NUR 180 - Final Exam Questions with Correct
Detailed Solutions Graded A+ 2025-2026
The LPN has a patient with mental and emotional difficulties who is
sensitive to sound and light.
What actions will the LPN take?
- Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain
(soothing sounds)
The LPN is assessing the coping patterns of a new patient.
What data would the LPN expect to find?
- Current stressors
- Drug or alcohol abuse
- Weight changes
What characteristics will the LPN be looking for in a patient that is
suspected of having a substance abuse disorder?
NUR 180
,NUR 180
- Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job
Substance abuse interventions
- Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving
Alcohol abuse
- Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
Antabuse
- Disulfiram
- No cologne, perfume, cough syrup, mouthwash
Which of the following would mental health professionals strive to
help patients develop & maintain regarding spiritual care?
- Inner strength
- Self awareness
- Life's meaning & purpose
- Relationships with others
NUR 180
,NUR 180
Collecting data of religious beliefs & practices from patients.
What should the LPN include?
- What role does religion play in your life?
- What is your source of strength & hope?
- What brings you comfort and joy?
- Does your religion have any special days?
Patient prescribed Laxopam for anxiety.
What indicates a need for further teaching?
I can take this medication to relieve everyday stress
Patient scheduled for surgery who wants to wear a bracelet that has
significant religious meaning. When the LPN asks them to remove
it, they say they really wish they could wear it during the procedure.
What does the LPN do next?
Determine if the item may remain in place during the procedure
Muslim patient wishing to face MECCA.
What position should the nurse place the patient's bed?
South east direction from US
Patient is a Jehovah's Witness, and the physician orders 2 units of
blood ASAP. She refuses to sign the consent form.
What should the LPN do next?
- Notify supervisor/physician STAT
- Report patient's refusal
Nurses & spirituality
NUR 180
, NUR 180
- Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
Elderly patient that recently lost a loved one & would like to attend
a grief meeting but does not drive, cannot afford a taxi, doesn't wish
to burden family or friends.
What would the LPN do next?
Offer to acquire information about senior services that may help the
patient
Dying patient & family reports that the dying patient is speaking to
a deceased loved one. Family comes to the nurses station concerned
about too much pain medication.
How should the nurse respond?
Normal sign of approaching death & it is important that we do all
we can to keep her pain tolerable
Patient prescribed Fluoxetine.
Which response indicates further teaching is needed?
I must take this medication with a full meal
Patient admitted to the mental health unit. They have a toothbrush,
toothpaste, and dental floss in their pockets. They perform dental
care as often as every 1/2 hour.
How does the LPN interpret these actions?
NUR 180