NURSING 1023 EXAM 1 QUESTIONS AND
ANSWERS |ALSO CONTAINS APPROPRIATE
RATIONALES
A 14 year old child reports to the school nurse, "My mind goes blank and I get shaky and sweaty while taking tests." Which medication would be beneficial for the child in this situation? ...ANSWER... Propranolol
Rationale: Propranolol is an antianxiety agent used in the treatment
of acute situational anxiety, such as performance anxiety or test anxiety.
A client is crying to the nurse because someone made a joke about her being overweight. Which of the nurse's responses is an example of empathy? ...ANSWER... "You feel angry and embarrassed. It is alright to cry."
Rationale: Because the nurse identifies the client's feelings and makes it safe for the client to express those feelings, this is an example of empathy.
A client who has fear of darkness is exposed to a room with darkness for a long time during therapy. Which therapy is the client
undergoing? ...ANSWER... Implosion therapy ASCORERS STUVIA
Rationale: In implosion therapy (flooding), the client imagines or participates in real-life situations of which he or she is extremely frightened.
A nurse is caring for a client who is in a depressed mood and states, "I am worthless. I want to go away because my family no longer needs me." The nurse encourages the client to express honest feelings and suggests working on adaptive coping skills. What outcome can be expected from the nursing intervention? ...ANSWER... The client will have decreased self-
harming behavior.
Rationale: Encouraging the client to express or verbalize his or her feelings will help to alleviate aggression and signs of depression in
the client. Therefore, the client will have decreased suicidal ideations and self-harming behavior.
A nurse, while preparing a client for electroconvulsive therapy (ECT), administers a muscle relaxant. Which further care should the nurse provide to ensure safety during the therapy? ...ANSWER... Oxygenate the client during the treatment.
Rationale: Succinylcholine chloride (Anectine) is a muscle relaxant administered to prevent severe muscle contractions during
ECT. A muscle relaxant may paralyze the respiratory muscles, so the nurse oxygenates the client during and after the treatment to support breathing in the client.