Drexel University NURS 322 Final Exam || with Complete Solution.
A severely anxious patient experiencing headaches, palpitations, and inability to concentrate is
admitted to a medical floor. Which nursing intervention would take priority?
A. Encourage the patient to express feelings.
B. Discuss alternative coping strategies with the patient.
C. Use a distraction, such as having the patient attend group.
D. Sit with the patient, and use a calm but directive approach. correct answers D. Sit with the
patient, and use a calm but directive approach.
A patient is exhibiting tension and needs direction to solve problems. Which intervention would
the nurse implement using a behavioral approach?
A. Assess the patient's family history for anxiety disorders
B. Encourage the patient to use deep breathing techniques.
C. Ask the patient to think of a time in the past when
anxiety was manageable.
D. Encourage journal writing to express feelings. correct answers B. Encourage the patient to use
deep breathing techniques.
A 17-year-old patient is brought into the emergency department after taking a handful of
lorazepam (Ativan) as a result of a recent breakup with her fiancée. What priority nursing
intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous system depression
C.Allow the patient time to rest because lorazepam (Ativan) is sedating.
,D. Increase fluids and place the patient on close observation. correct answers B. Monitor vital
signs and note any signs of central nervous nsystem depression
A client who has been sexually abused tearfully states, "I'm no good now; there is nothing to live
for." The most therapeutic response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened." correct answers A."Tell me more about
your feelings."
Before effectively responding to a sexual assault victim in the emergency department, it is
essential that the nurse:
A.Get the client's name and address.
B.Call for assistance from the psychiatrist.
C.Know some myths and facts about rape.
D.Be aware of any personal bias about rape. correct answers D.Be aware of any personal bias
about rape.
The nurse is caring for patient with an addictive disorder who is currently drug-free. The patient
is experiencing repeated occurrences of vivid, frightening images and thoughts. Which term
would the nurse use to document this finding?
A. Tolerance
B. Flashbacks
C. Withdrawal
D. Synergistic effect correct answers B. Flashbacks
,Which patient symptoms should the nurse suspect as related to alcohol withdrawal?
A. Hyper-alert state, jerky movements, easily startled
B. Tachycardia, diaphoresis, elevated blood pressure
C. Peripheral vascular collapse, electrolyte imbalance
D. Paranoid delusions, fever, fluctuating levels of consciousness correct answers A. Hyper-alert
state, jerky movements, easily startled
While entering the building, an elementary school nurse observes a person in the distance
emerging from a forest and approaching the school. The person is dressed in black from head to
toe; wearing a backpack; and carrying a long, narrow, dark object. Which action should the nurse
take first?
a. Move to a secure location.
b. Observe the intruder's features.
c. Take note of the intruder's location.
d. Activate the school code for an intruder. correct answers a. Move to a secure location.
This scenario presents a potential adventitious crisis in phase 1. The nurse must first consider
safety. After moving to a secure location, the nurse can activate the school's code for an intruder
and describe the intruder to law enforcement.
An adult has had long-term serious medical problems and has just started a new medication
resulting in decreased libido and sexual performance. The adult's spouse privately says to the
nurse, "I don't feel loved anymore. I feel sexual urges, but my partner is not interested." Select
the nurse's therapeutic response.
a. "Tell me about how your partner shows love for you."
b. "You're describing a scenario that many couples face."
, c. "Let's consider some other ways you can satisfy your needs."
d. "I'm glad you are able to talk about and accept your situation." correct answers c. "Let's
consider some other ways you can satisfy your needs."
The scenario presents a maturational crisis. Helping the spouse to consider other options is the
nurse's most therapeutic action.
The nurse in a high school meets with small groups of students the day after a school bus
accident resulted in the death of five students. Which comment should the nurse use to begin the
session?
a. "Sometimes life is not fair. Yesterday's tragedy is an example of just how unfair it can be."
b. "We're grateful that you are safe. Our discussion is to talk about feelings associated with
yesterday's tragedy."
c. "We've had a terrible loss. I also feel your pain. You need to talk about your feelings associated
with the event."
d. "Thank you for coming today. As school leaders, we know it is very important to respond to
yesterday's tragedy." correct answers b. "We're grateful that you are safe. Our discussion is to
talk about feelings associated with yesterday's tragedy."
In phase 1 of a crisis, a person faces a conflict or problem that threatens the self-concept and
responds with increased feelings of anxiety. The nurse should first assure students that they are
safe and then specify the reason for the session.
A patient on an acute psychiatric unit removed the cap from the ceiling sprinkler, resulting in
rapid flooding of the unit. After moving patients to a safe area, which action should the nurse
take next?
a. Conduct individual sessions with patients regarding the experience.
b. Increase the volume of overhead music to distract patients from the event.
c. Implement a psychomotor activity to reduce anxiety associated with the event.
A severely anxious patient experiencing headaches, palpitations, and inability to concentrate is
admitted to a medical floor. Which nursing intervention would take priority?
A. Encourage the patient to express feelings.
B. Discuss alternative coping strategies with the patient.
C. Use a distraction, such as having the patient attend group.
D. Sit with the patient, and use a calm but directive approach. correct answers D. Sit with the
patient, and use a calm but directive approach.
A patient is exhibiting tension and needs direction to solve problems. Which intervention would
the nurse implement using a behavioral approach?
A. Assess the patient's family history for anxiety disorders
B. Encourage the patient to use deep breathing techniques.
C. Ask the patient to think of a time in the past when
anxiety was manageable.
D. Encourage journal writing to express feelings. correct answers B. Encourage the patient to use
deep breathing techniques.
A 17-year-old patient is brought into the emergency department after taking a handful of
lorazepam (Ativan) as a result of a recent breakup with her fiancée. What priority nursing
intervention should the nurse implement first?
A.Discuss patient's feelings about the breakup with her fiancée.
B. Monitor vital signs and note any signs of central nervous system depression
C.Allow the patient time to rest because lorazepam (Ativan) is sedating.
,D. Increase fluids and place the patient on close observation. correct answers B. Monitor vital
signs and note any signs of central nervous nsystem depression
A client who has been sexually abused tearfully states, "I'm no good now; there is nothing to live
for." The most therapeutic response by the nurse would be:
A."Tell me more about your feelings."
B."I can understand why you feel worthless."
C."Why do you feel there is nothing to live for?"
"You feel this way now because of what has happened." correct answers A."Tell me more about
your feelings."
Before effectively responding to a sexual assault victim in the emergency department, it is
essential that the nurse:
A.Get the client's name and address.
B.Call for assistance from the psychiatrist.
C.Know some myths and facts about rape.
D.Be aware of any personal bias about rape. correct answers D.Be aware of any personal bias
about rape.
The nurse is caring for patient with an addictive disorder who is currently drug-free. The patient
is experiencing repeated occurrences of vivid, frightening images and thoughts. Which term
would the nurse use to document this finding?
A. Tolerance
B. Flashbacks
C. Withdrawal
D. Synergistic effect correct answers B. Flashbacks
,Which patient symptoms should the nurse suspect as related to alcohol withdrawal?
A. Hyper-alert state, jerky movements, easily startled
B. Tachycardia, diaphoresis, elevated blood pressure
C. Peripheral vascular collapse, electrolyte imbalance
D. Paranoid delusions, fever, fluctuating levels of consciousness correct answers A. Hyper-alert
state, jerky movements, easily startled
While entering the building, an elementary school nurse observes a person in the distance
emerging from a forest and approaching the school. The person is dressed in black from head to
toe; wearing a backpack; and carrying a long, narrow, dark object. Which action should the nurse
take first?
a. Move to a secure location.
b. Observe the intruder's features.
c. Take note of the intruder's location.
d. Activate the school code for an intruder. correct answers a. Move to a secure location.
This scenario presents a potential adventitious crisis in phase 1. The nurse must first consider
safety. After moving to a secure location, the nurse can activate the school's code for an intruder
and describe the intruder to law enforcement.
An adult has had long-term serious medical problems and has just started a new medication
resulting in decreased libido and sexual performance. The adult's spouse privately says to the
nurse, "I don't feel loved anymore. I feel sexual urges, but my partner is not interested." Select
the nurse's therapeutic response.
a. "Tell me about how your partner shows love for you."
b. "You're describing a scenario that many couples face."
, c. "Let's consider some other ways you can satisfy your needs."
d. "I'm glad you are able to talk about and accept your situation." correct answers c. "Let's
consider some other ways you can satisfy your needs."
The scenario presents a maturational crisis. Helping the spouse to consider other options is the
nurse's most therapeutic action.
The nurse in a high school meets with small groups of students the day after a school bus
accident resulted in the death of five students. Which comment should the nurse use to begin the
session?
a. "Sometimes life is not fair. Yesterday's tragedy is an example of just how unfair it can be."
b. "We're grateful that you are safe. Our discussion is to talk about feelings associated with
yesterday's tragedy."
c. "We've had a terrible loss. I also feel your pain. You need to talk about your feelings associated
with the event."
d. "Thank you for coming today. As school leaders, we know it is very important to respond to
yesterday's tragedy." correct answers b. "We're grateful that you are safe. Our discussion is to
talk about feelings associated with yesterday's tragedy."
In phase 1 of a crisis, a person faces a conflict or problem that threatens the self-concept and
responds with increased feelings of anxiety. The nurse should first assure students that they are
safe and then specify the reason for the session.
A patient on an acute psychiatric unit removed the cap from the ceiling sprinkler, resulting in
rapid flooding of the unit. After moving patients to a safe area, which action should the nurse
take next?
a. Conduct individual sessions with patients regarding the experience.
b. Increase the volume of overhead music to distract patients from the event.
c. Implement a psychomotor activity to reduce anxiety associated with the event.
