Nur 340 Exam 2 Practice
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1. A patient experiencing a panic attack suddenly began c
running and shouting, "I'm going to explode!" Select
the nurse's best action.
A. Ask, "I'm not sure what you mean. Give me an
example".
B. Capture the patient in a basket-hold to increase
feelings of control.
C. Tell the patient, "Stop running and take a deep
breath. I will help you".
D. Assemble several staff members and say, "we will
take you to seclusion to help you regain control"
2. A patient diagnosed with schizophrenia expresses A
fear of being pursued by hostile forces.The patient
carries a tablet and writes notes in a code. The patient
says, "I'm the only one who understands this code."
How should the nurse document these findings?
A. Grandiose and persecutory delusions
B. Affective blunting and anhedonia
C. A motivation and loose associations
D. Anergia and auditory hallucinations
3. A highly suspicious patient tells the nurse, "When I C
sit in the dayroom, I can see other people whispering
about me and laughing. It makes me want to punch
them." The direction that the nurse should give staff
is:
A. "Gently and frequently touch the patient while con-
versing."
B. "Stop laughing immediately when the patient en-
ters the room."
C. "Be direct. Do not whisper, laugh, or look sideways
at the patient."
D. "Engage the patient in conversation by leaning
close and speaking softly."
, Nur 340 Exam 2 Practice
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4. Anxiety is a universal experience, particularly in hos- C
pitalized individuals. The nurse recognizes it as clini-
cally significant when:
A. It is relieved by problem-solving within a brief peri-
od of time
B. It occurs at a mild level
C. It interferes with functioning
D. None of the above
5. A nurse is asked to establish a short-term goal for C
a patient with Alzheimer's disease.Which is most ap-
propriate?
A. Improved problem solving with activities of daily
living
B. Increased self-esteem and improved self-concept
C. Optimum functioning in the least restrictive envi-
ronment
D. Regained sensory perception and cognitive func-
tion
6. Which behavior indicates to the nurse that the treat- C
ment plan for a child diagnosed with autistic disorder
has been effective? The child:
a. Plays with one toy for 30 minutes
b. Repeats words spoken by a parent
c. Holds the parent's hand while walking
d. Spins around and claps hands while walking
7. A caregiver for your patient with dementia states "I C
just don't know if I can do this any more". Select your
best response:
A. "Your loved one is depending on you, let's figure
this out"
B. "I am mandated to report you to Adult Protective
Services if you are unable to perform your caregiving
, Nur 340 Exam 2 Practice
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duties"
C. "I have a list of psycho educational support groups
for caregivers that are proven to be helpful. I highly
recommend that you attend"
D. "I'm sorry to hear about how difficult things have
been, anyone in your situation would be stressed"
8. Which neurotransmitter associated with formation of B
memories is thought to be decreased in patients with
Alzheimer's disease?
A. Dopamine
B. Acetylcholine
C. Serotonin
D. Histamine
9. A nurse will prepare teaching materials for the par- C
ents of a child newly diagnosed with ADHD. Infor-
mation will focus on which medication likely to be
prescribed?
a. Paroxetine
b. Imipramine
c. Methylphenidate
d. Carbamazepine
10. Two staff nurses applied for a charge nurse position. C
After the promotion was announced, the nurse who
was not promoted said, "The nurse manager had a
headache the day I was interviewed." Which defense
mechanism is evident?
a. Introjection
b. Conversion
c. Projection
d. Splitting
11. A client who is 16 years old, 5 foot, 3 inches tall, and d
weighs 80 pounds eats one tiny meal daily and en-
gages in a rigorous exercise program. Which nursing
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