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NUR 354 Exam 2 Questions and Answers
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NUR 354 Exam 2 Questions and Answers
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NUR 354 Exam 2 Questions andAnswers
A nurse teaches a client about the side effects & precautions associated with the typical
antipsychotic haloperidol (Haldol). The nurse evaluates that the teaching is understood
when the client states:
a. "I will immediately report any diarrhea or vomiting to my doctor"
b. "i will not eat any tyramine containing foods while I'm taking this drug"
c. "I'll avoid direct sunlight and use sunscreen product when I go outdoors"
d. "ill maintain an adequate fluid intake because I may urinate more than usual" -
Answer-c. "I'll avoid direct sunlight and use sunscreen product when I go outdoors"
photosensitivity is a side effect of many antipsychotic medications
The nurse is preparing a client with a history of command hallucinations for discharge
by providing instructions on interventions for managing hallucinations and anxiety.
Which statement in response to these instructions suggests to the nurse that the client
understands the instructions?
a. "My medications aren't likely to make me anxious"
b. "I'll go to support group and talk so that I don't hurt anyone"
c. "It's not likely that I'll get anxious or hear things if I get enough sleep and eat well"
d. "When I begin to hallucinate, I'll call my therapist and talk about what I should do" -
Answer-d. "When I begin to hallucinate, I'll call my therapist and talk about what I should
do"
A child with ADHD had this nursing diagnosis: impaired social interaction, related to
excessive neuronal activity, as evidenced by aggressiveness and dysfunctional play
with others. Which finding indicates the plan of care was effective?
a. improved ability to identify anxiety and use self control strategies
b. increased expressiveness in communication with others
c. engages in cooperative play with other children
d. increased responsiveness to authority figures - Answer-c. engages in cooperative
play with other children
The nurse manager is evaluating a primary nurse who is working with a hospitalized
adolescent client with the diagnosis of conduct disorder. Which intervention by the
primary nurse should the nurse manger question?
a. discussion rules of the unit
b. allows opportunities for choices
c. explaining the consequences for not following unit regulations
d. encouraging the verbalization of negative feelings toward others - Answer-a.
discussion rules of the unit
verbalization of negative feelings to others often can escalate and result in antisocial or
acting out behavior
, When assessing the mental status of a 7- or 8-year-old child, it is most important for the
nurse to:
a. listen to the parents description of the childs behavior
b. compare the childs functioning from one day to another
c. engage parents in a discussion about the childs feelings
d. determine the childs mental status by using direct questions - Answer-b. compare the
childs functioning from one day to another
To help a disturbed, acting-out child develop a trusting relationship, the nurse should:
a. Inquire as to the child's feelings about the parents
b. Implement a half hour one-to-one interaction daily
c. Initiate limit setting and explain the rules to be followed
d. Offer periodic support and emphasize safety in play activities - Answer-d. Offer
periodic support and emphasize safety in play activities
Frontal lobe deficits in schizophrenia are thought to be responsible for:
a. disorganized thinking
b. hallucinations
c. depression
d. parkinsonism - Answer-a. disorganized thinking
The nurse finds a client with schizophrenia lying under a bench in the hall. The client
states, "God told me to lie here." What is the best response by the nurse?
a. "I didn't hear anyone talking. Come with me to your room"
b. "What you heard was in your head; it was your imagination"
c. "come to dayroom and watch tv, it will help take your mind off of this"
d. "God would not tell you to do that, he wants you to behave responsibly" - Answer-a. "I
didn't hear anyone talking. Come with me to your room"
A client says to the nurse, "The federal guards were sent to kill me." What is the best
nursing response to the client's concern?
a. "I dont believe this is true"
b. "the guards are not out to kill you"
c. "do you feel afraid that people are trying to hurt you?"
d. "what makes you think that guards were sent out to hurt you?" - Answer-c. "do you
feel afraid that people are trying to hurt you?"
The nurse notes that a client with schizophrenia and receiving an antipsychotic
medication is moving her mouth, protruding her tongue, and grimacing as she watches
television. The nurse determines that the client is experiencing which medication
complication?
a. parkinsonism
b. tardive dyskinesia
c. hypertensive crisis
d. neuroleptic malignant syndrome - Answer-b. tardive dyskinesia
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