NR326 Exam 1 Questions with Answers Correctly Tested and Verified , Exams of Nursing

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NR326 Exam 1 Questions with Answers Correctly Tested

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• A nurse caring for a client three days after admission for treatment of depression. The client leaves her current activity approaches the nurse and states there is no reason to go on living, I just want to end it all. a. Assist the client her room and allow her to rest before resume activity b. Recognize the manipulation and escort back her activity c. Ask if the client if she has plan to commit suicide d. Notify the clients family and visitor to stay with the client
• A nurse is caring for a client states I have to get out of this hospital. they have found my address and are coming to harm my family. The nurse responds don’t worry no one will harm your family. Which one of the following therapeutic communications the nurse responds represent? a. Proving passing response b. Offering false reassurance c. Showing disapproval d. Offering sympathy
• A nurse planning care for client for who has OCD. Which of the following of actions the nurse should take? a. Teach the client that compulsive behavior is excessive b. Encourage of avoidance of situation that increase anxiety

c. Investigate what situation precipitate the anxiety d. Prevent the client performing compulsive behavior

• A nurse is caring for a client who has borderline personality disorder. As part of the client plan of care the nurse reviews days schedule with the client each morning. As the nurse begin to review the schedule with the client, the client says “why don’t you shut up already I can read it myself you know” which of the following responses should the nurse give to the client? a. I don’t like when you address me with tone of voice b. I know you can but are going to read it or not c. Fine here is the schedule I will expect you to be on time for your therapy d. We do this every day why angry this morning
• a nurse is caring for a client who experiencing a crisis related to anxiety. which of the following actions the nurse should take? a. Validate the client’s feelings b. Establish rapport with the client c. Develop flexible crisis intervention plan d. Avoid eye contact to prevent the escalation of the anxiety e. Identity the cause of the anxiety
• A charge nurse is conducting a staff education and service about depression disorder. Which of the following is should the nurse identity as the risk for depression? a. Pregnancy b. Be married

c. Male gender d. Chronic

• A nurse caring who has paranoid personality disorder. Which of the followings of findings the nurse to expect? a. Violet the right of other b. Demonstrate grandiose of Self-important c. Be subspecies other people motives d. Desire to be the center of attention e. Believes others are deceiving him
• The nurse is readmitting the client to medical unit after transfer to ICU the following the self-administration overdose of medication. The client looks down to the floors and mumbles hello. Which of the following response the nurse should make? a. You have been transferred to the unit, this is your new room b. Tell me a little more about what happened? c. I was upset when I found out you tried to kill yourself d. Hello, I see that you in ICU you been getting light diet, how is your stomach now?
• A nurse is assessing a client who has malnutrition which of the following findings the nurse should expect? a. Decrease mental status b. Increase vital capacity c. Moist skin d. Heat intolerance

• Nurse is preparing to administer buspirone 75 mg every hour the medication available is 15 mg a tablet = 5 tablet
• A nurse is planning to care for group of clients in mental health unit. Which of the following of actions the nurse should take to create therapeutic environment? A. Provide consistent daily schedule B. Allow client to determine the nurse client relationship C. Focus on client’s weakness to increase adaption D. Share personal weakness with the client
• A charge nurse hears a provider speaking to his staff nurse in anger concerning incorrect supply that is available to perform the procedure. Which of the following of the charge nurse statement is appropriate? a. You should think about how others feel when you lose your tempered b. I will help you with this procedure instead of staff nurse c. If you let us know a head of time that you plan to perform procedure, we could do better job having the supplies available d. It must be frustrating when you don’t have want you want to perform the procedure
• A nurse is teaching a new licensed nurse about appropriate actions to take one when a client threatens to harm specific individual, which of the following the newly licensed nurse indicates understanding?

a. I should formerly report his to b. I need to make sure the potential victim is warned c. I need to keep the information confidential due to the client rights of privacy d. I can only discus the client’s threat with the court order

• A nurse in acute care of mental health facility admitting a client who report feeling depressed, sad, moody, overly anxious. Which of the following nurse assessment priority? a. Support system b. Coping abilities c. Psychiatric history d. Suicide risk
• A nurse is caring for several clients who has mental health disorder at the assistance living facility. which of the following clients nurse determine to be seen immediately by the provider? a. A client who is taking b. A client who is taking olanzipam experiencing dizziness when stand up c. A client who is taking clozipine flu like manifestation d. A client who is taking torediazm
• A nurse in mental health unit is caring for a client who has major depression and malnutrition. Which of the following actions the nurse takes to improve the patient nutritional status? a. Sit with the client during meals and snacks

b. Enroll the client in the nutritional client in the unit c. Ask the provider to arrange consultation with facility chaplain d. Weight the client same time every morning

• A nurse manager providing staff education about working with the client who is angry and aggressive. Which of the following information the nurse should include the teaching? a. Sit close to the patient and use therapeutic touch b. Describe options clearly and offer choices c. Set limit on the client’s behavior d. Allow the client as much personal space as possible e. Remain calm and InControl
• A nurse is caring for the client who has bipolar disorder which of the following action by the client the nurse should interpret as displaying maniac disorder? a. Taking in rapid speech b. Spend lots of money c. Sleeping for long period of time d. Interrupting with others in flirtatious way e. Dressing black or gray clothing
• A nurse in acute mental health unit is care for a client following a suicide attempt. The client states I need my family to forgive me. Which of the following priority action?

a. Call a family member b. Contact the cloggers c. Provide emotional support d. Ask the if she plans to harm herself

• A nurse is teaching a client who has bipolar disorder about lithium. Which of the following the nurse should include in the teaching? a. Decrease the fluid intake b. Take the medication on empty stomach c. You might produce extra saliva while taking this medication d. Provide the provider if you experience diarrhea and nausea
• A nurse is assisting adolescent female client who has anorexia nervosa which of the following finding the nurse expect? a. Constipation b. Hyperkalemia c. Metharexia d. Tachycardia
• A nurse is a mental health facility planning care for a client who has OCD. And newly admitted to the unit, which of the following actions the nurse plan to take regarding the client compulsive behavior? a. Strict limit on behavior so the client the client can perform the unit rules and schedule b. Isolate the client for a period of time

c. Plan the client to schedule for rituals d. Confront the client about sense nature of the behaviors

• A nurse is assessing an adolescent client with anorexia nervosa. which of the following client’s statements is a sing of cognitive distortion? a. I can afford to gain weight b. If I eat piece of candy, I may eat 10 c. I like to cut my food in small pieces d. I really need to get in shape
• A nurse is discussing treatment of depressive disorder with the client who has major depression. Which of the following the client statement indicate understanding of the teaching? a. I will attend psychotherapy to manage my depression b. I can cure my depression by thinking positive thoughts c. I need to make voluntary choices feeling depressed d. I will plan to take my antidepressant to 3-5 time a day to be effective
• A nurse is caring for a client who has a new diagnosis of HIV, he thinks I don’t care what the dr says there is no way I can have HIV and I don’t need treatment for something I don’t have. The nurse identifies the client experiencing which types of crisis? a. Internal b. Maturational c. Adventitious

d. Situational

• A nurse is assessing a client who has PTSD following a sexual assault. Which of the following is expecting finding? a. Consist need to talk to others b. Nightmare about the event c. Increasing sense of attachment to others d. Lack of anger
• A nurse is caring for a client who requires crisis intervention for acute anxiety. Which of the following is the highest priority? a. Identify the client coping skills b. Protect the client from injury (good one ) c. Determine the cause of the anxiety d. Ensuring the ensuring safe
• A nurse is caring for a client who has paraplegia following divided accident. Which of the following finding indicate the client developing a depression? a. Difficulty concentrating b. Paranoia c. Flight of ideas d. Palpitations
• A nurse is reviewing a medical record of the client who performs self-injury. which of the following information should the nurse identity placing the client in risk of self-harming or others?

a. Client has borderline personality disorders b. The client has history of bulimia nervosa c. The client has a parent who has dependent personality disorder d. The client recently received emotional at work

• A nurse is caring for a client who has involved a heavy combat and reserved a work causality. A nurse should suspect that the client suffering from PTSD if the client makes which of the following statement? a. In my dream all I can see are the one reaching out to grab me
• A nurse is preparing a client evening dose of resprodon when a tablet falls on the countertop. Which of the following actions should the nurse take? a. Discard the tablet and obtain another one b. Place the tablet directly on medication cup c. Use the tablet packaging to pick it up d. Wash up the tablet
• A nurse in a mental health clinic assessing client who brought by adult daughter stating that her mother has not been able to leave her house for weeks because she is afraid of outdoors alone. The nurse is anticipating managing which one of the following phobias? a. Nycphobia b. Agrophobia c. Xenophobia
• A nurse asks a client who is suicide to make a safety contract but the client decline. Which of the following actions should the nurse identify as priority?

a. Remove any objects that can harm the client b. Hhg c. Lock the door and secure windows so they can be open d. Assign sitter

• A nurse is caring for client who has bipolar disorder. the client states I feel like superman I can do anything. I can fly home today, and then become USA senator. Which of the following findings is this client exhibiting? a. Derealization’s b. Grandiosity c. Flight of ideas d. Reality testing
• Nurse is preparing to administer lorazepam 1 mg po bedtime the amount available is 2mg tablet , how many tablets the nurse should administer per dose?
• A nurse is caring for adolescent female who has eating disorder the client is 162.6 cm 64 inches tall and weighs 38.56 kg (85Ib). upon assessment which of the following manifestations the nurse expects? a. Alter body image b. Verbalize desire to gain weight c. Bradycardia d. Hyperactivity e. Amenorrhea

• A nurse notices client who has moderate anxiety pacing the hallway and mumbling. As the nurse approaches the client says “ I am at the end of I don’t think I can take anymore of bad news. Which of the following response the nurse makes? a. Most of client having anxiety issues from laying down b. Anti-anxiety pill works best for situations like this c. Providers usually recommends relaxation exercise d. Come with me we where we can talk with no interruption
• A nurse is admitting a client who reports anorexia and experiencing malnutrition. which of the following lab findings should the nurse expect to be altered? a. Albumne b. Chroponin c. Total bilirubin d. Creatinine kinase
• A nurse is modifying a diet of a client who has major depressive disorder and prescribed selegiline and MAOI’s? which of the following food the nurse eliminates? a. Chicken b. Fresh fish c. Cherries d. Cheddar cheese
• A nurse is preparing to administer clozepam 5mg PO 3 equally divided doses every 8 hours for client who has seizures. The amount available is 0.5 mg /tab. How many tablets the nurse should administer per dose?

• A nurse is planning care for a client who has a dependent personality disorder. which of the following actions should plan to take? a. Discourage b. Monitor the client closely to prevent self c. Give positive feedback when client d. Set limits to prevent exhortation to others
• A nurse is assessing a client who has a mood disorder to determine his readiness to discharge. Which of the following statements indicates the client ready to be discharged? a. Right now, I cannot bath just myself but that is not important b. Taking care of myself is important but it’s okay if I want to take break not to do anything c. I will take my medicine as I should and call the number you gave if I have bad thoughts d. When I get home, I am going to let know the ppl who put me here how angry I am
• A nurse observes clients spouse sitting alone in the waiting room crying. When approach the spouse says I am really concerned about my husband. which of the following is a therapeutic response? a. Tell me what is concerning you? b. Crying helps c. Your husband is making really good progress d. Your husband says something upsetting you
• A nurse is caring for the client who has mental health disorder. The client asks about his medication and their effects. The nurse asks the client why he needs to know this. Which

of the following nontherapeutic communication is the nurse using? a. Chaning the subject b. Behaving c. Asking for explanation d. Arguing

• A nurse is caring for the client who diagnosed with OCD and consistently panic and acting on dinning roo. The nurse should recognize the client uses his behavior to do which of the following. a. Manipulating controlling other behaviors b. Focus on meaningful task c. Decrease anxiety to tolerable label d. Limit the amount of time available time to interact with others
• A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals priority? a. Attain the weight greater 75 percent of her age and weight b. Identify changes within the family c. Use positive statement about improvements in body images d. Feeling in control of her behavior
• A nurse tells another nurse that she thinks he didn’t not provide adequate care for client who is underwent arthroplasty. which of the following responses by the nurse demonstrates assertiveness? a. You should not make accusations your nursing care does not always set good example

b. I feel it though I met the standard oof care, do u mind telling me about ur concern c. I am loss of words I always do my best give good care of my client d. What do you have against me it must be something or you would not be criticizing my care?

• A nurse is caring for client who has major depression attempted suicide. The client tells the nurse I should have died because I am totally worthless. Which of the following response should the nurse make? a. You have a great deal to live for b. It is not unusual depressed clients to feel that way c. You have been feeling your life has no meaning? d. You do you feel that you are worthless
• A nurse is caring for a client who is in the maniac phase of bipolar disorder. Which of the following interactions should the nurse include in the client’s final care? a. Consistent b. Provide stimulant environment c. Discourage daytime napping d. Schedule
• A nurse is caring for following recent suicide attempt. which of the following actions the nurse takes? a. Place metal utensils in a meal tray b. Assign the client to provide private room c. Inspect the client personal belonging

1. Treatment of depression the client her during activity approached the nurse and stated there is no reason to go living I just want to end it all which of the following actions should nurse take A Assist the client to her room and allow her to rest before resuming the activity b. Recognize the manipulation and escort back her activity c. Ask if the client if she has plan to commit suicide d. Notify the clients family and visitor to stay with the client 2 A nurse is caring for a client states I have to get out of this hospital. they have found my address and are coming to harm my family. The nurse responds don’t worry no one willharm your family which of the following therapeutic communication the nurse respond a. Proving passing response b. Offering false reassurance c. Showing disapproval d. Offering sympathy
2. A nurse planning care for client for who has OCD. Which of the following of actions the nurse should take. a. Teach the client that compulsive behavior is excessive b. Encourage of avoidance of situation that increase anxiety c. Investigate what situation precipitate the anxiety d. Prevent the client performing compulsive behavior

4. A nurse is caring for a client who has borderline personality disorder. As part of the client plan of care the nurse reviews days schedule with the client each morning. As the nurse begin to review the schedule with the client, the client says “why don’t you shut up already I can read it myself you know” which of the following responses should the nurse give to the client? a. I don’t like when you address me with tone of voice b. I know you can but are going to read it or not c. Fine here is the schedule I will expect you to be d. We do this every day why angry this morning 5 select all that apply a nurse care for a client who is experiencing crises related to anxiety which of the following action the nurse should take? A. Valid the client’s feelings B. Establish rapport the client C. Develop flexible crises intervention plan D. Avoid eye contact to prevent the escalation of the anxiety E. Identify the cause of the anxiety 6 a charge nurse is conducting staff education in service about depression disorder which of the following nurse should identify as risk of depression disorder A pregnancy B Being married C Being male gender

D Chronic illness 7 select all that apply nurse caring for a client who has paranoid personality disorder which of the following findings to expect A violet the right of others B demonstrate grandiose sense of self important C suspicious of other people motifs D desire to be center of attention E Believe others is deceiving him 8 nurse is re-admitting a client to Medical unit after transfer to ICU following self- administering of overdose medication the client looks at the floor and mumbles Hello which of the following responses shop A you have been transferred to unit this is your new room B tell me little more about what happened C I was upset when I found you try to kill yourself D hello I see that in ICU you getting light diet how is your stomach now 9 nurses is assessing a client who has malnutrition which is of the following findings nurse should expect A decrease mental status B increase vital capacity C moist skin

D heat intolerance 10 a nurse preparing administer spartone75 mg every 12 hours the medication is available 15

mg/ tablet : 5 11 nurse is planning to care for a group of client in mental health unit which of the following actions nurse should to create therapeutic environment A provide consistent daily schedule B allow to determine the value of client-nurse relationship C focus on client weakness to increase adaption D share personal weakness with client 12 a charge nurse hears a provider speaking to his staff nurse in anger concerning incorrect supply that is available to perform procedure which of the following statement by charge nurse is appropriate A you should think about how others feel when you lose your temper B I will help with this procedure instead of staff nurse C if you let us know ahead of time that you plan to perform a procedure, we could do better job of having the supply available D it must be frustrating when you don’t have what you want to perform the procedure 13 nurses is teaching a new licensed nurse about appropriate actions to take when client threaten to specific induvial which of the following the newly licensed nurse indicates understanding A I should formally report this to B I need to make sure the potential victim is warned C I need to keep the information confidential due to the client right of privacy D I can only discuss the client threat with the court order

14 nurses in acute care of mental health facility is admitting a client who reports feeling depressed, moody and anxious which of the following the nurse assessment priority A Support system B coping abilities C psychic history D suicidal risk 15 nurses is caring for serval client who have mental health disorders at the assistance living facility which of the following clients the nurse determine to be seen by immediately by the provider A patient taking clozapine and reports vomiting twice B client reports taking lorazepam and experience dizziness when standing up C client who is clonazepam flu like manifestation D client taking torazam and has daytime drowsing

16. A nurse in mental health unit is caring for a client who has major depression and malnutrition. Which of the following actions the nurse takes to improve the patient nutritional status? a. Sit with the client during meals and snacks b. Enroll the client in the nutritional client in the unit c. Ask the provider to arrange consultation with facility chaplain d. Weight the client same time every morning

17 Select all that apply A nurse manager providing staff education about working with the client who is angry and aggressive. Which of the following information the nurse should include the teaching? a. Sit close to the patient and use therapeutic touch b. Describe options clearly and offer choices c. Set limit on the client’s behavior d. Allow the client as much as personal space as possible 18 select all that apply A nurse is caring for the client who has bipolar disorder which of the following action by the client the nurse should interpret as displaying maniac disorder? a. Taking in rapid speech b. spending large sums of money c. Sleeping for long period of time d. Interrupting with others in flirtatious way e. Dressing black or gray clothing 19 A nurse in acute mental health unit is care for a client following a suicide attempt. The client states I need my family to forgive me. Which of the following priority action? a. Call a family member b. Contact the cloggers c. Provide emotional support d. Ask the if she plans to harm herself

20 A nurse is teaching a client who has bipolar disorder about lithium. Which of the following the nurse should include in the teaching? a. Decrease the fluid intake b. Take the medication on empty stomach c. You might produce extra saliva while taking this medication d. Provide the provider if you experience diarrhea and nausea 21 nurse is assisting adolescent female client who has anorexia nervosa which of the following finding the nurse expect? a. Constipation b. Hyperkalemia c. Metharexia d. Tachycardia 22 A nurse is a mental health facility planning care for a client who has OCD. And newly admitted to the unit, which of the following actions the nurse plan to take regarding the client compulsive behavior? a. Strict limit on behavior so the client the client can perform the unit rules and schedule b. Isolate the client for a period of time c. Plan the client to schedule for rituals d. Confront the client about sense nature of the behaviors 23 A nurse is assessing an adolescent client with anorexia nervosa. which of the following client’s statements is a sing of cognitive distortion?

a. I can afford to gain weight b. If I eat piece of candy, I may eat 10 c. I like to cut my food in small pieces d. I really need to get in shape 24 A nurse is discussing treatment of depressive disorder with the client who has major depression. Which of the following the client statement indicate understanding of the teaching? a. I will attend psychotherapy to manage my depression b. I can cure my depression by thinking positive thoughts c. I need to make voluntary choices feeling depressed d. I will plan to take my antidepressant to 3-5 time a day to be effective 25 A nurse is caring for a client who has a new diagnosis of HIV, he thinks I don’t care what the dr says there is no way I can have HIV and I don’t need treatment for something I don’t have. The nurse identifies the client experiencing which types of crisis? a. Internal b. Maturational c. Adventitious d. Situational 26 A nurse is assessing a client who has PTSD following a sexual assault. Which of the following is expecting finding? a. Consist need to talk to others b. Nightmare about the event

c. Increasing sense of attachment to others d. Lack of anger 27 A nurse is caring for a client who requires crisis intervention for acute anxiety. Which of the following is the highest priority? a. Identify the client coping skills b. Protect the client from injury c. Determine the cause of the anxiety d. Ensuring the ensuring safe 28 A nurse is caring for a client who has paraplegia following divided accident. Which of the following finding indicate the client developing a depression? a. Difficulty concentrating b. Paranoia c. Flight of ideas d. Palpitations 29 A nurse is reviewing a medical record of the client who performs self-injury. which of the following information should the nurse identity placing the client in risk of self- harming or others? a. Client has borderline personality disorders b. The client has history of bulimia nervosa c. The client has a parent who has dependent personality disorder