hurting yourself?" -- We want to ensure that the patient is not suicidal.
, An individual is seeking employment as a nurse in a crisis center. The interviewer asks the job
candidate what he would ask someone who called the crisis hotline so as to determine whether
the caller was experiencing a crisis. Which response would be most appropriate? - CORRECT
ANSWER -"Tell me about what you are experiencing and what it means to you.
Schizophrenia is most often characterized by which of the following assessment findings? -
CORRECT ANSWER -Thought disturbances and hallucinations
One of the primary goals in caring for the client with schizophrenia is to establish clear,
consistent, open communication. Which of the following nursing interventions would be most
effective in accomplishing this goal? - CORRECT ANSWER -Present reality in clear
simple language, and demonstrate patience
A client who is delusional and paranoid refuses to take his antipsychotic medication as
prescribed. The most therapeutic response by the nurse to his refusal is what? - CORRECT
ANSWER -"What is it about the medicine that you don't like"
A client with schizophrenia states that he is God's messenger and his mission is to become
president/ The nurse documents these comments as evidence of the client's what? - CORRECT
ANSWER -Delusional Thinking
A client with a diagnosis of schizophrenia has been brought to the emergency department by a
worker from the group home where he resides. The worker states that the client has "gone off his
meds" and drank two to three galloons of water over the past several hours. What assessments
should the nurse who is caring for the client prioritize? - CORRECT ANSWER -
Neurological assessment and monitoring of electrolyte levels -
Rationale: Hyponatremia, electrolyte imbalances, and seizures may result for polydipsia.
Consequently, close monitoring of the patient's electrolytes and neurological status assessment
are prioritized at this stage. (We want to ensure to misdiagnose psychiatric issues, compared to
medical problems)
A mental health client has been prescribed clozapine (Clozaril) for the treatment of
schizophrenia. The nurse should be alert to which of the following potentially life-threatening
Exam Questions and CORRECT Answers
Which of the following would be considered a situational (something that is likely to happen in
someone's life that causes disruption/is out of the ordinary but is not traumatic) crisis? -
CORRECT ANSWER -Job Promotion; as it can cause disruption or disequilibrium;
making life unstable for a little while
Which of the following is accurate regarding a crisis? (crisis is personalized, depends on the
perception from that person, overwhelmed by an event that is occuring, poor coping skills) -
CORRECT ANSWER -Occurs when an individual is at a breaking point
For a patient in crisis, the assessment of the psychological domain focuses on which of the
following? - CORRECT ANSWER -Coping strengths
The immediate, priority assessment that must be made during crisis intervention therapy is -
CORRECT ANSWER -Whether external controls are needed. In this, you need to ensure
patient safety.
Jake and Mary Patternson are sending their only daughter, Allie, off to college. Jake is worried
about how he is going to pay for the increased costs of housing, tuition, and living expenses,
Mary is just as distressed about this event, nut her worries surround her daughter's safety while
being unsupervised in a college town. Which factor determines which parent will experience the
worst crisis? - CORRECT ANSWER -Each parent's perception of his or her ability to cope
- it is each person's perception, as it is individualized. (Balancing factors)
Effective interventions while providing care during a crisis include - CORRECT
ANSWER -Resolving immediate problems perceived as most threatening to the client.
You need to assist the patient to resolve immediate problems that they may perceive as
overwhelming.
The nurse is assessing a client in crisis, The client states "I don't feel like I can't go on anymore."
Which of the following is the nurse's best response? - CORRECT ANSWER -"Are you
having thoughts of hurting yourself?" -- We want to ensure that the patient is not suicidal.
, An individual is seeking employment as a nurse in a crisis center. The interviewer asks the job
candidate what he would ask someone who called the crisis hotline so as to determine whether
the caller was experiencing a crisis. Which response would be most appropriate? - CORRECT
ANSWER -"Tell me about what you are experiencing and what it means to you.
Schizophrenia is most often characterized by which of the following assessment findings? -
CORRECT ANSWER -Thought disturbances and hallucinations
One of the primary goals in caring for the client with schizophrenia is to establish clear,
consistent, open communication. Which of the following nursing interventions would be most
effective in accomplishing this goal? - CORRECT ANSWER -Present reality in clear
simple language, and demonstrate patience
A client who is delusional and paranoid refuses to take his antipsychotic medication as
prescribed. The most therapeutic response by the nurse to his refusal is what? - CORRECT
ANSWER -"What is it about the medicine that you don't like"
A client with schizophrenia states that he is God's messenger and his mission is to become
president/ The nurse documents these comments as evidence of the client's what? - CORRECT
ANSWER -Delusional Thinking
A client with a diagnosis of schizophrenia has been brought to the emergency department by a
worker from the group home where he resides. The worker states that the client has "gone off his
meds" and drank two to three galloons of water over the past several hours. What assessments
should the nurse who is caring for the client prioritize? - CORRECT ANSWER -
Neurological assessment and monitoring of electrolyte levels -
Rationale: Hyponatremia, electrolyte imbalances, and seizures may result for polydipsia.
Consequently, close monitoring of the patient's electrolytes and neurological status assessment
are prioritized at this stage. (We want to ensure to misdiagnose psychiatric issues, compared to
medical problems)
A mental health client has been prescribed clozapine (Clozaril) for the treatment of
schizophrenia. The nurse should be alert to which of the following potentially life-threatening
