NR326 CMS Proctored Exam |485 questions with
verified answers
"I feel like superman, I can do anything!" Which of the following thought process
findings is this patient demonstrating? Ans✓✓✓ Delusions of Grandeur
"I have it all figured out. Everything is going to be okay now." Ans✓✓✓ Indicates
possible plan for suicide
"Splitting" by the client with BPD (borderline personality disorder) denotes:
Ans✓✓✓ A primitive defense mechanism in which the client sees objects as all
good or all bad.
A charge nurse is conducting a class on therapeutic communication with a group
of newly licensed nurses. Which of the following aspects of communication
should the nurse identify as a component of verbal communication? Ans✓✓✓
Intonation
A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as
being effectively treated by first-generation antipsychotics? (Select all that apply.)
Ans✓✓✓ - Auditory hallucinations
- Delusions of grandeur
- Severe agitation
A charge nurse is discussing mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply.) Ans✓✓✓ - "To assess
cognitive ability, I should ask the client to count backward by sevens."
,- "To assess affect, I should observe the client's facial expression."
- "To assess language ability, I should instruct the client to write a sentence."
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates understanding?
Ans✓✓✓ "This medication increases the release of serotonin and
norepinephrine."
A charge nurse is discussing the care of a client who has major depressive
disorder (MDD) with a newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
Ans✓✓✓ "The client is at greatest risk for suicide during the first weeks of an
MDD episode."
A charge nurse is discussing the characteristics of a nurse-client relationship with
a newly licensed nurse. Which of the following characteristics should the nurse
include in the discussion? (Select all that apply.) Ans✓✓✓ - It is goal-directed.
- Behavioral change is encouraged.
- A termination date is established.
A charge nurse is discussing TMS with a new RN graduate. Which of the following
statements by the newly licensed nurse indicates an understanding of the
teaching? Ans✓✓✓ "TMS is commonly prescribed 3 to 5 times a week for the
first four to six weeks."
A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of
the teaching? Ans✓✓✓ "I will schedule the client for TMS treatments 3 to 5
times a week for the first several weeks."
,A charge nurse is leading a peer group discussion about family and community
violence. Which of the following statements by a member of the group indicates
an understanding of teaching? Ans✓✓✓ "Pregnancy increases the risk for
violence from a spouse or partner."
A charge nurse is preparing a staff education session on personality disorders.
Which of the following personality characteristics associated with all of the
personality disorders should the charge nurse include in the teaching? (Select all
that apply.) Ans✓✓✓ - Difficulty in getting along with other members of a group
- Display of defense mechanisms when routines are changed
- Difficulty understanding why it is inappropriate to have a personal relationship
with staff
A charge nurse is reviewing Kübler-Ross: Five Stages of Grief with a group of
newly licensed nurses. Which of the following stages should the charge nurse
include in the teaching? (Select all that apply.) Ans✓✓✓ - Denial
- Bargaining
- Anger
- Depression
A charge nurse is reviewing Kubler-Ross: Five Stages of Grief with a group of
newly licensed nurses. Which of the following stages should the charge nurse
include in the teaching? (SATA.) Ans✓✓✓ - Denial
- Bargaining
- Anger
- Depression
, A child with bipolar disorder also has attention-deficit/hyperactivity disorder
(ADHD). How would these comorbid conditions most likely be treated? Ans✓✓✓
The bipolar condition would be stabilized before ADHD medication would be
given.
A client admitted to the emergency department smells strongly of alcohol, and his
wife reports he has been a heavy drinker for the last 25 years. Which of the
following assessment findings are consistent with long-term chronic alcohol
abuse? (Select all that apply.) Ans✓✓✓ - The client reports weak leg muscles, and
his gait is unsteady.
- The client's abdomen is distended.
- The client reports he was coughing up some blood.
- The client reports he has double vision.
- Blood tests reveal a low white blood cell count.
A client cannot recall any of the circumstances from a recent assault experience.
Which defense mechanism is this? Ans✓✓✓ Repression
A client diagnosed Bipolar Disorder shows a nurse her fresh, self-inflicted wound.
Which is nursing priority of action? Ans✓✓✓ Inspect the cut for debris
A client during a therapeutic group session led by the nurse suddenly jumps up,
screams, and runs out of the room. What is the nurse's priority of action?
Ans✓✓✓ Follow the client to determine the cause of the behavior
A client experiencing a manic episode enters the milieu area dressed in a
provocative and physically revealing outfit. Which of the following is the most
appropriate intervention by the nurse? Ans✓✓✓ Quietly walk with her back to
her room and help her change into something more appropriate.
verified answers
"I feel like superman, I can do anything!" Which of the following thought process
findings is this patient demonstrating? Ans✓✓✓ Delusions of Grandeur
"I have it all figured out. Everything is going to be okay now." Ans✓✓✓ Indicates
possible plan for suicide
"Splitting" by the client with BPD (borderline personality disorder) denotes:
Ans✓✓✓ A primitive defense mechanism in which the client sees objects as all
good or all bad.
A charge nurse is conducting a class on therapeutic communication with a group
of newly licensed nurses. Which of the following aspects of communication
should the nurse identify as a component of verbal communication? Ans✓✓✓
Intonation
A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as
being effectively treated by first-generation antipsychotics? (Select all that apply.)
Ans✓✓✓ - Auditory hallucinations
- Delusions of grandeur
- Severe agitation
A charge nurse is discussing mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply.) Ans✓✓✓ - "To assess
cognitive ability, I should ask the client to count backward by sevens."
,- "To assess affect, I should observe the client's facial expression."
- "To assess language ability, I should instruct the client to write a sentence."
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates understanding?
Ans✓✓✓ "This medication increases the release of serotonin and
norepinephrine."
A charge nurse is discussing the care of a client who has major depressive
disorder (MDD) with a newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
Ans✓✓✓ "The client is at greatest risk for suicide during the first weeks of an
MDD episode."
A charge nurse is discussing the characteristics of a nurse-client relationship with
a newly licensed nurse. Which of the following characteristics should the nurse
include in the discussion? (Select all that apply.) Ans✓✓✓ - It is goal-directed.
- Behavioral change is encouraged.
- A termination date is established.
A charge nurse is discussing TMS with a new RN graduate. Which of the following
statements by the newly licensed nurse indicates an understanding of the
teaching? Ans✓✓✓ "TMS is commonly prescribed 3 to 5 times a week for the
first four to six weeks."
A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of
the teaching? Ans✓✓✓ "I will schedule the client for TMS treatments 3 to 5
times a week for the first several weeks."
,A charge nurse is leading a peer group discussion about family and community
violence. Which of the following statements by a member of the group indicates
an understanding of teaching? Ans✓✓✓ "Pregnancy increases the risk for
violence from a spouse or partner."
A charge nurse is preparing a staff education session on personality disorders.
Which of the following personality characteristics associated with all of the
personality disorders should the charge nurse include in the teaching? (Select all
that apply.) Ans✓✓✓ - Difficulty in getting along with other members of a group
- Display of defense mechanisms when routines are changed
- Difficulty understanding why it is inappropriate to have a personal relationship
with staff
A charge nurse is reviewing Kübler-Ross: Five Stages of Grief with a group of
newly licensed nurses. Which of the following stages should the charge nurse
include in the teaching? (Select all that apply.) Ans✓✓✓ - Denial
- Bargaining
- Anger
- Depression
A charge nurse is reviewing Kubler-Ross: Five Stages of Grief with a group of
newly licensed nurses. Which of the following stages should the charge nurse
include in the teaching? (SATA.) Ans✓✓✓ - Denial
- Bargaining
- Anger
- Depression
, A child with bipolar disorder also has attention-deficit/hyperactivity disorder
(ADHD). How would these comorbid conditions most likely be treated? Ans✓✓✓
The bipolar condition would be stabilized before ADHD medication would be
given.
A client admitted to the emergency department smells strongly of alcohol, and his
wife reports he has been a heavy drinker for the last 25 years. Which of the
following assessment findings are consistent with long-term chronic alcohol
abuse? (Select all that apply.) Ans✓✓✓ - The client reports weak leg muscles, and
his gait is unsteady.
- The client's abdomen is distended.
- The client reports he was coughing up some blood.
- The client reports he has double vision.
- Blood tests reveal a low white blood cell count.
A client cannot recall any of the circumstances from a recent assault experience.
Which defense mechanism is this? Ans✓✓✓ Repression
A client diagnosed Bipolar Disorder shows a nurse her fresh, self-inflicted wound.
Which is nursing priority of action? Ans✓✓✓ Inspect the cut for debris
A client during a therapeutic group session led by the nurse suddenly jumps up,
screams, and runs out of the room. What is the nurse's priority of action?
Ans✓✓✓ Follow the client to determine the cause of the behavior
A client experiencing a manic episode enters the milieu area dressed in a
provocative and physically revealing outfit. Which of the following is the most
appropriate intervention by the nurse? Ans✓✓✓ Quietly walk with her back to
her room and help her change into something more appropriate.
