Nurs 123 final Exam Questions With
Correct Answers
A 24-year-old client diagnosed with borderline personality disorder (BPD) is admitted to
the inclient psychiatric unit following a suicide attempt. Which client statements illustrate
a primary coping style of persons with BPD? - ANSWER-"Last night the nurse let me go
outside and smoke. I can't believe you aren't letting me. I used to think you were the
best nurse here."
.A 28-year-old married client who is seeking treatment after being raped tearfully asks
the nurse, "What if I am pregnant?" The nurse's response should be guided by what
knowledge? - ANSWER-Pregnancy prevention is offered in the emergency department
.A 37-year-old client, referred to the mental health clinic with a suspected personality
disorder, is withdrawn and suspicious and states, "I've always preferred to be alone"
and then adds, "I can read your thoughts whenever I want to." This presentation
supports which psychiatric diagnosis? - ANSWER-Schizotypal personality disorder
(STPD)
.A 62-year-old patient who is recovering from a urinary tract infection that has required
hospitalized for delirium. Based on research regarding possible post delirium
complications, what are important areas for the provider to assess regularly after
discharge? - ANSWER-Depression and level of cognition
.A 68-year-old recently retired client is referred to the mental health clinic for symptoms
of depression, social isolation, and irritability. The client's son states, "My dad never
used to be like this. My mom's been gone for 10 years and he has been doing fine."
When the nurse asks the client directly about alcohol intake, he becomes defensive and
refuses to discuss the issue. The nurse's response should be guided by what
knowledge? (Select all that apply.): - ANSWER-Alcohol abuse often goes undetected in
older adults.
Depression plays a role in increased drinking.
Being single is a risk factor for alcohol abuse.
.A 69-year-old client with a recent history of cancer is undergoing workup for memory
loss. The client asks the nurse, "Why am I having all these problems now? I thought life
would get easier as I got older." The nurse's response should be guided by what
knowledge? - ANSWER-Older adults experience more medical and psychiatric
illnesses.
.A 72-year-old patient is hospitalized diagnosed with pneumonia and experiencing
delirium. The client points to the IV pole and screams, "Get him out of here! He's going
to hurt me!". The nurse would use what term to document the response? - ANSWER-
Illusion
, .A 78-year-old patient diagnosed with Alzheimer's disease picks up a glass from the
bedside table but does not recognize the purpose of the object. This inability is
associated with which characteristic of the disorder? - ANSWER-Agnosia
.A bereavement group run by a local hospice includes a woman who is distraught over
her supervisor's death. The woman appears severely distressed. She has trouble
functioning with activities of daily living and making the simplest of decisions. The group
facilitator recognizes that this woman is suffering from disenfranchised grief after
learning: - ANSWER-The woman was in love with her married supervisor
.A client who has recently received a terminal cancer diagnosis has expressed the
desire to, "stay out of the hospital and die at home." Which nursing intervention will best
help the client achieve this end-of-life goal? - ANSWER-Assistance with advance care
planning
.A client who lives with a daughter's family is often left alone during the day and even
some evenings. The client has expressed being lonely and socially isolated.
Considering the situation, which support option is most appropriate? - ANSWER-Adult
day care
.A dying client's family is concerned that the opioid pain medication being prescribed will
hasten the client's death. What may be the basis for this concern? - ANSWER-There is
little research evidence to support that appropriate opioid management will result in an
earlier death.
.A forensic nurse examiner is interviewing and individual accused of a homicide. Which
question should the nurse ask in preparation for a possible legal insanity defense? -
ANSWER-Do you ever hear voices that no one else can hear
.A student nurse is working with an 82-year-old patient diagnosed with dementia. The
student is frustrated at times by not knowing how best to care for or communicate with
the client. Which of the statement by the student best illustrates best care practice? -
ANSWER-Positive regard: "I am glad to be here caring for you today. Let's talk about
our plans for the day."
.A young woman named Carly was raped behind the restaurant where she works after
closing shift. Six months have passed and Carly has not been able to return to work,
refuses to go out to eat, and feels that she has less value as a woman now that she has
been raped. Carly's clinical presentation suggests: - ANSWER-Avoidance
.After interviewing a client regarding his/her incarceration, a forensic psychiatric nurse
examiner feels the client is quite possibly innocent. What principle should the nurse use
to guide his/her actions regarding this opinion in an official report? - ANSWER-One
must separate personal opinion from professional opinion.
Correct Answers
A 24-year-old client diagnosed with borderline personality disorder (BPD) is admitted to
the inclient psychiatric unit following a suicide attempt. Which client statements illustrate
a primary coping style of persons with BPD? - ANSWER-"Last night the nurse let me go
outside and smoke. I can't believe you aren't letting me. I used to think you were the
best nurse here."
.A 28-year-old married client who is seeking treatment after being raped tearfully asks
the nurse, "What if I am pregnant?" The nurse's response should be guided by what
knowledge? - ANSWER-Pregnancy prevention is offered in the emergency department
.A 37-year-old client, referred to the mental health clinic with a suspected personality
disorder, is withdrawn and suspicious and states, "I've always preferred to be alone"
and then adds, "I can read your thoughts whenever I want to." This presentation
supports which psychiatric diagnosis? - ANSWER-Schizotypal personality disorder
(STPD)
.A 62-year-old patient who is recovering from a urinary tract infection that has required
hospitalized for delirium. Based on research regarding possible post delirium
complications, what are important areas for the provider to assess regularly after
discharge? - ANSWER-Depression and level of cognition
.A 68-year-old recently retired client is referred to the mental health clinic for symptoms
of depression, social isolation, and irritability. The client's son states, "My dad never
used to be like this. My mom's been gone for 10 years and he has been doing fine."
When the nurse asks the client directly about alcohol intake, he becomes defensive and
refuses to discuss the issue. The nurse's response should be guided by what
knowledge? (Select all that apply.): - ANSWER-Alcohol abuse often goes undetected in
older adults.
Depression plays a role in increased drinking.
Being single is a risk factor for alcohol abuse.
.A 69-year-old client with a recent history of cancer is undergoing workup for memory
loss. The client asks the nurse, "Why am I having all these problems now? I thought life
would get easier as I got older." The nurse's response should be guided by what
knowledge? - ANSWER-Older adults experience more medical and psychiatric
illnesses.
.A 72-year-old patient is hospitalized diagnosed with pneumonia and experiencing
delirium. The client points to the IV pole and screams, "Get him out of here! He's going
to hurt me!". The nurse would use what term to document the response? - ANSWER-
Illusion
, .A 78-year-old patient diagnosed with Alzheimer's disease picks up a glass from the
bedside table but does not recognize the purpose of the object. This inability is
associated with which characteristic of the disorder? - ANSWER-Agnosia
.A bereavement group run by a local hospice includes a woman who is distraught over
her supervisor's death. The woman appears severely distressed. She has trouble
functioning with activities of daily living and making the simplest of decisions. The group
facilitator recognizes that this woman is suffering from disenfranchised grief after
learning: - ANSWER-The woman was in love with her married supervisor
.A client who has recently received a terminal cancer diagnosis has expressed the
desire to, "stay out of the hospital and die at home." Which nursing intervention will best
help the client achieve this end-of-life goal? - ANSWER-Assistance with advance care
planning
.A client who lives with a daughter's family is often left alone during the day and even
some evenings. The client has expressed being lonely and socially isolated.
Considering the situation, which support option is most appropriate? - ANSWER-Adult
day care
.A dying client's family is concerned that the opioid pain medication being prescribed will
hasten the client's death. What may be the basis for this concern? - ANSWER-There is
little research evidence to support that appropriate opioid management will result in an
earlier death.
.A forensic nurse examiner is interviewing and individual accused of a homicide. Which
question should the nurse ask in preparation for a possible legal insanity defense? -
ANSWER-Do you ever hear voices that no one else can hear
.A student nurse is working with an 82-year-old patient diagnosed with dementia. The
student is frustrated at times by not knowing how best to care for or communicate with
the client. Which of the statement by the student best illustrates best care practice? -
ANSWER-Positive regard: "I am glad to be here caring for you today. Let's talk about
our plans for the day."
.A young woman named Carly was raped behind the restaurant where she works after
closing shift. Six months have passed and Carly has not been able to return to work,
refuses to go out to eat, and feels that she has less value as a woman now that she has
been raped. Carly's clinical presentation suggests: - ANSWER-Avoidance
.After interviewing a client regarding his/her incarceration, a forensic psychiatric nurse
examiner feels the client is quite possibly innocent. What principle should the nurse use
to guide his/her actions regarding this opinion in an official report? - ANSWER-One
must separate personal opinion from professional opinion.
