NURS 326 EXAM 1 QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
A suicidal patient is found by the nurse as he tries to hang himself from the shower in
the bathroom. What nursing intervention would address the patient's need for safety
while maintaining his self-esteem?
a. Assign a staff member to remain with him at all times.
b. Place him in the seclusion room with 15 minute checks
c. Request that he remain with the patient group at all times.
d. Tell him he may use the bathroom only with staff supervision. - Answers -a
The nursing student learned of a high school classmate who recently committed suicide.
The classmate's death surprised the student, because the classmate had always
seemed very confident and popular. The student knows, however, that suicide is
usually:
a. An act with a message and purpose
b. An impulsive act without meaning
c. A random act of selfishness
d. A random act without meaning or purpose - Answers -a
A voluntary patient mutilates herself whenever she leaves the unit. The nurse suggests
use of four-point restraint to prevent the patient from further harming herself. What
question should be considered before this measure is undertaken?
a. Is this the least restrictive measure possible?
b. Can four-point restraint be used for voluntary patients?
c. What litigation is likely to follow from this action?
d. What documentation will be necessary after restraint application? - Answers -a
A patient, who has recently lost a spouse, calls the crisis line stating the occurrence of
suicidal ideations that involve jumping off a bridge over the river when no one is around.
What level of lethality would a nurse assess for this plan?
a. Low
b. Moderate
c. High
d. Lethality cannot be determined from this data - Answers -c
Which of the following symptoms indicates Neuroleptic Malignant Syndrome (NMS), a
potentially fatal side effect of an antipsychotic medication such as Haldol (haloperidol)?
a. Photosensitivity and an itchy rash on face, neck, chest and extremities
b. Hyperthermia and muscle rigidity
c. Blurred vision, constipation, and urinary retention
d. Tongue protrusion, lip smacking, and grimacing - Answers -b
,The nurse using cognitive behavior techniques when working with patients knows that
attributions are meanings the patient gives to events or circumstances that:
a. may or may not be objectively accurate
b. support a sense of autonomy
c. promote rigidity and chaos
d. isolate family members from each other - Answers -a
A patient was the driver of a car that struck and killed a child. The patient tells a nurse,
"I killed a child! I'm haunted by the sight of the body being thrown into the air. If I hadn't
been drinking I might have been able to stop. I don't know how I can go on living with
myself!" The crisis nurse should give priority to assessing the patient's:
a. suicidal risk.
b. physical condition.
c. recent drug dependency.
d. current alcohol consumption. - Answers -a
Mrs. Jones was started on Sertraline (Zoloft) two weeks ago. What is important for the
nurse to educate her on regarding this medication?
A. report any thoughts of suicidal ideation, avoid alcohol, and notify provider if rash
occurs
B. report any thoughts of suicidal ideation and notify provider of increased sex drive
C. Expect weight loss, nausea, increased heart rate and unusual bleeding
D. Avoid activities outdoors in the sun or that cause excessive sweating - Answers -A
report thoughts of suicide, avoid alcohol, notify provider of rash
A client has been prescribed a medication to treat depression that has specific food-
drug interactions. The client has been advised to avoid foods containing tyramine.
The astute ASU nursing student recognizes that the client has been prescribed a
medication from this medication classification or med group:
A. SSRIs (Selective Serotonin ReuptakeInhibitors
B. MAOIs (Monoamine oxidase inhibitors)
C. Tricyclics
D. Benzodiazipines - Answers -B. MAOIs
The nurse documents that a client diagnosed with schizophrenia is expressing a flat
affect. Which statement BEST describes this symptom?
A. The client laughs when told of the death of his mother.
B. The client sits alone and does not interact with others.
C. The client exhibits no emotional expression.
D. The client experiences no emotional feelings. - Answers -C. No emotional
expression
An adolescent whose peer recently committed suicide, decides to attempt suicide
himself and is admitted to an inpatient mental health unit. He is considered high risk for
self-harm and suicidal ideation. Which of the following nursing actions are most
appropriate? Select All that Apply
, A. Allow him to have all of his belongings
B. Place him on 1:1 observation
C. Have client sign contract for safety
D. Place client on 15 minute checks
E. Remove any belongings that may be considered a risk - Answers -B and E.
1:1 observation and remove risky belongings
People most at risk for suicide include which of the following? Select all that apply
A. Health care workers, first responders, and military
B. People who drink socially and have a strong support system
C. People with few protective factors who suffer from depression
D. People over the age of 60 and those in their 20's - Answers -A, C, D.
Health care workers, first responders, military
Few protective factors n depression
Over 60 and in their 20s
What is the first line pharmacological choice for treating depression?
A. ECT
B. CBT
C. SSRI
D. MAOI - Answers -C.
SSRI
Jonathan, a 22 year old male comes to the ED after reportedly being up for 48 hours,
driving to Las Vegas where he gambled his last paycheck. He appears disheveled,
rapid speech, and is asking for pain medication for his chronic back pain. Based on this
assessment, Jonathan may be experiencing?
A. PTSD
B. Manic episode
C. psychosis
D. Anger from a recent loss - Answers -B
Manic episode
As the RN, you identify a grieving client to be using maladaptive coping when you
witness?
A. The client participating in pet therapy
B. The client isolating and using statements of self-harm
C. The client taking routine naps and discussing feelings with peers
D. Crying in privacy and spending more time in outside - Answers -B
Client is isolating and using statements of self harm
John was diagnosed with schizophrenia disorder. He currently is hearing voices that tell
him to hurt himself and he also sees shadows. John is experiencing _____?
Negative symptoms with hallucinations.
Negative symptoms with delusions.
Positive symptoms with delusions.
ACCURATE ANSWERS
A suicidal patient is found by the nurse as he tries to hang himself from the shower in
the bathroom. What nursing intervention would address the patient's need for safety
while maintaining his self-esteem?
a. Assign a staff member to remain with him at all times.
b. Place him in the seclusion room with 15 minute checks
c. Request that he remain with the patient group at all times.
d. Tell him he may use the bathroom only with staff supervision. - Answers -a
The nursing student learned of a high school classmate who recently committed suicide.
The classmate's death surprised the student, because the classmate had always
seemed very confident and popular. The student knows, however, that suicide is
usually:
a. An act with a message and purpose
b. An impulsive act without meaning
c. A random act of selfishness
d. A random act without meaning or purpose - Answers -a
A voluntary patient mutilates herself whenever she leaves the unit. The nurse suggests
use of four-point restraint to prevent the patient from further harming herself. What
question should be considered before this measure is undertaken?
a. Is this the least restrictive measure possible?
b. Can four-point restraint be used for voluntary patients?
c. What litigation is likely to follow from this action?
d. What documentation will be necessary after restraint application? - Answers -a
A patient, who has recently lost a spouse, calls the crisis line stating the occurrence of
suicidal ideations that involve jumping off a bridge over the river when no one is around.
What level of lethality would a nurse assess for this plan?
a. Low
b. Moderate
c. High
d. Lethality cannot be determined from this data - Answers -c
Which of the following symptoms indicates Neuroleptic Malignant Syndrome (NMS), a
potentially fatal side effect of an antipsychotic medication such as Haldol (haloperidol)?
a. Photosensitivity and an itchy rash on face, neck, chest and extremities
b. Hyperthermia and muscle rigidity
c. Blurred vision, constipation, and urinary retention
d. Tongue protrusion, lip smacking, and grimacing - Answers -b
,The nurse using cognitive behavior techniques when working with patients knows that
attributions are meanings the patient gives to events or circumstances that:
a. may or may not be objectively accurate
b. support a sense of autonomy
c. promote rigidity and chaos
d. isolate family members from each other - Answers -a
A patient was the driver of a car that struck and killed a child. The patient tells a nurse,
"I killed a child! I'm haunted by the sight of the body being thrown into the air. If I hadn't
been drinking I might have been able to stop. I don't know how I can go on living with
myself!" The crisis nurse should give priority to assessing the patient's:
a. suicidal risk.
b. physical condition.
c. recent drug dependency.
d. current alcohol consumption. - Answers -a
Mrs. Jones was started on Sertraline (Zoloft) two weeks ago. What is important for the
nurse to educate her on regarding this medication?
A. report any thoughts of suicidal ideation, avoid alcohol, and notify provider if rash
occurs
B. report any thoughts of suicidal ideation and notify provider of increased sex drive
C. Expect weight loss, nausea, increased heart rate and unusual bleeding
D. Avoid activities outdoors in the sun or that cause excessive sweating - Answers -A
report thoughts of suicide, avoid alcohol, notify provider of rash
A client has been prescribed a medication to treat depression that has specific food-
drug interactions. The client has been advised to avoid foods containing tyramine.
The astute ASU nursing student recognizes that the client has been prescribed a
medication from this medication classification or med group:
A. SSRIs (Selective Serotonin ReuptakeInhibitors
B. MAOIs (Monoamine oxidase inhibitors)
C. Tricyclics
D. Benzodiazipines - Answers -B. MAOIs
The nurse documents that a client diagnosed with schizophrenia is expressing a flat
affect. Which statement BEST describes this symptom?
A. The client laughs when told of the death of his mother.
B. The client sits alone and does not interact with others.
C. The client exhibits no emotional expression.
D. The client experiences no emotional feelings. - Answers -C. No emotional
expression
An adolescent whose peer recently committed suicide, decides to attempt suicide
himself and is admitted to an inpatient mental health unit. He is considered high risk for
self-harm and suicidal ideation. Which of the following nursing actions are most
appropriate? Select All that Apply
, A. Allow him to have all of his belongings
B. Place him on 1:1 observation
C. Have client sign contract for safety
D. Place client on 15 minute checks
E. Remove any belongings that may be considered a risk - Answers -B and E.
1:1 observation and remove risky belongings
People most at risk for suicide include which of the following? Select all that apply
A. Health care workers, first responders, and military
B. People who drink socially and have a strong support system
C. People with few protective factors who suffer from depression
D. People over the age of 60 and those in their 20's - Answers -A, C, D.
Health care workers, first responders, military
Few protective factors n depression
Over 60 and in their 20s
What is the first line pharmacological choice for treating depression?
A. ECT
B. CBT
C. SSRI
D. MAOI - Answers -C.
SSRI
Jonathan, a 22 year old male comes to the ED after reportedly being up for 48 hours,
driving to Las Vegas where he gambled his last paycheck. He appears disheveled,
rapid speech, and is asking for pain medication for his chronic back pain. Based on this
assessment, Jonathan may be experiencing?
A. PTSD
B. Manic episode
C. psychosis
D. Anger from a recent loss - Answers -B
Manic episode
As the RN, you identify a grieving client to be using maladaptive coping when you
witness?
A. The client participating in pet therapy
B. The client isolating and using statements of self-harm
C. The client taking routine naps and discussing feelings with peers
D. Crying in privacy and spending more time in outside - Answers -B
Client is isolating and using statements of self harm
John was diagnosed with schizophrenia disorder. He currently is hearing voices that tell
him to hurt himself and he also sees shadows. John is experiencing _____?
Negative symptoms with hallucinations.
Negative symptoms with delusions.
Positive symptoms with delusions.
