NUR317 Final Exam Questions With 100% Verified Answers
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NUR317
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NUR317
NUR317 Final Exam Questions With 100%
Verified Answers
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which is
the priority nursing action to maintain this client's safety? - answerNote escalating behaviors
and intervene immediately.
A client diagnosed wi...
NUR317 Final Exam Questions With 100%
Verified Answers
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which is
the priority nursing action to maintain this client's safety? - answer✔Note escalating behaviors
and intervene immediately.
A client diagnosed with Schizoaffective Disorder is admitted for social skills training. Which
information should be taught by the nurse? - answer✔How to make eye contact when
communicating.
A 16-year old client diagnosed with Schizophrenia experiences command hallucinations to harm
others. The client's parents ask the nurse, "Where do the voices come from?" Which is the
appropriate nursing reply? - answer✔"Your child has a chemical imbalance of the brain, which
leads to altered thoughts."
Parents ask the nurse how they should reply when their child, diagnosed with Schizophrenia,
tells them that voices are commanding him to harm others. Which is the appropriate nursing
reply? - answer✔"Focus on the feelings generated by the hallucinations and present reality."
The nurse is assessing a client diagnosed with Schizophrenia. The nurse asks the client "Do you
receive special messages from certain sources, such as the television or radio?" Which potential
symptom is the nurse assessing? - answer✔Delusions of reference.
A client diagnosed with Schizophrenia tells the nurse, "The 'Shoptouliens' took my shoes out of
my room last night." Which is the correct charting entry to describe this client's statement? -
answer✔"The client is expressing a neologism."
During an admission assessment, a nurse asks a client diagnosed with schizophrenia, "Have you
ever felt that certain objects or persons have control over your behavior?" The nurse is assessing
for which type of thought disruption? - answer✔Delusions of influence.
A client diagnosed with Schizophrenia states, "Cant you hear him? It's the devil. He's telling me
I'm going to hell." Which is the most appropriate nursing reply? - answer✔"I'm sure the voices
sound scary. I don't hear any voices speaking."
A client diagnosed with brief psychotic disorder tells the nurse about voices telling him to kill
the president. Which nursing diagnosis should the nurse prioritize for this client? - answer✔Risk
for violence; other-directed.
Which nursing intervention is most appropriate when caring for an acutely agitated client with
paranoia? - answer✔Provide personal space to respect the client's boundaries.
Which nursing behavior will enhance the establishment of a trusting relationship with a client
diagnosed with schizophrenia? - answer✔Being reliable, honest, and consistent during
interactions.
A client diagnosed with Schizophrenia states, "My president is out to get me. I'm sad that the
voice is telling me to stop him." Which symptoms is the client exhibiting, and what is the
nurses's legal responsibility related to the symptom? - answer✔Command hallucinations, warn
the psychiatrist.
Which statement indicates to the nurse that a client is experiencing a delusion? -
answer✔"There's an alien growing in my liver."
A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen
others. Which medication should the nurse expect a physician to oder to address this type of
symptom? - answer✔Risperidone (Risperdal) to address positive symptoms.
A client diagnosed with Schizophrenia. A physician orders Haldol, 50 mg BID, Cogentin 1 mg
pro, and Ambient 10 mg HS. Which client behavior would warrant the nurse to administer
Cogentin? - answer✔Restlessness and muscle rigidity.
The nurse for a client who is experiencing a flat affect, paranoia, anhedonia, anergia, neologisms
and echolalia. Which statement correctly differentiates the client's positive and negative
symptoms of Schizophrenia? - answer✔Paranoia, neologism, and echolalia are positive
symptoms of schizophrenia.
An elderly client diagnosed with Schizophrenia takes an antipsychotic and a beta-adrenergic
blocking agent for hypertension. Understanding the combined side effects of these drugs, which
statement by the nurse is most appropriate? - answer✔"Rise slowly when you change position
from lying to sitting or sitting too standing."
A client diagnosed with Schizophrenia is prescribed Clozaril. Which client symptoms related to
the side effects of this medication should prompt the nurse to intervene immediately? -
answer✔Sore throat, fever, and malaise.
During an admission assessment, the nurse notes that a client diagnosed with Schizophrenia has
allergies to penicillin, Compazine, and bee stings. Based on this assessment data, which
antipsychotic medication is contraindicated? - answer✔Thioridazine (Mellaril), because of cross-
sensitivity among phenothiazines.
A college student is not attending classes, isolates self because of hearing voices, and yells
accusations at fellow students. Based on this information, which should be the nurses's priority
nursing diagnosis? - answer✔Risk for other-directed violence R/T yelling accusations.
A client has been recently admitted to an inpatient psychiatric unit. Which intervention should
the nurse plan to use to reduce the client's focus on delusional thinking? - answer✔Focus on
feelings suggest by the delusions.
A client states, "I hear voices that tell me that I am evil." Which outcome related to these
symptoms should the nurse expect this client to accomplish by discharge? - answer✔The client
will identify events that increase anxiety and illicit hallucinations.
A newly admitted client has taken thioridazine (Mellaril) for 2 years with good symptom control.
Symptoms exhibited on admission included paranoid delusions and hallucinations. The nurse
should recognize which potential cause for the return of these symptoms? - answer✔The client
has not take the medication as prescribed.
The nurse is obtaining the mental health history of a newly admitted client diagnosed with
Schizophrenia. The clients family reports the client is hearing voices and cannot stay focused on
the topic of a discussion. Which thought disturbance is the client demonstrating? -
answer✔Tangentiality.
A client diagnosed with psychosis asks the nurse to make the voices stop talking so he can go to
sleep. Which is the most appropriate nursing intervention? - answer✔Ask the client what the
voices are saying.
The mental health nurse is evaluating care of a client who is recovering from an episode of
Schizophrenic psychosis. Which is the most appropriate long-term goal for the client? -
answer✔Define and test reality.
A client is diagnosed with Persistent Depressive Disorder (PDD)(dysthymia). Which should the
nurse classify as an affective symptom of this disorder? - answer✔Gloomy and pessimistic
outlook on life.
A client is diagnosed with Major Depressive Disorder (MDD). Which nursing diagnosis should
the nurse assign to the client to address a behavioral symptom of this disorder? - answer✔Social
isolation R/T poor self-esteem AEB secluding self in room.
The nurse assess a client suspected of having MDD. Which client symptom would eliminate this
diagnosis? - answer✔The client has maxed-out charge cards and exhibits promiscuous behaviors.
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