NURS 315: Exam #2 Questions With
Answers 100% Correct.
Which of the following would be considered a situational (something that is likely to
happen in someone's life that causes disruption/is out of the ordinary but is not
traumatic) crisis? - ANSWER- Job Promotion; as it can cause disruption or
disequilibrium; making life unstable for a little while
Which of the following is accurate regarding a crisis? (crisis is personalized, depends on
the perception from that person, overwhelmed by an event that is occuring, poor coping
skills) - ANSWER- Occurs when an individual is at a breaking point
For a patient in crisis, the assessment of the psychological domain focuses on which of
the following? - ANSWER- Coping strengths
The immediate, priority assessment that must be made during crisis intervention
therapy is - ANSWER- Whether external controls are needed. In this, you need to
ensure patient safety.
Jake and Mary Patternson are sending their only daughter, Allie, off to college. Jake is
worried about how he is going to pay for the increased costs of housing, tuition, and
living expenses, Mary is just as distressed about this event, nut her worries surround
her daughter's safety while being unsupervised in a college town. Which factor
determines which parent will experience the worst crisis? - ANSWER- Each parent's
perception of his or her ability to cope - it is each person's perception, as it is
individualized. (Balancing factors)
Effective interventions while providing care during a crisis include - ANSWER-
Resolving immediate problems perceived as most threatening to the client. You need to
assist the patient to resolve immediate problems that they may perceive as
overwhelming.
The nurse is assessing a client in crisis, The client states "I don't feel like I can't go on
anymore." Which of the following is the nurse's best response? - ANSWER- "Are you
having thoughts of hurting yourself?" -- We want to ensure that the patient is not
suicidal.
An individual is seeking employment as a nurse in a crisis center. The interviewer asks
the job candidate what he would ask someone who called the crisis hotline so as to
determine whether the caller was experiencing a crisis. Which response would be most
appropriate? - ANSWER- "Tell me about what you are experiencing and what it means
to you.
, Schizophrenia is most often characterized by which of the following assessment
findings? - ANSWER- Thought disturbances and hallucinations
One of the primary goals in caring for the client with schizophrenia is to establish clear,
consistent, open communication. Which of the following nursing interventions would be
most effective in accomplishing this goal? - ANSWER- Present reality in clear simple
language, and demonstrate patience
A client who is delusional and paranoid refuses to take his antipsychotic medication as
prescribed. The most therapeutic response by the nurse to his refusal is what? -
ANSWER- "What is it about the medicine that you don't like"
A client with schizophrenia states that he is God's messenger and his mission is to
become president/ The nurse documents these comments as evidence of the client's
what? - ANSWER- Delusional Thinking
A client with a diagnosis of schizophrenia has been brought to the emergency
department by a worker from the group home where he resides. The worker states that
the client has "gone off his meds" and drank two to three galloons of water over the past
several hours. What assessments should the nurse who is caring for the client
prioritize? - ANSWER- Neurological assessment and monitoring of electrolyte levels -
Rationale: Hyponatremia, electrolyte imbalances, and seizures may result for
polydipsia. Consequently, close monitoring of the patient's electrolytes and neurological
status assessment are prioritized at this stage. (We want to ensure to misdiagnose
psychiatric issues, compared to medical problems)
A mental health client has been prescribed clozapine (Clozaril) for the treatment of
schizophrenia. The nurse should be alert to which of the following potentially life-
threatening adverse effects of the medications? - ANSWER- Agranulocytes -specific to
this medication
A client with a long history of schizophrenia has managed well on Thiothixene (Navane).
She calls her case manager to report that she keeps feeling like she wants to stick out
her tongue and state up at the ceiling. The nurse interprets the client's comments to
mean she has which of the following? - ANSWER- Signs of tardive dyskinesia
associated with neuroleptic medication -
Rationale: Tardive dyskinesia (TD) is a type of extrapyramidal side effects characterized
by abnormal, involuntary, irregular, chreoateroid (writhing) movements, which may
include lip smacking, neck twisting, facial grimacing, and tongue movements.
A 21-year-old woman has been recently diagnosed with agoraphobia. Which of the
following situations is most likely to cause the woman anxiety? - ANSWER- Going to a
crowded, outdoor market on her own
A nurse is assessing a recently admitted client who is exhibiting agitation that appears
to be related to acute mania. Which action should a nursing plan to utilize when caring
Answers 100% Correct.
Which of the following would be considered a situational (something that is likely to
happen in someone's life that causes disruption/is out of the ordinary but is not
traumatic) crisis? - ANSWER- Job Promotion; as it can cause disruption or
disequilibrium; making life unstable for a little while
Which of the following is accurate regarding a crisis? (crisis is personalized, depends on
the perception from that person, overwhelmed by an event that is occuring, poor coping
skills) - ANSWER- Occurs when an individual is at a breaking point
For a patient in crisis, the assessment of the psychological domain focuses on which of
the following? - ANSWER- Coping strengths
The immediate, priority assessment that must be made during crisis intervention
therapy is - ANSWER- Whether external controls are needed. In this, you need to
ensure patient safety.
Jake and Mary Patternson are sending their only daughter, Allie, off to college. Jake is
worried about how he is going to pay for the increased costs of housing, tuition, and
living expenses, Mary is just as distressed about this event, nut her worries surround
her daughter's safety while being unsupervised in a college town. Which factor
determines which parent will experience the worst crisis? - ANSWER- Each parent's
perception of his or her ability to cope - it is each person's perception, as it is
individualized. (Balancing factors)
Effective interventions while providing care during a crisis include - ANSWER-
Resolving immediate problems perceived as most threatening to the client. You need to
assist the patient to resolve immediate problems that they may perceive as
overwhelming.
The nurse is assessing a client in crisis, The client states "I don't feel like I can't go on
anymore." Which of the following is the nurse's best response? - ANSWER- "Are you
having thoughts of hurting yourself?" -- We want to ensure that the patient is not
suicidal.
An individual is seeking employment as a nurse in a crisis center. The interviewer asks
the job candidate what he would ask someone who called the crisis hotline so as to
determine whether the caller was experiencing a crisis. Which response would be most
appropriate? - ANSWER- "Tell me about what you are experiencing and what it means
to you.
, Schizophrenia is most often characterized by which of the following assessment
findings? - ANSWER- Thought disturbances and hallucinations
One of the primary goals in caring for the client with schizophrenia is to establish clear,
consistent, open communication. Which of the following nursing interventions would be
most effective in accomplishing this goal? - ANSWER- Present reality in clear simple
language, and demonstrate patience
A client who is delusional and paranoid refuses to take his antipsychotic medication as
prescribed. The most therapeutic response by the nurse to his refusal is what? -
ANSWER- "What is it about the medicine that you don't like"
A client with schizophrenia states that he is God's messenger and his mission is to
become president/ The nurse documents these comments as evidence of the client's
what? - ANSWER- Delusional Thinking
A client with a diagnosis of schizophrenia has been brought to the emergency
department by a worker from the group home where he resides. The worker states that
the client has "gone off his meds" and drank two to three galloons of water over the past
several hours. What assessments should the nurse who is caring for the client
prioritize? - ANSWER- Neurological assessment and monitoring of electrolyte levels -
Rationale: Hyponatremia, electrolyte imbalances, and seizures may result for
polydipsia. Consequently, close monitoring of the patient's electrolytes and neurological
status assessment are prioritized at this stage. (We want to ensure to misdiagnose
psychiatric issues, compared to medical problems)
A mental health client has been prescribed clozapine (Clozaril) for the treatment of
schizophrenia. The nurse should be alert to which of the following potentially life-
threatening adverse effects of the medications? - ANSWER- Agranulocytes -specific to
this medication
A client with a long history of schizophrenia has managed well on Thiothixene (Navane).
She calls her case manager to report that she keeps feeling like she wants to stick out
her tongue and state up at the ceiling. The nurse interprets the client's comments to
mean she has which of the following? - ANSWER- Signs of tardive dyskinesia
associated with neuroleptic medication -
Rationale: Tardive dyskinesia (TD) is a type of extrapyramidal side effects characterized
by abnormal, involuntary, irregular, chreoateroid (writhing) movements, which may
include lip smacking, neck twisting, facial grimacing, and tongue movements.
A 21-year-old woman has been recently diagnosed with agoraphobia. Which of the
following situations is most likely to cause the woman anxiety? - ANSWER- Going to a
crowded, outdoor market on her own
A nurse is assessing a recently admitted client who is exhibiting agitation that appears
to be related to acute mania. Which action should a nursing plan to utilize when caring
