BSN-3084 -Nrsg Praxis & Prof Care V Midterm
Exam Questions With Correct Answers
Which nursing intervention is particularly well chosen for addressing a
population at high risk for developing schizophrenia? - ANSWER a.
Forming a support group for females ages 25 to 35 who are diagnosed with
substance use issues
b.
Providing a group for patients between the ages of 45 and 55 with information on
coping skills that have proven to be effective
c.
Screening a group of males between the ages of 15 and 25 for early symptoms
d.
Educating the parents of a group of developmentally delayed 5- to 6-year-olds on
the importance of early intervention
(c)
To provide effective care for the patient diagnosed with schizophrenia, the
nurse should frequently assess for which associated conditions? Select all that
apply. - ANSWER a.
Major depressive disorder
b.
Metabolic syndrome
c.
Polydipsia
d.
Alcohol use disorder
e.
Stomach cancer
(a)(b)(c)(d)
A female patient diagnosed with schizophrenia has been prescribed a first-
generation antipsychotic medication. What information should the nurse provide
to the patient regarding her signs and symptoms? - ANSWER a.
Depressive episodes should be less severe
b.
Her memory problems will likely decrease
c.
She will probably enjoy social interactions more
d.
,She should experience a reduction in hallucinations
(a)
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - ANSWER a.
Pressured speech
b.
Paranoia
c.
Negative symptoms
d.
Depersonalization
(b)
Gilbert, age 19, is described by his parents as a "moody child" with an onset of
odd behaviour at about age 14, which caused Gilbert to suffer academically and
socially. Gilbert has lost the ability to complete household chores, is reluctant to
leave the house, and is obsessed with the locks on the windows and doors. Due
to Gilbert's early and slow onset of what is now recognized as schizophrenia, his
prognosis is considered: - ANSWER a.
Improvable with psychosocial interventions
b.
To have a less positive outcome
c.
Favourable with medication
d.
In the relapse stage
(b)
Which therapeutic communication statement might a psychiatric mental health
registered nurse use when a patient's nursing diagnosis is Altered thought
processes? - ANSWER a.
"Just tell the voices to leave you alone for now."
b.
"It must be difficult to hear voices like that, though I cannot hear them"
c.
"Stop listening to the voices, they are NOT real"
d.
"You say you hear voices; what are they telling you?"
(b)
,When patients diagnosed with schizophrenia suffer from anosognosia, they
often refuse medication, believing that: - ANSWER a.
The medications will make them sick.
b.
Medications provided are ineffective.
c.
Nurses are trying to control their minds.
d.
They are not actually ill.
(d)
Kyle, a patient with schizophrenia, began to take the first-generation
antipsychotic haloperidol (Haldol) last week. One day you find him sitting very
stiffly and not moving. He is diaphoretic, and when you ask if he is okay he
seems unable to respond verbally. His vital signs are BP 170/100, P 110, T
40.1°C/104.2°F. What is the priority nursing intervention? - ANSWER a.
Hold his medication and contact his prescriber
b.
Reassure him that although there is no treatment for his tardive dyskinesia, it
will pass
c.
Administer a medication such as benztropine IM to correct this dystonic
reaction
d.
Hold his medication for now and consult his prescriber when he comes to the
unit later today
e.
Wipe him with a washcloth wet with cold water or alcohol
(a)
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's
nurse recognizes that self-medicating with excessive alcohol is common in this
disease and can co-occur along with: - ANSWER a.
An aversion to drinking fluids
b.
Anxiety and depression
c.
The ability to express his needs
d.
Generally good health despite the mental illness
(b)
, Jack had a psychotic episode when he was 15 years old. He did not respond well
to treatments available at the time and continued to have a significant number of
residual symptoms. At the age of 42, he began taking olanzapine (Zyprexa),
which significantly reduced his remaining symptoms, allowing him to leave his
group home and live independently for the first time. However, once his mental
health became more stable and he was living in his own apartment, he was
unsure of what to do with his time, how to go about getting a job, and how to
meet his sexual and companionship needs appropriately. What type of crisis
situation is represented by this case? - ANSWER a.
The patient's maturation or development was arrested by the onset of his mental
illness during his middle teens. When a new medication allowed his symptoms to
be controlled for the first time at age 42, he found himself facing adult problems
while possessing the knowledge and coping skills of an adolescent, creating a
maturational crisis.
b.
An adventitious crisis is one that involves traumatic events that are not typically
part of everyday life, such as shootings or natural disasters.
c.
Crises can also be divided into different phases as the person attempts various
responses to the trauma faced. Phase 4 of the crisis, the last stage, represents a
failure of all the patient's efforts to cope, leaving the patient in a state of
unresolved distress that the patient then responds to with maladaptive coping
efforts such as drug abuse.
d.
A situational crisis arises from extraordinary external stressors that can happen
in anyone's personal life, such as a divorce or the onset of a disabling illness.
(a)
Rashid witnessed a car suddenly career out of control and onto the sidewalk
where he and his best friend were walking. Rashid's friend pushed him out of the
way at the last second but was struck and killed instantly. Rashid was treated
for minor injuries and released but was referred for mental health evaluation
because he was very distraught over the death of his friend. Which response
should be used firstduring your assessment of Rashid? - ANSWER a.
Persons who are highly traumatized and whose coping is overwhelmed usually
have difficulty with cognitive organization and making decisions; therefore,
asking such a person what he would like to accomplish is likely to stress the
patient further. It is also a question more appropriate for the planning than for
the assessment phase of your response.
b.
Asking him if he thinks he is coping asks him to judge or evaluate his own
response, which he may not have the skill or ability to complete accurately. It is
also a closed-ended question, when an open-ended question is more likely to
elicit information.
c.
Exam Questions With Correct Answers
Which nursing intervention is particularly well chosen for addressing a
population at high risk for developing schizophrenia? - ANSWER a.
Forming a support group for females ages 25 to 35 who are diagnosed with
substance use issues
b.
Providing a group for patients between the ages of 45 and 55 with information on
coping skills that have proven to be effective
c.
Screening a group of males between the ages of 15 and 25 for early symptoms
d.
Educating the parents of a group of developmentally delayed 5- to 6-year-olds on
the importance of early intervention
(c)
To provide effective care for the patient diagnosed with schizophrenia, the
nurse should frequently assess for which associated conditions? Select all that
apply. - ANSWER a.
Major depressive disorder
b.
Metabolic syndrome
c.
Polydipsia
d.
Alcohol use disorder
e.
Stomach cancer
(a)(b)(c)(d)
A female patient diagnosed with schizophrenia has been prescribed a first-
generation antipsychotic medication. What information should the nurse provide
to the patient regarding her signs and symptoms? - ANSWER a.
Depressive episodes should be less severe
b.
Her memory problems will likely decrease
c.
She will probably enjoy social interactions more
d.
,She should experience a reduction in hallucinations
(a)
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - ANSWER a.
Pressured speech
b.
Paranoia
c.
Negative symptoms
d.
Depersonalization
(b)
Gilbert, age 19, is described by his parents as a "moody child" with an onset of
odd behaviour at about age 14, which caused Gilbert to suffer academically and
socially. Gilbert has lost the ability to complete household chores, is reluctant to
leave the house, and is obsessed with the locks on the windows and doors. Due
to Gilbert's early and slow onset of what is now recognized as schizophrenia, his
prognosis is considered: - ANSWER a.
Improvable with psychosocial interventions
b.
To have a less positive outcome
c.
Favourable with medication
d.
In the relapse stage
(b)
Which therapeutic communication statement might a psychiatric mental health
registered nurse use when a patient's nursing diagnosis is Altered thought
processes? - ANSWER a.
"Just tell the voices to leave you alone for now."
b.
"It must be difficult to hear voices like that, though I cannot hear them"
c.
"Stop listening to the voices, they are NOT real"
d.
"You say you hear voices; what are they telling you?"
(b)
,When patients diagnosed with schizophrenia suffer from anosognosia, they
often refuse medication, believing that: - ANSWER a.
The medications will make them sick.
b.
Medications provided are ineffective.
c.
Nurses are trying to control their minds.
d.
They are not actually ill.
(d)
Kyle, a patient with schizophrenia, began to take the first-generation
antipsychotic haloperidol (Haldol) last week. One day you find him sitting very
stiffly and not moving. He is diaphoretic, and when you ask if he is okay he
seems unable to respond verbally. His vital signs are BP 170/100, P 110, T
40.1°C/104.2°F. What is the priority nursing intervention? - ANSWER a.
Hold his medication and contact his prescriber
b.
Reassure him that although there is no treatment for his tardive dyskinesia, it
will pass
c.
Administer a medication such as benztropine IM to correct this dystonic
reaction
d.
Hold his medication for now and consult his prescriber when he comes to the
unit later today
e.
Wipe him with a washcloth wet with cold water or alcohol
(a)
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's
nurse recognizes that self-medicating with excessive alcohol is common in this
disease and can co-occur along with: - ANSWER a.
An aversion to drinking fluids
b.
Anxiety and depression
c.
The ability to express his needs
d.
Generally good health despite the mental illness
(b)
, Jack had a psychotic episode when he was 15 years old. He did not respond well
to treatments available at the time and continued to have a significant number of
residual symptoms. At the age of 42, he began taking olanzapine (Zyprexa),
which significantly reduced his remaining symptoms, allowing him to leave his
group home and live independently for the first time. However, once his mental
health became more stable and he was living in his own apartment, he was
unsure of what to do with his time, how to go about getting a job, and how to
meet his sexual and companionship needs appropriately. What type of crisis
situation is represented by this case? - ANSWER a.
The patient's maturation or development was arrested by the onset of his mental
illness during his middle teens. When a new medication allowed his symptoms to
be controlled for the first time at age 42, he found himself facing adult problems
while possessing the knowledge and coping skills of an adolescent, creating a
maturational crisis.
b.
An adventitious crisis is one that involves traumatic events that are not typically
part of everyday life, such as shootings or natural disasters.
c.
Crises can also be divided into different phases as the person attempts various
responses to the trauma faced. Phase 4 of the crisis, the last stage, represents a
failure of all the patient's efforts to cope, leaving the patient in a state of
unresolved distress that the patient then responds to with maladaptive coping
efforts such as drug abuse.
d.
A situational crisis arises from extraordinary external stressors that can happen
in anyone's personal life, such as a divorce or the onset of a disabling illness.
(a)
Rashid witnessed a car suddenly career out of control and onto the sidewalk
where he and his best friend were walking. Rashid's friend pushed him out of the
way at the last second but was struck and killed instantly. Rashid was treated
for minor injuries and released but was referred for mental health evaluation
because he was very distraught over the death of his friend. Which response
should be used firstduring your assessment of Rashid? - ANSWER a.
Persons who are highly traumatized and whose coping is overwhelmed usually
have difficulty with cognitive organization and making decisions; therefore,
asking such a person what he would like to accomplish is likely to stress the
patient further. It is also a question more appropriate for the planning than for
the assessment phase of your response.
b.
Asking him if he thinks he is coping asks him to judge or evaluate his own
response, which he may not have the skill or ability to complete accurately. It is
also a closed-ended question, when an open-ended question is more likely to
elicit information.
c.
