N3381 Exam 1 Practice Questions with accurate
answers
A 55-year-old lives 100 miles from her parents and mother-in-law. In
the past year, her father had back surgery, her mother broke her hip, and
her mother-in-law had a cardiac event. Which nursing diagnosis is most
applicable to the 55-year-old?
a. Risk for complicated grieving related to impending deaths of parents
b. Risk for injury related to frequent long drives to care for aging parents
c. Risk for chronic low self-esteem related to overwhelming
responsibilities
d. Risk for caregiver role strain related to responsibilities for care of
aging parents Ans✓✓✓ d. Risk for caregiver role strain related to
responsibilities for care of aging parents
Explanation: the focus of the question is the caregiver. Demands
associated with the care of three elderly persons who live at a distance
have the potential of overwhelming the caregiver. Because there is no
evidence of role strain, a risk diagnosis is formulated.
A client admitted is assessed and evaluated at an inpatient behavioral
health hospital. What behavior indicates that the client has a mental
illness?
a. Client is able to see the difference between the 'as if' and the 'for real.'
b. Client describes mood as consistently sad, discouraged and hopeless.
,c. Client responds to rules, norms and customs of their culture.
d. Given limitations, client can perform tasks they are given. Ans✓✓✓
b. Client describes mood as consistently sad, discouraged and hopeless.
Explanation: A, C, and D describe mentally healthy behavior; B
describes a mood disorder.
A client is diagnosed with obsessive-compulsive disorder (OCD) and is
to receive medication therapy. Which of the following agents might the
nurse expect to be prescribed? Select all that apply.
a. Clomipramine
b. Lithium
c. Sertraline
d. Fluvoxamine
e. Paroxetine
f. Alprazolam Ans✓✓✓ a. Clomipramine
c. Sertraline
d. Fluvoxamine
e. Paroxetine
Explanation: selective serotonin reuptake inhibitors (SSRIs) and tricyclic
antidepressants (TCAs) are considered to be the most effective treatment
agents used for OCD. SSRI's will be the 1st line treatment. TCA's have
increased side effects so not our first choice. Clomipramine was the first
,drug to produce significant advances in treating people with OCD. Other
medications have proved effective, including sertraline, fluoxetine,
fluvoxamine, and paroxetine. Lithium is used to treat bipolar disorder.
Alprazolam may be used to treat acute, short-term for panic.
A client underwent a procedure before the nurse verified the client's
signature on the consent form. The client actually did not sign the form
before the procedure. If the client is dissatisfied with the outcome of the
procedure and files a suit against the health care team, which kind of
case can the client file?
a. Negligence
b. Malpractice
c. Battery
d. False Imprisonment Ans✓✓✓ c. Battery
Explanation: battery involves harmful or unwarranted contact with a
client. False imprisonment is defined as the unjustifiable detention of a
client, such as the inappropriate use of restraint or seclusion. Negligence
is an unintentional tort that involves causing harm by failing to do what
a reasonable and prudent person would do in similar circumstances.
Clients or families can file malpractice lawsuits in any case of injury,
loss, or death.
A client with a long history of mental illness was declared incompetent
several months ago. What aspects of the client's current condition
provide the legal basis for a change to competence? Select all that apply.
, a. The client is able to state when he was originally declared
incompetent
b. The client expresses a clear desire for the change in legal status
c. The client is able to summarize the proposed treatment plan
d. The client is able to discuss the rationale for the treatment plan with
the care team
e. The client expresses an understanding of his disease and the factors
that exacerbate it Ans✓✓✓ c. The client is able to summarize the
proposed treatment plan
d. The client is able to discuss the rationale for the treatment plan with
the care team
e. The client expresses an understanding of his disease and the factors
that exacerbate it
Explanation: summarizing the components and rationale for the
treatment plan indicate the client understands important information and
appreciates his situation. Similarly, his description of the disease and
symptom triggers shows competent thinking. Identifying the date when
he was declared incompetent and wanting to have a change in status do
not strengthen the legal case for a change in status.
A critical care nurse asks a psychiatric nurse about the difference
between a diagnosis in the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5) and a nursing diagnosis. What is the psychiatric
nurse's best response?
answers
A 55-year-old lives 100 miles from her parents and mother-in-law. In
the past year, her father had back surgery, her mother broke her hip, and
her mother-in-law had a cardiac event. Which nursing diagnosis is most
applicable to the 55-year-old?
a. Risk for complicated grieving related to impending deaths of parents
b. Risk for injury related to frequent long drives to care for aging parents
c. Risk for chronic low self-esteem related to overwhelming
responsibilities
d. Risk for caregiver role strain related to responsibilities for care of
aging parents Ans✓✓✓ d. Risk for caregiver role strain related to
responsibilities for care of aging parents
Explanation: the focus of the question is the caregiver. Demands
associated with the care of three elderly persons who live at a distance
have the potential of overwhelming the caregiver. Because there is no
evidence of role strain, a risk diagnosis is formulated.
A client admitted is assessed and evaluated at an inpatient behavioral
health hospital. What behavior indicates that the client has a mental
illness?
a. Client is able to see the difference between the 'as if' and the 'for real.'
b. Client describes mood as consistently sad, discouraged and hopeless.
,c. Client responds to rules, norms and customs of their culture.
d. Given limitations, client can perform tasks they are given. Ans✓✓✓
b. Client describes mood as consistently sad, discouraged and hopeless.
Explanation: A, C, and D describe mentally healthy behavior; B
describes a mood disorder.
A client is diagnosed with obsessive-compulsive disorder (OCD) and is
to receive medication therapy. Which of the following agents might the
nurse expect to be prescribed? Select all that apply.
a. Clomipramine
b. Lithium
c. Sertraline
d. Fluvoxamine
e. Paroxetine
f. Alprazolam Ans✓✓✓ a. Clomipramine
c. Sertraline
d. Fluvoxamine
e. Paroxetine
Explanation: selective serotonin reuptake inhibitors (SSRIs) and tricyclic
antidepressants (TCAs) are considered to be the most effective treatment
agents used for OCD. SSRI's will be the 1st line treatment. TCA's have
increased side effects so not our first choice. Clomipramine was the first
,drug to produce significant advances in treating people with OCD. Other
medications have proved effective, including sertraline, fluoxetine,
fluvoxamine, and paroxetine. Lithium is used to treat bipolar disorder.
Alprazolam may be used to treat acute, short-term for panic.
A client underwent a procedure before the nurse verified the client's
signature on the consent form. The client actually did not sign the form
before the procedure. If the client is dissatisfied with the outcome of the
procedure and files a suit against the health care team, which kind of
case can the client file?
a. Negligence
b. Malpractice
c. Battery
d. False Imprisonment Ans✓✓✓ c. Battery
Explanation: battery involves harmful or unwarranted contact with a
client. False imprisonment is defined as the unjustifiable detention of a
client, such as the inappropriate use of restraint or seclusion. Negligence
is an unintentional tort that involves causing harm by failing to do what
a reasonable and prudent person would do in similar circumstances.
Clients or families can file malpractice lawsuits in any case of injury,
loss, or death.
A client with a long history of mental illness was declared incompetent
several months ago. What aspects of the client's current condition
provide the legal basis for a change to competence? Select all that apply.
, a. The client is able to state when he was originally declared
incompetent
b. The client expresses a clear desire for the change in legal status
c. The client is able to summarize the proposed treatment plan
d. The client is able to discuss the rationale for the treatment plan with
the care team
e. The client expresses an understanding of his disease and the factors
that exacerbate it Ans✓✓✓ c. The client is able to summarize the
proposed treatment plan
d. The client is able to discuss the rationale for the treatment plan with
the care team
e. The client expresses an understanding of his disease and the factors
that exacerbate it
Explanation: summarizing the components and rationale for the
treatment plan indicate the client understands important information and
appreciates his situation. Similarly, his description of the disease and
symptom triggers shows competent thinking. Identifying the date when
he was declared incompetent and wanting to have a change in status do
not strengthen the legal case for a change in status.
A critical care nurse asks a psychiatric nurse about the difference
between a diagnosis in the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5) and a nursing diagnosis. What is the psychiatric
nurse's best response?
