NUR 354 PRACTICE QUESTIONS WITH ANSWERS & RATIONALES | NURSING EXAM PREP
STUDY GUIDE 2026/2027
The nurse finds a client with schizophrenia lying under a bench in the hall. The client states,
"God told me to lie here." What is the best response by the nurse?
1. "I didn't hear anyone talking. Come with me to your room."
2. "What you heard was in your head; it was your imagination."
3. "Come to the dayroom and watch television. It will help take your mind off of this."
4. "God would not tell you to do that, he wants you to behave reasonably." - ANS ✔✔1. "I didn't
hear anyone talking. Come with me to your room."
A hyperactive self-destructive child is to be discharged from an inpatient setting in a few days. In
preparation for the child's discharge, it is most important for the nurse to plan to:
1.Establish, maintain, and enforce limits on behavior
2.Meet with the child's teacher to review the child's needs
3.Schedule a team conference with the child and the parents
4.Help the child begin to terminate relationships with the nursing team - ANS ✔✔3.Schedule a
team conference with the child and the parents
To help a disturbed, acting-out child develop a trusting relationship, the nurse should:
1. Inquire as to the child's feelings about the parents
2. Implement a half hour one-to-one interaction daily
3. Initiate limit setting and explain the rules to be followed
4. Offer periodic support and emphasize safety in play activities - ANS ✔✔4. Offer periodic
support and emphasize safety in play activities
, A nurse is assessing an adolescent client with the diagnosis of schizophrenia, undifferentiated
type. Which signs and symptoms should the nurse expect the client to experience?
1. Paranoid delusions and hypervigilance
2. Depression and psychomotor retardation
3. Loosened associations and hallucinations
4. Ritualistic behaviors and obsessive thinking - ANS ✔✔3. Loosened associations and
hallucinations
The nurse is caring for a client who is experiencing disturbed thought processes as a result of
paranoia. In formulating nursing interventions with the members of the health care team, what
best instruction should the nurse provide to the staff?
A.Increase socialization of the client with peers.
B. Begin to educate the client about social supports in the community.
C. Avoid laughing or whispering in front of the client.
D. Have the client sign a release of information to appropriate parties for assessment purposes.
- ANS ✔✔C. Avoid laughing or whispering in front of the client.
When assessing the mental status of a 7- or 8-year-old child, it is most important for the nurse
to:
1. Listen to the parent's description of the child's behvior
2. Compare the child's functioning from one day to another
3. Engage parents in a discussion about the child's feelings
4. Determine the child's mental status by using direct questions - ANS ✔✔2. Compare the
child's functioning from one day to another
When caring for a withdrawn, reclusive, psychotic client, the priority goal is for the client to
develop:
1. Trust
STUDY GUIDE 2026/2027
The nurse finds a client with schizophrenia lying under a bench in the hall. The client states,
"God told me to lie here." What is the best response by the nurse?
1. "I didn't hear anyone talking. Come with me to your room."
2. "What you heard was in your head; it was your imagination."
3. "Come to the dayroom and watch television. It will help take your mind off of this."
4. "God would not tell you to do that, he wants you to behave reasonably." - ANS ✔✔1. "I didn't
hear anyone talking. Come with me to your room."
A hyperactive self-destructive child is to be discharged from an inpatient setting in a few days. In
preparation for the child's discharge, it is most important for the nurse to plan to:
1.Establish, maintain, and enforce limits on behavior
2.Meet with the child's teacher to review the child's needs
3.Schedule a team conference with the child and the parents
4.Help the child begin to terminate relationships with the nursing team - ANS ✔✔3.Schedule a
team conference with the child and the parents
To help a disturbed, acting-out child develop a trusting relationship, the nurse should:
1. Inquire as to the child's feelings about the parents
2. Implement a half hour one-to-one interaction daily
3. Initiate limit setting and explain the rules to be followed
4. Offer periodic support and emphasize safety in play activities - ANS ✔✔4. Offer periodic
support and emphasize safety in play activities
, A nurse is assessing an adolescent client with the diagnosis of schizophrenia, undifferentiated
type. Which signs and symptoms should the nurse expect the client to experience?
1. Paranoid delusions and hypervigilance
2. Depression and psychomotor retardation
3. Loosened associations and hallucinations
4. Ritualistic behaviors and obsessive thinking - ANS ✔✔3. Loosened associations and
hallucinations
The nurse is caring for a client who is experiencing disturbed thought processes as a result of
paranoia. In formulating nursing interventions with the members of the health care team, what
best instruction should the nurse provide to the staff?
A.Increase socialization of the client with peers.
B. Begin to educate the client about social supports in the community.
C. Avoid laughing or whispering in front of the client.
D. Have the client sign a release of information to appropriate parties for assessment purposes.
- ANS ✔✔C. Avoid laughing or whispering in front of the client.
When assessing the mental status of a 7- or 8-year-old child, it is most important for the nurse
to:
1. Listen to the parent's description of the child's behvior
2. Compare the child's functioning from one day to another
3. Engage parents in a discussion about the child's feelings
4. Determine the child's mental status by using direct questions - ANS ✔✔2. Compare the
child's functioning from one day to another
When caring for a withdrawn, reclusive, psychotic client, the priority goal is for the client to
develop:
1. Trust
