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Psychiatric (NSG323) Chapter 18 practice exam questions

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Chapter 18 practice exam questions

Grand Canyon University

Psychiatric Mental Health Nursing (NSG323)

1. An older adult takes digoxin and hydrochlorothiazide daily, as well as
lorazepam (Ativan) as needed for anxiety. Over 2 days, this adult developed confusion,
slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are
most characteristic of:
a. delirium.
b. dementia.
c. amnestic syndrome.
d. Alzheimer disease.

2. A patient experiencing fluctuating levels of awareness, confusion, and
disturbed orientation shouts, “Bugs are crawling on my legs! Get them off!” Which
problem is the patient experiencing?
a. Aphasia
b. Dystonia
c. Tactile hallucinations
d. Mnemonic disturbance

3. A patient experiencing fluctuating levels of consciousness, disturbed
orientation, and perceptual alteration begs, “Someone get these bugs off me.” What is the
nurse’s best response?
a. “There are no bugs on your legs. Your
imagination is playing tricks on you.”
b. “Try to relax. The crawling sensation will
go away sooner if you can relax.”
c. “Don’t worry. I will have someone stay
here and brush off the bugs for you.”

4. What is the priority nursing diagnosis for a patient experiencing
fluctuating levels of consciousness, disturbed orientation, and visual and tactile
hallucinations?
a. Bathing/hygiene self-care deficit, related
to altered cerebral function, as evidenced
by confusion and inability to perform
personal hygiene tasks
b. Risk for injury, related to altered cerebral
function, misperception of the
environment, and unsteady gait
c. Disturbed thought processes, related to
medication intoxication, as evidenced by
confusion, disorientation, and
hallucinations
d. Fear, related to sensory perceptual
alterations, as evidenced by hiding from
imagined ferocious dogs

5. What is the priority intervention for a patient diagnosed with delirium who
has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
a. Avoidance of physical contact
b. High level of sensory stimulation
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b. High level of sensory stimulation
c. Careful observation and supervision
d. Application of wrist and ankle restraints

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Psychiatric (NSG323) Chapter 18 practice exam questions

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