NURS 420 Exam 3 Study Guide questions with
verified answers
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? (SATA) Ans✓✓✓ - Auditory hallucinations
- Withdrawal from social situations
- Delusions of grandeur
- Severe agitation
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 (SATA) 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 nurse caring for a client on an acute mental health unit. The client
reports hearing voices that are stating, "kill your doctor." Which of the
following actions should the nurse take first? Ans✓✓✓ Initiate one-to-
one observation of the client
,A nurse in an acute care mental health facility is planning care for a
client who has dissociative fugue. Which of the following interventions
should the nurse add to the plan of care? Ans✓✓✓ Work with the client
on grounding techniques
A nurse is assessing a client who is currently taking perphenazine.
Which of the following findings should the nurse identify as an
extrapyramidal symptoms (EPS)? (SATA) Ans✓✓✓ - Drooling
- Involuntary arm movements
- Continual pacing
A nurse is assisting with a court-ordered evaluation of a client who has
antisocial personality disorder. Which of the following findings should
the nurse expect? (SATA) Ans✓✓✓ - Attempts to convince other clients
to relinquish their belongings
- Blames others for personal past and current problems
A nurse is caring for a client who has avoidant personality disorder.
Which of the following statements is expected from a client who has
this type of personality disorder? Ans✓✓✓ "I'm scared that you're going
to leave me"
A nurse is caring for a client who has borderline personality disorder.
The client says, "The nurse on the evening shift is always nice. You are
the meanest nurse ever!" The nurse should recognize the client's
,statement as an example of which of the following defense
mechanisms? Ans✓✓✓ Splitting
A nurse is caring for a client who has bulimia nervosa and has stopped
purging behavior. The client tells the nurse about fears of gaining
weight. Which of the following responses should the nurse make?
Ans✓✓✓ "I understand you have concerns about your weight, but first,
let's talk about your recent accomplishments."
A nurse is caring for a client who has derealization disorder. Which of
the following findings should the nurse identify as an indication of
derealization? Ans✓✓✓ The client states that the furniture in the room
seems to be small and far away
A nurse is caring for a client who has schizoaffective disorder. Which of
the following statements indicates the client is experiencing
depersonalization? Ans✓✓✓ "I am no one, and everyone is me."
A nurse is caring for a client who has schizophrenia and exhibits a lack
of grooming and a flat affect. The nurse should expect a prescription for
which of the following medications? Ans✓✓✓ Risperidone
A nurse is caring for a client who has substance-induced psychotic
disorder and is experiencing auditory hallucinations. The client states,
"The voices won't leave me alone!" Which of the following statements
, should the nurse make? (SATA) Ans✓✓✓ - "When did you start hearing
these things?"
- "It must be scary to hear voices."
- "Are the voices you hear telling you to hurt yourself?"
A nurse is caring for a client who takes ziprasidone. The client reports
difficulty swallowing the oral medication and becomes extremely
agitated with injectable administration. The nurse should contact the
provider to discuss a change to which of the following medications?
(SATA) Ans✓✓✓ - Olanzapine
- Aripiprazole
- Clozapine
- Asenapine
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lbs. Which of the
following statements indicates the client is experiencing the cognitive
distortion of catastrophizing? Ans✓✓✓ "Life isn't worth living if I gain
weight."
A nurse is collecting an admission history for a client who has acute
stress disorder (ASD). Which of the following client behaviors should
the nurse expect? Ans✓✓✓ The client expresses a sense of unreality
about the traumatic incident
verified answers
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? (SATA) Ans✓✓✓ - Auditory hallucinations
- Withdrawal from social situations
- Delusions of grandeur
- Severe agitation
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 (SATA) 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 nurse caring for a client on an acute mental health unit. The client
reports hearing voices that are stating, "kill your doctor." Which of the
following actions should the nurse take first? Ans✓✓✓ Initiate one-to-
one observation of the client
,A nurse in an acute care mental health facility is planning care for a
client who has dissociative fugue. Which of the following interventions
should the nurse add to the plan of care? Ans✓✓✓ Work with the client
on grounding techniques
A nurse is assessing a client who is currently taking perphenazine.
Which of the following findings should the nurse identify as an
extrapyramidal symptoms (EPS)? (SATA) Ans✓✓✓ - Drooling
- Involuntary arm movements
- Continual pacing
A nurse is assisting with a court-ordered evaluation of a client who has
antisocial personality disorder. Which of the following findings should
the nurse expect? (SATA) Ans✓✓✓ - Attempts to convince other clients
to relinquish their belongings
- Blames others for personal past and current problems
A nurse is caring for a client who has avoidant personality disorder.
Which of the following statements is expected from a client who has
this type of personality disorder? Ans✓✓✓ "I'm scared that you're going
to leave me"
A nurse is caring for a client who has borderline personality disorder.
The client says, "The nurse on the evening shift is always nice. You are
the meanest nurse ever!" The nurse should recognize the client's
,statement as an example of which of the following defense
mechanisms? Ans✓✓✓ Splitting
A nurse is caring for a client who has bulimia nervosa and has stopped
purging behavior. The client tells the nurse about fears of gaining
weight. Which of the following responses should the nurse make?
Ans✓✓✓ "I understand you have concerns about your weight, but first,
let's talk about your recent accomplishments."
A nurse is caring for a client who has derealization disorder. Which of
the following findings should the nurse identify as an indication of
derealization? Ans✓✓✓ The client states that the furniture in the room
seems to be small and far away
A nurse is caring for a client who has schizoaffective disorder. Which of
the following statements indicates the client is experiencing
depersonalization? Ans✓✓✓ "I am no one, and everyone is me."
A nurse is caring for a client who has schizophrenia and exhibits a lack
of grooming and a flat affect. The nurse should expect a prescription for
which of the following medications? Ans✓✓✓ Risperidone
A nurse is caring for a client who has substance-induced psychotic
disorder and is experiencing auditory hallucinations. The client states,
"The voices won't leave me alone!" Which of the following statements
, should the nurse make? (SATA) Ans✓✓✓ - "When did you start hearing
these things?"
- "It must be scary to hear voices."
- "Are the voices you hear telling you to hurt yourself?"
A nurse is caring for a client who takes ziprasidone. The client reports
difficulty swallowing the oral medication and becomes extremely
agitated with injectable administration. The nurse should contact the
provider to discuss a change to which of the following medications?
(SATA) Ans✓✓✓ - Olanzapine
- Aripiprazole
- Clozapine
- Asenapine
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lbs. Which of the
following statements indicates the client is experiencing the cognitive
distortion of catastrophizing? Ans✓✓✓ "Life isn't worth living if I gain
weight."
A nurse is collecting an admission history for a client who has acute
stress disorder (ASD). Which of the following client behaviors should
the nurse expect? Ans✓✓✓ The client expresses a sense of unreality
about the traumatic incident
