NURS 322
FINAL EXAM
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Final
Exam of NURS 322 at the Drexel University. It
covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
,The nurse is caring for patient with an addictive disorder who is currently drug-free.
The patient is experiencing repeated occurrences of vivid, frightening images and
thoughts. Which term would the nurse use to document this finding?
A. Tolerance
B. Flashbacks
C. Withdrawal
D. Synergistic effect
B. Flashbacks
Which patient symptoms should the nurse suspect as related to alcohol withdrawal?
A. Hyper-alert state, jerky movements, easily startled
B. Tachycardia, diaphoresis, elevated blood pressure
C. Peripheral vascular collapse, electrolyte imbalance
D. Paranoid delusions, fever, fluctuating levels of consciousness
A. Hyper-alert state, jerky movements, easily startled
While entering the building, an elementary school nurse observes a person in the
distance emerging from a forest and approaching the school. The person is dressed in
black from head to toe; wearing a backpack; and carrying a long, narrow, dark object.
Which action should the nurse take first?
a. Move to a secure location.
b. Observe the intruder's features.
c. Take note of the intruder's location.
d. Activate the school code for an intruder.
a. Move to a secure location.
This scenario presents a potential adventitious crisis in phase 1. The nurse must first
consider safety. After moving to a secure location, the nurse can activate the school's
code for an intruder and describe the intruder to law enforcement.
,An adult has had long-term serious medical problems and has just started a new
medication resulting in decreased libido and sexual performance. The adult's spouse
privately says to the nurse, "I don't feel loved anymore. I feel sexual urges, but my
partner is not interested." Select the nurse's therapeutic response.
a. "Tell me about how your partner shows love for you."
b. "You're describing a scenario that many couples face."
c. "Let's consider some other ways you can satisfy your needs."
d. "I'm glad you are able to talk about and accept your situation."
c. "Let's consider some other ways you can satisfy your needs."
The scenario presents a maturational crisis. Helping the spouse to consider other
options is the nurse's most therapeutic action.
A severely anxious patient experiencing headaches, palpitations, and inability to
concentrate is admitted to a medical floor. Which nursing intervention would take
priority?
A. Encourage the patient to express feelings.
B. Discuss alternative coping strategies with the patient.
C. Use a distraction, such as having the patient attend group.
D. Sit with the patient, and use a calm but directive approach.
D. Sit with the patient, and use a calm but directive approach.
A patient is exhibiting tension and needs direction to solve problems. Which
intervention would the nurse implement using a behavioral approach?
A. Assess the patient's family history for anxiety disorders
B. Encourage the patient to use deep breathing techniques.
C. Ask the patient to think of a time in the past when
anxiety was manageable.
D. Encourage journal writing to express feelings.
, B. Encourage the patient to use deep breathing techniques.
A 17-year-old patient is brought into the emergency department after taking a handful
of lorazepam (Ativan) as a result of a recent breakup with her fiancée. What priority
nursing intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous system depression
C.Allow the patient time to rest because lorazepam (Ativan) is sedating.
D. Increase fluids and place the patient on close observation.
B. Monitor vital signs and note any signs of central nervous nsystem depression
A client who has been sexually abused tearfully states, "I'm no good now; there is
nothing to live for." The most therapeutic response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened."
A."Tell me more about your feelings."
Before effectively responding to a sexual assault victim in the emergency department,
it is essential that the nurse:
A.Get the client's name and address.
B.Call for assistance from the psychiatrist.
C.Know some myths and facts about rape.
D.Be aware of any personal bias about rape.
D.Be aware of any personal bias about rape.
The nurse in a high school meets with small groups of students the day after a school
bus accident resulted in the death of five students. Which comment should the nurse
use to begin the session?
FINAL EXAM
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Final
Exam of NURS 322 at the Drexel University. It
covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
,The nurse is caring for patient with an addictive disorder who is currently drug-free.
The patient is experiencing repeated occurrences of vivid, frightening images and
thoughts. Which term would the nurse use to document this finding?
A. Tolerance
B. Flashbacks
C. Withdrawal
D. Synergistic effect
B. Flashbacks
Which patient symptoms should the nurse suspect as related to alcohol withdrawal?
A. Hyper-alert state, jerky movements, easily startled
B. Tachycardia, diaphoresis, elevated blood pressure
C. Peripheral vascular collapse, electrolyte imbalance
D. Paranoid delusions, fever, fluctuating levels of consciousness
A. Hyper-alert state, jerky movements, easily startled
While entering the building, an elementary school nurse observes a person in the
distance emerging from a forest and approaching the school. The person is dressed in
black from head to toe; wearing a backpack; and carrying a long, narrow, dark object.
Which action should the nurse take first?
a. Move to a secure location.
b. Observe the intruder's features.
c. Take note of the intruder's location.
d. Activate the school code for an intruder.
a. Move to a secure location.
This scenario presents a potential adventitious crisis in phase 1. The nurse must first
consider safety. After moving to a secure location, the nurse can activate the school's
code for an intruder and describe the intruder to law enforcement.
,An adult has had long-term serious medical problems and has just started a new
medication resulting in decreased libido and sexual performance. The adult's spouse
privately says to the nurse, "I don't feel loved anymore. I feel sexual urges, but my
partner is not interested." Select the nurse's therapeutic response.
a. "Tell me about how your partner shows love for you."
b. "You're describing a scenario that many couples face."
c. "Let's consider some other ways you can satisfy your needs."
d. "I'm glad you are able to talk about and accept your situation."
c. "Let's consider some other ways you can satisfy your needs."
The scenario presents a maturational crisis. Helping the spouse to consider other
options is the nurse's most therapeutic action.
A severely anxious patient experiencing headaches, palpitations, and inability to
concentrate is admitted to a medical floor. Which nursing intervention would take
priority?
A. Encourage the patient to express feelings.
B. Discuss alternative coping strategies with the patient.
C. Use a distraction, such as having the patient attend group.
D. Sit with the patient, and use a calm but directive approach.
D. Sit with the patient, and use a calm but directive approach.
A patient is exhibiting tension and needs direction to solve problems. Which
intervention would the nurse implement using a behavioral approach?
A. Assess the patient's family history for anxiety disorders
B. Encourage the patient to use deep breathing techniques.
C. Ask the patient to think of a time in the past when
anxiety was manageable.
D. Encourage journal writing to express feelings.
, B. Encourage the patient to use deep breathing techniques.
A 17-year-old patient is brought into the emergency department after taking a handful
of lorazepam (Ativan) as a result of a recent breakup with her fiancée. What priority
nursing intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous system depression
C.Allow the patient time to rest because lorazepam (Ativan) is sedating.
D. Increase fluids and place the patient on close observation.
B. Monitor vital signs and note any signs of central nervous nsystem depression
A client who has been sexually abused tearfully states, "I'm no good now; there is
nothing to live for." The most therapeutic response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened."
A."Tell me more about your feelings."
Before effectively responding to a sexual assault victim in the emergency department,
it is essential that the nurse:
A.Get the client's name and address.
B.Call for assistance from the psychiatrist.
C.Know some myths and facts about rape.
D.Be aware of any personal bias about rape.
D.Be aware of any personal bias about rape.
The nurse in a high school meets with small groups of students the day after a school
bus accident resulted in the death of five students. Which comment should the nurse
use to begin the session?
