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NUR 129 EXAM 2 JUST RELEASED THIS
YEAR WITH COMPLETE 380 QUESTIONS
AND CORRECT SOLUTIONS
QUESTION: Which of the following neurotransmitters have been inked to depression?
A. Dopamine and Epinephrine
B. Serotonin and Norepinephrine
C. Glutamate and Amino Acids
D. GABA and Acetylcholine - ANSWER✔✔B. Serotonin and Norepinephrine
QUESTION: By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve
depression?
A. Increasing production of acetylcholine and dopamine
B. Making more serotonin available at the synaptic gap
C Destroying increased amounts of serotonin.
D. Blocking muscarinic and alpha 1 norepinephrine receptors - ANSWER✔✔B. Making more
serotonin available at the synaptic gap
QUESTION: The nurse is implementing a one-to-one suicide observation level with a client
diagnosed with MDD. The client states, "I'm feeling a lot better, so you can stop watching me. I
have taken up too much of your time already." Which is the best nursing reply?
A. I am glad you are feeling better. The treatment team will consider your request.
B. I will forward your request to your psychiatrist because it is his decision
C. I really appreciate your concern, but I have been ordered to continue to watch you.
D. Because we are concerned about your safety, we will continue to observe you -
ANSWER✔✔D. Because we are concerned about your safety, we will continue to observe you
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QUESTION: Which client statement expresses typical underlying feelings of clients diagnosed
with MDD?
A. If I ignore these feelings, they will go away
B. It's just a matter of time, and I will be well
C. I can fight these feelings and overcome this disorder
D. Nothing will help me feel better - ANSWER✔✔D. Nothing will help me feel better
QUESTION: A client is admitted with a diagnosis of PDD. Which client statement describes a
symptom consistent with this diagnosis?
A. I'm afraid to leave the house
B. I have been sad most of the time for the past several years
C. I find myself preoccupied with death
D. Sometimes I hear voices telling me to kill myself - ANSWER✔✔B. I have been sad most of the
time for the past several years
QUESTION: Electroconvulsive therapy (ECT) is considered the treatment of choice for which
client?
A. A 39-year-old man experiencing recurrent suicidal ideation
B. A 41-year-old woman describing a suicide plan
C. A 67-year-old man explaining a recent suicide attempt
D. A 23-year-old woman experiencing postpartum depression - ANSWER✔✔C. A 67-year-old
man explaining a recent suicide attempt
QUESTION: A 20-year-old female has a diagnosis of PMDD. Which of the following should the
nurse identify as consistent with this diagnosis? Select all that apply.
A. Symptoms are caused significant interference with daily activities.
B. Client-rated mood is 2/10 for the past months
C. Mood swings occur the week before onset of menses
D. Client reports subjective difficulty concentrating
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E. Client manifests pressured speech when communicating - ANSWER✔✔A. Symptoms are
caused significant interference with daily activities.
C. Mood swings occur the week before onset of menses
D. Client reports subjective difficulty concentrating
QUESTION: 1. After the initial assessment of a patient diagnosed with schizoaffective disorder,
the nurse identifies "Self-care deficit" as a nursing diagnosis based on the following assessment
data.
A. The pt exhibits poor concentration and attention
B. The patient presents with disheveled appearance
C. The pt identifies difficulty in maintaining their home in a safe and comfortable condition
D. The pt exhibits loose association of ideas - ANSWER✔✔B. The patient presents with
disheveled appearance
rationale: This assessment finding indicates the pt's inability to independently perform self-care
activities such as hygiene, eating, toileting, dressing.
QUESTION: 2. The nurse is caring for a college student who started hearing voices, has not
attended classes for the past 4 weeks, was yelling accusations at others, and has stopped
communicating with family and friends. Which is the nurse's priority nursing diagnosis?
A. Risk of other-directed violence R/T yelling accusations
B. Altered thought processes R/T hearing voices AEB increased anxiety
C. Risk of self-directed violence R/T depressed mood
D. Social isolation R/T paranoia AEB absence from classes - ANSWER✔✔A. Risk of other-directed
violence R/T yelling accusations
rationale: Safety is always the priority. Verbal aggression is a behavior indicating risk of violence.
Other risk factors include aggressive body language, command hallucinations, rage reactions,
and destruction of objects in the environment.
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QUESTION: 3. A pt diagnosed with schizoaffective disorder presents with auditory and visual
hallucinations, circumstantial thought process, and blunted affect. What would the nurse's
priority assessment?
A. "What psychiatric medications are you currently taking?"
B. "Have you taken any drugs or alcohol recently?"
C. "What are the voices saying to you?"
D. "Are you having any thoughts about hurting other?" - ANSWER✔✔C. "What are the voices
saying to you?"
rationale: Based on the information given, the priority would be to assess the content of the
hallucinations, which will include any command hallucinations.
QUESTION: 4. Which client is most likely to benefit from group therapy?
A. A client diagnosed with schizophrenia being followed up on in an out-patient clinic
B. A client diagnosed with schizophrenia who is not adherent with antipsychotic medications
C. A client experiencing an exacerbation of the signs and symptoms of schizophrenia
D. A client with schizophrenia is newly admitted to an in-patient unit for stabilization. -
ANSWER✔✔A. A client diagnosed with schizophrenia being followed up on in an out-patient
clinic
QUESTION: 5. A client is in the active phase of schizophrenia and is experiencing paranoid
thinking. Which nursing intervention would aid in facilitating other interventions?
A. Encourage participation in group activities
B. Convey acceptance of the client's delusional belief
C. Assign consistent staff members.
D. Help the client understand that anxiety causes hallucinations. - ANSWER✔✔C. Assign
consistent staff members.
QUESTION: 6. A client taking olanzapine (Zyprexa) has a nursing diagnosis of altered sensory
perception would be appropriate for this client's problem?
NUR 129 EXAM 2 JUST RELEASED THIS
YEAR WITH COMPLETE 380 QUESTIONS
AND CORRECT SOLUTIONS
QUESTION: Which of the following neurotransmitters have been inked to depression?
A. Dopamine and Epinephrine
B. Serotonin and Norepinephrine
C. Glutamate and Amino Acids
D. GABA and Acetylcholine - ANSWER✔✔B. Serotonin and Norepinephrine
QUESTION: By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve
depression?
A. Increasing production of acetylcholine and dopamine
B. Making more serotonin available at the synaptic gap
C Destroying increased amounts of serotonin.
D. Blocking muscarinic and alpha 1 norepinephrine receptors - ANSWER✔✔B. Making more
serotonin available at the synaptic gap
QUESTION: The nurse is implementing a one-to-one suicide observation level with a client
diagnosed with MDD. The client states, "I'm feeling a lot better, so you can stop watching me. I
have taken up too much of your time already." Which is the best nursing reply?
A. I am glad you are feeling better. The treatment team will consider your request.
B. I will forward your request to your psychiatrist because it is his decision
C. I really appreciate your concern, but I have been ordered to continue to watch you.
D. Because we are concerned about your safety, we will continue to observe you -
ANSWER✔✔D. Because we are concerned about your safety, we will continue to observe you
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QUESTION: Which client statement expresses typical underlying feelings of clients diagnosed
with MDD?
A. If I ignore these feelings, they will go away
B. It's just a matter of time, and I will be well
C. I can fight these feelings and overcome this disorder
D. Nothing will help me feel better - ANSWER✔✔D. Nothing will help me feel better
QUESTION: A client is admitted with a diagnosis of PDD. Which client statement describes a
symptom consistent with this diagnosis?
A. I'm afraid to leave the house
B. I have been sad most of the time for the past several years
C. I find myself preoccupied with death
D. Sometimes I hear voices telling me to kill myself - ANSWER✔✔B. I have been sad most of the
time for the past several years
QUESTION: Electroconvulsive therapy (ECT) is considered the treatment of choice for which
client?
A. A 39-year-old man experiencing recurrent suicidal ideation
B. A 41-year-old woman describing a suicide plan
C. A 67-year-old man explaining a recent suicide attempt
D. A 23-year-old woman experiencing postpartum depression - ANSWER✔✔C. A 67-year-old
man explaining a recent suicide attempt
QUESTION: A 20-year-old female has a diagnosis of PMDD. Which of the following should the
nurse identify as consistent with this diagnosis? Select all that apply.
A. Symptoms are caused significant interference with daily activities.
B. Client-rated mood is 2/10 for the past months
C. Mood swings occur the week before onset of menses
D. Client reports subjective difficulty concentrating
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E. Client manifests pressured speech when communicating - ANSWER✔✔A. Symptoms are
caused significant interference with daily activities.
C. Mood swings occur the week before onset of menses
D. Client reports subjective difficulty concentrating
QUESTION: 1. After the initial assessment of a patient diagnosed with schizoaffective disorder,
the nurse identifies "Self-care deficit" as a nursing diagnosis based on the following assessment
data.
A. The pt exhibits poor concentration and attention
B. The patient presents with disheveled appearance
C. The pt identifies difficulty in maintaining their home in a safe and comfortable condition
D. The pt exhibits loose association of ideas - ANSWER✔✔B. The patient presents with
disheveled appearance
rationale: This assessment finding indicates the pt's inability to independently perform self-care
activities such as hygiene, eating, toileting, dressing.
QUESTION: 2. The nurse is caring for a college student who started hearing voices, has not
attended classes for the past 4 weeks, was yelling accusations at others, and has stopped
communicating with family and friends. Which is the nurse's priority nursing diagnosis?
A. Risk of other-directed violence R/T yelling accusations
B. Altered thought processes R/T hearing voices AEB increased anxiety
C. Risk of self-directed violence R/T depressed mood
D. Social isolation R/T paranoia AEB absence from classes - ANSWER✔✔A. Risk of other-directed
violence R/T yelling accusations
rationale: Safety is always the priority. Verbal aggression is a behavior indicating risk of violence.
Other risk factors include aggressive body language, command hallucinations, rage reactions,
and destruction of objects in the environment.
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QUESTION: 3. A pt diagnosed with schizoaffective disorder presents with auditory and visual
hallucinations, circumstantial thought process, and blunted affect. What would the nurse's
priority assessment?
A. "What psychiatric medications are you currently taking?"
B. "Have you taken any drugs or alcohol recently?"
C. "What are the voices saying to you?"
D. "Are you having any thoughts about hurting other?" - ANSWER✔✔C. "What are the voices
saying to you?"
rationale: Based on the information given, the priority would be to assess the content of the
hallucinations, which will include any command hallucinations.
QUESTION: 4. Which client is most likely to benefit from group therapy?
A. A client diagnosed with schizophrenia being followed up on in an out-patient clinic
B. A client diagnosed with schizophrenia who is not adherent with antipsychotic medications
C. A client experiencing an exacerbation of the signs and symptoms of schizophrenia
D. A client with schizophrenia is newly admitted to an in-patient unit for stabilization. -
ANSWER✔✔A. A client diagnosed with schizophrenia being followed up on in an out-patient
clinic
QUESTION: 5. A client is in the active phase of schizophrenia and is experiencing paranoid
thinking. Which nursing intervention would aid in facilitating other interventions?
A. Encourage participation in group activities
B. Convey acceptance of the client's delusional belief
C. Assign consistent staff members.
D. Help the client understand that anxiety causes hallucinations. - ANSWER✔✔C. Assign
consistent staff members.
QUESTION: 6. A client taking olanzapine (Zyprexa) has a nursing diagnosis of altered sensory
perception would be appropriate for this client's problem?
