NUR 213 Exam 3 2024 | Nursing 213
Exam Latest Update 2024 Questions and
Correct Answers Rated A+
A moderately depressed client who was hospitalized 2 days ago
suddenly begins smiling and reporting that the crisis is over. The client
says to the nurse, "I'm finally cured." How should the nurse interpret
this behavior as a cue to modify the treatment plan?
1.
Suggesting a reduction of medication
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
4.
Allowing the client off-unit privileges as needed -ANSWER-3
(pt who is moderately depressed and has only been in the hospital 2
days is unlikely to have such a dramatic cure. When a depression
suddenly lifts, it is likely that the client may have made the decision to
harm himself or herself. Suicide precautions are necessary to keep
the client safe)
The emergency department nurse is caring for an adult client who is a
victim of family violence. Which priority instruction should be included
in the discharge instructions?
1.
Information regarding shelters
2.
,Instructions regarding calling the police
3.
Instructions regarding self-defense classes
4.
Explaining the importance of leaving the violent situation -ANSWER-1
A female victim of a sexual assault is being seen in the crisis center.
The client states that she still feels "as though the rape just happened
yesterday," even though it has been a few months since the incident.
Which is the most appropriate nursing response?
1.
"You need to try to be realistic. The rape did not just occur."
2.
"It will take some time to get over these feelings about your rape."
3.
"Tell me more about the incident that causes you to feel like the rape
just occurred."
4.
"What do you think that you can do to alleviate some of your fears
about being raped again?" -ANSWER-3
(trash response irl though)
A client is admitted to the mental health unit after an attempted suicide
by hanging. The nurse can best ensure client safety by which action?
1.
Requesting that a peer remain with the client at all times
2.
Removing the client's clothing and placing the client in a hospital gown
, 3.
Assigning to the client a staff member who will remain with the client
at all times
4.
Admitting the client to a seclusion room where all potentially
dangerous articles are removed -ANSWER-3
Which behavior observed by the nurse indicates a suspicion that a
depressed adolescent client may be suicidal?
1.
The adolescent gives away a DVD and a cherished autographed
picture of a performer.
2.
The adolescent runs out of the therapy group, swearing at the group
leader, and to her room.
3.
The adolescent becomes angry while speaking on the telephone and
slams down the receiver.
4.
The adolescent gets angry with her roommate when the roommate
borrows the client's clothes without asking. -ANSWER-1
A depressed client on an inpatient unit says to the nurse, "My family
would be better off without me." Which is the nurse's best response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are depressed."
, 3.
"You will feel better once your medication begins to work."
4.
"You sound very upset. Are you thinking of hurting yourself?" -
ANSWER-4
A client is admitted with a recent history of severe anxiety following a
home invasion and robbery. During the initial assessment interview,
which statement by the client should indicate to the nurse the possible
diagnosis of posttraumatic stress disorder? Select all that apply.
1.
"I'm afraid of spiders."
2.
"I keep reliving the robbery."
3.
"I see his face everywhere I go."
4.
"I don't want anything to eat now."
5.
"I might have died over a few dollars in my pocket."
6.
"I have to wash my hands over and over again many times." -
ANSWER-2 3 5
(Reliving an event, experiencing emotional numbness (facing possible
death), and having flashbacks of the event (seeing the same face
everywhere) are all common occurrences with posttraumatic stress
disorder. The statement "I'm afraid of spiders" relates more to having
a phobia. The statement "I have to wash my hands over and over
again many times" describes ritual compulsive behaviors to decrease
Exam Latest Update 2024 Questions and
Correct Answers Rated A+
A moderately depressed client who was hospitalized 2 days ago
suddenly begins smiling and reporting that the crisis is over. The client
says to the nurse, "I'm finally cured." How should the nurse interpret
this behavior as a cue to modify the treatment plan?
1.
Suggesting a reduction of medication
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
4.
Allowing the client off-unit privileges as needed -ANSWER-3
(pt who is moderately depressed and has only been in the hospital 2
days is unlikely to have such a dramatic cure. When a depression
suddenly lifts, it is likely that the client may have made the decision to
harm himself or herself. Suicide precautions are necessary to keep
the client safe)
The emergency department nurse is caring for an adult client who is a
victim of family violence. Which priority instruction should be included
in the discharge instructions?
1.
Information regarding shelters
2.
,Instructions regarding calling the police
3.
Instructions regarding self-defense classes
4.
Explaining the importance of leaving the violent situation -ANSWER-1
A female victim of a sexual assault is being seen in the crisis center.
The client states that she still feels "as though the rape just happened
yesterday," even though it has been a few months since the incident.
Which is the most appropriate nursing response?
1.
"You need to try to be realistic. The rape did not just occur."
2.
"It will take some time to get over these feelings about your rape."
3.
"Tell me more about the incident that causes you to feel like the rape
just occurred."
4.
"What do you think that you can do to alleviate some of your fears
about being raped again?" -ANSWER-3
(trash response irl though)
A client is admitted to the mental health unit after an attempted suicide
by hanging. The nurse can best ensure client safety by which action?
1.
Requesting that a peer remain with the client at all times
2.
Removing the client's clothing and placing the client in a hospital gown
, 3.
Assigning to the client a staff member who will remain with the client
at all times
4.
Admitting the client to a seclusion room where all potentially
dangerous articles are removed -ANSWER-3
Which behavior observed by the nurse indicates a suspicion that a
depressed adolescent client may be suicidal?
1.
The adolescent gives away a DVD and a cherished autographed
picture of a performer.
2.
The adolescent runs out of the therapy group, swearing at the group
leader, and to her room.
3.
The adolescent becomes angry while speaking on the telephone and
slams down the receiver.
4.
The adolescent gets angry with her roommate when the roommate
borrows the client's clothes without asking. -ANSWER-1
A depressed client on an inpatient unit says to the nurse, "My family
would be better off without me." Which is the nurse's best response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are depressed."
, 3.
"You will feel better once your medication begins to work."
4.
"You sound very upset. Are you thinking of hurting yourself?" -
ANSWER-4
A client is admitted with a recent history of severe anxiety following a
home invasion and robbery. During the initial assessment interview,
which statement by the client should indicate to the nurse the possible
diagnosis of posttraumatic stress disorder? Select all that apply.
1.
"I'm afraid of spiders."
2.
"I keep reliving the robbery."
3.
"I see his face everywhere I go."
4.
"I don't want anything to eat now."
5.
"I might have died over a few dollars in my pocket."
6.
"I have to wash my hands over and over again many times." -
ANSWER-2 3 5
(Reliving an event, experiencing emotional numbness (facing possible
death), and having flashbacks of the event (seeing the same face
everywhere) are all common occurrences with posttraumatic stress
disorder. The statement "I'm afraid of spiders" relates more to having
a phobia. The statement "I have to wash my hands over and over
again many times" describes ritual compulsive behaviors to decrease
