NUR 202 MOD A Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The client is
ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to anyone for several
days. What should the nurse do during the first few hospital days? - CORRECT ANSWER
Seek out the client frequently to spend short periods of time together
A client with the diagnosis of manic episode of bipolar disorder attends a mental health day treatment
program. What supervised activity will be most therapeutic for this client during the early phase of
treatment? - CORRECT ANSWER Walking around the facility with a nurse
Walking around the facility with a nurse does not involve an element of competition and still allows
the client to channel excess energy safely.
A client is admitted to the hospital for acute gastritis and ascites secondary to alcoholism and
cirrhosis. It is most important for the nurse to assess this client for - CORRECT ANSWER
Blood in the stool
Erosion of blood vessels may lead to hemorrhage, a life-threatening situation further complicated by
decreased prothrombin production, which occurs with cirrhosis.
When speaking with a client who has schizophrenia, the nurse notes that the client keeps interjecting
sentences that have nothing to do with the main thoughts being expressed. The client asks whether the
nurse understands. How should the nurse reply? - CORRECT ANSWER "I'd like to understand
what you're saying, but I'm having trouble following you."
lets the client know that the nurse is trying to understand; it increases the client's feeling of self-
esteem and points out reality. Clients with schizophrenia have problems with associative links, and
these same problems will occur regardless of the topic.
A nurse is caring for a client with a bipolar disorder depressive episode. What should the nurse's
objective for this client be? - CORRECT ANSWER Feeling comfortable with the nurse
Before therapy can begin, a trusting relationship must be developed.
A client is receiving carbamazepine (Tegretol) for the treatment of a manic episode of bipolar
disorder. What should the nurse include when planning client teaching about this medication? Select
, all that apply. - CORRECT ANSWER "You may want to suck on hard candy when you get a
dry mouth."
"We'll need to test your blood often during the first few weeks of therapy."
Sucking on hard candy or frequent rinsing may relieve a dry mouth, a side effect of carbamazepine.
Carbamazepine can cause severe bone marrow depression in the early phase of therapy. Also, the drug
level needs to be checked frequently to ensure a therapeutic level.
Which client characteristic is an initial concern for the nurse when caring for a client with the
diagnosis of paranoid schizophrenia? - CORRECT ANSWER Suspicious feelings
The nurse must consider the client's suspicious feelings and establish basic trust to promote a
therapeutic milieu.
A client has been found to have bipolar disorder and is being prescribed lithium carbonate (Lithium).
In light of the information shown, the nurse provides teaching to the client. Select all that apply. -
CORRECT ANSWER Her current thyroid function will require frequent assessments while she
takes lithium
Hyponatrium could lead to lithium toxicity, so the healthcare provider must first be notified of the
level
Lithium carbonate therapy can negatively affect thyroid function; the client's current TSH is at the
high normal level and so frequent checks are appropriate. Low serum sodium levels would result in
the kidneys' reabsorbing the lithium; this situation would lead to lithium toxicity.
How can a nurse best accomplish therapeutic communication with an adolescent? - CORRECT
ANSWER By establishing a relationship over time
Several meetings with an adolescent will provide an opportunity to develop trust and establish a
relationship.
A nurse is managing the care of a client with recently diagnosed schizophrenia. Effective therapeutic
communication will directly affect which client-focused outcomes? Select all that apply. - CORRECT
ANSWER The client will effectively express emotional and physical needs.
The client will demonstrate an understanding of the mental health disorder
The client will recognize the issues most important to managing this disorder.
A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the
therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's
best response? - CORRECT ANSWER "Tetrahydrocannabinol is an ingredient in marijuana
that acts as an antiemetic in some people."
ACTUAL QUESTIONS AND CORRECT
ANSWERS
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The client is
ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to anyone for several
days. What should the nurse do during the first few hospital days? - CORRECT ANSWER
Seek out the client frequently to spend short periods of time together
A client with the diagnosis of manic episode of bipolar disorder attends a mental health day treatment
program. What supervised activity will be most therapeutic for this client during the early phase of
treatment? - CORRECT ANSWER Walking around the facility with a nurse
Walking around the facility with a nurse does not involve an element of competition and still allows
the client to channel excess energy safely.
A client is admitted to the hospital for acute gastritis and ascites secondary to alcoholism and
cirrhosis. It is most important for the nurse to assess this client for - CORRECT ANSWER
Blood in the stool
Erosion of blood vessels may lead to hemorrhage, a life-threatening situation further complicated by
decreased prothrombin production, which occurs with cirrhosis.
When speaking with a client who has schizophrenia, the nurse notes that the client keeps interjecting
sentences that have nothing to do with the main thoughts being expressed. The client asks whether the
nurse understands. How should the nurse reply? - CORRECT ANSWER "I'd like to understand
what you're saying, but I'm having trouble following you."
lets the client know that the nurse is trying to understand; it increases the client's feeling of self-
esteem and points out reality. Clients with schizophrenia have problems with associative links, and
these same problems will occur regardless of the topic.
A nurse is caring for a client with a bipolar disorder depressive episode. What should the nurse's
objective for this client be? - CORRECT ANSWER Feeling comfortable with the nurse
Before therapy can begin, a trusting relationship must be developed.
A client is receiving carbamazepine (Tegretol) for the treatment of a manic episode of bipolar
disorder. What should the nurse include when planning client teaching about this medication? Select
, all that apply. - CORRECT ANSWER "You may want to suck on hard candy when you get a
dry mouth."
"We'll need to test your blood often during the first few weeks of therapy."
Sucking on hard candy or frequent rinsing may relieve a dry mouth, a side effect of carbamazepine.
Carbamazepine can cause severe bone marrow depression in the early phase of therapy. Also, the drug
level needs to be checked frequently to ensure a therapeutic level.
Which client characteristic is an initial concern for the nurse when caring for a client with the
diagnosis of paranoid schizophrenia? - CORRECT ANSWER Suspicious feelings
The nurse must consider the client's suspicious feelings and establish basic trust to promote a
therapeutic milieu.
A client has been found to have bipolar disorder and is being prescribed lithium carbonate (Lithium).
In light of the information shown, the nurse provides teaching to the client. Select all that apply. -
CORRECT ANSWER Her current thyroid function will require frequent assessments while she
takes lithium
Hyponatrium could lead to lithium toxicity, so the healthcare provider must first be notified of the
level
Lithium carbonate therapy can negatively affect thyroid function; the client's current TSH is at the
high normal level and so frequent checks are appropriate. Low serum sodium levels would result in
the kidneys' reabsorbing the lithium; this situation would lead to lithium toxicity.
How can a nurse best accomplish therapeutic communication with an adolescent? - CORRECT
ANSWER By establishing a relationship over time
Several meetings with an adolescent will provide an opportunity to develop trust and establish a
relationship.
A nurse is managing the care of a client with recently diagnosed schizophrenia. Effective therapeutic
communication will directly affect which client-focused outcomes? Select all that apply. - CORRECT
ANSWER The client will effectively express emotional and physical needs.
The client will demonstrate an understanding of the mental health disorder
The client will recognize the issues most important to managing this disorder.
A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the
therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's
best response? - CORRECT ANSWER "Tetrahydrocannabinol is an ingredient in marijuana
that acts as an antiemetic in some people."
