Questions and Complete Solutions
Graded AI+
Patient that poses the greatest risk of committing violence against others - Answer: Patient with
paranoid delusions of being followed by the mob
Least appropriate response to a patient with dependent personality disorder asks if nurse thinks they
should move out of their mom's home and get a job. - Answer: Using "why" questions, they are non-
therapeutic.
When someone is really frustrated and they are talking about their frustrations, what is a good response
to them? - Answer: Let them know you understand and you want them to talk more about their feelings.
If someone says "I can't do this anymore." What is that a sign of? - Answer: Suicide thoughts
What will S/S will you see with a patient who is in acute alcohol withdrawal? - Answer: Hypertension,
tachycardia, paranoia
narcissitic personality disorder s/s - Answer: person feels they are the most important person
A young female pt with amenorrhea, and weighs 95 pounds; what do you think is her diagnosis? -
Answer: Anorexia nervosa
Pt states After a long, hard day at work, they are irritated, and they go home and take their frustrations
out on their spouse and kids. What is a therapeutic response? - Answer: Have pt talk more, "what are
some other ways you can handle your frustrations?"
Pt is anxious and agitated, what drug should be given? - Answer: Diazepam
, A pt brought to the ER, states, "I was raped, and the person who raped me knows where I live, and they
will kill me if I tell." What is the most important thing to plan for their immediate care? - Answer: Safety
because of the statement of "he knows where I live and will kill me."
How do you know your alcoholic patient has relapsed if they are taking disulfiram or antabuse? -
Answer: Headaches
Pt has agnosia (loss of the ability to identify objects) as a side effect from vascular dementia and is just
looking at their silverware and plate, what should you do? - Answer: Hand them their fork and tell them
to eat
Pt has Alzheimer's disease and they become combative and confused later in the day, what is this
called? - Answer: Sundowning
When a pt has broken the rules and loses privileges comes and asks if they can please use the phone,
how should you respond? - Answer: No. Because they lost their privileges.
Pt has alcohol toxicity and unresponsive, what do you protect? - Answer: Airway, may need to intubate
them.
We administer an MSE to an older pt when we suspect a cognitive disorder. - Answer: True
What is an early sign of cognitive impairment/decline? - Answer: impaired recent memory
What does a pt's pupils look like if they have been using cocaine? - Answer: Dilated
What is a manifestation of severe alcohol withdrawal? - Answer: Hallucinations
You have a school-aged child with a conduct disorder, what characteristics might they display? - Answer:
Aggression toward animals.