NUR 340 Exam 2 Review Questions and Correct Answers
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Course
NUR 340
Institution
NUR 340
Which characterisitcs in an adolescent female is sometimes associated with the prodromal phase of scizophrenia? - always afraid another student will steal her belongings
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? - ...
NUR 340 Exam 2 Review Questions and
Correct Answers
Which characterisitcs in an adolescent female is sometimes associated with the
prodromal phase of scizophrenia? ✅- always afraid another student will steal her
belongings
Which nursing intervention is particularly well chosen for addressing a population at
high risk for developing schizophrenia? ✅- screening a group of males between the
ages of 15 and 25 for early symptoms
To provide effective care for the patient diagnosed with schizophrenia, the nurse should
frequently assess for which associated condition? Select all that apply ✅- alcohol use
disorder
- major depressive disorder
- polydipsia
- metabolic syndrome
A female patient diagnosed with schizophrenia has been prescribed a first generation
antipsychotic medication. What information should the nurse provide to the patient
regarding her signs and symptoms? ✅- she should experience a reduction in
hallucinations
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? ✅- paranoia
Gilbert, age 19, is described by his parents as a "moody child" with an onset of odd
behavior about at age 14, which caused gilbert to suffer academically and socially.
Gilbert has lost the ability to complete household chores, is reluctant to leave the house,
and is obsessed with the locks on the windows and doors. Due to gilber's early and slow
onset of what is not recognized as schizophrenia, his prognosis is considered: ✅- to
have a less positive outcome
Which therapeutic communication statement might a psychiatric-mental health
registered nurse use when a patient's nursing diagnosis is altered thought process? ✅-
"you say you hear voices, what are they telling you?"
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse
medication, believing that: ✅- they are not actually ill
Kyle, a patient with schizophrenia, began to take the first generation antipsychotic
haloperidol (haldol) last week. One day you find him sitting very stiffly and not moving.
He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally.
, His vital signs are: bp 170/100, p 110, t 104.2f. What is the priority nursing intervention?
Select all that apply ✅- hold his medication and contact his prescriber
- wipe him with a washcloth wet with cold water or alcohol
Tomas is a 21 year old male with a recent diagnosis of schizophrenia. Tomas's nurse
recognizes that self medicating with excessive alcohol is common in this disease and
can co-occur along with: ✅- anxiety and depression
Which nursing response demonstrates accurate information that should be discussed
with the female patient diagnosed with bipolar and her support system? Select all that
apply ✅- "remember that alcohol and caffeine can trigger a relapse of your symptoms"
- "its critical to let your healthcare provider know immediately if you arent sleeping well"
- "is your family prepared to be actively involved in helping manage this disorder?"
- "the symptoms tend to come and go and so you need to be able to recognize the early
signs"
Which statement made by the patient demonstrates an understanding of the effective
use of newly prescribed lithium to manage bipolar mania? Select all that apply ✅- "i
have to keep reminding myself to consistently drink six 12 ounce glasses of fluid every
day"
- "i discussed the diuretic my cardiologist prescribed with my psychiatric provider"
- "ive already made arrangements for my monthly lab work"
The nurse is providing medication education to a patient who has been prescribed
lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse
stress to the patient? Select all that apply ✅- an upset stomach for no apparent reason
- shaky hands that make holding a cup difficult
A male patient calls to tell the nurse that his monthly lithium level is 1.7meq/l. Which
nursing intervention will the nurse implement initially? ✅- instruct the patient to hold the
next dose of medication and contact the prescriber
Which intervention should the nurse implement when caring for a patient demonstrating
manic behavior? Select all that apply ✅- monitor the patient's vitals frequently
- provide the patient with frequent milkshakes and protein drinks
- reduce the volume on the television and dim bright lights in the environment
- use a firm but calm voice to give specific concise directions to the patient
Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28
year old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her
prescribed medications. The nursing care for this patient recognized: ✅- alcohol
ingestion is a form of self-medication
Ted, a former executive, is not unemployed due to manic episodes at work. He was
diagnosed with bipolar i 8 years ago. Ted has a history of iv drug abuse, which resulted
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