NR 326 Exam 2 Questions with
Complete Solutions
Which of the following findings should the nurse document as positive symptoms of
schizophrenia ? - ANS-Auditory hallucinations
Use of clang association
Which of the following characterizes Oppositional Defiant Disorder? - ANS-Defiance to
authorities
Does not follow any rules
What are nursing priorities in caring for a client diagnosed with psychosis and history of
suicide? - ANS-Assess for SI and HI
Directly ask what the voices are saying
Monitor insomnia and agitation
Nursing interventions for a client experiencing halluciantions: - ANS-Art and Music
therapy
Teach an automatic thought-stopping technique
Teach to seek staff if hallucinations/delusions occur
Oppositional Defiant Disorder is characterized by the following: - ANS-Defiant behavior
Anger
Refuses to follow all rules
Priority actions by the nurse caring for a client with psychosis and history of suicide
attempts - ANS-Assess SI and HI
A client with psychosis stares at the ceiling, mumbling. What is the nurse's priority
action response? - ANS-What do you see on the ceiling?
Nursing priority of action for a client on Clozapine includes which of the following? -
ANS-Call the provider if the client complains of sore throat.
Call the provider if the client complains of fever.
The nurse knows that which of the following are true about the therapeutic use of
Aripiprazole? - ANS-Decreased risk of EPSs or tardive dyskinesia
Treats both Negative & Positive Symptoms
Lower risk for weight gain
, A nurse caring for a client on aripiprazole if the client exhibits which of the following
symptoms? - ANS-Agitation
Nursing considerations for Risperidone include which of the following? - ANS-Obtain
baseline fasting blood glucose.
Monitor cholesterol & triglycerides.
Increase fiber and fluids.
Tardive dyskinesia includes which of the following nursing considerations? - ANS-
Monitor Involuntary movements of the tongue and face, such as lip smacking
Monitor Involuntary movements of the arms, legs, and trunk
Nursing considerations for Haloperidol include which of the following? - ANS-Monitor for
psuedoparkinsonism and anticholinergic adverse effects
Monitor for agranulocytosis and EPS
The nurse will monitor signs and symptoms of serotonin syndrome which includes which
of the following? - ANS-Fever
Hallucinations
Hyperreflexia
The nurse will monitor for neuroleptic malignant syndrome observing for which of the
following signs and symptoms? - ANS-Sudden high fever
diaphoresis
muscle rigidity
Nursing action for neuroleptic malignant syndrome (NMS) includes which of the
following? - ANS-Stop antipsychotic, Give Antipyretics, Dantrolene or Bromocriptine
Nursing considerations for conventional antipsychotics (ex: haloperidol) include which of
the following? - ANS-Contraindicated in older adults with dementia
Use cautiously in clients with seizure disorders
Contraindicated in clients with severe hypotension
Expected findings for a client with Delirium related to an acute urinary tract infection
includes - ANS-Fluctuating LOC
Restlessness and hallucinations
Rapid personality changes
Nursing action in the treatment of acute dystonia in EPS includes which of the
following? - ANS-Stop antipsychotic med
give benztropine
give IM or IV diphenhydramine
airway mgmt
Complete Solutions
Which of the following findings should the nurse document as positive symptoms of
schizophrenia ? - ANS-Auditory hallucinations
Use of clang association
Which of the following characterizes Oppositional Defiant Disorder? - ANS-Defiance to
authorities
Does not follow any rules
What are nursing priorities in caring for a client diagnosed with psychosis and history of
suicide? - ANS-Assess for SI and HI
Directly ask what the voices are saying
Monitor insomnia and agitation
Nursing interventions for a client experiencing halluciantions: - ANS-Art and Music
therapy
Teach an automatic thought-stopping technique
Teach to seek staff if hallucinations/delusions occur
Oppositional Defiant Disorder is characterized by the following: - ANS-Defiant behavior
Anger
Refuses to follow all rules
Priority actions by the nurse caring for a client with psychosis and history of suicide
attempts - ANS-Assess SI and HI
A client with psychosis stares at the ceiling, mumbling. What is the nurse's priority
action response? - ANS-What do you see on the ceiling?
Nursing priority of action for a client on Clozapine includes which of the following? -
ANS-Call the provider if the client complains of sore throat.
Call the provider if the client complains of fever.
The nurse knows that which of the following are true about the therapeutic use of
Aripiprazole? - ANS-Decreased risk of EPSs or tardive dyskinesia
Treats both Negative & Positive Symptoms
Lower risk for weight gain
, A nurse caring for a client on aripiprazole if the client exhibits which of the following
symptoms? - ANS-Agitation
Nursing considerations for Risperidone include which of the following? - ANS-Obtain
baseline fasting blood glucose.
Monitor cholesterol & triglycerides.
Increase fiber and fluids.
Tardive dyskinesia includes which of the following nursing considerations? - ANS-
Monitor Involuntary movements of the tongue and face, such as lip smacking
Monitor Involuntary movements of the arms, legs, and trunk
Nursing considerations for Haloperidol include which of the following? - ANS-Monitor for
psuedoparkinsonism and anticholinergic adverse effects
Monitor for agranulocytosis and EPS
The nurse will monitor signs and symptoms of serotonin syndrome which includes which
of the following? - ANS-Fever
Hallucinations
Hyperreflexia
The nurse will monitor for neuroleptic malignant syndrome observing for which of the
following signs and symptoms? - ANS-Sudden high fever
diaphoresis
muscle rigidity
Nursing action for neuroleptic malignant syndrome (NMS) includes which of the
following? - ANS-Stop antipsychotic, Give Antipyretics, Dantrolene or Bromocriptine
Nursing considerations for conventional antipsychotics (ex: haloperidol) include which of
the following? - ANS-Contraindicated in older adults with dementia
Use cautiously in clients with seizure disorders
Contraindicated in clients with severe hypotension
Expected findings for a client with Delirium related to an acute urinary tract infection
includes - ANS-Fluctuating LOC
Restlessness and hallucinations
Rapid personality changes
Nursing action in the treatment of acute dystonia in EPS includes which of the
following? - ANS-Stop antipsychotic med
give benztropine
give IM or IV diphenhydramine
airway mgmt
