NUR 202 MOD A Quiz Questions with Compete Solutions
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Course
NUR 202
Institution
NUR 202
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The client is ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to anyone for several days. What should the nurse do during the first few hospital days? - Answer-Seek out the client frequen...
NUR 202 MOD A Quiz Questions with
Compete Solutions
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The
client is ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to
anyone for several days. What should the nurse do during the first few hospital days? -
Answer-Seek out the client frequently to spend short periods of time together
A client with the diagnosis of manic episode of bipolar disorder attends a mental health
day treatment program. What supervised activity will be most therapeutic for this client
during the early phase of treatment? - Answer-Walking around the facility with a nurse
Walking around the facility with a nurse does not involve an element of competition and
still allows the client to channel excess energy safely.
A client is admitted to the hospital for acute gastritis and ascites secondary to
alcoholism and cirrhosis. It is most important for the nurse to assess this client for -
Answer-Blood in the stool
Erosion of blood vessels may lead to hemorrhage, a life-threatening situation further
complicated by decreased prothrombin production, which occurs with cirrhosis.
When speaking with a client who has schizophrenia, the nurse notes that the client
keeps interjecting sentences that have nothing to do with the main thoughts being
expressed. The client asks whether the nurse understands. How should the nurse
reply? - Answer-"I'd like to understand what you're saying, but I'm having trouble
following you."
lets the client know that the nurse is trying to understand; it increases the client's
feeling of self-esteem and points out reality. Clients with schizophrenia have problems
with associative links, and these same problems will occur regardless of the topic.
A nurse is caring for a client with a bipolar disorder depressive episode. What should
the nurse's objective for this client be? - Answer-Feeling comfortable with the nurse
Before therapy can begin, a trusting relationship must be developed.
A client is receiving carbamazepine (Tegretol) for the treatment of a manic episode of
bipolar disorder. What should the nurse include when planning client teaching about this
medication? Select all that apply. - Answer-"You may want to suck on hard candy when
you get a dry mouth."
"We'll need to test your blood often during the first few weeks of therapy."
Sucking on hard candy or frequent rinsing may relieve a dry mouth, a side effect of
carbamazepine. Carbamazepine can cause severe bone marrow depression in the
early phase of therapy. Also, the drug level needs to be checked frequently to ensure a
therapeutic level.
, Which client characteristic is an initial concern for the nurse when caring for a client with
the diagnosis of paranoid schizophrenia? - Answer-Suspicious feelings
The nurse must consider the client's suspicious feelings and establish basic trust to
promote a therapeutic milieu.
A client has been found to have bipolar disorder and is being prescribed lithium
carbonate (Lithium). In light of the information shown, the nurse provides teaching to the
client. Select all that apply. - Answer-Her current thyroid function will require frequent
assessments while she takes lithium
Hyponatrium could lead to lithium toxicity, so the healthcare provider must first be
notified of the level
Lithium carbonate therapy can negatively affect thyroid function; the client's current TSH
is at the high normal level and so frequent checks are appropriate. Low serum sodium
levels would result in the kidneys' reabsorbing the lithium; this situation would lead to
lithium toxicity.
How can a nurse best accomplish therapeutic communication with an adolescent? -
Answer-By establishing a relationship over time
Several meetings with an adolescent will provide an opportunity to develop trust and
establish a relationship.
A nurse is managing the care of a client with recently diagnosed schizophrenia.
Effective therapeutic communication will directly affect which client-focused outcomes?
Select all that apply. - Answer-The client will effectively express emotional and physical
needs.
The client will demonstrate an understanding of the mental health disorder
The client will recognize the issues most important to managing this disorder.
A client who is receiving chemotherapy for lung cancer has nausea and vomiting
because of the therapy. The client wants to know if it is true that smoking marijuana will
help. What is the nurse's best response? - Answer-"Tetrahydrocannabinol is an
ingredient in marijuana that acts as an antiemetic in some people."
Tetrahydrocannabinol, an ingredient in marijuana, acts as an antiemetic in some
persons and can be absorbed through the gastrointestinal tract or inhaled.
As a client addicted to cocaine withdraws from the drug, the nurse should expect to
observe behavior related to - Answer-Depression
There is no set of symptoms associated with cocaine withdrawal, only the depression
that follows the high caused
A nurse is working in a clinic that provides services to clients who abuse drugs. What
effect of cocaine should the nurse consider as the reason that it easily causes
dependence? - Answer-Blurs reality
The addict tries to avoid stress and reality. The drug produces a blurring of these
feelings to the point that the addict becomes dependent on it
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