NURSING MISC quiz 3 Questions and Answers,100% CORRECT

NURSING MISC quiz 3 Questions and Answers Question 1 Which of the following is an appropriate outcome for a hospitalized, adolescent patient with moderate intellectual disability? a.Patient will understand his medications. b.Patient will take a shower without assistance. c.Patient will read brochures about his disease. d.Patient will change own hospital gown. Question 2 A client has been admitted to the mental health unit with a diagnosis of Schizophrenia, Erotomanic Type. The RN knows that which of the following client beliefs characterize this disorder? a.Belief that others are plotting against you. b.Belief that you are the president of a country. c.Belief that a celebrity is in love with you. d.Belief that the partner has been unfaithful. Question 3 What is the best approach for the RN to include in the plan of care when caring for a client who is lucid during the daytime hours but becomes very confused in the evening? a.Keeping a light on over the bed. b.Moving the client to the hall. c.Administering sedatives after dinner. d.Obtaining a private room. Question 4 The graduate nurse asks the preceptor how to assess catatonic symptoms for a client with Schizophrenia. Which assessment would be provided as an example? a.Bizarre manic behavior is exhibited. opriate responses are generated. c.Paranoid delusions are noted. d.A trancelike, inactive state is present Which of the following is most characteristic of Delirium? a.Irreversible decline in short-term memory. b.Develops gradually over a long time. c.Primarily affects elderly persons. d.Confusion alternates with being coherent. Question 6 A hospitalized client with early Alzheimer’s Disease has fallen during the night when attempting to ambulate to the bathroom. Which RN intervention will best prevent this client from having further falls? a.Apply wrist restraints. b.Keep client on a structured bedtime routine. c.Pad the siderails and headboard. d.Keep a dim light on in the client’s room. Question 7 The RN is teaching a young adult’s family about recognizing signs of gradual destabilization of his Schizophrenia that would warrant a call to the health care provider. Which client behavior(s) would be most indicative of destabilization? a.Experiences auditory hallucinations. b.Prefers solitary activities and has few friends. c.Has sleep disturbances and perceptual abnormalities. d.Describes religious visions. Question 8 Which of the following would be an expected outcome for a client with Schizophrenia? a.Require assistance for self-care. b.Maintain aggressive behavior. c.Develop coping skills for hallucinations. d.Wean off all medications. The RN is caring for a hospitalized toddler with Autism Spectrum Disorder (ASD). Which of the following behaviors would the RN expect to observe in this child? a.The child has an aversion to affection and does not like to be touched. b.The child has an imaginary playmate that adults cannot see. c.The child cries when it is time for his mother to leave the unit. d.The child is highly sociable and enjoys playing with others. Question 10 A client with Lewy body dementia has been prescribed quetiapine (Seroquel) two weeks ago. For which adverse effect should the RN monitor? a.Hypertension b.Sore throat and fever c.Restlessness and fidgeting d.Frequent urination Question 11 Which assessment findings would the RN expect for a patient admitted in the moderate cognitive decline stage (Stage 5) of Alzheimer’s disease? a.Gets lost driving to or from the grocery store. b.Unable to manage household bills, forgets own birthday, cannot understand newspaper. c.Loses many things and needs to write a list to remember items to discuss. d.Requires assistance with dressing, forgets own address, has time disorientation. Question 12 Which of the following interventions would be appropriate to maintain safety for a client with Dementia? Select all that apply. a.Take away car keys. b.Move bedroom to ground floor. c.Allow client to cook own meals. d.Orient to room and surroundings. e.Encourage client to live alone. A client experiencing delusions of reference will make the following statement to the RN: a.“My television set transmits impulses that are controlling my thoughts.” b.There are subliminal messages on the radio that are intended for me.” c.I cannot walk in the hallway because the nurses are constantly watching me.” d.I am not really here; I live in a parallel universe.” Question 14 Which of the following behaviors would a client with Vascular Neurocognitive Disorder be expected to display? Select all that apply. a.Small-stepped gait b.Repetitive compulsive behavior c.Weakness of the limbs ular pattern of decline e.Tremor in upper extremities Question 15 The community health care RN is completing a visit for a client with Dementia and selected the nursing diagnosis of Chronic confusion. Which would be an appropriate nursing intervention for this nursing diagnosis? a.Encourage the use of dim lighting. b.Provide diversional activities such as listening to music. c.Divide self-care tasks into easy-to-accomplish steps. d.Explain all procedures in detail. An LPN is assisting the RN in caring for a female client with Schizophrenia who has been taking the medication haloperidol (Haldol). The RN will instruct the LPN to report to the RN which of the following client symptoms? a.Weight gain b.Stiff neck c.Amenorrhea d.Sedation Question 17 A client experiencing negative symptoms of Schizophrenia has been stabilized on haloperidol (Haldol). Which of the following new client behaviors indicates that the medication has achieved the intended effect? The client begins to shower daily and put on clean clothes. The client reports that others on the unit cannot be trusted. The client reports that auditory hallucinations have stopped. The client requests that the hospital chaplain visits him daily. question 18 During a focused assessment, a client with Schizophrenia answers with the words “thou sayest” after each question posed by the RN. This client action is characteristic of a: Perseveration Neologism Word salad Clang association question 19 In which order would the following symptoms be expected to occur in a client who develops Schizophrenia? Sleep disturbance and poor concentration Flat affect and impairment in role functioning Hallucinations and disorganized speech Social withdrawal and antisocial behavior 1. Sleep disturbance and poor concentration 2. Social withdrawal and antisocial behavior 3. Hallucinations and disorganized speech 4. Flat affect and impairment in role functioning