NURS 307 FINAL EXAM STUDY SET UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. Which of the following patients on the acute care psychiatric unit needs the immediate attention of the
nurse?
Patient admitted 2 days ago with suicidal ideation Patient recently admitted with schizophrenia and is an
alcoholic Patient admitted 2 days ago is in the seclusion room yelling out of control Patient skipping and
dancing down the hall singing
Answer:
patient recently admitted with schizophrenia and is an alcoholic
Question:
2. A nurse is caring for a 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?
Tolerance Flashbacks Withdrawal Synergistic effects
Answer:
Flashbacks
Question:
3. Which condition would the nurse be most concerned about when caring for a patient who abuses
alcohol?
Cirrhosis of the liver Suicidal potential Wernicke's encephalopathy Korsakoff syndrome
Answer:
Suicidal potential
Question:
4. Which patient response to the question "have you ever drank more alcohol or used more drugs that you
meant to?" should immediately cause the nurse to assess further?
"No I have never used drugs or alcohol." "I have drunk alcohol before but have never allowed myself to
get drunk." "I figured you would ask me about that." "Yes I did that once and will never so it again."
Answer:
"I figured you would ask me about that."
Question:
5. Which patient behaviors should the nurse suspect as related to alcohol withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
Paranoid delusions, fever, fluctuated levels of consciousness
Answer:
hyperalert state, jerky movements, easily startled
,Question:
6. A patient in community mental health centre, smokes up to half a pack of cigarettes daily but has tried
with limited success to cut back over the last two weeks. Today he asked the pharmacist about various
products that could aid his attempts to quit smoking in time for him to manage a long overseas flight next
month with his friends who are allergic to smoke. What phase of change is this patient demonstrating?
Precontemplation Contemplation Preparation Action
Answer:
preparation
Question:
7. Which of the following describes characteristics of generalized anxiety disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Fear of performing a task in public, fear of a specific object, and fear of losing control.
Answer:
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Question:
8. The nurse is performing health education with a patient who lives with an anxiety disorder. The patient
states that he is eager to adopt new strategies that will help him to deal more effectively with his anxiety.
Which of the following actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to desensitize his anxiety
response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis, especially when stressors are
anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but I'll be
okay."
Answer:
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but I'll be
okay."
Question:
9. A patient has presented in the emergency department stating that she is having a "heart attack."
Assessment reveals, however, that the patient is having a panic attack. The nurse will most likely
administer what drug?
Alprazolam (Xanax) Clomipramine (Anafranil) Phenelzine (Nardil) Sertraline (Zoloft)
Answer:
Alprazolam (Xanax)
, Question:
10. Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse rates are high
Few outward signs, binge and purge in secret, treatment often delayed for years, treatment initiated when
control of eating is lost, complete recovery is expected after treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the patient, treatment initiated
when control of eating is lost, complete recovery after treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years, treatment is often
initiated by the family, treatment initiated before control of eating is lost, complete recovery is expected
after treatment initiated
Answer:
Many observable outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse rates are high
Question:
11. Interventions by way of the spiritual domain have little effect on Bulimia patients. True or False? True
False
Answer:
False
A spiritual approach can be helpful in establishing trust and rapport and enable clients to voice and make
meaning of their eating disorder experience
Question:
12. Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of large amount of
food over short period of time. True or False? True False
Answer:
True
Question:
13. The major distinction between bulemia nervosa and binge eating disorder (BED) is
Restriction Sense of loss of control during the binge. Purging Eating until uncomfortably full.
Answer:
Purging
Question:
14. The belief that chaotic families with unclear boundaries are more likely to have members with eating
disorders is an example of which type of theoretical perspective. Biological Psychosocial Psychological
Genetic
Answer:
Psychosocial
QUESTIONS AND CORRECT ANSWERS
Question:
1. Which of the following patients on the acute care psychiatric unit needs the immediate attention of the
nurse?
Patient admitted 2 days ago with suicidal ideation Patient recently admitted with schizophrenia and is an
alcoholic Patient admitted 2 days ago is in the seclusion room yelling out of control Patient skipping and
dancing down the hall singing
Answer:
patient recently admitted with schizophrenia and is an alcoholic
Question:
2. A nurse is caring for a 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?
Tolerance Flashbacks Withdrawal Synergistic effects
Answer:
Flashbacks
Question:
3. Which condition would the nurse be most concerned about when caring for a patient who abuses
alcohol?
Cirrhosis of the liver Suicidal potential Wernicke's encephalopathy Korsakoff syndrome
Answer:
Suicidal potential
Question:
4. Which patient response to the question "have you ever drank more alcohol or used more drugs that you
meant to?" should immediately cause the nurse to assess further?
"No I have never used drugs or alcohol." "I have drunk alcohol before but have never allowed myself to
get drunk." "I figured you would ask me about that." "Yes I did that once and will never so it again."
Answer:
"I figured you would ask me about that."
Question:
5. Which patient behaviors should the nurse suspect as related to alcohol withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
Paranoid delusions, fever, fluctuated levels of consciousness
Answer:
hyperalert state, jerky movements, easily startled
,Question:
6. A patient in community mental health centre, smokes up to half a pack of cigarettes daily but has tried
with limited success to cut back over the last two weeks. Today he asked the pharmacist about various
products that could aid his attempts to quit smoking in time for him to manage a long overseas flight next
month with his friends who are allergic to smoke. What phase of change is this patient demonstrating?
Precontemplation Contemplation Preparation Action
Answer:
preparation
Question:
7. Which of the following describes characteristics of generalized anxiety disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Fear of performing a task in public, fear of a specific object, and fear of losing control.
Answer:
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Question:
8. The nurse is performing health education with a patient who lives with an anxiety disorder. The patient
states that he is eager to adopt new strategies that will help him to deal more effectively with his anxiety.
Which of the following actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to desensitize his anxiety
response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis, especially when stressors are
anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but I'll be
okay."
Answer:
Repeating positive statements to himself when he feels anxious, such as "I'm anxious now, but I'll be
okay."
Question:
9. A patient has presented in the emergency department stating that she is having a "heart attack."
Assessment reveals, however, that the patient is having a panic attack. The nurse will most likely
administer what drug?
Alprazolam (Xanax) Clomipramine (Anafranil) Phenelzine (Nardil) Sertraline (Zoloft)
Answer:
Alprazolam (Xanax)
, Question:
10. Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse rates are high
Few outward signs, binge and purge in secret, treatment often delayed for years, treatment initiated when
control of eating is lost, complete recovery is expected after treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the patient, treatment initiated
when control of eating is lost, complete recovery after treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years, treatment is often
initiated by the family, treatment initiated before control of eating is lost, complete recovery is expected
after treatment initiated
Answer:
Many observable outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse rates are high
Question:
11. Interventions by way of the spiritual domain have little effect on Bulimia patients. True or False? True
False
Answer:
False
A spiritual approach can be helpful in establishing trust and rapport and enable clients to voice and make
meaning of their eating disorder experience
Question:
12. Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of large amount of
food over short period of time. True or False? True False
Answer:
True
Question:
13. The major distinction between bulemia nervosa and binge eating disorder (BED) is
Restriction Sense of loss of control during the binge. Purging Eating until uncomfortably full.
Answer:
Purging
Question:
14. The belief that chaotic families with unclear boundaries are more likely to have members with eating
disorders is an example of which type of theoretical perspective. Biological Psychosocial Psychological
Genetic
Answer:
Psychosocial
