NUR 326 Final Exam Prep 2026/2027 | Verified Q&A |
Latest Update | Graded A+
1. Why is 'Potential for violence, other directed' considered the priority nursing
diagnosis for an aggressive client?
It focuses on long-term emotional stability.
It helps in managing anxiety symptoms.
It addresses immediate safety concerns for both the client and
others.
It aims to improve the client's self-esteem.
2. Describe why lack of coping skills is considered a risk factor for suicide.
Lack of coping skills only affects physical health.
Lack of coping skills can lead to ineffective problem solving and
increased vulnerability to crises.
Lack of coping skills is irrelevant to suicide risk.
Lack of coping skills enhances interpersonal relationships.
3. If a nurse is assessing a group of patients for risk factors related to
interpersonal violence, which patient should be monitored closely based on
their history?
A 25-year-old female who is a college student with no known issues.
A 45-year-old female with a stable job and no mental health issues.
A 30-year-old male with a history of substance abuse and
aggressive behavior.
A 60-year-old male who has recently retired and is socially active.
,4. Describe how mild anxiety can positively influence a person's cognitive
abilities.
Mild anxiety causes a complete lack of focus.
Mild anxiety leads to severe cognitive impairment.
Mild anxiety narrows the perceptual field.
Mild anxiety can enhance learning and increase motivation.
5. What is the term used to describe the feeling of detachment from oneself,
often experienced in schizoaffective disorder?
Delusion
Depersonalization
Hallucination
Derealization
6. In a scenario where a patient has access to mental health resources but lacks
coping skills, what intervention might a nurse prioritize to reduce suicide risk?
Focusing solely on medication management
Teaching problem-solving and coping strategies
Encouraging isolation from support systems
Restricting access to mental health resources
7. A patient who recently underwent ECT reports experiencing difficulty
recalling events from the past week. As a nurse, what is the most appropriate
action to take?
Document the patient's report and monitor for further cognitive
changes.
, Immediately notify the physician for potential complications.
Reassure the patient that memory loss is permanent.
Encourage the patient to engage in memory exercises.
8. Describe how Tardive Dyskinesia differs from other extrapyramidal symptoms
associated with antipsychotic medications.
Tardive Dyskinesia is the same as acute dystonia.
Tardive Dyskinesia is characterized by involuntary movements such
as lip smacking and tongue protrusion, unlike other symptoms that
may involve muscle rigidity or tremors.
Tardive Dyskinesia primarily affects mood rather than physical
movement.
Tardive Dyskinesia is a temporary condition that resolves quickly after
medication adjustment.
9. If a nurse encounters a client with substance-induced psychotic disorder who
is refusing treatment, what is the most appropriate initial action?
Engage the client in a supportive conversation to understand their
concerns.
Call for security to manage the situation.
Document the refusal and leave the client alone.
Force the client to take medication immediately.
10. Which of the following is considered a positive symptom of schizophrenia?
Social withdrawal
Auditory hallucination
Lack of motivation
, Flat affect
11. Describe the significance of educating patients about the risk of Steven
Johnson's Syndrome when prescribing Lamictal for bipolar disorder.
Patients should be informed that Lamictal can cause weight gain,
which is a common side effect.
Patients need to know that photosensitivity is a common reaction to
Lamictal.
Educating patients about Steven Johnson's Syndrome is crucial
because it is a potentially life-threatening skin reaction that
requires immediate medical attention.
It is important to discuss the possibility of decreased libido as a side
effect of Lamictal.
12. If a patient on Phenelzine reports experiencing a headache and increased
blood pressure after eating a meal, what should the nurse's immediate action
be?
Encourage the patient to eat more aged cheese.
Advise the patient to take an over-the-counter pain reliever.
Reassure the patient that this is a normal side effect.
Assess the patient for potential hypertensive crisis.
13. If Marlyn's refeeding program is not closely monitored, what potential risk
could arise during her treatment for anorexia nervosa?
Refeeding syndrome.
Increased body image disturbance.
Family conflict escalation.
Latest Update | Graded A+
1. Why is 'Potential for violence, other directed' considered the priority nursing
diagnosis for an aggressive client?
It focuses on long-term emotional stability.
It helps in managing anxiety symptoms.
It addresses immediate safety concerns for both the client and
others.
It aims to improve the client's self-esteem.
2. Describe why lack of coping skills is considered a risk factor for suicide.
Lack of coping skills only affects physical health.
Lack of coping skills can lead to ineffective problem solving and
increased vulnerability to crises.
Lack of coping skills is irrelevant to suicide risk.
Lack of coping skills enhances interpersonal relationships.
3. If a nurse is assessing a group of patients for risk factors related to
interpersonal violence, which patient should be monitored closely based on
their history?
A 25-year-old female who is a college student with no known issues.
A 45-year-old female with a stable job and no mental health issues.
A 30-year-old male with a history of substance abuse and
aggressive behavior.
A 60-year-old male who has recently retired and is socially active.
,4. Describe how mild anxiety can positively influence a person's cognitive
abilities.
Mild anxiety causes a complete lack of focus.
Mild anxiety leads to severe cognitive impairment.
Mild anxiety narrows the perceptual field.
Mild anxiety can enhance learning and increase motivation.
5. What is the term used to describe the feeling of detachment from oneself,
often experienced in schizoaffective disorder?
Delusion
Depersonalization
Hallucination
Derealization
6. In a scenario where a patient has access to mental health resources but lacks
coping skills, what intervention might a nurse prioritize to reduce suicide risk?
Focusing solely on medication management
Teaching problem-solving and coping strategies
Encouraging isolation from support systems
Restricting access to mental health resources
7. A patient who recently underwent ECT reports experiencing difficulty
recalling events from the past week. As a nurse, what is the most appropriate
action to take?
Document the patient's report and monitor for further cognitive
changes.
, Immediately notify the physician for potential complications.
Reassure the patient that memory loss is permanent.
Encourage the patient to engage in memory exercises.
8. Describe how Tardive Dyskinesia differs from other extrapyramidal symptoms
associated with antipsychotic medications.
Tardive Dyskinesia is the same as acute dystonia.
Tardive Dyskinesia is characterized by involuntary movements such
as lip smacking and tongue protrusion, unlike other symptoms that
may involve muscle rigidity or tremors.
Tardive Dyskinesia primarily affects mood rather than physical
movement.
Tardive Dyskinesia is a temporary condition that resolves quickly after
medication adjustment.
9. If a nurse encounters a client with substance-induced psychotic disorder who
is refusing treatment, what is the most appropriate initial action?
Engage the client in a supportive conversation to understand their
concerns.
Call for security to manage the situation.
Document the refusal and leave the client alone.
Force the client to take medication immediately.
10. Which of the following is considered a positive symptom of schizophrenia?
Social withdrawal
Auditory hallucination
Lack of motivation
, Flat affect
11. Describe the significance of educating patients about the risk of Steven
Johnson's Syndrome when prescribing Lamictal for bipolar disorder.
Patients should be informed that Lamictal can cause weight gain,
which is a common side effect.
Patients need to know that photosensitivity is a common reaction to
Lamictal.
Educating patients about Steven Johnson's Syndrome is crucial
because it is a potentially life-threatening skin reaction that
requires immediate medical attention.
It is important to discuss the possibility of decreased libido as a side
effect of Lamictal.
12. If a patient on Phenelzine reports experiencing a headache and increased
blood pressure after eating a meal, what should the nurse's immediate action
be?
Encourage the patient to eat more aged cheese.
Advise the patient to take an over-the-counter pain reliever.
Reassure the patient that this is a normal side effect.
Assess the patient for potential hypertensive crisis.
13. If Marlyn's refeeding program is not closely monitored, what potential risk
could arise during her treatment for anorexia nervosa?
Refeeding syndrome.
Increased body image disturbance.
Family conflict escalation.
