NURS 322 Final Exam Questions With Complete Solutions
A 12-year-old child, complains to the school nurse about nausea
and dizziness. While assessing the child, the nurse notices a
black eye that looks like an injury. This is the third time in 1
month that the child has visited the nurse. Each time, the child
provides vague explanations for various injuries. Which of the
following is the school nurse's priority intervention?
A. Contact the child's parents and ask about the child's injury.
B. Encourage the child to be truthful with her.
C. Question the teacher about the parent's behavior.
D. Report suspicion of abuse to the proper authorities. Correct
Answers D. Report suspicion of abuse to the proper authorities.
A 17-year-old patient is brought into the emergency department
after taking a handful of lorazepam (Ativan) as a result of a
recent breakup with her fiancée. What priority nursing
intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous
system depression
C.Allow the patient time to rest because lorazepam (Ativan) is
sedating.
D. Increase fluids and place the patient on close observation.
Correct Answers B. Monitor vital signs and note any signs of
central nervous nsystem depression
A client has been receiving treatment for posttraumatic stress
disorder (PTSD) after experiencing a sexual assault. Which
,statement supports that the client is able to resume pre-trauma
function?
A. "I really like my therapist."
B. "I'm hopeful that life will get back to normal."
C. "I'm being considered for a promotion at work."
D. "I'm feeling less anxious among strangers." Correct Answers
C. "I'm being considered for a promotion at work."
Most patients will be able to eventually resume their previous
lives after supportive services and crisis counseling or therapy.
If survivors are relatively free of signs of PTSD and their
lifestyles are close to their lifestyles before the rape, the
recovery is considered successful. Being considered for a
promotion indicates the client is able to effectively work and
engage in areas of interest. The remaining options, while
positive statements, lack tangible proof of resuming pre-trauma
levels of functioning.
A client has expressed great concern over "feeling like I'm going
crazy" since experiencing anxiety, depression, and nightmares
after being sexually assaulted. What response will the nurse
make initially to address the client's concerns?
A. "What you are experiencing is common among assault
victims. It's not a result of going crazy."
B. "Let's talk about how these symptoms are making you feel
and especially how they are making you feel crazy."
C. "These are common feelings after being assaulted.
Fortunately you are not going crazy so try not to worry."
,D. "What you are experiencing must be frightening. These
symptoms are shared by many who have been sexually
assaulted." Correct Answers D. "What you are experiencing
must be frightening. These symptoms are shared by many who
have been sexually assaulted."
Many individuals think they are going crazy and are not aware
that this is a process that many people in their situation have
experienced. Explain to the patient that the signs and symptoms
that many people experience during the long-term phase include
nightmares, anxiety, and depression. The correct option is the
only one that gives the client the needed information while also
acknowledging his or her feelings.
A client has recently lost all his or her possessions in a fire a
month ago. Which assessment data suggests that hospitalization
should be considered?
a. Has gained 10 pounds since the fire.
b. Drinks a six pack of beer daily.
c. States, "The fire made my life so hopeless."
d. Reports, "I really do need someone to talk to." Correct
Answers c. States, "The fire made my life so hopeless."
In crisis situations, it is important to evaluate the person's level
of anxiety. Common coping mechanisms may be overeating,
drinking, smoking, withdrawing, seeking out someone to talk to,
crying, yelling, sleeping too much, praying, or engaging in other
physical activity. The potential for suicide or homicide must be
assessed. If the patient is thinking of harming themself or
someone else, or is unable to take care of personal needs,
, hospitalization should be considered. The correct option
demonstrates a potential risk for suicide.
A client is seeking treatment in the emergency department (ED)
after a sexual assault. Which notation made by the ED nurse
demonstrates appropriate nonjudgmental documentation?
A. An alleged sexually assaulted inside a local parking garage
was made by the client.
B. Physical evidence supports that vaginal penetration occurred.
C. Treatment for facial abrasions was refused.
D. No acute emotional distress during assessment was noted.
Correct Answers B. Physical evidence supports that vaginal
penetration occurred.
Pejorative terms often reflect old myths and a lack of knowledge
and understanding regarding the rape victim's experience and
need for immediate intervention. Words and phrase like
"alleged," "refused," "intercourse," and "no acute distress" all
minimize the devastation of the event. Penetration is the
preferred term when describing the sexual aspects of the assault.
A client who has been sexually abused tearfully states, "I'm no
good now; there is nothing to live for." The most therapeutic
response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened." Correct
Answers A."Tell me more about your feelings."
A 12-year-old child, complains to the school nurse about nausea
and dizziness. While assessing the child, the nurse notices a
black eye that looks like an injury. This is the third time in 1
month that the child has visited the nurse. Each time, the child
provides vague explanations for various injuries. Which of the
following is the school nurse's priority intervention?
A. Contact the child's parents and ask about the child's injury.
B. Encourage the child to be truthful with her.
C. Question the teacher about the parent's behavior.
D. Report suspicion of abuse to the proper authorities. Correct
Answers D. Report suspicion of abuse to the proper authorities.
A 17-year-old patient is brought into the emergency department
after taking a handful of lorazepam (Ativan) as a result of a
recent breakup with her fiancée. What priority nursing
intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous
system depression
C.Allow the patient time to rest because lorazepam (Ativan) is
sedating.
D. Increase fluids and place the patient on close observation.
Correct Answers B. Monitor vital signs and note any signs of
central nervous nsystem depression
A client has been receiving treatment for posttraumatic stress
disorder (PTSD) after experiencing a sexual assault. Which
,statement supports that the client is able to resume pre-trauma
function?
A. "I really like my therapist."
B. "I'm hopeful that life will get back to normal."
C. "I'm being considered for a promotion at work."
D. "I'm feeling less anxious among strangers." Correct Answers
C. "I'm being considered for a promotion at work."
Most patients will be able to eventually resume their previous
lives after supportive services and crisis counseling or therapy.
If survivors are relatively free of signs of PTSD and their
lifestyles are close to their lifestyles before the rape, the
recovery is considered successful. Being considered for a
promotion indicates the client is able to effectively work and
engage in areas of interest. The remaining options, while
positive statements, lack tangible proof of resuming pre-trauma
levels of functioning.
A client has expressed great concern over "feeling like I'm going
crazy" since experiencing anxiety, depression, and nightmares
after being sexually assaulted. What response will the nurse
make initially to address the client's concerns?
A. "What you are experiencing is common among assault
victims. It's not a result of going crazy."
B. "Let's talk about how these symptoms are making you feel
and especially how they are making you feel crazy."
C. "These are common feelings after being assaulted.
Fortunately you are not going crazy so try not to worry."
,D. "What you are experiencing must be frightening. These
symptoms are shared by many who have been sexually
assaulted." Correct Answers D. "What you are experiencing
must be frightening. These symptoms are shared by many who
have been sexually assaulted."
Many individuals think they are going crazy and are not aware
that this is a process that many people in their situation have
experienced. Explain to the patient that the signs and symptoms
that many people experience during the long-term phase include
nightmares, anxiety, and depression. The correct option is the
only one that gives the client the needed information while also
acknowledging his or her feelings.
A client has recently lost all his or her possessions in a fire a
month ago. Which assessment data suggests that hospitalization
should be considered?
a. Has gained 10 pounds since the fire.
b. Drinks a six pack of beer daily.
c. States, "The fire made my life so hopeless."
d. Reports, "I really do need someone to talk to." Correct
Answers c. States, "The fire made my life so hopeless."
In crisis situations, it is important to evaluate the person's level
of anxiety. Common coping mechanisms may be overeating,
drinking, smoking, withdrawing, seeking out someone to talk to,
crying, yelling, sleeping too much, praying, or engaging in other
physical activity. The potential for suicide or homicide must be
assessed. If the patient is thinking of harming themself or
someone else, or is unable to take care of personal needs,
, hospitalization should be considered. The correct option
demonstrates a potential risk for suicide.
A client is seeking treatment in the emergency department (ED)
after a sexual assault. Which notation made by the ED nurse
demonstrates appropriate nonjudgmental documentation?
A. An alleged sexually assaulted inside a local parking garage
was made by the client.
B. Physical evidence supports that vaginal penetration occurred.
C. Treatment for facial abrasions was refused.
D. No acute emotional distress during assessment was noted.
Correct Answers B. Physical evidence supports that vaginal
penetration occurred.
Pejorative terms often reflect old myths and a lack of knowledge
and understanding regarding the rape victim's experience and
need for immediate intervention. Words and phrase like
"alleged," "refused," "intercourse," and "no acute distress" all
minimize the devastation of the event. Penetration is the
preferred term when describing the sexual aspects of the assault.
A client who has been sexually abused tearfully states, "I'm no
good now; there is nothing to live for." The most therapeutic
response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened." Correct
Answers A."Tell me more about your feelings."
