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NURS 6675 FINAL EXAM 4 Questions and
Revised Correct Answers 100% Guarantee
Pass GRADED A+
On the psychiatric unit a client has been receiving high doses of haloperidol (Haldol) for 2
weeks. The client says, "I just can't sit still, and I feel jittery." Which side effect does the nurse
suspect that the client is experiencing?
1. Akathisia
2. Torticollis
3. Tardive dyskinesia
4. Parkinsonian syndrome –
Correct Answer :Akathisia, a side effect of haloperidol (Haldol), develops early in therapy and
is characterized by restlessness and agitation. Torticollis is characterized by a stiff neck (wry
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neck). Tardive dyskinesia is characterized by gross involuntary movements of the extremities,
tongue, and facial muscles that develop after prolonged therapy. Pseudoparkinsonism is
characterized by motor retardation, rigidity, and tremors; the reaction resembles Parkinson's
syndrome but usually responds to decreasing the dose, the administration of an
antidyskinetic medication, or discontinuation of the haloperidol.
A nurse is caring for a client with a diagnosis of catatonic schizophrenia. What clinical finding
does the nurse expect the client to exhibit?
1. Crying
2. Self-mutilation
3. Immobile posturing
4. Repetitive activities –
Correct Answer :3. Immobile posturing
Clients with catatonic schizophrenia exhibit rigidity and posturing behaviors. Most clients with
catatonic schizophrenia are unable to express feelings and would be unlikely to cry. Self-
mutilation is associated with depression. Repetitive activities are associated with obsessive-
compulsive disorders.
The nurse should suspect that a client who had a recent myocardial infarction is experiencing
denial when the client does what?
1. Attempts to minimize the illness
2. Lacks an emotional response to the illness
3. Refuses to discuss the condition with the client's spouse
4. Expresses displeasure with the prescribed activity program –
Correct Answer :1. Attempts to minimize the illness
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Attempting to minimize the illness is a classic sign of denial; by reducing the importance or
extent of the problem, the individual is able to cope. Not acknowledging that it is really a
problem is a form of denial. Lacking an emotional response to the illness indicates repression
of affect rather than denial. Failure to communicate is insufficient evidence to diagnose
denial; the marital relationship may be strained, or the client may be worried about upsetting
the spouse. Expressing displeasure with the activity program usually indicates displacement
of anger, not denial.
What drug should a nurse anticipate that the health care provider will prescribe for a client
demonstrating clinical manifestations associated with an opioid overdose?
1. Naloxone
2. Methadone
3. Epinephrine
4. Amphetamine –
Correct Answer :1. Naloxone
Naloxone is a narcotic antagonist that displaces opioids from receptors in the brain, thereby
reversing respiratory depression. Methadone is a synthetic opioid that causes central nervous
system depression; it will add to the problem of overdose. Epinephrine and amphetamine will
have no effect on respiratory depression related to opioid overdose.
A young female client admitted to the trauma center after being sexually assaulted continues
to talk about the rape. Toward what goal should the primary nursing intervention be directed?
1. Getting her involved with a rape therapy group
2. Remaining available and supportive to limit destructive anger
3. Exploring her feelings about men to promote future relationships
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4. Providing a safe environment that permits the ventilation of feelings –
Correct Answer :
An older adult client is talking to the nurse about his Vietnam experiences and shares that he
still has flashbacks. While assessing him the nurse notes that he is jumpy and exhibits startle
reactions and poor concentration. With which mental health disorder does the nurse
associate these symptoms?
1. Delusions
2. Hallucinations
3. Posttraumatic stress disorder (PTSD)
4. Obsessive-compulsive disorder (OCD) –
Correct Answer :3. Posttraumatic stress disorder (PTSD)
PTSD is a syndrome characterized by the development of symptoms after an extremely
traumatic event. Symptoms include helplessness, flashbacks, intrusive thoughts, memories,
images, emotional numbing, loss of interest, avoidance of any place that reminds the affected
person of the traumatic event, poor concentration, irritability, startle reactions, jumpiness,
and hypervigilance. Delusions are beliefs that guide one's interpretation of events and help
make sense of disorder. Common delusions among older adults involve being poisoned,
having their assets taken by their children, being held prisoner, and being deceived by a
spouse or lover. Hallucinations are visual or auditory perceptions of nonexistent objects and
sounds. Older adults with hearing and vision deficits may hear voices or see people who are
not actually present. OCD is characterized by recurrent and persistent thoughts, impulses,
and urges of ritualistic behaviors that improve the affected person's comfort level.
The grieving spouse of a client who has just died says to the nurse, "We should have spent
more time together. I always felt that my work came first." What should the nurse conclude
that the spouse is experiencing?
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NURS 6675 FINAL EXAM 4 Questions and
Revised Correct Answers 100% Guarantee
Pass GRADED A+
On the psychiatric unit a client has been receiving high doses of haloperidol (Haldol) for 2
weeks. The client says, "I just can't sit still, and I feel jittery." Which side effect does the nurse
suspect that the client is experiencing?
1. Akathisia
2. Torticollis
3. Tardive dyskinesia
4. Parkinsonian syndrome –
Correct Answer :Akathisia, a side effect of haloperidol (Haldol), develops early in therapy and
is characterized by restlessness and agitation. Torticollis is characterized by a stiff neck (wry
P a g e 1 | 186
, Page |2
neck). Tardive dyskinesia is characterized by gross involuntary movements of the extremities,
tongue, and facial muscles that develop after prolonged therapy. Pseudoparkinsonism is
characterized by motor retardation, rigidity, and tremors; the reaction resembles Parkinson's
syndrome but usually responds to decreasing the dose, the administration of an
antidyskinetic medication, or discontinuation of the haloperidol.
A nurse is caring for a client with a diagnosis of catatonic schizophrenia. What clinical finding
does the nurse expect the client to exhibit?
1. Crying
2. Self-mutilation
3. Immobile posturing
4. Repetitive activities –
Correct Answer :3. Immobile posturing
Clients with catatonic schizophrenia exhibit rigidity and posturing behaviors. Most clients with
catatonic schizophrenia are unable to express feelings and would be unlikely to cry. Self-
mutilation is associated with depression. Repetitive activities are associated with obsessive-
compulsive disorders.
The nurse should suspect that a client who had a recent myocardial infarction is experiencing
denial when the client does what?
1. Attempts to minimize the illness
2. Lacks an emotional response to the illness
3. Refuses to discuss the condition with the client's spouse
4. Expresses displeasure with the prescribed activity program –
Correct Answer :1. Attempts to minimize the illness
P a g e 2 | 186
, Page |3
Attempting to minimize the illness is a classic sign of denial; by reducing the importance or
extent of the problem, the individual is able to cope. Not acknowledging that it is really a
problem is a form of denial. Lacking an emotional response to the illness indicates repression
of affect rather than denial. Failure to communicate is insufficient evidence to diagnose
denial; the marital relationship may be strained, or the client may be worried about upsetting
the spouse. Expressing displeasure with the activity program usually indicates displacement
of anger, not denial.
What drug should a nurse anticipate that the health care provider will prescribe for a client
demonstrating clinical manifestations associated with an opioid overdose?
1. Naloxone
2. Methadone
3. Epinephrine
4. Amphetamine –
Correct Answer :1. Naloxone
Naloxone is a narcotic antagonist that displaces opioids from receptors in the brain, thereby
reversing respiratory depression. Methadone is a synthetic opioid that causes central nervous
system depression; it will add to the problem of overdose. Epinephrine and amphetamine will
have no effect on respiratory depression related to opioid overdose.
A young female client admitted to the trauma center after being sexually assaulted continues
to talk about the rape. Toward what goal should the primary nursing intervention be directed?
1. Getting her involved with a rape therapy group
2. Remaining available and supportive to limit destructive anger
3. Exploring her feelings about men to promote future relationships
P a g e 3 | 186
, Page |4
4. Providing a safe environment that permits the ventilation of feelings –
Correct Answer :
An older adult client is talking to the nurse about his Vietnam experiences and shares that he
still has flashbacks. While assessing him the nurse notes that he is jumpy and exhibits startle
reactions and poor concentration. With which mental health disorder does the nurse
associate these symptoms?
1. Delusions
2. Hallucinations
3. Posttraumatic stress disorder (PTSD)
4. Obsessive-compulsive disorder (OCD) –
Correct Answer :3. Posttraumatic stress disorder (PTSD)
PTSD is a syndrome characterized by the development of symptoms after an extremely
traumatic event. Symptoms include helplessness, flashbacks, intrusive thoughts, memories,
images, emotional numbing, loss of interest, avoidance of any place that reminds the affected
person of the traumatic event, poor concentration, irritability, startle reactions, jumpiness,
and hypervigilance. Delusions are beliefs that guide one's interpretation of events and help
make sense of disorder. Common delusions among older adults involve being poisoned,
having their assets taken by their children, being held prisoner, and being deceived by a
spouse or lover. Hallucinations are visual or auditory perceptions of nonexistent objects and
sounds. Older adults with hearing and vision deficits may hear voices or see people who are
not actually present. OCD is characterized by recurrent and persistent thoughts, impulses,
and urges of ritualistic behaviors that improve the affected person's comfort level.
The grieving spouse of a client who has just died says to the nurse, "We should have spent
more time together. I always felt that my work came first." What should the nurse conclude
that the spouse is experiencing?
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