NURS 307 Final - Questions with Correct Answers
(Verified Update)
469 questions with answers
Topic: NURS 307 Final
1. Which of the following patients on the acute care psychiatric unit needs the
immediate attention of the nurse?
Answer: patient recently admitted with schizophrenia and is an alcoholic
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?
Answer: Flashbacks
3. Which condition would the nurse be most concerned about when caring for a
patient who abuses alcohol?
Answer: Suicidal potential
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?
Answer: "I figured you would ask me about that."
5. Which patient behaviors should the nurse suspect as related to alcohol
withdrawal?
Answer: hyperalert state, jerky movements, easily startled
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?
Answer: preparation
7. Which of the following describes charac- Diflculty teristics of generalized anxiety
disorder (GAD):
Answer: concentrating, easily fatigued, and occurs for at least 6 months.
8. The nurse is performing health education with a patient who lives with an anxhe
iety 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?
Answer: Repeating positive statements to himself when feels anxious, such as "I'm anxious
now, but I'll be okay."
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?
Answer: Alprazolam (Xanax)
Page 1
,10. Which answer presents the accurate clin- Many ical course of bulimia nervosa?
Answer: 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
11. Interventions by way of the spiritual domain have little effect on Bulimia
patients. True or False?
Answer: False
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
13. The major distinction between bulemia nervosa and binge eating disorder (BED)
is
Answer: Purging
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.
Answer: Psychosocial
15. Which of the following best describes the Pervasive term "mood"?
Answer: and sustained emotion that colors one's perception of the world and how one
functions in it
16. Which of the following is NOT an observ- Dysphoric able expression of mood?
Answer: (feeling unhappy and full of anxiety)
17. A client diagnosed with bipolar disorder is being treated with lithium. The nurse
should instruct the client to use moderation with foods high in
Answer: sodium
18. The primary difference between a mania and hypomania is
Answer: The duration of the manic episode
19. Many antidepressant medications have anticholinergic side effects. Which of the
following is NOT an anticholinergic effect?
Answer: Sinus bradycardia
20. Which of the following is NOT a mood stabilizer?
Answer: Benzatropine (Cogentin)
21. Which describes the difference between Bipolar I and Bipolar II disorders?
Answer: Hypomania
22. A patient taking an SSRI decides to take St. Johns Wart to help her depression.
Which of the following conditions is she more susceptible to?
Answer: Serotonin syndrome
23. Bipolar II disorder is best described as:
Answer: Periods of major depression and hypomania
Page 2
,24. Lithium carbonate is the most widely used mood stabilizer prescribed for clients
experiencing bipolar disorder, however due to its side-effect profile, it is poorly
tolerated in at least a third of treated patients. Which of the following medications
may be prescribed as an alternative to lithium carbonate?
Answer: carbamezapine (Tegretol)
25. A severely depressed patient has been taking an antidepressant Sertraline
(Zoloft) for 14 days. During a follow-up visit, the patient smiles euphorically and
states, "I feel so much better now." How might the nurse interpret this behaviour
change?
Answer: The patient may have decided to carry out a suicide plan.
26. Which of the following best defines obsessive-compulsive disorder?
Answer: Unwanted thoughts, intrusive persistent thoughts, impulses, or images that cause
anxiety and distress
27. A general anxiety disorder is manifested through persistent thoughts and
impulses or images that cause anxiety and distress. True or False?
Answer: False
28. Persistent thoughts, impulses, or images that cause anxiety and distress best
describes which anxiety related symptom? Obsessions Compulsions Ruminations
Fixations
Answer: Obsessions
29. Washing, cleaning, checking, counting, repeating actions, ordering, making
confessions, and requesting assurances if sequence is disturbed, person
experiences anxiety are examples of
Answer: Common obsessions
30. A breakdown in integrated functions of memory, consciousness, perception of
self, environment, or sensory and motor behaviour' best describes which symptom
associated with OCD.
Answer: Dissociation
31. Which of the following personality disorders is characterized by the patient
"living crisis to crisis"?
Answer: Borderline
32. True or false, a pervasive pattern of disregard for, and violation of, the rights of
others best describes histrionic personality disorder.
Answer: False
33. A pattern of grandiosity, need for admiration, and general lack of empathy, best
describes which type of personality disorder.
Answer: Narcissistic Personality Disorder
34. There are three clusters of personality disorders A, B, C. Which of the following
is NOT included in any one of the three clusters of PD:
Answer: Delusional Personality Disorder
35. Which of the following is a positive symptom of schizophrenia?
Answer: Hallucinations
Page 3
, 36. Which of the following medication issues can be addressed BEST by the patient?
Answer: Compliance
37. Which of the following BEST describes a delusional disorder
Answer: Stable, well systemized and logical, nonbizarre delusions
38. Which neurotransmitter of the following has a different effect on the brain from
the others?
Answer: γ-Aminobutyric acid (GABA)
39. Bruce is a newly admitted client who has schizophrenia with paranoid
behaviours. Bruce's family mention that they really don't understand what caused
Bruce's illness. The nurse should answer in terms of the
Answer: neurobiological-genetic model
40. Terry's nursing care plan includes the nursing order, to assess for auditory
hallucinations. What behaviours suggest the client may be hallucinating?
Answer: darting eyes, tilted head, mumbling to self
41. A client has been prescribed a neuroleptic drug to treat a psychiatric disorder.
The nurse should explain to the client and client's family that neuroleptic drugs are
the same as:
Answer: antipsychotic medications
42. Which of the following theories is related hyperactivity to dopamine?
Answer: of the mesolimbic tract
43. A client is admitted to the unit wearing torn and soiled clothing and looking
confused. She is suspicious of others, has a flat affect, and talks very little. Which of
the following would the nurse identify as the initial priority for this client?
Answer: Helping the client feel safe and secure.
44. A client has been prescribed chlorpromazine CPZ (Largactil) for treatment of
schizophrenia. The nurse understands that this medication blocks the transmission
of
Answer: Dopamine
45. The treatment of psychiatric and mental health care before the mid-20th century
was primarily influenced by what factor?
Answer: lack of understanding regarding the etiology of mental illness
46. Which of the following events best exema plifies the trends in Canadian
treatment of mental illness in the second half of the 20th century?
Answer: reduction in the size of large mental hospitals
47. A nurse can best demonstrate contemporary principles of psychiatric mental
health care by performing what action?
Answer: prioritizing the quality of the nurse-client relationship
48. A psychiatric mental health nurse has been asked to join an interdisciplinary
team that has been commissioned to address the mental health needs of
underserved Canadians. The team is most likely to address which group?
Answer: aboriginal people
Page 4
(Verified Update)
469 questions with answers
Topic: NURS 307 Final
1. Which of the following patients on the acute care psychiatric unit needs the
immediate attention of the nurse?
Answer: patient recently admitted with schizophrenia and is an alcoholic
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?
Answer: Flashbacks
3. Which condition would the nurse be most concerned about when caring for a
patient who abuses alcohol?
Answer: Suicidal potential
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?
Answer: "I figured you would ask me about that."
5. Which patient behaviors should the nurse suspect as related to alcohol
withdrawal?
Answer: hyperalert state, jerky movements, easily startled
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?
Answer: preparation
7. Which of the following describes charac- Diflculty teristics of generalized anxiety
disorder (GAD):
Answer: concentrating, easily fatigued, and occurs for at least 6 months.
8. The nurse is performing health education with a patient who lives with an anxhe
iety 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?
Answer: Repeating positive statements to himself when feels anxious, such as "I'm anxious
now, but I'll be okay."
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?
Answer: Alprazolam (Xanax)
Page 1
,10. Which answer presents the accurate clin- Many ical course of bulimia nervosa?
Answer: 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
11. Interventions by way of the spiritual domain have little effect on Bulimia
patients. True or False?
Answer: False
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
13. The major distinction between bulemia nervosa and binge eating disorder (BED)
is
Answer: Purging
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.
Answer: Psychosocial
15. Which of the following best describes the Pervasive term "mood"?
Answer: and sustained emotion that colors one's perception of the world and how one
functions in it
16. Which of the following is NOT an observ- Dysphoric able expression of mood?
Answer: (feeling unhappy and full of anxiety)
17. A client diagnosed with bipolar disorder is being treated with lithium. The nurse
should instruct the client to use moderation with foods high in
Answer: sodium
18. The primary difference between a mania and hypomania is
Answer: The duration of the manic episode
19. Many antidepressant medications have anticholinergic side effects. Which of the
following is NOT an anticholinergic effect?
Answer: Sinus bradycardia
20. Which of the following is NOT a mood stabilizer?
Answer: Benzatropine (Cogentin)
21. Which describes the difference between Bipolar I and Bipolar II disorders?
Answer: Hypomania
22. A patient taking an SSRI decides to take St. Johns Wart to help her depression.
Which of the following conditions is she more susceptible to?
Answer: Serotonin syndrome
23. Bipolar II disorder is best described as:
Answer: Periods of major depression and hypomania
Page 2
,24. Lithium carbonate is the most widely used mood stabilizer prescribed for clients
experiencing bipolar disorder, however due to its side-effect profile, it is poorly
tolerated in at least a third of treated patients. Which of the following medications
may be prescribed as an alternative to lithium carbonate?
Answer: carbamezapine (Tegretol)
25. A severely depressed patient has been taking an antidepressant Sertraline
(Zoloft) for 14 days. During a follow-up visit, the patient smiles euphorically and
states, "I feel so much better now." How might the nurse interpret this behaviour
change?
Answer: The patient may have decided to carry out a suicide plan.
26. Which of the following best defines obsessive-compulsive disorder?
Answer: Unwanted thoughts, intrusive persistent thoughts, impulses, or images that cause
anxiety and distress
27. A general anxiety disorder is manifested through persistent thoughts and
impulses or images that cause anxiety and distress. True or False?
Answer: False
28. Persistent thoughts, impulses, or images that cause anxiety and distress best
describes which anxiety related symptom? Obsessions Compulsions Ruminations
Fixations
Answer: Obsessions
29. Washing, cleaning, checking, counting, repeating actions, ordering, making
confessions, and requesting assurances if sequence is disturbed, person
experiences anxiety are examples of
Answer: Common obsessions
30. A breakdown in integrated functions of memory, consciousness, perception of
self, environment, or sensory and motor behaviour' best describes which symptom
associated with OCD.
Answer: Dissociation
31. Which of the following personality disorders is characterized by the patient
"living crisis to crisis"?
Answer: Borderline
32. True or false, a pervasive pattern of disregard for, and violation of, the rights of
others best describes histrionic personality disorder.
Answer: False
33. A pattern of grandiosity, need for admiration, and general lack of empathy, best
describes which type of personality disorder.
Answer: Narcissistic Personality Disorder
34. There are three clusters of personality disorders A, B, C. Which of the following
is NOT included in any one of the three clusters of PD:
Answer: Delusional Personality Disorder
35. Which of the following is a positive symptom of schizophrenia?
Answer: Hallucinations
Page 3
, 36. Which of the following medication issues can be addressed BEST by the patient?
Answer: Compliance
37. Which of the following BEST describes a delusional disorder
Answer: Stable, well systemized and logical, nonbizarre delusions
38. Which neurotransmitter of the following has a different effect on the brain from
the others?
Answer: γ-Aminobutyric acid (GABA)
39. Bruce is a newly admitted client who has schizophrenia with paranoid
behaviours. Bruce's family mention that they really don't understand what caused
Bruce's illness. The nurse should answer in terms of the
Answer: neurobiological-genetic model
40. Terry's nursing care plan includes the nursing order, to assess for auditory
hallucinations. What behaviours suggest the client may be hallucinating?
Answer: darting eyes, tilted head, mumbling to self
41. A client has been prescribed a neuroleptic drug to treat a psychiatric disorder.
The nurse should explain to the client and client's family that neuroleptic drugs are
the same as:
Answer: antipsychotic medications
42. Which of the following theories is related hyperactivity to dopamine?
Answer: of the mesolimbic tract
43. A client is admitted to the unit wearing torn and soiled clothing and looking
confused. She is suspicious of others, has a flat affect, and talks very little. Which of
the following would the nurse identify as the initial priority for this client?
Answer: Helping the client feel safe and secure.
44. A client has been prescribed chlorpromazine CPZ (Largactil) for treatment of
schizophrenia. The nurse understands that this medication blocks the transmission
of
Answer: Dopamine
45. The treatment of psychiatric and mental health care before the mid-20th century
was primarily influenced by what factor?
Answer: lack of understanding regarding the etiology of mental illness
46. Which of the following events best exema plifies the trends in Canadian
treatment of mental illness in the second half of the 20th century?
Answer: reduction in the size of large mental hospitals
47. A nurse can best demonstrate contemporary principles of psychiatric mental
health care by performing what action?
Answer: prioritizing the quality of the nurse-client relationship
48. A psychiatric mental health nurse has been asked to join an interdisciplinary
team that has been commissioned to address the mental health needs of
underserved Canadians. The team is most likely to address which group?
Answer: aboriginal people
Page 4
