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NUR 327 - POST CLASS QUESTIONS WITH SIMPLIFIED CORRECT ANSWERS

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NUR 327 - POST CLASS QUESTIONS WITH SIMPLIFIED CORRECT ANSWERS

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NUR 327 - POST CLASS QUESTIONS
WITH SIMPLIFIED CORRECT ANSWERS
A nurse is providing mental health education to a group of high school students. Which of the following
information about screening for mental illness should the nurse include?
A. "mental illnesses can be detected through regular blood tests"
B. Regular physical examinations are commonly used to diagnose mental illness
C. Risk factors for developing a mental illness are unknown, making screening difficult
D. Screening for mental illness is difficult because most mental illnesses cannot be detected through
laboratory testing - correct answer-Screening for mental illness is difficult because most illnesses cannot
be detected through laboratory testing
A nurse is providing education to a group of clients about the process of neurotransmission. Which of
the following statements about neurotransmission should the nurse make?

"Neurotransmitters are activated by the enzyme transferase."
"Neurotransmitters function by inhibiting the production of glucose."
"Neurotransmitters are chemical components that allow neurons to store energy for future use."
"Neurotransmitters are found throughout the body." - correct answer-Neurotransmitters are found
throughout the body."
A nurse manager and a newly licensed nurse are engaged in an interview with a client. The newly
licensed nurse tells the client, "You look like my sister. I love my sister and would do anything for her."
Which of the following actions should the nurse manager take?

Record that the newly licensed nurse is able to maintain professional nurse-client boundaries.
Inform the newly licensed nurse that they are successfully building trust and rapport.
Ask the newly licensed nurse if they are comfortable providing care to the client.
Assign the newly licensed nurse to a different client. - correct answer-Assign the newly licensed nurse to
a different client.
A nurse is performing a spiritual assessment for a client using the FICA tool. Which of the following
questions should the nurse ask to address the "C" in the FICA tool?

"What importance does spirituality have in your life?"
"How would you like us as healthcare providers to help with any spiritual concerns?"
"Do you consider yourself religious?"
"Are you a member of a spiritual organization or group?" - correct answer-"Are you a member of a
spiritual organization or group?"
A nurse is educating a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?

"Psychiatric pharmacogenomic testing provides health care providers with information about treatment
interactions."
"Psychiatric pharmacogenomic testing allows providers to determine the cause of mental illness based
on genetics."
"Psychiatric pharmacogenomic testing allows providers to determine effective treatment modalities."
"Psychiatric pharmacogenomic testing allows providers to determine the likelihood that a treatment will
produce a cure." - correct answer-"Psychiatric pharmacogenomic testing allows providers to determine
effective treatment modalities."

,A nurse is working to build rapport and trust with new clients. Which of the following actions should the
nurse take?

Fulfill a promise by allowing a client to visit with family members.
Minimize contact with a client who is angry.
Use clinical terminology to help a client better understand their diagnosis.
Explain the importance of treatment to a client who speaks a language different from the nurse. - correct
answer-Fulfill a promise by allowing a client to visit with family members.
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the
nurse prepare to discuss with the client?

The importance of medication adherence after the resolution of acute psychosis when taking an
antipsychotic

The importance of avoiding foods that contain tyramine when taking an antipsychotic

The importance of limiting fluid intake when taking an antipsychotic

The importance of routine red blood cell count laboratory work when taking an antipsychotic - correct
answer-The importance of medication adherence after the resolution of acute psychosis when taking an
antipsychotic
A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which
of the following neurotransmitters should the nurse identify as being responsible for the client's
manifestations?
Serotonin
Histamine
Norepinephrine
Dopamine - correct answer-Norepinephrine
A nurse is caring for a client and notes that the client appears disheveled, frightened, and seems to be
talking to someone who is not there. The nurse should identify that this is an example of which of the
following steps of the nursing process?
Evaluation
Planning
Assessment
Analysis - correct answer-Assessment
A nurse is providing education to the family of a client who has Alzheimer's disease. Which of the
following statements should the nurse make when explaining the role of acetylcholine in this disease
process?

"Acetylcholine has minimal impact on sleep and muscle functioning."
"Acetylcholine plays a central role in findings of Alzheimer's disease."
"Acetylcholine is an excitatory neurotransmitter that is responsible for learning and memory."
"Acetylcholine regulates the release of histamine and glutamate." - correct answer-"Acetylcholine plays a
central role in findings of Alzheimer's disease."
A nurse on a mental health unit is caring for a newly admitted client.
Vital Signs
2100:

, BP 122/78 mm Hg
Heart rate 90/min
Respiratory rate 18/min
Temperature 36.8° C (98.3° F)
SaO2 97% on room air

2345:

BP 138/84 mm Hg
Heart rate 104/min
Respiratory rate 22/min
SaO2 98% on room air

History and Physical
Client has a 10-year history of alcohol use disorder and was admitted from the emergency department
after being in a physical altercation earlier this evening. Client also has a history of hypertension and
gastroesophageal reflux disease (GERD). Client has had 2 hospitalizations over the past 5 years for
pancreatitis.

Nurses' notes
2100:

Admission completed and client oriented to room. Client immediately fell asleep on bed.

2300:

Client awake. Glass of water provided. Denies pain or needs at this time. Encouraged to rest.

2345:

Client remains awake and is pacing in room. Noted to have clenched jaw and app - correct answer-Assist
the client to identify the source of anger.
Employ active listening skills when communicating with the client.
Explain the expected behavioral limits to the client.
Administer an anxiolytic medication to the client.
A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which
of the following disorders does the nurse identify as being consistent with this behavior?

Insomnia
Obstructed sleep apnea
Autism spectrum disorder
Narcolepsy - correct answer-Autism spectrum disorder
A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of
the following actions should the nurse take?

Protect the client from further harm.
Request the police to gather evidence of the incident.
Provide legal testimony on behalf of the client.

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