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NURS 307 Final Exam Study Set questions with correct answers

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NURS 307 Final Exam Study Set questions with correct answers

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  • October 16, 2024
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NURS 307 Final Exam Study Set questions with
correct answers
Which of the following patients on the acute care psychiatric unit needs
the immediate attention of the nurse?


Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of
control
Patient skipping and dancing down the hall singing Correct Answer-
patient recently admitted with schizophrenia and is an alcoholic


A nurse is caring for a patient with an addictive disorder who is
currently drug free. The patient is experiencing repeated occurrences of
vivid frightening images and thoughts. Which term would the nurse use
to document this finding?


Tolerance
Flashbacks
Withdrawal
Synergistic effects Correct Answer-Flashbacks


Which condition would the nurse be most concerned about when caring
for a patient who abuses alcohol?

,Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome Correct Answer-Suicidal potential


Which patient response to the question "have you ever drank more
alcohol or used more drugs that you meant to?" should immediately
cause the nurse to assess further?


"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get
drunk."
"I figured you would ask me about that."
"Yes I did that once and will never so it again." Correct Answer-"I
figured you would ask me about that."


Which patient behaviors should the nurse suspect as related to alcohol
withdrawal?


Hyperalert state, jerky movements, easily startled


Tachycardia, diaphoresis elevated blood pressure


Peripheral vascular collapse, electrolyte imbalance

,Paranoid delusions, fever, fluctuated levels of consciousness Correct
Answer-hyperalert state, jerky movements, easily startled


A patient in community mental health centre, smokes up to half a pack
of cigarettes daily but has tried with limited success to cut back over the
last two weeks. Today he asked the pharmacist about various products
that could aid his attempts to quit smoking in time for him to manage a
long overseas flight next month with his friends who are allergic to
smoke. What phase of change is this patient demonstrating?


Precontemplation
Contemplation
Preparation
Action Correct Answer-preparation


Which of the following describes characteristics of generalized anxiety
disorder (GAD):


Dissociation, avoidance, and repeated hand washing.


Onset is shortly after an event, fear of leaving home, and fear of spiders.


Difficulty concentrating, easily fatigued, and occurs for at least 6
months.

, Fear of performing a task in public, fear of a specific object, and fear of
losing control. Correct Answer-Difficulty concentrating, easily fatigued,
and occurs for at least 6 months.


The nurse is performing health education with a patient who lives with
an anxiety disorder. The patient states that he is eager to adopt new
strategies that will help him to deal more effectively with his anxiety.
Which of the following actions should the nurse suggest?


Deliberately seeking out situations that provoke intense anxiety or order
to desensitize his anxiety response.


Taking a PRN dose of a benzodiazepine before any situation that is
likely to provoke anxiety.


Learning self-hypnosis techniques and performing these on a regular
basis, especially when stressors are anticipated.


Repeating positive statements to himself when he feels anxious, such as
"I'm anxious now, but I'll be okay." Correct Answer-Repeating positive
statements to himself when he feels anxious, such as "I'm anxious now,
but I'll be okay."


A patient has presented in the emergency department stating that she is
having a "heart attack." Assessment reveals, however, that the patient is
having a panic attack. The nurse will most likely administer what drug?

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