NURS 300 EXAM 2 (LATEST UPDATE) REAL QUESTIONS
AND VERIFIED ANSWERS |100% CORRECT | ALREADY
GRADED A
1. A mother is concerned about her ability to perform in her new role.
She is quite anxious and refuses to leave the postpartum unit. To offer
effective client care, a nurse should recognize which information about
this type of crisis?
A. This type of crisis is precipitated by unexpected external stressors.
B. This type of crisis is precipitated by preexisting psychopathology.
C. This type of crisis is precipitated by an acute response to an external
situational stressor.
D. This type of crisis is precipitated by normal life-cycle transitions that
overwhelm the client. Ans✓✓✓D. This type of crisis is precipitated by
normal life-cycle transitions that overwhelm the client.
2. A wife brings her husband to an emergency department after an
attempt to hang himself. He is a full-time student and works 8 hours at
night to support his family. He states, I cant function any longer under
all this stress. Which type of crisis is the client experiencing?
A. Maturational/developmental crisis
B. Psychiatric emergency crisis
C. Anticipated life transition crisis
D. Traumatic stress crisis Ans✓✓✓B. Psychiatric emergency crisis
3. A client comes to a psychiatric clinic, experiencing sudden extreme
fatigue and decreased sleep and appetite. The client works 12 hours a
,day and rates anxiety as 8/10 on a numeric scale. What correctly written
long-term outcome is realistic in addressing this clients crisis?
A. The client will change his or her type A personality traits to more
adaptive ones by week 1.
B. The client will list five positive self-attributes.
C. The client will examine how childhood events led to an
overachieving orientation.
D. The client will return to previous adaptive levels of functioning by
week 6. Ans✓✓✓D. The client will return to previous adaptive levels of
functioning by week 6.
4. A high school student has learned that she cannot graduate. Her
boyfriend will be attending a college out of state that she planned to also
attend. She is admitted to a psychiatric unit after overdosing on Tylenol.
Which is the correctly written priority nursing diagnosis for this client?
A. Ineffective coping R/T situational crisis AEB powerlessness
B. Anxiety R/T fear of failure
C. Risk for self-directed violence R/T hopelessness
D. Risk for low self-esteem R/T loss events AEB suicidal ideations
Ans✓✓✓C. Risk for self-directed violence R/T hopelessness
5. After threatening to jump off a bridge, a client is brought to an
emergency department by police. To assess for suicide potential, which
question should a nurse ask first?
A. Are you currently thinking about harming yourself?
B. Why do you want to harm yourself?
,C. Have you thought about the consequences of your actions?
D. Who is your emergency contact person? Ans✓✓✓A. Are you
currently thinking about harming yourself?
6. An involuntarily committed client, when offered a dinner tray, pushes
it off the bedside table onto the floor. Which intervention should a nurse
prioritize to address this behavior?
A. Initiate forced medication protocol.
B. Help the client to explore the source of anger.
C. Ignore the act to avoid reinforcing the behavior.
D. With staff support and a show of solidarity, set firm limits on the
behavior. Ans✓✓✓D. With staff support and a show of solidarity, set
firm limits on the behavior.
7. A college student who was nearly raped while jogging completes a
series of appointments with a rape crisis nurse. At the final session,
which client statement most clearly suggests that the goals of crisis
intervention have been met?
A. Youve really been helpful. Can I count on you for continued support?
B. I dont work out anymore.
C. Im really glad I didnt go home. It would have been hard to come
back.
D. I carry mace when I jog. It makes me feel safe and secure.
Ans✓✓✓D. I carry mace when I jog. It makes me feel safe and secure.
, 8. A despondent client, who has recently lost her husband of 30 years,
tearfully states, Ill feel a lot better if I sell my house and move away.
Which nursing reply is most appropriate?
A. Im confident you know whats best for you.
B. This may not be the best time for you to make such an important
decision.
C. Your children will be terribly disappointed.
D. Tell me why you want to make this change. Ans✓✓✓B. This may
not be the best time for you to make such an important decision.
9. An inpatient client with a known history of violence suddenly begins
to pace. Which client behavior should alert a nurse to escalating anger
and aggression?
A. The client requests prn medications.
B. The client has a tense facial expression and body language.
C. The client refuses to eat lunch.
D. The client sits in group therapy with back to peers. Ans✓✓✓B. The
client has a tense facial expression and body language.
10. What is the best nursing rationale for holding a debriefing session
with clients and staff after clients have witnessed a peer being taken
down after a violent outburst?
A. To reinforce unit rules with the client population
B. To create protocols for the future release of tensions associated with
anger
C. To process feelings and concerns related to the witnessed intervention
AND VERIFIED ANSWERS |100% CORRECT | ALREADY
GRADED A
1. A mother is concerned about her ability to perform in her new role.
She is quite anxious and refuses to leave the postpartum unit. To offer
effective client care, a nurse should recognize which information about
this type of crisis?
A. This type of crisis is precipitated by unexpected external stressors.
B. This type of crisis is precipitated by preexisting psychopathology.
C. This type of crisis is precipitated by an acute response to an external
situational stressor.
D. This type of crisis is precipitated by normal life-cycle transitions that
overwhelm the client. Ans✓✓✓D. This type of crisis is precipitated by
normal life-cycle transitions that overwhelm the client.
2. A wife brings her husband to an emergency department after an
attempt to hang himself. He is a full-time student and works 8 hours at
night to support his family. He states, I cant function any longer under
all this stress. Which type of crisis is the client experiencing?
A. Maturational/developmental crisis
B. Psychiatric emergency crisis
C. Anticipated life transition crisis
D. Traumatic stress crisis Ans✓✓✓B. Psychiatric emergency crisis
3. A client comes to a psychiatric clinic, experiencing sudden extreme
fatigue and decreased sleep and appetite. The client works 12 hours a
,day and rates anxiety as 8/10 on a numeric scale. What correctly written
long-term outcome is realistic in addressing this clients crisis?
A. The client will change his or her type A personality traits to more
adaptive ones by week 1.
B. The client will list five positive self-attributes.
C. The client will examine how childhood events led to an
overachieving orientation.
D. The client will return to previous adaptive levels of functioning by
week 6. Ans✓✓✓D. The client will return to previous adaptive levels of
functioning by week 6.
4. A high school student has learned that she cannot graduate. Her
boyfriend will be attending a college out of state that she planned to also
attend. She is admitted to a psychiatric unit after overdosing on Tylenol.
Which is the correctly written priority nursing diagnosis for this client?
A. Ineffective coping R/T situational crisis AEB powerlessness
B. Anxiety R/T fear of failure
C. Risk for self-directed violence R/T hopelessness
D. Risk for low self-esteem R/T loss events AEB suicidal ideations
Ans✓✓✓C. Risk for self-directed violence R/T hopelessness
5. After threatening to jump off a bridge, a client is brought to an
emergency department by police. To assess for suicide potential, which
question should a nurse ask first?
A. Are you currently thinking about harming yourself?
B. Why do you want to harm yourself?
,C. Have you thought about the consequences of your actions?
D. Who is your emergency contact person? Ans✓✓✓A. Are you
currently thinking about harming yourself?
6. An involuntarily committed client, when offered a dinner tray, pushes
it off the bedside table onto the floor. Which intervention should a nurse
prioritize to address this behavior?
A. Initiate forced medication protocol.
B. Help the client to explore the source of anger.
C. Ignore the act to avoid reinforcing the behavior.
D. With staff support and a show of solidarity, set firm limits on the
behavior. Ans✓✓✓D. With staff support and a show of solidarity, set
firm limits on the behavior.
7. A college student who was nearly raped while jogging completes a
series of appointments with a rape crisis nurse. At the final session,
which client statement most clearly suggests that the goals of crisis
intervention have been met?
A. Youve really been helpful. Can I count on you for continued support?
B. I dont work out anymore.
C. Im really glad I didnt go home. It would have been hard to come
back.
D. I carry mace when I jog. It makes me feel safe and secure.
Ans✓✓✓D. I carry mace when I jog. It makes me feel safe and secure.
, 8. A despondent client, who has recently lost her husband of 30 years,
tearfully states, Ill feel a lot better if I sell my house and move away.
Which nursing reply is most appropriate?
A. Im confident you know whats best for you.
B. This may not be the best time for you to make such an important
decision.
C. Your children will be terribly disappointed.
D. Tell me why you want to make this change. Ans✓✓✓B. This may
not be the best time for you to make such an important decision.
9. An inpatient client with a known history of violence suddenly begins
to pace. Which client behavior should alert a nurse to escalating anger
and aggression?
A. The client requests prn medications.
B. The client has a tense facial expression and body language.
C. The client refuses to eat lunch.
D. The client sits in group therapy with back to peers. Ans✓✓✓B. The
client has a tense facial expression and body language.
10. What is the best nursing rationale for holding a debriefing session
with clients and staff after clients have witnessed a peer being taken
down after a violent outburst?
A. To reinforce unit rules with the client population
B. To create protocols for the future release of tensions associated with
anger
C. To process feelings and concerns related to the witnessed intervention
