NUR 355 Exam 3 Review Questions With Complete
Solutions
1. John, a veteran of the war in Iraq, is diagnosed with PTSD.
He says to the nurse, "I can't figure out why God took my buddy
instead of me." From this statement, the nurse assesses which of
the following in John?
a. Repressed anger
b. Survivor's guilt
c. Intrusive thoughts
d. Spiritual distress Correct Answers b. Survivor's guilt
1. Kim has a diagnosis of Borderline Personality Disorder. She
often exhibits alternating clinging and distancing behaviors. The
most appropriate nursing intervention with this type of behavior
would be to
a. encourage Kim to establish trust in one staff person, with
whom all therapeutic interaction should take place.
b. secure a verbal contract from Kim that she will discontinue
these behaviors.
c. withdraw attention if these behaviors continue
d. rotate staff members who work with Kim so that she will
learn to relate to more than one person Correct Answers d.
rotate staff members who work with Kim so that she will learn
to relate to more than one person
1. Lorraine has been diagnosed with somatic symptom disorder.
Which of the following symptom profiles would you expect
when assessing Lorraine?
a. Multiple somatic symptoms in several body systems
b. Fear of having a serious disease
,c. Loss or alteration in sensorimotor functioning
d. Belief that her body is deformed or defective in some way
Correct Answers a. Multiple somatic symptoms in several body
systems
1. Mr. White is admitted to the hospital after an extended period
of binge alcohol drinking. His wife reports that he has been a
heavy drinker for a number of years. Lab reports reveal he has a
blood alcohol level of 250 mg/dL. He is placed on the chemical
addictions unit for detoxification. When would the first signs of
alcohol withdrawal symptoms be expected to occur?
a. Several hours after the last drink.
b. 2 to 3 days after the last drink.
c. 4 to 5 days after the last drink.
d. 6 to 7 days after the last drink. Correct Answers a. Several
hours after the last drink.
1. Ms. T. has been diagnosed with agoraphobia. Which behavior
would be most characteristic of this disorder?
a. Ms. T. experiences panic anxiety when she encounters snakes.
b. Ms. T. refuses to fly in an airplane.
c. Ms. T. will not eat in a public place.
d. Ms. T. stays in her home for fear of being in a place from
which she cannot escape. Correct Answers d. Ms. T. stays in
her home for fear of being in a place from which she cannot
escape.
1. Some obese individuals take amphetamines to suppress
appetite and help them lose weight. Which of the following is an
adverse effect associated with use of amphetamines that makes
this practice undesirable?
, a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions Correct Answers c. Tolerance
10. A polysubstance abuser makes the statement, "The green and
whites do me good after speed." How might the nurse interpret
the statement?
a. The client abuses amphetamines and anxiolytics.
b. The client abuses alcohol and cocaine.
c. The client is psychotic.
d. The client abuses narcotics and marijuana. Correct Answers
a. The client abuses amphetamines and anxiolytics.
10. Emma, age 16, has recently been diagnosed with diabetes
mellitus. She must watch her diet and take an oral hypoglycemic
medication daily. She has become very depressed, and her
mother reports that Emma refuses to changed her diet and often
skips her medication. Emma has been hospitalized for
stabilization of her blood sugar. The psychiatric nurse
practicioner has been called in as a consult. Which of the
following nursing diagnoses by the psychiatric nurse would be a
priority for Emma at this time?
a. Anxiety related to hospitalization evidenced by
noncompliance.
b. Low self-esteem related to feeling different from her peers
evidenced by social isolation.
c. Risk for suicide related to new diagnosis of diabetes mellitus.
d. Risk-prone health behavior related to denial of seriousness of
her illness evidenced by refusal to follow diet and take
medication. Correct Answers d. Risk-prone health behavior
Solutions
1. John, a veteran of the war in Iraq, is diagnosed with PTSD.
He says to the nurse, "I can't figure out why God took my buddy
instead of me." From this statement, the nurse assesses which of
the following in John?
a. Repressed anger
b. Survivor's guilt
c. Intrusive thoughts
d. Spiritual distress Correct Answers b. Survivor's guilt
1. Kim has a diagnosis of Borderline Personality Disorder. She
often exhibits alternating clinging and distancing behaviors. The
most appropriate nursing intervention with this type of behavior
would be to
a. encourage Kim to establish trust in one staff person, with
whom all therapeutic interaction should take place.
b. secure a verbal contract from Kim that she will discontinue
these behaviors.
c. withdraw attention if these behaviors continue
d. rotate staff members who work with Kim so that she will
learn to relate to more than one person Correct Answers d.
rotate staff members who work with Kim so that she will learn
to relate to more than one person
1. Lorraine has been diagnosed with somatic symptom disorder.
Which of the following symptom profiles would you expect
when assessing Lorraine?
a. Multiple somatic symptoms in several body systems
b. Fear of having a serious disease
,c. Loss or alteration in sensorimotor functioning
d. Belief that her body is deformed or defective in some way
Correct Answers a. Multiple somatic symptoms in several body
systems
1. Mr. White is admitted to the hospital after an extended period
of binge alcohol drinking. His wife reports that he has been a
heavy drinker for a number of years. Lab reports reveal he has a
blood alcohol level of 250 mg/dL. He is placed on the chemical
addictions unit for detoxification. When would the first signs of
alcohol withdrawal symptoms be expected to occur?
a. Several hours after the last drink.
b. 2 to 3 days after the last drink.
c. 4 to 5 days after the last drink.
d. 6 to 7 days after the last drink. Correct Answers a. Several
hours after the last drink.
1. Ms. T. has been diagnosed with agoraphobia. Which behavior
would be most characteristic of this disorder?
a. Ms. T. experiences panic anxiety when she encounters snakes.
b. Ms. T. refuses to fly in an airplane.
c. Ms. T. will not eat in a public place.
d. Ms. T. stays in her home for fear of being in a place from
which she cannot escape. Correct Answers d. Ms. T. stays in
her home for fear of being in a place from which she cannot
escape.
1. Some obese individuals take amphetamines to suppress
appetite and help them lose weight. Which of the following is an
adverse effect associated with use of amphetamines that makes
this practice undesirable?
, a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions Correct Answers c. Tolerance
10. A polysubstance abuser makes the statement, "The green and
whites do me good after speed." How might the nurse interpret
the statement?
a. The client abuses amphetamines and anxiolytics.
b. The client abuses alcohol and cocaine.
c. The client is psychotic.
d. The client abuses narcotics and marijuana. Correct Answers
a. The client abuses amphetamines and anxiolytics.
10. Emma, age 16, has recently been diagnosed with diabetes
mellitus. She must watch her diet and take an oral hypoglycemic
medication daily. She has become very depressed, and her
mother reports that Emma refuses to changed her diet and often
skips her medication. Emma has been hospitalized for
stabilization of her blood sugar. The psychiatric nurse
practicioner has been called in as a consult. Which of the
following nursing diagnoses by the psychiatric nurse would be a
priority for Emma at this time?
a. Anxiety related to hospitalization evidenced by
noncompliance.
b. Low self-esteem related to feeling different from her peers
evidenced by social isolation.
c. Risk for suicide related to new diagnosis of diabetes mellitus.
d. Risk-prone health behavior related to denial of seriousness of
her illness evidenced by refusal to follow diet and take
medication. Correct Answers d. Risk-prone health behavior
