New Zealand Nursing State Final Exam
Questions and Correct Answers
1. Mr w is committed under section 11 o the mental health act 1992. He sneaks out at
night and returns to his former home. He calls the staff and tells them he is not coming
back. The staffs responsibility is to
a) Make sure hes discharged
b) Tell him to take his medication
c) Ask to have someone else talk to him
d) Notify the police and crisis team
Correct Answer
d) Notify the police and crisis team
Question 2
The nurse observes that Josie's right eye does not close totally. Based on this finding,
which of the following nursing interventions would be most appropriate
a) Making sure josie wears dark glasses to avoid photosensitivity
b) Irrigate her right eye with saline each duty to avoid dryness
c) Instilling neomycin eye drops to prevent conjunctivitis
d) Tape the eyelid down to keep it closed between cares
Correct Answer
d) Tape the eyelid down to keep it closed between cares
?
Page 1 of 270
,Question 3
Cross cultural studies on mental illness show that
a) The symptoms of mental illness are the same in all cultures
b) The incidence of mental illness the same in all cultures
c) Mental illness has culturally specific characteristics
d) Mental illness is more common amongst cultural minorities
Correct Answer
d) Mental illness is more common amongst cultural minorities
Question 4
You are caring for a client who talks in a regretful way about the past. The best
response is to
a) Help them find something positive in their past
b) Help them move their thoughts to the future
c) Tell them that focusing on the past is not helpful
d) Acknowledge the clients feelings then focus on the present
Correct Answer
d) Acknowledge the clients feelings then focus on the present
Question 5
While interviewing mr d, the nurse notes he uses neologisms and has losses
associations. This would most likely indicate the presence of
a) Mania
b) Depression
c) Defensive coping
d) Schizophrenia or psychosis
Correct Answer
a) mania
Page 2 of 270
,Question 6
• When assessing josies respiratory status, which of the following symptoms may be
an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
Correct Answer
a) Cyanosis
Question 7
A side effect resulting from long term use of antipsychotic medication is tardive
dyskinesia. Features of tardive dyskinesia include
a) Involuntary lip smacking and tongue movements
b) Dry mouth and blurred vision
c) Muscular rigidity and shuffling gait
d) Nausea and vomiting
Correct Answer
a) Involuntary lip smacking and tongue movements
Page 3 of 270
, Question 8
At an art group a client shows the group the painting he has done. It consists of
knives and blood, with the words 'death' and 'peace' written on it. The client tells the
group that this represents his own death and release from suffering. The best
response to this is
a) Thank him for his participation and then focus the discussion on another client
b) Acknowledge his contribution and ensure that you discuss this further with him
after the group has finished
c) Request that the client use the opportunity to explore more positive aspects of his
life
d) Insist the client explain this feelings to the group and then point out positive
aspects of his life
Correct Answer
b) Acknowledge his contribution and ensure that you discuss this further with him
after the group has finished
Question 9
Which of the following is the main reason for giving depot injections of antipsychotic
medication
a) They are more effective than oral medication
b) They overcome the problem of non adherence
c) Side effects are not as common
d) They are easier to administer than oral medication
Correct Answer
a) They overcome the problem of non adherence
Question 10
People who have a personality disorder
a) Frequently progress to a psychotic illness
b) Become psychotic under severe stress
c) Are known as borderline personalities
d) Have ongoing difficulties in relating to others
Correct Answer
d) Have ongoing difficulties in relating to others
Page 4 of 270
Questions and Correct Answers
1. Mr w is committed under section 11 o the mental health act 1992. He sneaks out at
night and returns to his former home. He calls the staff and tells them he is not coming
back. The staffs responsibility is to
a) Make sure hes discharged
b) Tell him to take his medication
c) Ask to have someone else talk to him
d) Notify the police and crisis team
Correct Answer
d) Notify the police and crisis team
Question 2
The nurse observes that Josie's right eye does not close totally. Based on this finding,
which of the following nursing interventions would be most appropriate
a) Making sure josie wears dark glasses to avoid photosensitivity
b) Irrigate her right eye with saline each duty to avoid dryness
c) Instilling neomycin eye drops to prevent conjunctivitis
d) Tape the eyelid down to keep it closed between cares
Correct Answer
d) Tape the eyelid down to keep it closed between cares
?
Page 1 of 270
,Question 3
Cross cultural studies on mental illness show that
a) The symptoms of mental illness are the same in all cultures
b) The incidence of mental illness the same in all cultures
c) Mental illness has culturally specific characteristics
d) Mental illness is more common amongst cultural minorities
Correct Answer
d) Mental illness is more common amongst cultural minorities
Question 4
You are caring for a client who talks in a regretful way about the past. The best
response is to
a) Help them find something positive in their past
b) Help them move their thoughts to the future
c) Tell them that focusing on the past is not helpful
d) Acknowledge the clients feelings then focus on the present
Correct Answer
d) Acknowledge the clients feelings then focus on the present
Question 5
While interviewing mr d, the nurse notes he uses neologisms and has losses
associations. This would most likely indicate the presence of
a) Mania
b) Depression
c) Defensive coping
d) Schizophrenia or psychosis
Correct Answer
a) mania
Page 2 of 270
,Question 6
• When assessing josies respiratory status, which of the following symptoms may be
an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
Correct Answer
a) Cyanosis
Question 7
A side effect resulting from long term use of antipsychotic medication is tardive
dyskinesia. Features of tardive dyskinesia include
a) Involuntary lip smacking and tongue movements
b) Dry mouth and blurred vision
c) Muscular rigidity and shuffling gait
d) Nausea and vomiting
Correct Answer
a) Involuntary lip smacking and tongue movements
Page 3 of 270
, Question 8
At an art group a client shows the group the painting he has done. It consists of
knives and blood, with the words 'death' and 'peace' written on it. The client tells the
group that this represents his own death and release from suffering. The best
response to this is
a) Thank him for his participation and then focus the discussion on another client
b) Acknowledge his contribution and ensure that you discuss this further with him
after the group has finished
c) Request that the client use the opportunity to explore more positive aspects of his
life
d) Insist the client explain this feelings to the group and then point out positive
aspects of his life
Correct Answer
b) Acknowledge his contribution and ensure that you discuss this further with him
after the group has finished
Question 9
Which of the following is the main reason for giving depot injections of antipsychotic
medication
a) They are more effective than oral medication
b) They overcome the problem of non adherence
c) Side effects are not as common
d) They are easier to administer than oral medication
Correct Answer
a) They overcome the problem of non adherence
Question 10
People who have a personality disorder
a) Frequently progress to a psychotic illness
b) Become psychotic under severe stress
c) Are known as borderline personalities
d) Have ongoing difficulties in relating to others
Correct Answer
d) Have ongoing difficulties in relating to others
Page 4 of 270
