NURS 307 Final Exam Study Set questions
with answers
Which of the following patients on the acute care psychiatric unit needs the
immediate attention of the nurse?
Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of control
Patient skipping and dancing down the hall singing - CORRECT ANSWERS
✔✔patient recently admitted with schizophrenia and is an alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug
free. The patient is experiencing repeated occurrences of vivid frightening
images and thoughts. Which term would the nurse use to document this
finding?
Tolerance
Flashbacks
Withdrawal
Synergistic effects - CORRECT ANSWERS ✔✔Flashbacks
Which condition would the nurse be most concerned about when caring for a
patient who abuses alcohol?
,Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome - CORRECT ANSWERS ✔✔Suicidal potential
Which patient response to the question "have you ever drank more alcohol or
used more drugs that you meant to?" should immediately cause the nurse to
assess further?
"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get drunk."
"I figured you would ask me about that."
"Yes I did that once and will never so it again." - CORRECT ANSWERS ✔✔"I
figured you would ask me about that."
Which patient behaviors should the nurse suspect as related to alcohol
withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
,Paranoid delusions, fever, fluctuated levels of consciousness - CORRECT
ANSWERS ✔✔hyperalert state, jerky movements, easily startled
A patient in community mental health centre, smokes up to half a pack of
cigarettes daily but has tried with limited success to cut back over the last two
weeks. Today he asked the pharmacist about various products that could aid
his attempts to quit smoking in time for him to manage a long overseas flight
next month with his friends who are allergic to smoke. What phase of change
is this patient demonstrating?
Precontemplation
Contemplation
Preparation
Action - CORRECT ANSWERS ✔✔preparation
Which of the following describes characteristics of generalized anxiety
disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
, Fear of performing a task in public, fear of a specific object, and fear of losing
control. - CORRECT ANSWERS ✔✔Difficulty concentrating, easily fatigued,
and occurs for at least 6 months.
The nurse is performing health education with a patient who lives with an
anxiety disorder. The patient states that he is eager to adopt new strategies that
will help him to deal more effectively with his anxiety. Which of the following
actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to
desensitize his anxiety response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to
provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis,
especially when stressors are anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm
anxious now, but I'll be okay." - CORRECT ANSWERS ✔✔Repeating positive
statements to himself when he feels anxious, such as "I'm anxious now, but I'll
be okay."
A patient has presented in the emergency department stating that she is having
a "heart attack." Assessment reveals, however, that the patient is having a panic
attack. The nurse will most likely administer what drug?
with answers
Which of the following patients on the acute care psychiatric unit needs the
immediate attention of the nurse?
Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of control
Patient skipping and dancing down the hall singing - CORRECT ANSWERS
✔✔patient recently admitted with schizophrenia and is an alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug
free. The patient is experiencing repeated occurrences of vivid frightening
images and thoughts. Which term would the nurse use to document this
finding?
Tolerance
Flashbacks
Withdrawal
Synergistic effects - CORRECT ANSWERS ✔✔Flashbacks
Which condition would the nurse be most concerned about when caring for a
patient who abuses alcohol?
,Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome - CORRECT ANSWERS ✔✔Suicidal potential
Which patient response to the question "have you ever drank more alcohol or
used more drugs that you meant to?" should immediately cause the nurse to
assess further?
"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get drunk."
"I figured you would ask me about that."
"Yes I did that once and will never so it again." - CORRECT ANSWERS ✔✔"I
figured you would ask me about that."
Which patient behaviors should the nurse suspect as related to alcohol
withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
,Paranoid delusions, fever, fluctuated levels of consciousness - CORRECT
ANSWERS ✔✔hyperalert state, jerky movements, easily startled
A patient in community mental health centre, smokes up to half a pack of
cigarettes daily but has tried with limited success to cut back over the last two
weeks. Today he asked the pharmacist about various products that could aid
his attempts to quit smoking in time for him to manage a long overseas flight
next month with his friends who are allergic to smoke. What phase of change
is this patient demonstrating?
Precontemplation
Contemplation
Preparation
Action - CORRECT ANSWERS ✔✔preparation
Which of the following describes characteristics of generalized anxiety
disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
, Fear of performing a task in public, fear of a specific object, and fear of losing
control. - CORRECT ANSWERS ✔✔Difficulty concentrating, easily fatigued,
and occurs for at least 6 months.
The nurse is performing health education with a patient who lives with an
anxiety disorder. The patient states that he is eager to adopt new strategies that
will help him to deal more effectively with his anxiety. Which of the following
actions should the nurse suggest?
Deliberately seeking out situations that provoke intense anxiety or order to
desensitize his anxiety response.
Taking a PRN dose of a benzodiazepine before any situation that is likely to
provoke anxiety.
Learning self-hypnosis techniques and performing these on a regular basis,
especially when stressors are anticipated.
Repeating positive statements to himself when he feels anxious, such as "I'm
anxious now, but I'll be okay." - CORRECT ANSWERS ✔✔Repeating positive
statements to himself when he feels anxious, such as "I'm anxious now, but I'll
be okay."
A patient has presented in the emergency department stating that she is having
a "heart attack." Assessment reveals, however, that the patient is having a panic
attack. The nurse will most likely administer what drug?
