Nursing 1023 Exam 1 Questions With Complete Solutions
A 14 year old child reports to the school nurse, "My mind goes
blank and I get shaky and sweaty while taking tests." Which
medication would be beneficial for the child in this situation?
Correct Answer Propranolol
Rationale: Propranolol is an antianxiety agent used in the
treatment of acute situational anxiety, such as performance
anxiety or test anxiety.
A client is crying to the nurse because someone made a joke
about her being overweight. Which of the nurse's responses is an
example of empathy? Correct Answer "You feel angry and
embarrassed. It is alright to cry."
Rationale: Because the nurse identifies the client's feelings and
makes it safe for the client to express those feelings, this is an
example of empathy.
A client who has fear of darkness is exposed to a room with
darkness for a long time during therapy. Which therapy is the
client undergoing? Correct Answer Implosion therapy
Rationale: In implosion therapy (flooding), the client imagines
or participates in real-life situations of which he or she is
extremely frightened.
A nurse is caring for a client who is in a depressed mood and
states, "I am worthless. I want to go away because my family no
longer needs me." The nurse encourages the client to express
,honest feelings and suggests working on adaptive coping skills.
What outcome can be expected from the nursing intervention?
Correct Answer The client will have decreased self-harming
behavior.
Rationale: Encouraging the client to express or verbalize his or
her feelings will help to alleviate aggression and signs of
depression in the client. Therefore, the client will have
decreased suicidal ideations and self-harming behavior.
A nurse, while preparing a client for electroconvulsive therapy
(ECT), administers a muscle relaxant. Which further care should
the nurse provide to ensure safety during the therapy? Correct
Answer Oxygenate the client during the treatment.
Rationale: Succinylcholine chloride (Anectine) is a muscle
relaxant administered to prevent severe muscle contractions
during ECT. A muscle relaxant may paralyze the respiratory
muscles, so the nurse oxygenates the client during and after the
treatment to support breathing in the client.
During a checkup, a client verbally reports having a depressed
mood, and sometimes having trouble falling asleep. The nurse
notices that the client fidgets and twirls a strand of hair
throughout the interview. On further interaction, the nurse does
not observe any additional symptoms of depression in the client.
According to the Hamilton Depression Rating Scale (HDRS),
what can be concluded about this client? Correct Answer No
evidence of depressive illness
, Rationale: According to the Hamilton Depression Rating Scale,
the score for verbal reporting on depressed mood is 2, the score
for having trouble falling asleep is 1, and the agitation score for
playing with hair is 2.This adds up to a total score of 5, which
indicates that there is no evidence of depressive illness. While
the client may be temporarily depressed or agitated, the
condition is not lasting.
The nurse is caring for a client who has the fear of having a
serious illness. On interaction, the nurse learns that the client has
anxiety disorder. Based on what behaviors does the nurse
conclude this finding? Select all that apply. Correct Answer
The client looks at his or her throat in the mirror often. The
client checks skin for the presence of lesions.
Rationale:
The client with illness anxiety disorder is preoccupied with the
idea that he or she might become ill. So, the client looks at his or
her throat in the mirror often.
The client with illness anxiety disorder is preoccupied with the
idea about his or her possible illness and so, checks the skin for
the presence of lesions.
The nurse is caring for a client who is a musician and goes into a
state of depression after the death of his or her spouse. The nurse
tells the client, "You need to refocus on your music." What
statement made by the client after a few days indicates effective
nursing intervention? Correct Answer "I will now be able to
record good music for my upcoming album."
A 14 year old child reports to the school nurse, "My mind goes
blank and I get shaky and sweaty while taking tests." Which
medication would be beneficial for the child in this situation?
Correct Answer Propranolol
Rationale: Propranolol is an antianxiety agent used in the
treatment of acute situational anxiety, such as performance
anxiety or test anxiety.
A client is crying to the nurse because someone made a joke
about her being overweight. Which of the nurse's responses is an
example of empathy? Correct Answer "You feel angry and
embarrassed. It is alright to cry."
Rationale: Because the nurse identifies the client's feelings and
makes it safe for the client to express those feelings, this is an
example of empathy.
A client who has fear of darkness is exposed to a room with
darkness for a long time during therapy. Which therapy is the
client undergoing? Correct Answer Implosion therapy
Rationale: In implosion therapy (flooding), the client imagines
or participates in real-life situations of which he or she is
extremely frightened.
A nurse is caring for a client who is in a depressed mood and
states, "I am worthless. I want to go away because my family no
longer needs me." The nurse encourages the client to express
,honest feelings and suggests working on adaptive coping skills.
What outcome can be expected from the nursing intervention?
Correct Answer The client will have decreased self-harming
behavior.
Rationale: Encouraging the client to express or verbalize his or
her feelings will help to alleviate aggression and signs of
depression in the client. Therefore, the client will have
decreased suicidal ideations and self-harming behavior.
A nurse, while preparing a client for electroconvulsive therapy
(ECT), administers a muscle relaxant. Which further care should
the nurse provide to ensure safety during the therapy? Correct
Answer Oxygenate the client during the treatment.
Rationale: Succinylcholine chloride (Anectine) is a muscle
relaxant administered to prevent severe muscle contractions
during ECT. A muscle relaxant may paralyze the respiratory
muscles, so the nurse oxygenates the client during and after the
treatment to support breathing in the client.
During a checkup, a client verbally reports having a depressed
mood, and sometimes having trouble falling asleep. The nurse
notices that the client fidgets and twirls a strand of hair
throughout the interview. On further interaction, the nurse does
not observe any additional symptoms of depression in the client.
According to the Hamilton Depression Rating Scale (HDRS),
what can be concluded about this client? Correct Answer No
evidence of depressive illness
, Rationale: According to the Hamilton Depression Rating Scale,
the score for verbal reporting on depressed mood is 2, the score
for having trouble falling asleep is 1, and the agitation score for
playing with hair is 2.This adds up to a total score of 5, which
indicates that there is no evidence of depressive illness. While
the client may be temporarily depressed or agitated, the
condition is not lasting.
The nurse is caring for a client who has the fear of having a
serious illness. On interaction, the nurse learns that the client has
anxiety disorder. Based on what behaviors does the nurse
conclude this finding? Select all that apply. Correct Answer
The client looks at his or her throat in the mirror often. The
client checks skin for the presence of lesions.
Rationale:
The client with illness anxiety disorder is preoccupied with the
idea that he or she might become ill. So, the client looks at his or
her throat in the mirror often.
The client with illness anxiety disorder is preoccupied with the
idea about his or her possible illness and so, checks the skin for
the presence of lesions.
The nurse is caring for a client who is a musician and goes into a
state of depression after the death of his or her spouse. The nurse
tells the client, "You need to refocus on your music." What
statement made by the client after a few days indicates effective
nursing intervention? Correct Answer "I will now be able to
record good music for my upcoming album."
