Quiz 3: NURS190 / NURS 190 (Latest 2026 / 2027 Update) Physical Assessment | Questions & Answers | Grade A | 100% Correct – WCU

Quiz 3: NURS190 / NURS 190 (Latest 2026 / 2027 Update) Physical Assessment | Questions & Answers | Grade A | 100% Correct – WCU Q: The nurse should confront a patient's delusions? Answer FALSE Q: The nurse is explaining the difference between anxiety and fear, the correct statement is Answer Anxiety is a vague feeling of dread or apprehension Q: Which of the following would be considered a neurologic side effect of antipsychotic therapy? Answer Tardive dyskinesia Q: Schizoid personality is: Answer Detached from social relationships; restricted affect Q: Mood disorders are: Answer Most common psychiatric diagnosis associated with suicide Q: Acute Stress Disorder last at least 3 days or up to 1 month. Answer TRUE Q: The best goal for a client learning a relaxation technique is that the client will: Answer Experience anxiety without feeling Q: Atypical antipsychotics are used to: Answer Decrease positive symptoms and lessen negative symptoms Q: Persons who witness a traumatic event: Answer Are not likely to develop PTSD Q: Avoidant personality disorder is: Answer Social discomfort; low self esteem Q: Marked psychomotor disturbance, either excessive motor activity or motionlessnes s is Catatonia. Answer TRUE Q: The nurse is caring for her first client with OCD. During the treatment team meeting, the nurse shares her frustration as to the client's inability to stop washing her hands. The nurse manager offers which one of the following explanations? Answer The client feels terrible but cannot stop washing his hands to try to get rid of his anxiety Q: Which of the following would be the most appropriate for treatment of mania associated with bipolar? Answer Lithium Q: Poor coping, difficulty managing stress, emotional difficulties are all characteristics of: Answer Stress and Trauma Q: A student nurse requires additional training regarding suicide when stating: Answer I can prevent someone from committing suicide Q: The obsessive thoughts or compulsive behaviors help to decrease and control anxiety Answer TRUE Q: One method of treatment for phobias is systematic (Serial) desensitizatio n which is: Answer . The therapist progressively exposes the client to the threatening object in a safe setting Q: Nonneurologi c side effects of antipsychotics are: (Select all that Apply Answer A. Weigh gain, sedation, photosensitivit y B. Anticholinergi c symptoms (Dry mouth, blurred vision, constipation) C. Orthostatic hypotension D. Agranulocytos is (Decrease white blood cell count) Q: Which of the following are considered to be positive signs of schizophrenia ? (Select all that Apply) Answer Delusions Hallucinations Disorganized thinking Q: Which of the following would a nurse expect to assess in a patient with antisocial personality disorder? Answer Manipulative behaviors Q: Abuse, Illness, and victim of crime are all examples of Individual trauma/Stress Answer TRUE Q: Name some interventions for a client experiencing a panic attack? Answer Remain with the client, interact with patient in a peaceful manner, recognize awareness of the patient's anxiety, and accept patient's defenses; do not dare, argue, or debate. Q: Medications used to treat Mood disorders are: Select all that Apply Answer SSRIS TCASTricyclic antidepressan ts Atypical antidepressan ts Monoamine oxidase inhibitors E. Anticonvulsan ts Q: The nurse working with a client during a flashback says, "I know you are scared, but you are in a safe place. Do you see the bed in your room? Do you feel the chair you are sitting on?" The nurse is using which of the following techniques? Answer Grounding Q: A client says to the nurse, "You are the best nurse I have ever met. I want you to remember me." What is an appropriate response by the nurse? Answer "Are you thinking of suicide?" The neurotransmit ter dopamine is not associated with Anxiety disorders Answer FALSE Selective mutism is: Answer diagnosed in children when they fail to speak in social situations even though they are able to speak Medication used to treat the symptoms of Parkinson's disease is: Answer Cogentin If you were caring for a patient with PostTraumatic Stress Disorder, describe what treatment options would benefit your patient? Answer Medications (antidepressa nts, anxiolytics, sleep aids), psychotherapy (Individual or group), selfhelp groups, exposure therapy, cognitive processing therapy When dealing with a patient who is suicidal, the nurse needs to assume: An authoritative role Dissociation, a subconscious defense mechanism used to prevent recognition of a horrific or traumatic event is a defense mechanism that most patients with PTSD use as a safeguard. TRUE Which of the following would a nurse expect to assess in a patient with a panic disorder? Automatisms Anxiolytic drugs include (Select all that Apply) . Diazepam (Valium) B. Alprazolam (Xanax) C. Lorazepam (Ativan) The family of a client with schizophrenia asks the nurse about the difference between conventional and atypical antipsychotic medications. The nurse's answer is based on which of the following? Atypical antipsychotics are dopamine and serotonin antagonists; conventional antipsychotics are only dopamine antagonists Passive aggressive personality behavior: . Negative attitude, passive resistance to demands for adequate social and occupational performance When assessing a client who is experiencing anxiety, the nurse's questions should be Open ended. FALSE OCD treatment include: (Select All that Apply) A. Treatment focuses on examining the relationships between thoughts, feelings, and behaviors B. Deliberately confronting the situation and stimuli that one usually tries to avoid C. Learn to tolerate the thoughts and anxiety Which of the following is considered a treatment option for patients experiencing OCD: A. SSRI Antidepressants (Luvox, Zoloft, Effexor) Which statements are correct regarding ObsessiveCompulsive Disorder Classified as an anxiety disorder, but with unique manifestation s in the way patients attempts to decrease or control their anxiety B. Obsessions= recurrent, persistent, intrusive and unwanted thoughts, images, or impulses C. Compulsions= ritualistic or repetitive behaviors The nurse is caring for a client who has been taking Prolixin for 2 days. The clientsuddenly cries out, his neck twists to one side, and his eyes appear to roll back in the sockets. The nurse finds the following PRN medications ordered for the client. Which one should the nurse give? Benadryl 25 mg IM Eupnea (Definition) Health & Physical Assessment in Nursing Nurs 190 Week 3 Notes (WCU Ontario SPII) - The regular, even-depth, rhythmic pattern of inspiration and expiration (Normal breathing). Health & Physical Assessment in Nursing Nurs 190 Week 3 Notes (WCU Ontario SPII) Dyspnea (Definition) Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) - A change in normal breathing pattern, producing shortness of breath or difficulty in breathing. Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) Kronig's Area (Definition & Use) Health & Physical Assessment in Nursing Chapter 17 - The triangle at the superior aspect of the thorax, created by the clavicle, the scapula, and the lateral base of the neck. • Used for: . . . ○ palpation of muscles . . . ○ palpation of lymph notes . . . ○ percussion of apex and lungs . . . ○ auscultation of apex and lungs Health & Physical Assessment in Nursing Chapter 17 How many lobes in the right lung? Nurs 190 Week 3 Notes (WCU Ontario SPII) 3 Nurs 190 Week 3 Notes (WCU Ontario SPII) How many lobes in the left lung? Nurs 190 Week 3 Notes (WCU Ontario SPII) 2 Nurs 190 Week 3 Notes (WCU Ontario SPII) Which lung is longer and thinner? Nurs 190 Week 3 Notes (WCU Ontario SPII) Left lung Nurs 190 Week 3 Notes (WCU Ontario SPII) Which lung is shorter and wider? Nurs 190 Week 3 Notes (WCU Ontario SPII) Right lung - slightly larger Nurs 190 Week 3 Notes (WCU Ontario SPII) Fremitus (Definition) Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) - The palpable vibration on the chest wall when the patient speaks. • Strongest over the trachea • Weaker over the bronchi • Almost nonexistant over the alveoli of the lungs How to palpate lung expansion (Description) Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) • Place palmar surface of hands, w/ thumbs close to vertebrae, on the chest at the level of T10. • Pinch skin between your thumbs. • Ask patient to take a deep breath. - Movement and pressure against hands should be even and smooth. - Thumbs should move away from the spine. - Skin should move smoothly as the chest moves. - Hands should lift symmetrically outward. Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) How to palpate tactile fremitus (Description) Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) • Use ulnar surface / palmar surface of hand @ base of the fingers @ metacarpophalangeal joints. • Compare symmetrically What may be the condition when lung sounds are audible in only one lung? Health & Physical Assessment in Nursing, Ch. 17 Nurs 190 Week 3 Notes (WCU Ontario SPII) • Pleural effusion • Pneumothorax • Tumor • Mucus plugs