NUR 213 - EXAM 3 | QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT - EXCELSIOR UNIVERSITY.
Question 1
A moderately depressed client who was hospitalized 2 days ago suddenly begins
smiling and reporting that the crisis is over. The client says to the nurse, "I'm
finally cured." How should the nurse interpret this behavior as a cue to modify the
treatment plan?
A) Suggesting a reduction of medication
B) Allowing increased "in-room" activities
C) Increasing the level of suicide precautions
D) Allowing the client off-unit privileges as needed
Correct Answer: C
Rationale: A patient who is moderately depressed and has only been hospitalized
for 2 days is unlikely to have such a dramatic cure. When a depression suddenly
lifts, it may indicate that the client has made the decision to harm themselves and
feels relieved about the decision. Suicide precautions are necessary to keep the
client safe .
Question 2
The emergency department nurse is caring for an adult client who is a victim of
family violence. Which priority instruction should be included in the discharge
instructions?
A) Information regarding shelters
B) Instructions regarding calling the police
C) Instructions regarding self-defense classes
D) Explaining the importance of leaving the violent situation
, Correct Answer: A
Rationale: The priority for a victim of family violence is ensuring immediate safety
and providing resources for shelter and protection. Information regarding shelters
is the most critical discharge instruction, as this addresses the immediate need for
a safe environment .
Question 3
A female victim of a sexual assault is being seen in the crisis center. The client
states that she still feels "as though the rape just happened yesterday," even
though it has been a few months since the incident. Which is the most
appropriate nursing response?
A) "You need to try to be realistic. The rape did not just occur."
B) "It will take some time to get over these feelings about your rape."
C) "Tell me more about the incident that causes you to feel like the rape just
occurred."
D) "What do you think that you can do to alleviate some of your fears about being
raped again?"
Correct Answer: C
Rationale: The most therapeutic response is to explore the client's feelings and
encourage expression of the traumatic experience. This validates the client's
emotions and allows for processing of the trauma. Telling the client to be realistic
or minimizing their feelings would be dismissive and nontherapeutic .
Question 4
A client is admitted to the mental health unit after an attempted suicide by
hanging. The nurse can best ensure client safety by which action?
A) Requesting that a peer remain with the client at all times
B) Removing the client's clothing and placing the client in a hospital gown
C) Assigning to the client a staff member who will remain with the client at all
times
UPDATE | 100% CORRECT - EXCELSIOR UNIVERSITY.
Question 1
A moderately depressed client who was hospitalized 2 days ago suddenly begins
smiling and reporting that the crisis is over. The client says to the nurse, "I'm
finally cured." How should the nurse interpret this behavior as a cue to modify the
treatment plan?
A) Suggesting a reduction of medication
B) Allowing increased "in-room" activities
C) Increasing the level of suicide precautions
D) Allowing the client off-unit privileges as needed
Correct Answer: C
Rationale: A patient who is moderately depressed and has only been hospitalized
for 2 days is unlikely to have such a dramatic cure. When a depression suddenly
lifts, it may indicate that the client has made the decision to harm themselves and
feels relieved about the decision. Suicide precautions are necessary to keep the
client safe .
Question 2
The emergency department nurse is caring for an adult client who is a victim of
family violence. Which priority instruction should be included in the discharge
instructions?
A) Information regarding shelters
B) Instructions regarding calling the police
C) Instructions regarding self-defense classes
D) Explaining the importance of leaving the violent situation
, Correct Answer: A
Rationale: The priority for a victim of family violence is ensuring immediate safety
and providing resources for shelter and protection. Information regarding shelters
is the most critical discharge instruction, as this addresses the immediate need for
a safe environment .
Question 3
A female victim of a sexual assault is being seen in the crisis center. The client
states that she still feels "as though the rape just happened yesterday," even
though it has been a few months since the incident. Which is the most
appropriate nursing response?
A) "You need to try to be realistic. The rape did not just occur."
B) "It will take some time to get over these feelings about your rape."
C) "Tell me more about the incident that causes you to feel like the rape just
occurred."
D) "What do you think that you can do to alleviate some of your fears about being
raped again?"
Correct Answer: C
Rationale: The most therapeutic response is to explore the client's feelings and
encourage expression of the traumatic experience. This validates the client's
emotions and allows for processing of the trauma. Telling the client to be realistic
or minimizing their feelings would be dismissive and nontherapeutic .
Question 4
A client is admitted to the mental health unit after an attempted suicide by
hanging. The nurse can best ensure client safety by which action?
A) Requesting that a peer remain with the client at all times
B) Removing the client's clothing and placing the client in a hospital gown
C) Assigning to the client a staff member who will remain with the client at all
times
