NUR 212 FINAL EXAM GRADED A

NUR 212 FINAL EXAM GRADED A 1.0M8EN212 1.25 points possible (graded, results hidden) A client with Obsessive-Compulsive Disorder washes his hands 20-30 times per day and they are raw and bleeding. What would be an appropriate question for the RN to ask this client? “Do you have any other addictions?” “Can you describe how you feel when you wash your hands?" “What is making you feel so anxious?” “Why do you keep washing your hands so many times a day?” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 2.0M8EN212 1.25 points possible (graded, results hidden) Which statement made by a client in a mental health clinic demonstrates the use of denial as a coping measure? “It is my doctor’s fault that I am not improving.” “Winter weather always makes me feel more anxious.” “I am going to smoke a pack of cigarettes to make myself feel better.” “I am not going to come in anymore, as I have no problems.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 3.0M8EN212 1.25 points possible (graded, results hidden) Which behavior would the RN expect to occur if needs were not met during the latency stage of Freud’s development? Identification with the opposite-gender parent. Inability to develop relationships with other children. Inability to trust others. Disorganization, untidiness and destructiveness. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 4.0M8EN212 1.25 points possible (graded, results hidden) A client who has been diagnosed with dementia asks the RN when his wife is coming to visit. The RN knows the client has been a widow for many years. The most appropriate response by the RN would be: “She will be here later.” “You must miss your wife.” “I think your favorite TV show is on.” “Your wife died 10 years ago.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 5.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention is the most appropriate use of behavior therapy when caring for a client with Bordorline Personality Disorder? Contract with the client to reinforce positive behaviors with rewards or privileges. Seclude the client when inappropriate behaviors are noted. Encourage the client to keep a journal of feelings to manage mood swings. Education the client on the importance of taking the antianxiety medications regularly. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 6.0M8EN212 1.25 points possible (graded, results hidden) Which assessment findings indicate to the RN that a client is exhibiting symptoms of a moderate anxiety reaction? Dilated pupils, hallucinations, and fear of dying. Increased perspiration, increase in speech rate, and gastric discomfort. Increased perception, irritability, and restlessness. Palpitations, insomnia, and hyperventilation. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 7.0M8EN212 1.25 points possible (graded, results hidden) A client is receiving aripiprazole on the behavioral health unit. Which nursing interventions will the nurse include in the patient’s care plan? Select all that apply. Remain with the patient until the medication is swallowed. Assess the patient for evidence of insomnia. Observe the patient for akathisia. Monitor for orthostatic hypotension. Administer before meals on an empty stomach. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 8.0M8EN212 1.25 points possible (graded, results hidden) The following clients have been assigned to the care of an RN on the in-patient behavioral health unit. Which client should be assessed first on the nurse’s initial rounds? A 51 year old male client with Alcoholism who was admitted yesterday for medical detoxification. A 43 year old male client with bipolar disease who had an angry outburst in group therapy yesterday. A 19 year old female client with bulimia who has been vomiting in the bathroom. A 45 year old female client with depression who was admitted with suicidal thoughts one week ago. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 9.0M8EN212 1.25 points possible (graded, results hidden) The RN is observing several clients watching the evening news, which is featuring a story on a fatal car crash. One client is laughing throughout the news story. How would the RN document this behavior? The client displayed inappropriate affect by laughing during a news story regarding a fatal car crash. The client was laughing during a sad newscast story, which demonstrated circumstantiality. The client is using laughter to hide his true sadness during a newscast of a fatal car crash. The client appeared to be delusional today as evidenced by laughter during a news cast of a fatal car crash. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 10.0M8EN212 1.25 points possible (graded, results hidden) Which is the most effective nursing intervention for a client who feels no remorse for inappropriate behaviors? Explore feelings of entitlement with client. Assign consistent team member to care for client. Provide clear guidelines for behaviors. Provide education regarding anti-anxiety medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 11.0M8EN212 1.25 points possible (graded, results hidden) What is the RN’s most appropriate response to a client who is experiencing a Post-Traumatic Stress Disorder (PTSD) reaction? “You probably think you are back in a war zone.” “What you are experiencing is not really taking place.” “Tell me what you are seeing or hearing right now.” “You are safe here and in good hands.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 12.0M8EN212 1.25 points possible (graded, results hidden) In which circumstance would it be appropriate for the RN to breach confidentiality? A police officer asks the RN why the patient was admitted. A spouse is requesting protected health information. A newspaper phones the hospital seeking information. A patient is a danger to themselves or others. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 13.0M8EN212 1.25 points possible (graded, results hidden) Which nursing interventions would be appropriate when providing care for a client who is exhibiting symptoms of a panic attack? Select all that apply. Instruct the client to take slow deep breaths. Administer sertraline. Place client alone in a quiet, dark room. Encourage the client to attend group therapy. Loosen any restrictive clothing. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 14.0M8EN212 1.25 points possible (graded, results hidden) Which nursing interventions are important for the RN to incorporate into a care plan for a client who flips the light switch 5 times whenever entering a room? Select all that apply. Orient the client to time, place and date. Administer risperidone as needed. Allow time for client to perform rituals. Provide highly structured schedule of activities. Involve the patient in group therapy activities. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 15.0M8EN212 1.25 points possible (graded, results hidden) A client who lost a leg in a small plane crash is having flashbacks of the accident and has been diagnosed with Post-Traumatic Stress Disorder (PTSD). Which behavior would cause the RN to notify the Health Care Provider that the condition is worsening? Hypersomnia Restless sleep Difficulty concentrating Hypervigilance unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 16.0M8EN212 1.25 points possible (graded, results hidden) A hospitalized, agitated, psychotic client refuses to take their medication. The RN calls a meeting with the healthcare team to discuss strategies to ensure the client’s safety and prevent injury. This action by the RN demonstrates which ethical principle? Nonmaleficence Beneficence Veracity Autonomy unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 17.0M8EN212 1.25 points possible (graded, results hidden) Which statement is the most appropriate response to a client who is highly anxious? “You must be feeling pretty stressed right now.” “You could use some anti-anxiety medication.” “I wouldn’t worry about that if I were you.” “Everything will be all right, so try to relax.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 18.0M8EN212 1.25 points possible (graded, results hidden) Which intervention is most effective to minimize self-destructive behaviors when caring for a patient with Borderline Personality Disorder? Administer phenelzine as ordered for agitation. Place the patient under continuous one-on-one observation. Minimize physical activity to discourage violent impulses. Encourage the patient to explore triggers for the behaviors. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 19.0M8EN212 1.25 points possible (graded, results hidden) Which action by the RN best demonstrates the ethical principle of beneficence as applied to a client with severe mental illness? Being honest about the client’s diagnosis, prognosis, and treatment. Contacting a congressional representative to restore funding for community outreach programs. Acting as an advocate for the client to secure essential mental-health services. Determining how to ensure safety when the client refuses their medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 20.0M8EN212 1.25 points possible (graded, results hidden) Which topics will the RN include when teaching a client about the side effects associated with the use of Selective Serotonin Reuptake Inhibitors (SSRIs)? Gastrointestinal distress and sexual dysfunction. Cardiac dysrhythmias and seizures. Hypotension and tachycardia. Weight gain and blurry vision. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 21.0M8EN212 1.25 points possible (graded, results hidden) Which is the most appropriate action by the RN when a client treated for depression states, “I am all better now, I feel great?” Perform a drug screen. Observe client for suicidal ideation. Schedule an interprofessional team meeting about plans for discharge. Ask the provider to discontinue anti-anxiety medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 22.0M8EN212 1.25 points possible (graded, results hidden) The RN would expect to assess which behavior in a client admitted with a medical diagnosis of Bipolar Disorder, hypomanic episode? Decreased self-esteem. Increased need for sleep. Decrease in conversation. Increase in goal-directed activity. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 23.0M8EN212 1.25 points possible (graded, results hidden) Why would the RN ask a client about her use of St. John's Wort as an alternative treatment for Depression? It can interfere with the action and effectiveness of other medications. Alternative medicines are not effective in the treatment of depression. The cost of the treatment may be more than that of standard therapies. A prescription is required to obtain it from a pharmacy. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 24.0M8EN212 1.25 points possible (graded, results hidden) A client has just been admitted who is diagnosed with Bipolar 1 Disorder, Acute Mania. Which interventions should be included on the initial plan of care for this client? Select all that apply. Medicate with olanzapine. Place client in quiet environment. Assign to group therapy. Administer Lithium. Consult with a dietitian. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 25.0M8EN212 1.25 points possible (graded, results hidden) Which meal selection indicates that the client taking a Selective Serotonin Reuptake Inhibitor needs further education regarding medication safety? Macaroni and cheese, green beans, applesauce Broiled chicken, brown rice, steamed broccoli Sirloin steak, baked potato, chocolate brownie Scrambled eggs, bacon, grapefruit juice, rye toast unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 26.0M8EN212 1.25 points possible (graded, results hidden) The RN has selected Chronic Low Self-Esteem as the priority nursing diagnosis for a client admitted with a medical diagnosis of Depression. Which outcome is appropriate for this nursing diagnosis? The client will not harm self or others during hospitalization. The client will displace anger to meaningful activities. The client will state side effects from prescribed medication by discharge. The client will maintain eye contact and engage in conversations with others within 48 hours. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 27.0M8EN212 1.25 points possible (graded, results hidden) A client is admitted to the mental health unit who has cracked and bleeding hands secondary to their obsessive compulsion disorder. The client refuses to allow the RN to apply antibiotic ointment to their open wounds. Which action is most appropriate for the RN to take next? Set limits on further handwashing so the skin can heal. Do not apply the ointment and document the refusal. Apply the ointment as the client is incompetent to make their own decisions. Notify the health care provider for an order for a sedative. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 28.0M8EN212 1.25 points possible (graded, results hidden) A client is admitted to an inpatient psychiatric unit with the diagnosis of Paranoid Personality Disorder. Which statement made by client to the RN supports the client's diagnosis? “I see the list of rules for the unit, but I know I do not need to follow any of them.” “I could have gone to nursing school like you, but I never had good science teachers who believed in me.” “I know we are going to be best friends by the end of today." “I like group therapy because the other patients can feel my feelings and relate to me.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 29.0M8EN212 1.25 points possible (graded, results hidden) After undergoing two of nine ECT procedures, a client states, “I can’t even remember eating breakfast, so I want to stop the ECT.” Which is the most appropriate nursing reply? “Once you begin the course of treatments, you must complete all of them.” “Please speak with your health care provider about your concerns.” “It is within your right to discontinue the treatments, but let’s talk about what is on your mind.” “Memory loss is a rarely a permanent side effect of the treatment. I don’t think it should be a concern.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 30.0M8EN212 1.25 points possible (graded, results hidden) A client admitted to the mental health unit for Generalized Anxiety Disorder was prescribed the medication buspirone two weeks ago by his primary-care provider. The RN instructs the client to do which of the following related to this medication? Take at bedtime due to the drug’s sedative properties. Rise slowly from a sitting position. Drink 3-4 liters of water daily to avoid dehydration. Stop the medication when your anxiety has decreased. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 31.0M8EN212 1.25 points possible (graded, results hidden) The RN is conducting a 15-minute mental health assessment for a client in the manic phase of Bipolar Disorder. What is the rationale for limiting the length of the assessment? The client may not give accurate answers while manic The client will feel pressured to keep talking. The client will be unable to answer questions. A longer period of time may overstimulate the client. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 32.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention would the RN include in the plan of care for an autistic client with the nursing diagnosis of Self-mutilation? Maintain a structured schedule of daily activities. Administer zolpidem as needed for agitation. Offer sympathy during episodes of self-mutilation. Rotate staff members who care for the client. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 33.0M8EN212 1.25 points possible (graded, results hidden) The RN should include which interventions in the plan of care for a client admitted to the emergency room after an attempted suicide? Select all that apply. Have client sign a no-suicide contract. Orient the patient to reality. Administer medications and watch the patient swallow them. Schedule rounding every 30 minutes. Use direct questioning to assess suicide risk. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 34.0M8EN212 1.25 points possible (graded, results hidden) Which medication is most likely responsible for a client’s sudden onset of symptoms of depression? phenelzine alprazolam paroxetine dextroamphetamine unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 35.0M8EN212 1.25 points possible (graded, results hidden) A patient has been admitted to an inpatient psychiatric facility in a bipolar manic episode with symptoms of poor impulse control, flamboyant affect, and sexual disinhibition. Which patient outcome is the priority for the plan of care? The patient will sleep 8 hours per night without medication. The patient will verbalize that hallucinations have decreased. The patient will not harm self or others. The patient will maintain a stable weight. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 36.0M8EN212 1.25 points possible (graded, results hidden) Jerome, a client with Borderline Personality Disorder, begins to threaten another client who constantly interrupts a group therapy session. Which actions should the RN take? Select all that apply. Ask the other client to leave the group session. Use a calm voice to ask the other clients to leave the room. Ask the social worker and therapist to alert the other staff nurses to the situation. Sternly warn Jerome to stop the behavior or he will be sent to the isolation room. Administer an injectable antipsychotic to calm Jerome. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 37.0M8EN212 1.25 points possible (graded, results hidden) A client with hypertension who takes a beta-blocker has been started on an MAOI after a poor therapeutic response to other antidepressant medications. Which teaching point should be included in the client’s education? Heart palpitations are more common. Gastric distress will be lessened if medication is taken with milk. There is an increased risk of dizziness and lightheadedness. Easy bruising may be noticed. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 38.0M8EN212 1.25 points possible (graded, results hidden) Which statement is accurate about the admission status of a client with a longstanding history of Depression who seeks admission for psychiatric treatment due to thoughts of self-harm? The client relinquishes all rights to have a say in treatment decisions. The client may leave the hospital at any time unless deemed a danger to self or others. The client must have a family member authorize the admission. By law, the maximum duration of this admission may only be 72 hours. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 39.0M8EN212 1.25 points possible (graded, results hidden) A client has been taking haloperidol for a week and begins to exhibit symptoms of tremor and muscular rigidity. Which interventions are appropriate for the RN to perform? Select All that Apply. Assess blood sugar. Medicate client with benztropine. Document that the client is experiencing tardive dyskinesia. Notify the health provider. Hold the next dose of haloperidol. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 40.0M8EN212 1.25 points possible (graded, results hidden) A client who has been taking clozapine for the past two months reports sudden onset of sore throat, fever, and malaise. Which data should be reported to the health care provider immediately? Specific gravity of 1.035 White blood count of 3,000/mm3 Blood pressure of 135/90 mmHg Hematocrit of 46% unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 41.0M8EN212 1.25 points possible (graded, results hidden) What is the RN’s priority action for a client experiencing auditory hallucinations? Inform the health care provider. Maintain a safe environment. Tell the client that the voices are not real. Administer the ordered antipsychotic medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 42.0M8EN212 1.25 points possible (graded, results hidden) The RN is caring for a client with Schizophrenia who states, “I am an Olympic gold medalist.” What is the most appropriate response to this statement? “Tell me more about this.” “Are you hearing voices also?” “I am sure that is not true.” “I know you think that, but I do not believe it.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 43.0M8EN212 1.25 points possible (graded, results hidden) What is the appropriate RN response when the family of a patient diagnosed with Alzheimer’s Disease asks the RN why it is necessary to have referrals to other types of healthcare providers? “There will be a change in cognition and ability to function.” “The care involves excessive work for one provider.” “Alzheimer’s will impact vital physical functioning.” “Symptoms will get worse and then improve.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 44.0M8EN212 1.25 points possible (graded, results hidden) Which intervention would be most effective for a client in Stage 4 of Azheimer’s disease? Providing meals that can be simply reheated. Provide distraction from delusions. Provide a safe, enclosed place for wandering. Ensure living environment is wheelchair friendly. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 45.0M8EN212 1.25 points possible (graded, results hidden) A client experiencing severe panic attacks has been prescribed a short-course of the medication alprazolam, with a maximum daily dose of 0.5 mg three times daily. The pharmacy label reads: How many tablets is the patient permitted to take in a 24-hour period? (in [x] tablets) Record your answer as a whole number. (Round any fractions to the nearest whole number using standard rounding rules.) Do not include words or abbreviations in your answer. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 46.0M8EN212 1.25 points possible (graded, results hidden) Which statement by the patient would support a diagnosis of Somatic Symptom Disorder? “I saw a news report yesterday about people with rare cancers.” “Tell me what the symptoms are and I will tell you if I have them.” “I don’t feel well but I am only here because my husband made me come.” “I keep having headaches; I know it has to be brain cancer and nothing else.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 47.0M8EN212 1.25 points possible (graded, results hidden) Which of the following characterizes an inhibited response to grieving? Denial of the emotional pain of the loss. Inability to grieve over the loss of a pet. Twenty years later, a woman talks constantly about her dead daughter. Feeling intensely angry about the loss. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button.