N222 Final Study Exam Questions With Complete Solutions
A 32-year-old male client is experiencing severe anxiety over a
recent failed relationship. What nursing intervention should be
given highest priority?
A. Give the client an antianxiety agent immediately
B. Offer him psychotherapy to calm him down
C. Take the client to a quiet environment
D. Place him in supervised seclusion immediately Correct
Answer C. Take the client to a quiet environment
A 5-year-old child was diagnosed with encopresis. Which
assessment finding would the nurse expect associated with this
diagnosis? The child:
A. frequently smears feces on clothing and toys.
B. experiences frequent nocturnal episodes of bedwetting.
C. has accidents of defecation at kindergarten three times a
week.
D. has occasional episodes of voiding accidents at the day care
center. Correct Answer C. has accidents of defecation at
kindergarten three times a week.
A 70 year old client with Alzheimer's disease becomes verbally
abusive toward the nursing staff. What is the most appropriate
action for the nurse to take?
A. Administer lorazepam to calm the client
B. Apply four-point restraints to physically control the client
C. Speak in a calm, caring tone of voice, and attempt to divert
the client's attention
,D. Advise the client that unit privileges will be withheld if the
behavior continues Correct Answer C. Speak in a calm, caring
tone of voice, and attempt to divert the client's attention
A child diagnosed with attention deficit hyperactivity disorder
had this nursing diagnosis: impaired social interaction related to
excessive neuronal activity as evidenced by aggression and
demanding behavior with others. Which finding indicates the
plan of care was effective? The child:
A. has an improved ability to identify anxiety and use self-
control strategies.
B. has increased expressiveness in communication with others.
C. shows increased responsiveness to authority figures.
D. engages in cooperative play with other children. Correct
Answer D. engages in cooperative play with other children.
A client diagnosed with bipolar II disorder has a nursing
diagnosis of impaired social interactions R/T egocentrism.
Which short-term outcome is an appropriate expectation for this
client problem?
A. The client will have an appropriate one-on-one interaction
with a peer by day 4.
B. The client will exchange personal information with peers at
lunchtime.
C. The client will verbalize the desire to interact with peers by
day 2.
D. The client will initiate an appropriate social relationship with
a peer. Correct Answer A. The client will have an appropriate
one-on-one interaction with a peer by day 4.
,A client diagnosed with cyclothymia is newly admitted to an in-
patient psychiatric unit. The client has a history of irritability
and grandiosity and is currently sleeping 2 hours a night. Which
nursing diagnoses takes priority?
A. Altered thought processes R/T biochemical alterations.
B. Social isolation R/T grandiosity.
C. Disturbed sleep patterns R/T agitation.
D. Risk for violence: self-directed R/T depressive symptoms.
Correct Answer C. Disturbed sleep patterns R/T agitation.
A client diagnosed with disorganized schizophrenia would have
greatest difficulty with the nurse
A. interacting with a neutral attitude.
B. using concrete language.
C. giving multistep directions.
D. providing nutritional supplements. Correct Answer C.
giving multistep directions.
A client has been hospitalized for a manic episode. Which
behavior would suggest that the treatment has been effective?
A. The client is no longer loud and hostile to others.
B. The client directs anger verbally to the person who annoys
her.
C. The client presents a list of grievances to the nurse manager.
D. The client attempts to involve other clients in her situation
Correct Answer A. The client is no longer loud and hostile to
others.
A client is experiencing sudden, moderate-level anxiety. The
nurse would anticipate that the psychiatrist would most likely
prescribe which medication?
, A. Citalopram
B. Alprazolam
C. Fluoxetine
D. Chlordiazepoxide Correct Answer B. Alprazolam
A client on an in-patient psychiatric unit has been diagnosed
with Bulimia Nervosa. The client states, "I'm going to the
bathroom and will be back in a few minutes." Which nursing
response is most appropriate?
A. Thanks for checking in.
B. I will accompany you to the bathroom.
C. Let me know when you get back to the dayroom.
D. I'll stand outside your door to give you privacy. Correct
Answer B. I will accompany you to the bathroom.
A client presents in the ER after being sexually assaulted. She is
physiologically stable, but emotionally distraught. Which
nursing action should receive priority?
A. Assist with medical treatment
B. Collect and prepare evidence for the police
C. Attempt to reduce the client's anxiety level
D. Provide anticipatory guidance about normal responses to
sexual assault Correct Answer C. Attempt to reduce the
client's anxiety level
A client wants to know about relaxation techniques. What does
the nurse say to educate the client?
A. Relaxation techniques work best when they are practiced on a
regular basis.
B. Heart rate should be specifically monitored while relaxing.
C. The technique should not be used in children.
A 32-year-old male client is experiencing severe anxiety over a
recent failed relationship. What nursing intervention should be
given highest priority?
A. Give the client an antianxiety agent immediately
B. Offer him psychotherapy to calm him down
C. Take the client to a quiet environment
D. Place him in supervised seclusion immediately Correct
Answer C. Take the client to a quiet environment
A 5-year-old child was diagnosed with encopresis. Which
assessment finding would the nurse expect associated with this
diagnosis? The child:
A. frequently smears feces on clothing and toys.
B. experiences frequent nocturnal episodes of bedwetting.
C. has accidents of defecation at kindergarten three times a
week.
D. has occasional episodes of voiding accidents at the day care
center. Correct Answer C. has accidents of defecation at
kindergarten three times a week.
A 70 year old client with Alzheimer's disease becomes verbally
abusive toward the nursing staff. What is the most appropriate
action for the nurse to take?
A. Administer lorazepam to calm the client
B. Apply four-point restraints to physically control the client
C. Speak in a calm, caring tone of voice, and attempt to divert
the client's attention
,D. Advise the client that unit privileges will be withheld if the
behavior continues Correct Answer C. Speak in a calm, caring
tone of voice, and attempt to divert the client's attention
A child diagnosed with attention deficit hyperactivity disorder
had this nursing diagnosis: impaired social interaction related to
excessive neuronal activity as evidenced by aggression and
demanding behavior with others. Which finding indicates the
plan of care was effective? The child:
A. has an improved ability to identify anxiety and use self-
control strategies.
B. has increased expressiveness in communication with others.
C. shows increased responsiveness to authority figures.
D. engages in cooperative play with other children. Correct
Answer D. engages in cooperative play with other children.
A client diagnosed with bipolar II disorder has a nursing
diagnosis of impaired social interactions R/T egocentrism.
Which short-term outcome is an appropriate expectation for this
client problem?
A. The client will have an appropriate one-on-one interaction
with a peer by day 4.
B. The client will exchange personal information with peers at
lunchtime.
C. The client will verbalize the desire to interact with peers by
day 2.
D. The client will initiate an appropriate social relationship with
a peer. Correct Answer A. The client will have an appropriate
one-on-one interaction with a peer by day 4.
,A client diagnosed with cyclothymia is newly admitted to an in-
patient psychiatric unit. The client has a history of irritability
and grandiosity and is currently sleeping 2 hours a night. Which
nursing diagnoses takes priority?
A. Altered thought processes R/T biochemical alterations.
B. Social isolation R/T grandiosity.
C. Disturbed sleep patterns R/T agitation.
D. Risk for violence: self-directed R/T depressive symptoms.
Correct Answer C. Disturbed sleep patterns R/T agitation.
A client diagnosed with disorganized schizophrenia would have
greatest difficulty with the nurse
A. interacting with a neutral attitude.
B. using concrete language.
C. giving multistep directions.
D. providing nutritional supplements. Correct Answer C.
giving multistep directions.
A client has been hospitalized for a manic episode. Which
behavior would suggest that the treatment has been effective?
A. The client is no longer loud and hostile to others.
B. The client directs anger verbally to the person who annoys
her.
C. The client presents a list of grievances to the nurse manager.
D. The client attempts to involve other clients in her situation
Correct Answer A. The client is no longer loud and hostile to
others.
A client is experiencing sudden, moderate-level anxiety. The
nurse would anticipate that the psychiatrist would most likely
prescribe which medication?
, A. Citalopram
B. Alprazolam
C. Fluoxetine
D. Chlordiazepoxide Correct Answer B. Alprazolam
A client on an in-patient psychiatric unit has been diagnosed
with Bulimia Nervosa. The client states, "I'm going to the
bathroom and will be back in a few minutes." Which nursing
response is most appropriate?
A. Thanks for checking in.
B. I will accompany you to the bathroom.
C. Let me know when you get back to the dayroom.
D. I'll stand outside your door to give you privacy. Correct
Answer B. I will accompany you to the bathroom.
A client presents in the ER after being sexually assaulted. She is
physiologically stable, but emotionally distraught. Which
nursing action should receive priority?
A. Assist with medical treatment
B. Collect and prepare evidence for the police
C. Attempt to reduce the client's anxiety level
D. Provide anticipatory guidance about normal responses to
sexual assault Correct Answer C. Attempt to reduce the
client's anxiety level
A client wants to know about relaxation techniques. What does
the nurse say to educate the client?
A. Relaxation techniques work best when they are practiced on a
regular basis.
B. Heart rate should be specifically monitored while relaxing.
C. The technique should not be used in children.
