Psych Final Exam Questions and Answers
A client is in the late stage of Alzheimers disease. To address the clients symptoms, which nursing
intervention should take priority?
a. improve cognitive status by encouraging involvement in social activities
b. decrease social isolation by providing group therapies
c. promote dignity by providing comfort, safety and self care measures
d. facilitate communication by providing assistive devices
c. promote dignity
A client dx with neurocognitive disorder exhibits progressive memory loss, diminished cognitive functioning
and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
a. schedule structured daily routines
b. minimize environmental lighting
c. organize group activities to present reality
d. explain the consequences for aggressive behaviors
a. structured schedule
A client diagnosed w/neurocog disorder due to Alzheimers disease has impairments of memory and
judgment and is incapable of performing activities of daily living. Which nursing intervention should take
priority?
a. present evidence of objective reality
b. design a bulletin board to represent the current season
c. label the clients room with name and number
d. assist w/bathing and toileting
d. bathing and toileting
,A client dx w/neurocog disorder is exhibiting behavioral probs on a daily basis. At change of shift, the
behavior escalates from pacing to screaming and flailing. Initially, which action should a nurse implement in
this situation?
a. consult the psychologist
b. medicate the client w/prn antianxiety
c. assess environmental triggers and unmet needs
d. anticipate behavior and restrain
c. assess triggers
A nurse evals a clients PCA pump and notices 100 attempts in 30 minutes. Which is the best rationale for
assessing this client for substance use disorder?
a. narcotic pain med is contraindicated for all clients w/active substance use probs
b. clients who are regularly using ETOH or benzos may have developed cross-tolerance to analgesics and
require increased doses to achieve effective pain control
c. there is no need to assess the client for substance use disorder
d. the client is exxperiencing symptoms of withdrawal
b. cross tolerance
On the 1st day of clients ETOH detox, which intervention should take priority?
a. strongly encourage client to attend 90 AA mtgs in 90 days
b. educate client about bipsychosocial consequences of ETOH abuse
c. administer Librium in dosage according to protocol
d. Administer B1 to prevent Wernicke-Korsakoff syndrome
c. Librium
Client w/hx of heavy ETOH use is in the ED by family members who state he hasn't drank in 24 hours. Which
symptom should the nurse immediately report?
a. AC bruising
,b. BP 180/100
c. Mood 2/10
d. dehydration
b. BP
A nurse holds the hand of a client w/d from ETOH. What is the rationale?
To assess...
a. emotional strength
b. Wernicke-Korsakoff syndrome
c. tachycardia
d. fine tremors
d. fine tremors
During group therapy, client dx w/ETOH use disorder states, I wouldn't have boozed it up if my wife hadn't
been nagging me. She never did think I was good enough. How should the nurse interpret this statement?
The client is using...
a. denial by avoiding responsibility
b. displacement by blaming his wife
c. rationalization to excuse his alcohol dependence
d. reaction formation by appealing to the group for sympathy
c. rationalization
A nurse is reviewing lab data of a client in the ED. What minimum blood ETOH level should nurse expect
intoxication to occur?
a. 50 mg/dL
b. 100
, c. 250
d. 300
b. 100
A client dx w/depression & substance use disorder has altered sleep pattern & demands a sedative. Which
rationale explains why the client should try nonpharm interventions?
Sedative-hypnotics...
a. are potentially addictive
b. are expensive
c. interfere w/REM
d. Are not effective to promote sleep
a. are potentially addictive
Client is admitted for ETOH detox. During detox, which sx should nurse expect to assess?
a. gross tremors, delirium, hyperactivity, HTN
b. disorientation, peripheral neuropathy, hypotension
c. oculogyric crisis, amnesia, ataxia, HTN
d. hallucinations, fine tremors, confabulation, orthostatic hypotension
a. tremors, delirium, hyperactive, HTN
Which is the priority nursing intervention for acute ETOH intox?
a. darken the room
b. assess aggressive behaviors
c. administer Ativan
d. teach the negative effects of ETOH
b. assess aggression
A client is in the late stage of Alzheimers disease. To address the clients symptoms, which nursing
intervention should take priority?
a. improve cognitive status by encouraging involvement in social activities
b. decrease social isolation by providing group therapies
c. promote dignity by providing comfort, safety and self care measures
d. facilitate communication by providing assistive devices
c. promote dignity
A client dx with neurocognitive disorder exhibits progressive memory loss, diminished cognitive functioning
and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
a. schedule structured daily routines
b. minimize environmental lighting
c. organize group activities to present reality
d. explain the consequences for aggressive behaviors
a. structured schedule
A client diagnosed w/neurocog disorder due to Alzheimers disease has impairments of memory and
judgment and is incapable of performing activities of daily living. Which nursing intervention should take
priority?
a. present evidence of objective reality
b. design a bulletin board to represent the current season
c. label the clients room with name and number
d. assist w/bathing and toileting
d. bathing and toileting
,A client dx w/neurocog disorder is exhibiting behavioral probs on a daily basis. At change of shift, the
behavior escalates from pacing to screaming and flailing. Initially, which action should a nurse implement in
this situation?
a. consult the psychologist
b. medicate the client w/prn antianxiety
c. assess environmental triggers and unmet needs
d. anticipate behavior and restrain
c. assess triggers
A nurse evals a clients PCA pump and notices 100 attempts in 30 minutes. Which is the best rationale for
assessing this client for substance use disorder?
a. narcotic pain med is contraindicated for all clients w/active substance use probs
b. clients who are regularly using ETOH or benzos may have developed cross-tolerance to analgesics and
require increased doses to achieve effective pain control
c. there is no need to assess the client for substance use disorder
d. the client is exxperiencing symptoms of withdrawal
b. cross tolerance
On the 1st day of clients ETOH detox, which intervention should take priority?
a. strongly encourage client to attend 90 AA mtgs in 90 days
b. educate client about bipsychosocial consequences of ETOH abuse
c. administer Librium in dosage according to protocol
d. Administer B1 to prevent Wernicke-Korsakoff syndrome
c. Librium
Client w/hx of heavy ETOH use is in the ED by family members who state he hasn't drank in 24 hours. Which
symptom should the nurse immediately report?
a. AC bruising
,b. BP 180/100
c. Mood 2/10
d. dehydration
b. BP
A nurse holds the hand of a client w/d from ETOH. What is the rationale?
To assess...
a. emotional strength
b. Wernicke-Korsakoff syndrome
c. tachycardia
d. fine tremors
d. fine tremors
During group therapy, client dx w/ETOH use disorder states, I wouldn't have boozed it up if my wife hadn't
been nagging me. She never did think I was good enough. How should the nurse interpret this statement?
The client is using...
a. denial by avoiding responsibility
b. displacement by blaming his wife
c. rationalization to excuse his alcohol dependence
d. reaction formation by appealing to the group for sympathy
c. rationalization
A nurse is reviewing lab data of a client in the ED. What minimum blood ETOH level should nurse expect
intoxication to occur?
a. 50 mg/dL
b. 100
, c. 250
d. 300
b. 100
A client dx w/depression & substance use disorder has altered sleep pattern & demands a sedative. Which
rationale explains why the client should try nonpharm interventions?
Sedative-hypnotics...
a. are potentially addictive
b. are expensive
c. interfere w/REM
d. Are not effective to promote sleep
a. are potentially addictive
Client is admitted for ETOH detox. During detox, which sx should nurse expect to assess?
a. gross tremors, delirium, hyperactivity, HTN
b. disorientation, peripheral neuropathy, hypotension
c. oculogyric crisis, amnesia, ataxia, HTN
d. hallucinations, fine tremors, confabulation, orthostatic hypotension
a. tremors, delirium, hyperactive, HTN
Which is the priority nursing intervention for acute ETOH intox?
a. darken the room
b. assess aggressive behaviors
c. administer Ativan
d. teach the negative effects of ETOH
b. assess aggression
