NURS 307 Final Exam Study Set
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 - answer 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 - answerFlashbacks
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 - answerSuicidal 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." - answer"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 - answerhyperalert 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 - answerpreparation
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. -
answerDifficulty 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." - answerRepeating 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?
Alprazolam (Xanax)
Clomipramine (Anafranil)
Phenelzine (Nardil)
Sertraline (Zoloft) - answerAlprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated
by the family, treatment often occurs in the community, complete recovery is possible
but relapse rates are high
Few outward signs, binge and purge in secret, treatment often delayed for years,
treatment initiated when control of eating is lost, complete recovery is expected after
treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the
patient, treatment initiated when control of eating is lost, complete recovery after
treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years,
treatment is often initiated by the family, treatment initiated before control of eating is
lost, complete recovery is expected after treatment initiated - answerMany observable
outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse
rates are high
Interventions by way of the spiritual domain have little effect on Bulimia patients. True or
False?
True
False - answerFalse
A spiritual approach can be helpful in establishing trust and rapport and enable clients
to voice and make meaning of their eating disorder experience
Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of
large amount of food over short period of time. True or False?
True
False - answerTrue
The major distinction between bulemia nervosa and binge eating disorder (BED) is
Restriction
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 - answer 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 - answerFlashbacks
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 - answerSuicidal 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." - answer"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 - answerhyperalert 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 - answerpreparation
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. -
answerDifficulty 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." - answerRepeating 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?
Alprazolam (Xanax)
Clomipramine (Anafranil)
Phenelzine (Nardil)
Sertraline (Zoloft) - answerAlprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa?
Many observable outward signs, binge and purge in secret, treatment is often initiated
by the family, treatment often occurs in the community, complete recovery is possible
but relapse rates are high
Few outward signs, binge and purge in secret, treatment often delayed for years,
treatment initiated when control of eating is lost, complete recovery is expected after
treatment initiated
Few outward signs, binge and restricted in secret, treatment often initiated at the
patient, treatment initiated when control of eating is lost, complete recovery after
treatment is rare
Many outward signs, binge and purge in secret, treatment often delayed for years,
treatment is often initiated by the family, treatment initiated before control of eating is
lost, complete recovery is expected after treatment initiated - answerMany observable
outward signs, binge and purge in secret, treatment is often initiated by the family,
treatment often occurs in the community, complete recovery is possible but relapse
rates are high
Interventions by way of the spiritual domain have little effect on Bulimia patients. True or
False?
True
False - answerFalse
A spiritual approach can be helpful in establishing trust and rapport and enable clients
to voice and make meaning of their eating disorder experience
Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of
large amount of food over short period of time. True or False?
True
False - answerTrue
The major distinction between bulemia nervosa and binge eating disorder (BED) is
Restriction
