NRS 3016 FINAL EXAM QUESTIONS WITH 100%
SOLVED ANSWERS!!
A client has been admitted to the inpatient facility with a diagnosis of PTSD
after a history of violence by the client's significant other. During the initial
assessment interview, which assessment would be the priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status Answer - C. Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her son, 48 years old. Which is important for the nurse to
keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants
to leave the situation
C. The main focus of the nurse's actions should be on improving the elderly
mother's self-esteem
D. Placement of the older adult woman in a nursing home within the
community is crucial Answer - B. The nurse must allow the older adult mother
to decide whether she wants to leave the situation
The school nurse is aware that a student has requested "Tylenol" three times
during the past week because his "back hurts." The nurse has noticed that he
often wears long-sleeved sweaters and sweatshirts, even in warm weather. The
,nurse suspects that the student may be the victim of physical abuse. The nurse
is preparing to ask the child about his ongoing backache. Which would the
nurse anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain
the injuries
C. Carefully explain that the client's mother provides discipline because she
loves the client
D. Explain that his father is beating him on a regular basis Answer - A. Be
reluctant to report abuse because of shame or fear of retaliation
A client has been in a physically abusive relationship for more than a decade.
Which statement best demonstrates that the client understands of how fear
can influence a reluctance to leave such a relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure Answer - D. My
partner would hunt me down and kill me for sure
The nurse is caring for a hospitalized client who has schizophrenia. The client
has been taking antipsychotic medications for 1 week when the nurse observes
that the client's eyes are fixed on the ceiling. The nurse interprets this finding
as which condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
D. Tardive dyskinesia Answer - B. Oculogyric crisis
,A client is being released from the inpatient psychiatric unit with a diagnosis of
schizophrenia and treatment with antipsychotic medications. After teaching
the client and family about managing the disorder, the nurse determines that
the education was effective when they state which symptom should be
reported immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor Answer - C. Elevated temp
Assessment of a client with schizophrenia reveals that the client is hearing
voices that say people are staring, and that the client is seeing illusions. When
developing the plan of care for this client, which nursing diagnosis would be
appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
D. Risk for self-directed violence Answer - C. Disturbed sensory perceptions
A nurse is presenting information about psychotic disorders to a client's family.
The family demonstrates a need for more discussion when they make which
statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months Answer - A. The
majority of individuals with the disorder recover completely
, The nurse is assessing a client age 78 years who lives alone in their own home.
To assess the client's instrumental activities of daily living, which question
would be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? Answer - D. How often
do you go to the store to buy groceries?
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the
assessment, the nurse asks the client to identify common objects. The nurse is
assessing for which of the following?
A. Aphasia
B. Agnosia
C. Apraxia
D. Executive functioning Answer - B. Agnosia
A client comes to the emergency department because he thinks he is having a
heart attack. Further assessment determines that the client is not having a
heart attack but is having a panic attack. When beginning to interview the
client, which question would be most appropriate for the nurse to use?
A. Are you feeling much better now that you are lying down?
B. Do you think you will be able to drive home?
C. What do you think caused you to feel this way?
D. What did you experience just before and during the attack? Answer - D.
What did you experience just before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine
medication. Which risk would the nurse emphasize as being associated with
using this medication?
SOLVED ANSWERS!!
A client has been admitted to the inpatient facility with a diagnosis of PTSD
after a history of violence by the client's significant other. During the initial
assessment interview, which assessment would be the priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status Answer - C. Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her son, 48 years old. Which is important for the nurse to
keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants
to leave the situation
C. The main focus of the nurse's actions should be on improving the elderly
mother's self-esteem
D. Placement of the older adult woman in a nursing home within the
community is crucial Answer - B. The nurse must allow the older adult mother
to decide whether she wants to leave the situation
The school nurse is aware that a student has requested "Tylenol" three times
during the past week because his "back hurts." The nurse has noticed that he
often wears long-sleeved sweaters and sweatshirts, even in warm weather. The
,nurse suspects that the student may be the victim of physical abuse. The nurse
is preparing to ask the child about his ongoing backache. Which would the
nurse anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain
the injuries
C. Carefully explain that the client's mother provides discipline because she
loves the client
D. Explain that his father is beating him on a regular basis Answer - A. Be
reluctant to report abuse because of shame or fear of retaliation
A client has been in a physically abusive relationship for more than a decade.
Which statement best demonstrates that the client understands of how fear
can influence a reluctance to leave such a relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure Answer - D. My
partner would hunt me down and kill me for sure
The nurse is caring for a hospitalized client who has schizophrenia. The client
has been taking antipsychotic medications for 1 week when the nurse observes
that the client's eyes are fixed on the ceiling. The nurse interprets this finding
as which condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
D. Tardive dyskinesia Answer - B. Oculogyric crisis
,A client is being released from the inpatient psychiatric unit with a diagnosis of
schizophrenia and treatment with antipsychotic medications. After teaching
the client and family about managing the disorder, the nurse determines that
the education was effective when they state which symptom should be
reported immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor Answer - C. Elevated temp
Assessment of a client with schizophrenia reveals that the client is hearing
voices that say people are staring, and that the client is seeing illusions. When
developing the plan of care for this client, which nursing diagnosis would be
appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
D. Risk for self-directed violence Answer - C. Disturbed sensory perceptions
A nurse is presenting information about psychotic disorders to a client's family.
The family demonstrates a need for more discussion when they make which
statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months Answer - A. The
majority of individuals with the disorder recover completely
, The nurse is assessing a client age 78 years who lives alone in their own home.
To assess the client's instrumental activities of daily living, which question
would be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? Answer - D. How often
do you go to the store to buy groceries?
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the
assessment, the nurse asks the client to identify common objects. The nurse is
assessing for which of the following?
A. Aphasia
B. Agnosia
C. Apraxia
D. Executive functioning Answer - B. Agnosia
A client comes to the emergency department because he thinks he is having a
heart attack. Further assessment determines that the client is not having a
heart attack but is having a panic attack. When beginning to interview the
client, which question would be most appropriate for the nurse to use?
A. Are you feeling much better now that you are lying down?
B. Do you think you will be able to drive home?
C. What do you think caused you to feel this way?
D. What did you experience just before and during the attack? Answer - D.
What did you experience just before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine
medication. Which risk would the nurse emphasize as being associated with
using this medication?
