Exam 2 Review Questions and Correct Answers for NUR 233
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Course
NUR 233
Institution
NUR 233
What interventions are most appropriate for caring for a client in alcohol withdrawal? SATA A. Monitor vital signs B. Provide a safe env. C. Address hallucinations therapeutically D. Provide stimulation in the env. E. Provide reality orientation as appropriate F. Maintain NPO status A. Monitor vita...
Exam 2 Review Questions and Correct
Answers for NUR 233
What interventions are most appropriate for caring for a client in alcohol withdrawal?
SATA
A. Monitor vital signs
B. Provide a safe env.
C. Address hallucinations therapeutically
D. Provide stimulation in the env.
E. Provide reality orientation as appropriate
F. Maintain NPO status ✅A. Monitor vital signs
B. Provide a safe env.
C. Address hallucinations therapeutically
E. Provide reality orientation as appropriate
Which nursing interventions are particularly well chosen for addressing a population at
hight risk for developing schizophrenia? SATA
A. screening 15-25 yr olds for early symptoms
B. forming a support group for females 25-35 who are dx with substance abuse disorder
C. teaching ways to cope and build resiliency
D. educating about the risks of psychotics with marijuana use ✅A. screening 15-25 yr
olds for early symptoms
C. teaching ways to cope and build resiliency
D. educating about the risks of psychotics with marijuana use
Which therapeutic communication statement might a psychiatric MHRN use when a pts.
nursing dx is hallucinations? SATA
A. "I know you say you hear voices, but I cannot hear them"
B. "stop listening to the voices, they are not real"
C. "tell me more about what you hear"
D. "please tell the voices to leave you alone for now" ✅A. "I know you say you hear
voices, but I cannot hear them"
C. "tell me more about what you hear"
The nursing dx denial is useful when working with substance use disorders and
gambling. Which statements describe this dx? SATA
A. reports inability to cope
B. doesn't perceive the danger of substance use or gambling
C. minimizes symptoms
D. refuses healthcare attention
E. unable to admit the impact of the disease on life pattern ✅B. doesn't perceive the
danger of substance use or gambling
C. minimizes symptoms
D. refuses healthcare attention
, E. unable to admit the impact of the disease on life pattern
which assessment data confirm the suspicion that a pt is experiencing opioid
withdrawal? SATA
A. dilated pupils
B. pulse 62 bpm
C. slow movements
D. extreme anxiety
E. sleepy ✅A. dilated pupils
D. extreme anxiety
Natalya, a pt. with a hx of alcohol use disorder, has been px disulfiram (antabuse).
Which physical effects support the suspicion that the pt has relapsed? SATA
A. intense nausea
B. acute paranoia
C. confusion
D. dyspnea
E. diaphoresis ✅A. intense nausea
C. confusion
D. dyspnea
E. diaphoresis
What side effects should the nurse monitor for while caring for a pt. taking
donepezil(aricept) SATA
A. insomnia
B. constipation
C. bradycardia
D. signs of dizziness (syncopal)
E. reports a headache ✅A. insomnia
C. bradycardia
D. signs of dizziness (syncopal)
E. reports a headache
which statement made by a family member tends to support a dx of delirium rather then
dementia?
A.She was fine last night but this morning she is confused
B. dad doesn't seem to recognize us anymore
C. we've installed locks on all the outside doors
D. our telephone number is always attached to the inside of his shirt pocket ✅A.She
was fine last night but this morning she is confused
Anhedonia ✅inability to experience pleasure
avolition ✅lack of motivation
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