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NUR 213 EXAM 3 2025 WITH QUESTIONS AND CORRECT ANSWERS RATED A+
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NUR 213 EXAM 3 2025 WITH QUESTIONS AND CORRECT ANSWERS RATED A+
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NUR 213 EXAM 3 2025 WITH QUESTIONSAND CORRECT ANSWERS RATED A+
A depressed client on an inpatient unit says to the nurse, "My
family would be better off without me." Which is the nurse's best
response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are depressed."
3.
"You will feel better once your medication begins to work."
4.
"You sound very upset. Are you thinking of hurting yourself?"
Correct Answer 4
A client is admitted with a recent history of severe anxiety
following a home invasion and robbery. During the initial
assessment interview, which statement by the client should
indicate to the nurse the possible diagnosis of posttraumatic
stress disorder? Select all that apply.
1.
"I'm afraid of spiders."
2.
"I keep reliving the robbery."
3.
,"I see his face everywhere I go."
4.
"I don't want anything to eat now."
5.
"I might have died over a few dollars in my pocket."
6.
"I have to wash my hands over and over again many times."
Correct Answer 2 3 5
(Reliving an event, experiencing emotional numbness (facing
possible death), and having flashbacks of the event (seeing the
same face everywhere) are all common occurrences with
posttraumatic stress disorder. The statement "I'm afraid of
spiders" relates more to having a phobia. The statement "I have
to wash my hands over and over again many times" describes
ritual compulsive behaviors to decrease anxiety for someone with
obsessive-compulsive disorder. Stating "I don't want anything to
eat now" is vague and could relate to numerous conditions)
The nurse assesses a client with the admitting diagnosis of
bipolar affective disorder, mania. Which client symptoms require
the nurse's immediate action?
1.
Incessant talking and sexual innuendoes
2.
Grandiose delusions and poor concentration
3.
Outlandish behaviors and inappropriate dress
,4.
Nonstop physical activity and poor nutritional intake Correct
Answer 4
(Mania is a mood characterized by excitement, euphoria,
hyperactivity, excessive energy, decreased need for sleep, and
impaired ability to concentrate or complete a single train of
thought. The client's mood is predominantly elevated, expansive,
or irritable. All of the options reflect a client's possible symptoms.
However, the correct option clearly presents a problem that
compromises physiological integrity and needs to be addressed
immediately)
The nurse is caring for a client with anorexia nervosa. Which
behavior is characteristic of this disorder and reflects anxiety
management?
1.
Engaging in immoral acts
2.
Always reinforcing self-approval
3.
Observing rigid rules and regulations
4.
Having the need always to make the right decision Correct
Answer 3
(these pts have the desire to please others. Their need to be
correct or perfect interferes with rational decision-making
processes. These clients are moralistic. Rules and rituals help
these clients to manage their anxiety)
, A depressed client verbalizes feelings of low self-esteem and self-
worth typified by statements such as "I'm such a failure. I can't do
anything right." How should the nurse plan to respond to the
client's statement?
1.
Reassure the client that things will get better.
2.
Tell the client that this is not true and that we all have a purpose
in life.
3.
Identify recent behaviors or accomplishments that demonstrate
the client's skills.
4.
Remain with the client and sit in silence; this will encourage the
client to verbalize feelings. Correct Answer 3
(these feelings are common symptoms of a depressed client. An
effective plan of care to enhance the client's personal self-esteem
is to provide experiences for the client that are challenging, but
that will not be met with failure. Reminders of the client's past
accomplishments or personal successes are ways to interrupt the
client's negative self-talk and distorted cognitive view of self.
Options 1 and 2 give advice and devalue the client's feelings.
Silence may be interpreted as agreement)
The nurse is caring for a client who is at risk for suicide. What is
the priority nursing action for this client?
1.
Provide authority, action, and participation.
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