NURS 322
EXAM 1
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Exam 1
of NURS 322 at the Drexel University. It covers
core topics assessed in the course and reflects the
actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,While talking with a female patient diagnosed with schizophrenia, the nurse notices
that patient look away from the nurse and stare at the wall while making facial
grimaces. What is the most appropriate intervention by the nurse?
A.End the conversation
B.Administer the ordered prn medication
C.Ask the patient if she sees something on the wall
D.Redirect the conversations to a neutral topic
C. Ask the patient if she sees something on the wall
The nurse is reviewing discharge instructions with a patient who is receiving Clozapine
(Clozaril). The nurse emphasizes the importance of notifying the health care provider
for which of the following situations?
A.Feelings of increased energy
B.Unusual reactions to sun exposure
C.Interference with normal sleep patterns
D.Any indication of infection
D. Any indication of infection
A client demonstrating delusional behavior is escalating as a result of increasing
anxiety regarding his or her safety. Which action demonstrates that the client has an
understanding of actions to de-escalate his personal anxiety?
A. The client engages in a group therapy session led by nursing staff.
B. The client expresses the understanding that his or her safety is the primary nursing
goal.
C. The client retreats to his or her room accompanied by staff.
D. The client asks to be allowed to voluntary seclude.
D. The client asks to be allowed to voluntary seclude.
Which nursing intervention is generally included in the plan of care for any
hospitalized client experiencing a severe psychotic episode associated with
schizophrenia to address safety issues?
,A. Implementing institution's suicide precautions
B. Identifying theme of any identified hallucinations
C. Assessing for the presence of feelings of guilt
D. Setting boundaries to manage aggressiveness
A. Implementing institution's suicide precautions
Which statement made by the client demonstrates an understanding of the benefit of
clozapine?
A. "It will provide me with some protection against a heart attack."
B. "It will help keep me from developing type 2 diabetes."
C. "I'm at a risk for developing infections."
D. "This medication cost less than the first-generation antipsychotic types."
C. "I'm at a risk for developing infections."
A patient has a long history of bipolar disorder with frequent episodes of mania
secondary to stopping prescribed medications. The patient says, "I will use my whole
check next month to buy lottery tickets. Winning will solve my money problems."
Select the nurse's best action.
a. Educate the patient about the low odds of winning the lottery.
b. Present reality by saying to the patient, "That is not a good use of your money."
c. Confer with the treatment team about appointing a legal guardian for the patient.
d. Tell the patient, "If you buy lottery tickets, your money will run out before the end
of the month."
c. Confer with the treatment team about appointing a legal guardian for the patient.
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care
psychiatric hospital unit. Which nursing diagnosis should be given highest priority in
the initial care plan?
, A.Interrupted Thought Processes
B.Social Isolation
C.Impaired Verbal Communication
D.Risk for Violence directed at self or others
D. Risk for Violence directed at self or others
A patient diagnosed with schizophrenia says "Everyone here is part of the secret police
and wants to torture me." What is the most appropriate response by the nurse?
A."That is a strange idea."
B."That must be a frightening thought."
C."You won't be tortured here."
D."We will keep you safe from torture."
B. "That must be a frightening thought."
A patient with schizophrenia states "I want to go home to tome in a dome." When
documenting these findings, the nurse will refer to this as:
A.Associative looseness
B.Echolalia
C.Clang associations
D.Thought broadcasting
C. Clang associations
Which interventions should be considered appropriate for a patient in the withdrawn
phase of catatonia? (Select all that apply.)
A. Perform passive range of motion once each shift.
B. Administer nasogastric feedings as prescribed.
C. Require autonomy regarding activities of daily living.
D. Arrange for group activities.
E. Reposition every 2 hours.
A and E
EXAM 1
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Exam 1
of NURS 322 at the Drexel University. It covers
core topics assessed in the course and reflects the
actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,While talking with a female patient diagnosed with schizophrenia, the nurse notices
that patient look away from the nurse and stare at the wall while making facial
grimaces. What is the most appropriate intervention by the nurse?
A.End the conversation
B.Administer the ordered prn medication
C.Ask the patient if she sees something on the wall
D.Redirect the conversations to a neutral topic
C. Ask the patient if she sees something on the wall
The nurse is reviewing discharge instructions with a patient who is receiving Clozapine
(Clozaril). The nurse emphasizes the importance of notifying the health care provider
for which of the following situations?
A.Feelings of increased energy
B.Unusual reactions to sun exposure
C.Interference with normal sleep patterns
D.Any indication of infection
D. Any indication of infection
A client demonstrating delusional behavior is escalating as a result of increasing
anxiety regarding his or her safety. Which action demonstrates that the client has an
understanding of actions to de-escalate his personal anxiety?
A. The client engages in a group therapy session led by nursing staff.
B. The client expresses the understanding that his or her safety is the primary nursing
goal.
C. The client retreats to his or her room accompanied by staff.
D. The client asks to be allowed to voluntary seclude.
D. The client asks to be allowed to voluntary seclude.
Which nursing intervention is generally included in the plan of care for any
hospitalized client experiencing a severe psychotic episode associated with
schizophrenia to address safety issues?
,A. Implementing institution's suicide precautions
B. Identifying theme of any identified hallucinations
C. Assessing for the presence of feelings of guilt
D. Setting boundaries to manage aggressiveness
A. Implementing institution's suicide precautions
Which statement made by the client demonstrates an understanding of the benefit of
clozapine?
A. "It will provide me with some protection against a heart attack."
B. "It will help keep me from developing type 2 diabetes."
C. "I'm at a risk for developing infections."
D. "This medication cost less than the first-generation antipsychotic types."
C. "I'm at a risk for developing infections."
A patient has a long history of bipolar disorder with frequent episodes of mania
secondary to stopping prescribed medications. The patient says, "I will use my whole
check next month to buy lottery tickets. Winning will solve my money problems."
Select the nurse's best action.
a. Educate the patient about the low odds of winning the lottery.
b. Present reality by saying to the patient, "That is not a good use of your money."
c. Confer with the treatment team about appointing a legal guardian for the patient.
d. Tell the patient, "If you buy lottery tickets, your money will run out before the end
of the month."
c. Confer with the treatment team about appointing a legal guardian for the patient.
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care
psychiatric hospital unit. Which nursing diagnosis should be given highest priority in
the initial care plan?
, A.Interrupted Thought Processes
B.Social Isolation
C.Impaired Verbal Communication
D.Risk for Violence directed at self or others
D. Risk for Violence directed at self or others
A patient diagnosed with schizophrenia says "Everyone here is part of the secret police
and wants to torture me." What is the most appropriate response by the nurse?
A."That is a strange idea."
B."That must be a frightening thought."
C."You won't be tortured here."
D."We will keep you safe from torture."
B. "That must be a frightening thought."
A patient with schizophrenia states "I want to go home to tome in a dome." When
documenting these findings, the nurse will refer to this as:
A.Associative looseness
B.Echolalia
C.Clang associations
D.Thought broadcasting
C. Clang associations
Which interventions should be considered appropriate for a patient in the withdrawn
phase of catatonia? (Select all that apply.)
A. Perform passive range of motion once each shift.
B. Administer nasogastric feedings as prescribed.
C. Require autonomy regarding activities of daily living.
D. Arrange for group activities.
E. Reposition every 2 hours.
A and E
