NUR 326 Exam 1 Questions With COMPLETE Solutions
____ disorders are mood disorders with recurrent episodes of
depression and mania. Correct Answers Bipolar
____ is a normal part of mourning and should NOT be confused
with a mental health disorder. Correct Answers Depression
_____ classically manifests as delusions, hallucinations, and/or
disorganized thinking, regardless of age Correct Answers
Psychosis
-zepam Correct Answers Antianxiety medications
*Fixed beliefs that are not amenable to change in light of
conflicting evidence.* An idiosyncratic belief or impression that
is firmly maintained despite being contraindicated by what is
generally accepted as reality or rational argument, typically a
symptom of mental disorder. An altered state of thinking. Ex.
Thinking you're a spy working for the government. Correct
Answers Delusion
A bipolar client tells the nurse, "I have the finest tenor voice in
the world. The three tenors who do all those TV concerts are
going to retire because they can't compete with me." The nurse
would make the assessment that the client is displaying
a. flight of ideas.
b. distractibility.
c. limit testing.
,d. grandiosity. Correct Answers D (Exaggerated belief in one's
own importance, identity, or capabilities is seen with
grandiosity.)
A charge nurse is discussing manifestations of schizophrenia
with a newly licensed nurse. Which of the following
manifestation should the charge nurse identify as being
effectively treated by first-generation antipsychotics? (Select all
that apply.)
a. Auditory hallucinations
b. Withdrawal from social situations
c. Delusions of grandeur
d. Severe agitation
e. Anhedonia Correct Answers A C D (First-generation
antipsychotics primarily treat positive symptoms of
schizophrenia. Positive symptoms include hallucinations,
delusional thoughts, alterations in speech, and behavioral effects
such as agitation.)
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?
a. "Children older than 3 are a t greater risk for abuse."
b. "Substance use disorder does not increase the risk for
violence."
c. "Entering an intimate relationship increases the risk for
violence."
d. "Pregnancy increases the risk for violence toward the intimate
partner." Correct Answers D
,A client is prescribed with sertraline (Zoloft). To guarantee a
safe administration of the medication, a nurse would administer
the dose:
A. As needed only for depressions.
B. Early in the morning.
C. Take on an empty stomach.
D. At bedtime. Correct Answers D (Sertraline (Zoloft) is an
antidepressant. It may be administered in the morning or
evening, but giving it in the evening is more favored since
drowsiness is one of the side effects.)
A client on one-to-one supervision at arm's length indicates a
need to go to the bathroom but reports, "I cannot 'go' with you
standing there." The nurse should
a. say "I understand" and allow the client to close the door.
b. keep the door open, but step to the side out of the client's
view.
c. leave the client's room and wait outside in the hall.
d. say "For your safety I can be no more than an arm's length
away." Correct Answers D (This level of suicide watch does
not make adjustments based on client preference. The
explanation quoting the protocol and the reason (your safety) is
appropriate.)
A client who has been assessed by the nurse as moderately
depressed is given a prescription for daily doses of a selective
serotonin reuptake inhibitor. The client mentions that she will
, take the medication along with the St. John's wort she uses daily.
The nurse should
a. agree that taking the drugs at the same time will help her
remember them daily.
b. caution the client to drink several glasses of water daily.
c. suggest that the client also use a sun lamp daily.
d. explain the high possibility of an adverse reaction. Correct
Answers D (Serotonin malignant syndrome is a possibility if St.
John's wort is taken with other antidepressants.)
A client who has been taking buspirone (BuSpar) for two
months returns to the clinic for a follow-up. The nurse
determines that the medication is effective if there is an absent
display of?
A. Feelings of panic, fear, and uneasiness.
B. Thought broadcasting or delusions.
C. Paranoid and suicidal thought process.
D. Alcohol withdrawal symptoms. Correct Answers A
(Buspirone (BuSpar) is used to treat symptoms of anxiety, such
as fear, tension, irritability, dizziness, pounding heartbeat, and
other physical symptoms.)
A client with a history of repeated suicidal attempts refuses to
participate in a no-suicide contract. What intensity of nursing
observation should be instituted?
a. Constant 24-hour, one-to-one observation at arm's length
b. One-to-one observation while client is awake
c. Every 15-minute observation around the clock
____ disorders are mood disorders with recurrent episodes of
depression and mania. Correct Answers Bipolar
____ is a normal part of mourning and should NOT be confused
with a mental health disorder. Correct Answers Depression
_____ classically manifests as delusions, hallucinations, and/or
disorganized thinking, regardless of age Correct Answers
Psychosis
-zepam Correct Answers Antianxiety medications
*Fixed beliefs that are not amenable to change in light of
conflicting evidence.* An idiosyncratic belief or impression that
is firmly maintained despite being contraindicated by what is
generally accepted as reality or rational argument, typically a
symptom of mental disorder. An altered state of thinking. Ex.
Thinking you're a spy working for the government. Correct
Answers Delusion
A bipolar client tells the nurse, "I have the finest tenor voice in
the world. The three tenors who do all those TV concerts are
going to retire because they can't compete with me." The nurse
would make the assessment that the client is displaying
a. flight of ideas.
b. distractibility.
c. limit testing.
,d. grandiosity. Correct Answers D (Exaggerated belief in one's
own importance, identity, or capabilities is seen with
grandiosity.)
A charge nurse is discussing manifestations of schizophrenia
with a newly licensed nurse. Which of the following
manifestation should the charge nurse identify as being
effectively treated by first-generation antipsychotics? (Select all
that apply.)
a. Auditory hallucinations
b. Withdrawal from social situations
c. Delusions of grandeur
d. Severe agitation
e. Anhedonia Correct Answers A C D (First-generation
antipsychotics primarily treat positive symptoms of
schizophrenia. Positive symptoms include hallucinations,
delusional thoughts, alterations in speech, and behavioral effects
such as agitation.)
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?
a. "Children older than 3 are a t greater risk for abuse."
b. "Substance use disorder does not increase the risk for
violence."
c. "Entering an intimate relationship increases the risk for
violence."
d. "Pregnancy increases the risk for violence toward the intimate
partner." Correct Answers D
,A client is prescribed with sertraline (Zoloft). To guarantee a
safe administration of the medication, a nurse would administer
the dose:
A. As needed only for depressions.
B. Early in the morning.
C. Take on an empty stomach.
D. At bedtime. Correct Answers D (Sertraline (Zoloft) is an
antidepressant. It may be administered in the morning or
evening, but giving it in the evening is more favored since
drowsiness is one of the side effects.)
A client on one-to-one supervision at arm's length indicates a
need to go to the bathroom but reports, "I cannot 'go' with you
standing there." The nurse should
a. say "I understand" and allow the client to close the door.
b. keep the door open, but step to the side out of the client's
view.
c. leave the client's room and wait outside in the hall.
d. say "For your safety I can be no more than an arm's length
away." Correct Answers D (This level of suicide watch does
not make adjustments based on client preference. The
explanation quoting the protocol and the reason (your safety) is
appropriate.)
A client who has been assessed by the nurse as moderately
depressed is given a prescription for daily doses of a selective
serotonin reuptake inhibitor. The client mentions that she will
, take the medication along with the St. John's wort she uses daily.
The nurse should
a. agree that taking the drugs at the same time will help her
remember them daily.
b. caution the client to drink several glasses of water daily.
c. suggest that the client also use a sun lamp daily.
d. explain the high possibility of an adverse reaction. Correct
Answers D (Serotonin malignant syndrome is a possibility if St.
John's wort is taken with other antidepressants.)
A client who has been taking buspirone (BuSpar) for two
months returns to the clinic for a follow-up. The nurse
determines that the medication is effective if there is an absent
display of?
A. Feelings of panic, fear, and uneasiness.
B. Thought broadcasting or delusions.
C. Paranoid and suicidal thought process.
D. Alcohol withdrawal symptoms. Correct Answers A
(Buspirone (BuSpar) is used to treat symptoms of anxiety, such
as fear, tension, irritability, dizziness, pounding heartbeat, and
other physical symptoms.)
A client with a history of repeated suicidal attempts refuses to
participate in a no-suicide contract. What intensity of nursing
observation should be instituted?
a. Constant 24-hour, one-to-one observation at arm's length
b. One-to-one observation while client is awake
c. Every 15-minute observation around the clock
