N322 Exam 1 || 100% Verified Answers.
A patient has a long history of bipolar disorder with frequent episodes of mania secondary to
stopping prescribed medications. The patient says, "I will use my whole check next month to buy
lottery tickets. Winning will solve my money problems." Select the nurse's best action.
a. Educate the patient about the low odds of winning the lottery.
b. Present reality by saying to the patient, "That is not a good use of your money."
c. Confer with the treatment team about appointing a legal guardian for the patient.
d. Tell the patient, "If you buy lottery tickets, your money will run out before the end of the
month." correct answers c. Confer with the treatment team about appointing a legal guardian for
the patient.
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care psychiatric
hospital unit. Which nursing diagnosis should be given highest priority in the initial care plan?
A.Interrupted Thought Processes
B.Social Isolation
C.Impaired Verbal Communication
D.Risk for Violence directed at self or others correct answers D. Risk for Violence directed at
self or others
A patient diagnosed with schizophrenia says "Everyone here is part of the secret police and
wants to torture me." What is the most appropriate response by the nurse?
A."That is a strange idea."
B."That must be a frightening thought."
C."You won't be tortured here."
D."We will keep you safe from torture." correct answers B. "That must be a frightening thought."
,A patient with schizophrenia states "I want to go home to tome in a dome." When documenting
these findings, the nurse will refer to this as:
A.Associative looseness
B.Echolalia
C.Clang associations
D.Thought broadcasting correct answers C. Clang associations
While talking with a female patient diagnosed with schizophrenia, the nurse notices that patient
look away from the nurse and stare at the wall while making facial grimaces. What is the most
appropriate intervention by the nurse?
A.End the conversation
B.Administer the ordered prn medication
C.Ask the patient if she sees something on the wall
D.Redirect the conversations to a neutral topic correct answers C. Ask the patient if she sees
something on the wall
The nurse is reviewing discharge instructions with a patient who is receiving Clozapine
(Clozaril). The nurse emphasizes the importance of notifying the health care provider for which
of the following situations?
A.Feelings of increased energy
B.Unusual reactions to sun exposure
C.Interference with normal sleep patterns
D.Any indication of infection correct answers D. Any indication of infection
,A client demonstrating delusional behavior is escalating as a result of increasing anxiety
regarding his or her safety. Which action demonstrates that the client has an understanding of
actions to de-escalate his personal anxiety?
A. The client engages in a group therapy session led by nursing staff.
B. The client expresses the understanding that his or her safety is the primary nursing goal.
C. The client retreats to his or her room accompanied by staff.
D. The client asks to be allowed to voluntary seclude. correct answers D. The client asks to be
allowed to voluntary seclude.
Which nursing intervention is generally included in the plan of care for any hospitalized client
experiencing a severe psychotic episode associated with schizophrenia to address safety issues?
A. Implementing institution's suicide precautions
B. Identifying theme of any identified hallucinations
C. Assessing for the presence of feelings of guilt
D. Setting boundaries to manage aggressiveness correct answers A. Implementing institution's
suicide precautions
Which statement made by the client demonstrates an understanding of the benefit of clozapine?
A. "It will provide me with some protection against a heart attack."
B. "It will help keep me from developing type 2 diabetes."
C. "I'm at a risk for developing infections."
D. "This medication cost less than the first-generation antipsychotic types." correct answers C.
"I'm at a risk for developing infections."
Which interventions should be considered appropriate for a patient in the withdrawn phase of
catatonia? (Select all that apply.)
, A. Perform passive range of motion once each shift.
B. Administer nasogastric feedings as prescribed.
C. Require autonomy regarding activities of daily living.
D. Arrange for group activities.
E. Reposition every 2 hours. correct answers A and E
A client has been prescribed an antipsychotic medication for the management of symptoms
associated with schizophrenia. Which behaviors will show improvement as a result of adhering
to the medication therapy? (Select all that apply.)
A. Fears being abducted by alien creatures.
B. Consistently avoids the dayroom when other clients are there.
C. Regularly discusses his or her alter identity as a spy for Hitler.
D. Acknowledges regularly hearing voices.
E. Stays in his or her room most of the day staring out the window. correct answers A and D
Considering the administration of medications, the nurse applying evidence-based practice
(EBP) will engage in which nursing activity?
A. Assessing the client for allergies prior to the administration of a newly prescribed mood
stabilizing medication
B. Educating the client regarding the side effects of a newly prescribed antidepressant
C. Determining the client's preference about when a medication prescribed once daily is
administered
D. Confirming the client's identity prior to administering a prescribed PRN medication correct
answers C. Determining the client's preference about when a medication prescribed once daily is
administered
A patient has a long history of bipolar disorder with frequent episodes of mania secondary to
stopping prescribed medications. The patient says, "I will use my whole check next month to buy
lottery tickets. Winning will solve my money problems." Select the nurse's best action.
a. Educate the patient about the low odds of winning the lottery.
b. Present reality by saying to the patient, "That is not a good use of your money."
c. Confer with the treatment team about appointing a legal guardian for the patient.
d. Tell the patient, "If you buy lottery tickets, your money will run out before the end of the
month." correct answers c. Confer with the treatment team about appointing a legal guardian for
the patient.
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care psychiatric
hospital unit. Which nursing diagnosis should be given highest priority in the initial care plan?
A.Interrupted Thought Processes
B.Social Isolation
C.Impaired Verbal Communication
D.Risk for Violence directed at self or others correct answers D. Risk for Violence directed at
self or others
A patient diagnosed with schizophrenia says "Everyone here is part of the secret police and
wants to torture me." What is the most appropriate response by the nurse?
A."That is a strange idea."
B."That must be a frightening thought."
C."You won't be tortured here."
D."We will keep you safe from torture." correct answers B. "That must be a frightening thought."
,A patient with schizophrenia states "I want to go home to tome in a dome." When documenting
these findings, the nurse will refer to this as:
A.Associative looseness
B.Echolalia
C.Clang associations
D.Thought broadcasting correct answers C. Clang associations
While talking with a female patient diagnosed with schizophrenia, the nurse notices that patient
look away from the nurse and stare at the wall while making facial grimaces. What is the most
appropriate intervention by the nurse?
A.End the conversation
B.Administer the ordered prn medication
C.Ask the patient if she sees something on the wall
D.Redirect the conversations to a neutral topic correct answers C. Ask the patient if she sees
something on the wall
The nurse is reviewing discharge instructions with a patient who is receiving Clozapine
(Clozaril). The nurse emphasizes the importance of notifying the health care provider for which
of the following situations?
A.Feelings of increased energy
B.Unusual reactions to sun exposure
C.Interference with normal sleep patterns
D.Any indication of infection correct answers D. Any indication of infection
,A client demonstrating delusional behavior is escalating as a result of increasing anxiety
regarding his or her safety. Which action demonstrates that the client has an understanding of
actions to de-escalate his personal anxiety?
A. The client engages in a group therapy session led by nursing staff.
B. The client expresses the understanding that his or her safety is the primary nursing goal.
C. The client retreats to his or her room accompanied by staff.
D. The client asks to be allowed to voluntary seclude. correct answers D. The client asks to be
allowed to voluntary seclude.
Which nursing intervention is generally included in the plan of care for any hospitalized client
experiencing a severe psychotic episode associated with schizophrenia to address safety issues?
A. Implementing institution's suicide precautions
B. Identifying theme of any identified hallucinations
C. Assessing for the presence of feelings of guilt
D. Setting boundaries to manage aggressiveness correct answers A. Implementing institution's
suicide precautions
Which statement made by the client demonstrates an understanding of the benefit of clozapine?
A. "It will provide me with some protection against a heart attack."
B. "It will help keep me from developing type 2 diabetes."
C. "I'm at a risk for developing infections."
D. "This medication cost less than the first-generation antipsychotic types." correct answers C.
"I'm at a risk for developing infections."
Which interventions should be considered appropriate for a patient in the withdrawn phase of
catatonia? (Select all that apply.)
, A. Perform passive range of motion once each shift.
B. Administer nasogastric feedings as prescribed.
C. Require autonomy regarding activities of daily living.
D. Arrange for group activities.
E. Reposition every 2 hours. correct answers A and E
A client has been prescribed an antipsychotic medication for the management of symptoms
associated with schizophrenia. Which behaviors will show improvement as a result of adhering
to the medication therapy? (Select all that apply.)
A. Fears being abducted by alien creatures.
B. Consistently avoids the dayroom when other clients are there.
C. Regularly discusses his or her alter identity as a spy for Hitler.
D. Acknowledges regularly hearing voices.
E. Stays in his or her room most of the day staring out the window. correct answers A and D
Considering the administration of medications, the nurse applying evidence-based practice
(EBP) will engage in which nursing activity?
A. Assessing the client for allergies prior to the administration of a newly prescribed mood
stabilizing medication
B. Educating the client regarding the side effects of a newly prescribed antidepressant
C. Determining the client's preference about when a medication prescribed once daily is
administered
D. Confirming the client's identity prior to administering a prescribed PRN medication correct
answers C. Determining the client's preference about when a medication prescribed once daily is
administered
