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Final exam review
| Question | Answer |
|---|---|
| 14. Which one of the following drugs should the nurse expect the patient to require serum level monitoring? A) Anticonvulsants B) Wellbutrin C) Lithium D) Prozac | C |
| 31. A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see? A)Constipation and postural hypotension B)Fever, muscle rigidity, and disorientation C)Nausea, diarrhea, | C |
| 33. A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports A)feeling sleepy and less energetic. B)weight gain of 7 pounds in the last 6 months. C)minimal mood swin | C |
| 36. A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated? A) Call the physician for an increase in dosage. B) Do not give the next dose, and call the physician. C) Increase fluid intake for the next wee | D |
| 38. Which of the following side effects of lithium are frequent causes of noncompliance? Select all that apply. A) Metallic taste in the mouth B) Weight gain C) Acne D) Thirst E) Lethargy | B, E |
| 1. The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome? A) The patient will identify possible causes for the crisis. B) The patient will discover a new se | C |
| 7. A nurse is meeting with a crisis support group. In efforts to help patients identify with one another, the nurse explains which of the following about the crisis experience? A) “Even happy events can cause a crisis if the stress is overwhelming.” B) “O | A |
| 9. Which of the following are examples of adventitious crises? Select all that apply. A) Death of a loved one B) Natural disasters C) Violent crimes D) War E) Leaving home for the first time | B,C,D |
| 24. Which of the following is most essential when planning care for a client who is experiencing a crisis? A) Explore previous coping strategies B) Explore underlying personality dynamics C) Focus on emotional deficits D) Offer a referral to a self-help | A |
| 25. During the initial interview with a client in crisis, the initial priority is to A) assess the adequacy of the support system. B) assess for substance use. C) determine the precrisis level of functioning. D) evaluate the potential for self-harm. | D |
| 3. A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time? A) Partial hospitalization B | C |
| 8. Which type of community residential treatment setting is most likely to be permanent in any state? A) Halfway house B) Respite housing C) Independent living programs D) Evolving consumer household | D |
| 12. Some residential treatment settings are transitional. This means that clients are eventually expected to A) become self-sufficient. B) find employment. C) no longer need medication. D) relocate to another setting. | D |
| What is required for a transitional care model to be most effective in promoting the client's health and well-being and prevent relapse and rehospitalization? Select all that apply. A)Collaboration B)Administrative support C)Adequate funding D)Family supp | A,B,C |
| 29. A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved? A)Primary prevention B)Secondary prevention C) | C |
| A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health-care need? A)Influencing schizophrenic patients to adhere to medication regimens B | B |
| 31. A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop? A) Self-esteem building with a local after-school program B) Social skills training for chronic schizophr | D |
| 20. A holistic plan of recovery would be especially important to a client from which of the following cultural groups? A) American Indian B) African American C) Mexican American D) Arab American | A |
| 21. A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal? A) The client will be free of pain and excess stress. B) The client will express a feeling of | B |
| 22. The nurse is preparing to conduct an admission assessment interview with a Mexican American client. During the interview, the nurse should respect the client's culture through which behavior? A) Greet the client with a hug, B) Encourage direct eye con | D |
| 23. A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to “snap out of it.” A therapeutic response by the nurse would be, A) “You have to keep trying to feel be | C |
| 24. Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following? A) Individual visits to provide the client with a calm environme | B |
| 25. A Filipino client meets the nurse for the first time. The client simply smiles at the nurse when introduced. The nurse interprets this behavior as A) a display of being shy and introverted. B) a typical greeting for a Filipino client. C) constricted v | B |
| 26. Females from which of the following cultures are most likely to be expected to move in with husband's family? A) African Americans B) Mexican Americans C) South Asians D) Haitians | C |
| Culture has the most influence on a person's health beliefs and practices. African Americans believe that the cause of mental illness occurs because of which of the following? A) Lack of harmony of emotions B) Supernatural causes C) Heredity D) Lack of sp | D |
| A client from which of the following cultural groups is likely to prefer closeness in personal space? A) Arab Americans B) Chinese C) Cubans D) African Americans | A |
| Direct eye contact is preferred by which of the following cultures? A) Native Americans B) Cambodians C) Russians D) Chinese | C |
| Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to A) economic class. B) psychological influences. C) physiologic causes. D) sociocultural factors. | C |
| The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication? A) The nurse must become expert at interpreting the | D |
| 32. Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact? A) Communication B) Social organization C) Environmental control D) Biologic variations | A |
| 33. Which of the following questions best encourages the client to disclose information the nurse must assess to provide culturally competent care? A) “How do you want me to help you?” B) “Do you want me to contact your preacher?” C) “What special dietar | A |
| 34. The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are A) objective data about the culture. B) subjective data from the client. C) subjective data from the family. D) subjective data from | B |
| 35. How might the nurse best provide culturally competent care? A) Behave as appropriate for the nurse's culture. B) Find out as much as possible about a client's cultural values, beliefs, and health practices. C) Know what to expect from many cultural gr | B |
| When assessing a patient's mental health status, which of the following describe the purpose of the psychosocial assessment? Select all that apply. A) To assess the client's current emotional state B) To assess the client's mental capacity C) To assess th | A,B,C |
| Which of the following are components of the assessment of thought process and content? Select all that apply. A) What the client is thinking B) Abstract thinking abilities C) How the client is thinking D) Clarity of ideas E) Self-harm or suicide urges | A,C,D,E |
| The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following? A) Concentration B) Memory C) Orientation D) Abstract thinking | A |
| The nurse best assesses a patient's memory by asking which of the following questions? A) “Do you have any problems with memory?” B) “What did you have for lunch yesterday?” C) “Do you know where you are?” D) “Who is the current president?” | D |
| 12. The patient states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the patient? A) Delusional thinking B) Ideas of reference C) Word salad D) Hallucinatio | A |
| 13. A patient is known to express tangential thinking. The nurse would assess for which of the following when interacting with the patient? A) Stopping abruptly in the middle of expressing himself B) Jumping from one idea to another C) Wandering off the t | C |
| 14. A nurse can best assess a patient's ability to use abstract thinking by asking the patient which of the following questions? A) “What would you do if you found a wallet containing $100 on the sidewalk?” B) “What do I mean when I say, 'Don't sweat the | B |
| 15. A patient reported to the nurse that on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the patient stated, “I pulled over, of course.” Which of the following was the nurse tryi | A |
| 16. The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as it relates to the client. Which of the following questions might the nurse ask to de | A |
| 17. Which of the following questions is best to ask when assessing the client's judgment? A) “Can you describe your usual daily activities for me?” B) “If you found yourself downtown without money or a car, how would you get home?” C) “On a scale of 1 to | B |
| 18. The nurse asks the client, “What is similar about a cow and a horse?” and “What do a bus and an airplane have in common?” These questions would best assess which of the following areas? A) Intellectual function B) Insight C) Judgment D) Memory | A |
| 19. Which of the following would best assess a client's judgment? A) Counting by serial sevens B) Discussing hypothetical situations C) Interpreting proverbs D) Spelling words backward | B |
| 27. The client tells the nurse, “That new TV anchor is telling the world about me.” This is an example of A) ideas of reference. B) persecutory delusions. C) thought broadcasting. D) thought insertion. | A |
| 28. During the admission assessment, the nurse asks the client, “How are you feeling?” The client responds, “I was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually | A |
| 29. A client is admitted to the psychiatric unit and states, “I am president of the largest corporation in the world. Everyone comes to me for advice.” The client is exhibiting which of the following? A) Flight of ideas B) Thought broadcasting C) Delusion | C |
| 31. Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following? A) Tangential thinking B) Ideas | C |
| 32. Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes A) recognizing that these areas may also be uncomfortable for the patient to discuss. B) share feelings | A |
| 33. Which of the following is the most compelling reason for the nurse to discuss matters of sexuality and suicide? A) It is required by the law by the federal government and in most states in the union. B) It is the nurse's professional responsibility to | B |
Created by:
Haleyjolene