NURSING 102 EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
'affect': Correct Answers Inappropriate or flattened affect-
emotions in-congruent to circumstances/situation.
'ambivalence' : Correct Answers holding of conflicting
attitudes and emotions towards others and self; lack of
motivation and depersonalization.
'associations' : Correct Answers loosening of thought
associations leading to word salad/ flight of ideas/ thought
disorder.
'autism': Correct Answers social withdrawal- preferring to live
in a fantasy world rather than interact with social world
appropriately.
4 A's of schizophrenia Correct Answers Affect
Associative looseness
Autism
Ambivalence
5 P's of compartment syndrome Correct Answers pain, pallor,
pulselessness, paralysis, paresthesia
A 5-year-old child is diagnosed with type 1 diabetes. The family
has questions about diabetes. What should the nurse teach the
parents about type 1 diabetes?
a. distinguished primarily by insulin deficiency
b. identified mainly by insulin resistance
,c. is reversible through proper diet and exercise
d. managed best by oral medication, activity, and nutrition
Correct Answers a. distinguished primarily by insulin
deficiency
A client who is in a severely abusive relationship is admitted to
a psychiatric inpatient unit. The client fears for her life. A staff
nurse asks, "Why doesn't she just leave him?" Which is the
nursing supervisor's most appropriate reply?
A. "These clients don't know life any other way, and change is
not an option until they have improved insight."
B. "These clients have limited KEY: Cognitive skills and few
vocational abilities to be able to make it on their own."
C. "These clients often have a lack of financial independence to
support themselves and their children, and most have religious
beliefs prohibiting divorce and separation."
D. "These clients are paralyzed into inaction by a combination
of physical threats and a sense of powerlessness." Correct
Answers D. "These clients are paralyzed into inaction by a
combination of physical threats and a sense of powerlessness."
A college student was sexually assaulted when out on a date.
After several weeks of crisis intervention therapy, which client
statement should indicate to a nurse that the student is handling
this situation in a healthy manner?
A. "I know that it was not my fault."
B. "My boyfriend has trouble controlling his sexual urges."
C. "If I don't put myself in a dating situation, I won't be at risk."
D. "Next time I will think twice about wearing a sexy dress."
Correct Answers A. "I know that it was not my fault."
, a delusional client says to the nurse, "the federal guards were
sent to kill me." the nurse's best response is:
a. I think you might be mistaken. there is no one else here.
b. the guards are not out to kill you. you are safe now.
c. what makes you think the guards were sent to hurt you
d. I don't know anything about the guards. do you feel afraid that
people are trying to hurt you? Correct Answers d. I don't know
anything about the guards. do you feel afraid that people are
trying to hurt you?
a newly diagnosed patient with DM is stabilized with daily
insulin injections. a nurse prepares a discharge teaching plan
regarding the insulin and plans to reinforce which of the
following concepts?
a. always keep insulin refrigerated
b. ketones in the urine signify a need for less insulin
c. increase the amount of insulin before unusual exercise
d. systematically rotate insulin injections within anatomic sites.
Correct Answers d. systematically rotate insulin injections
within anatomic sites.
a nurse is caring for a client who had a spinal fusion, with
insertion of hardware. the nurse would be concerned especially
with which of the following assessments?
a. temp of 38.6
d. pain rated 5/10 during repositioning
c. dark drainage outlines on the surgical dressing
d. discomfort during coughing and deep breathing exercises
Correct Answers a. temp of 38.6
SOLUTIONS
'affect': Correct Answers Inappropriate or flattened affect-
emotions in-congruent to circumstances/situation.
'ambivalence' : Correct Answers holding of conflicting
attitudes and emotions towards others and self; lack of
motivation and depersonalization.
'associations' : Correct Answers loosening of thought
associations leading to word salad/ flight of ideas/ thought
disorder.
'autism': Correct Answers social withdrawal- preferring to live
in a fantasy world rather than interact with social world
appropriately.
4 A's of schizophrenia Correct Answers Affect
Associative looseness
Autism
Ambivalence
5 P's of compartment syndrome Correct Answers pain, pallor,
pulselessness, paralysis, paresthesia
A 5-year-old child is diagnosed with type 1 diabetes. The family
has questions about diabetes. What should the nurse teach the
parents about type 1 diabetes?
a. distinguished primarily by insulin deficiency
b. identified mainly by insulin resistance
,c. is reversible through proper diet and exercise
d. managed best by oral medication, activity, and nutrition
Correct Answers a. distinguished primarily by insulin
deficiency
A client who is in a severely abusive relationship is admitted to
a psychiatric inpatient unit. The client fears for her life. A staff
nurse asks, "Why doesn't she just leave him?" Which is the
nursing supervisor's most appropriate reply?
A. "These clients don't know life any other way, and change is
not an option until they have improved insight."
B. "These clients have limited KEY: Cognitive skills and few
vocational abilities to be able to make it on their own."
C. "These clients often have a lack of financial independence to
support themselves and their children, and most have religious
beliefs prohibiting divorce and separation."
D. "These clients are paralyzed into inaction by a combination
of physical threats and a sense of powerlessness." Correct
Answers D. "These clients are paralyzed into inaction by a
combination of physical threats and a sense of powerlessness."
A college student was sexually assaulted when out on a date.
After several weeks of crisis intervention therapy, which client
statement should indicate to a nurse that the student is handling
this situation in a healthy manner?
A. "I know that it was not my fault."
B. "My boyfriend has trouble controlling his sexual urges."
C. "If I don't put myself in a dating situation, I won't be at risk."
D. "Next time I will think twice about wearing a sexy dress."
Correct Answers A. "I know that it was not my fault."
, a delusional client says to the nurse, "the federal guards were
sent to kill me." the nurse's best response is:
a. I think you might be mistaken. there is no one else here.
b. the guards are not out to kill you. you are safe now.
c. what makes you think the guards were sent to hurt you
d. I don't know anything about the guards. do you feel afraid that
people are trying to hurt you? Correct Answers d. I don't know
anything about the guards. do you feel afraid that people are
trying to hurt you?
a newly diagnosed patient with DM is stabilized with daily
insulin injections. a nurse prepares a discharge teaching plan
regarding the insulin and plans to reinforce which of the
following concepts?
a. always keep insulin refrigerated
b. ketones in the urine signify a need for less insulin
c. increase the amount of insulin before unusual exercise
d. systematically rotate insulin injections within anatomic sites.
Correct Answers d. systematically rotate insulin injections
within anatomic sites.
a nurse is caring for a client who had a spinal fusion, with
insertion of hardware. the nurse would be concerned especially
with which of the following assessments?
a. temp of 38.6
d. pain rated 5/10 during repositioning
c. dark drainage outlines on the surgical dressing
d. discomfort during coughing and deep breathing exercises
Correct Answers a. temp of 38.6
