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NURS 6512 Final Exam – Question and Answers

1. A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects?
2. A nurse on the acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take?
3. A nurse is obtaining a client’s medical history prior to the scheduling the client for electroconvulsive therapy (ECT), Which of the following findings should the nurse identify as a potential complication of the procedure?
4. A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client?
5. A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medications should the nurse expect to administer the client during maintenance?
6. A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, “I have not had anything to drink for 6 hours”. Which of the following findings should the nurse expect during alcohol withdrawal?
7. A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? (Select all that apply).
8. A nurse is caring for a client who has depression. The client states, “I am too tired and depressed to attend group therapy today.” Which of the following responses should the nurse make?
9. A nurse is assessing a client who experienced a sexual assault 6 months ago. Which of the following findings should the nurse report to the provider as an indication of rape-trauma syndrome?
10. A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first?
11. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admission. Which of the following information should the nurse include?
12. A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include?
13. A nurse in an acute mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse include in the plan?
14. A nurse in an emergency room is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect?
15. A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal?
16. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client?
17. A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use?
18. A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he isn’t going to attend any further sessions and states, “I don’t have time for all that talking”. Which of the following responses should the nurse make?
19. A nurse in an acute mental health facility is reviewing the mental health records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnosis?
20. A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse?
21. A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan?
22. A nurse is providing teaching to the family of a client who has Alzheimer’s disease about donepezil. Which of the following statements should the nurse include in the teaching?
23. A nurse is assessing a client who has binge-eating disorder. Which of the following findings should the nurse expect?
24. A nurse in mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client?
25. A nurse is reviewing medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium?
26. A nurse is assessing a client who has stage 4 Alzheimer’s disease. Which of the following findings should the nurse expect?
27. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer’s disease. The nurse should conclude that a member of the group requires further teaching when she identifies which of the following findings as a manifestation of Alzheimer’s disease?
28. A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?
29. A nurse is caring for a client who has Alzheimer’s disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take?
30. A nurse is interviewing a client who has anorexia nervosa. Which of the following findings should the nurse expect?
31. A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching?
32. A nurse is assessing a client who has conduct disorder. Which of the following findings should the nurse expect?
33. A nurse is planning care for a client who bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan?
34. A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display?
35. A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client’s care?
36. A nurse in the emergency department is assessing a client who has heroin intoxication. Which of the following findings should the nurse expect?
37. A nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following actions is the nurse’s priority?
38. A nurse is performing an admission assessment for a client who has restriction type anorexia nervosa. The nurse should expect which of the following findings?
39. A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances?
40. A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client?
41. A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching?
42. A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactive disorder (ADHD). Which of the following instructions should the nurse include in the teaching?
43. A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid?
44. A nurse is assessing a client who takes pheneizine for the treatment of depression. Which of the following findings is the priority for the nurse to report the provider?
45. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider’s prescription?
46. A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is a common adverse effect of this medication?
47. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. Which of the following findings should the nurse expect?
48. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, “voices are coming from the TV and everything we say in this room is being recorded”. Which of the following responses should the nurse make?
49. A nurse is caring for a client who has Alzheimer’s disease and a new prescription for donepezil. Which of the following actions should the nurse take?
50. A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurse plan to take?