Psych quiz review

Which is an accurate characteristic of small groups? A) They are usually no more than seven to eight members B) They tend to be less cohesive than large groups C) They usually form subgroups D) They have fewer interpersonal experiences than large groups

A

Which is an activity of an advanced practice registered nurse and beyond the scope of practice of a registered nurse? A) psychotherapy B) case management C) milieu therapy D) complementary interventions

A

The client is brought to the hospital in a coma. The nurse understands that when a person is incapacitated, the document used to dictate the patient's written instructions for health care is called: A) patient rights B) durable power of attorney C) advance directive D) informed consent

C

The efforts one takes to manage situations that have been appraised as being potentially harmful or stressful refers to ... A) Disintegrate B) Emotional support C) Coping D) Cognitive approach

C

The nurse at a university health services clinic has been asked to meet with a freshman class about warning signs of relationship violence. The nurse points out which danger sign the students should be alert for in a date? A) Dislikes the person's friends B) Acts indifferently to the person's life choices C) Is excessively jealous D) Views the person as superior

C

A nurse is working with a client who has frequent angry outbursts. Which statement is most helpful when working with this client? A) "Anger is a normal feeling, and you can use it to solve problems." B) "You need to learn to suppress your angry feelings." C) "You can reduce your anger by hitting a punching bag." D) "You need to learn how to be less assertive in your communications."

A

According to Johnson's systematic review of the literature about violence on inpatient psychiatric units, what is a predictor of violence? A) suspiciousness B) age C) gender D) race

A

According to Maslow, an individual who has developed to the individual's fullest potential has achieved what level of his hierarchy? A) Self-actualization B) Physiological C) Love and belonging D) Esteem

A

A client's estranged spouse has phoned the hospital unit several times seeking information about the client's admission and status. A nurse hears a colleague tell the client, "No, your spouse has not called as far as I know." When confronted by the nurse, the colleague states, "I'm just trying to look out for the client by protecting the client from stress." How should the colleague's actions be interpreted? A) The colleague had good motives but violated the principle of veracity B) The colleague was not justified in deceiving the client and contradicted the principle of fidelity C) The colleague's actions are a justifiable example of paternalism aimed at protecting the client's best interests D) The colleague was unjustified in allowing autonomy to override beneficence

A

A male client comes to the emergency department and appears to be intoxicated. He fell and hit his head at home and has a minor laceration. The nurse asks when his last drink was. The client states that he didn't have a drink and "never touches the stuff." The client is exhibiting which defense mechanism? A) Denial B) Devaluation C) Displacement D) Dissociation

A

After teaching a class about aggression and violence, the instructor determines that the education was successful when the class states which of the following? A) All violence is aggressive. B) Aggression involves behavior directed inwardly. C) Aggression is primarily physical. D) Violence involves less forceful than aggression.

A

A nurse is discussing ways to prevent violence in various relationships. Which of the following nursing interventions would be most appropriate to prevent a client from becoming violent? A) Helping the client identify and express feelings of anxiety and anger B) Involving the client in a quiet activity to divert attention C) Leaving the client alone until the client can talk about feelings D) Placing the client in seclusion

A

A 33-year-old female client with a diagnosis of bipolar I disorder has a history of having reckless, frequent, and anonymous sexual encounters during manic periods. As a result, she has recently tested positive for a chlamydial infection. What is the most appropriate outcome for this client? A) The client will demonstrate three positive coping strategies when feeling the impulse to seek new sexual encounters B) The client will comply with antibiotic therapy for the treatment of chlamydial infection C) The client will learn to control mood and behavior in a more effective manner during manic episodes D) The client will exhibit better self-control and more responsible behavior

A

A 45-year-old client who is addicted to alcohol has to drink increasing amounts to experience the same effect of the alcohol. This is an example of: A) tolerance B) toxicity C) desensitization D) efficacy

A

A client at a mental health facility states to the nurse "I am not sure why I am here; there is nothing wrong with me." This indicates to the nurse a lack of which concept for the client? A) insight B) comprehension C) judgment D) cognition

A

A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client? A) symptom management B) self-care C) anger management D) medication

A

A client has developed deficits involving the senses of smell and hearing. The nurse would correlate this sensory dysfunction with which cerebral lobe? A) temporal B) parietal C) frontal D) occipital

A

A client is diagnosed with intermittent explosive disorder. A nurse would expect to administer what as part of the treatment plan? A) Selective serotonin reuptake inhibitors B) Serotonin norepinephrine reuptake inhibitors C) Monoamine oxidase inhibitors D) Atypical antipsychotics

A

A client who is manic states, "What time is it? I have to see the doctor. Is breakfast here yet? I've got to see the doctor first. Can I get my cereal out of the kitchen?" Which response by the nurse would be most appropriate? A) "Please slow down. I'm not sure what you need first." B) "You will have to be quiet and have breakfast after the doctor comes." C) "Are you hungry?" D) "Your thoughts seem to be racing this morning."

A

A nurse is reviewing information about medications used to treat bipolar disorders. The nurse demonstrates understanding by identifying which medication classification as effective in stabilizing moods in people with bipolar disorder? A) Anticonvulsants B) Antianxiety C) Anticoagulants D) Antibiotics

A

Which is a pattern of repeated unwanted contact, attention, and harassment that often increases in frequency? A) Stalking B) rape C) Incest D) Physical abuse

A

After teaching a class about the phases of the therapeutic relationship, the instructor determines a need for additional education when the class identifies which as a goal of the working phase? A) Develop a sense of trust within the relationship. B) Identify previous ineffective behaviors for coping with the problem C) Promote a supportive healing process D) Develop a plan of action with appropriate strategies

A

Client: "I was so upset about my sister ignoring me when I was talking about being ashamed. "Nurse: "How are your stress reduction classes going?" This is a nontherapeutic response because the nurse has ... A) Changed the topic B) Offered advice C) Challenged the client D) Demonstrated disapproval

A

During a first meeting a client asks that information shared will not be relayed to immediate family members. Which should the nurse say in response? A) "Any information is only shared with other professionals involved in your care." B) "Is there some reason why you don't want your family to know your problems?" C) "I cannot promise that. Your family may ask me questions and I will need to answer truthfully." D) "It depends upon what they ask me. I might be able to withhold some information, but not all."

A

During a group therapy session, a nurse restates the interaction with the client to check the client's meaning. The nurse is using which technique? A) clarification B) summarizing C) support D) confrontation

A

During which phase of drug treatment does the prescriber adjust or titrate the medication dosage to achieve the maximum amount of improvement with a minimum of side effects? A) stabilization B) maintenance C) initiation D) discontinuation

A

If the client provides a literal explanation of a proverb and cannot interpret its meaning, which thought process is lacking? A) Abstract thinking B) Concrete thinking C) Concentration D) Memory

A

In the stress response, what is consistent with activation of the sympathetic nervous system? A) Increased blood sugar B) Increased digestion C) Decreased heart rate D) Decreased blood pressure

A

The most important reason that psychiatric nurses need to know about the brain is that ... A) it is the organ of the mind and governs all forms of human behavior B) it is the center of all metabolic processes for drugs that are used for psychiatric disorders C) it is responsible for the etiology of many mental disorders D) it is the central location for transcription of genes related to behavior

A

The nurse is focused on developing a caring and trusting relationship with a client in order to help the client with healing. Which nursing theorist would be guiding the nurse's work? A) Jean Watson B) Hildegard Peplau C) Imogene King D) Ida Jean Orlando

A

The nurse is meeting with a client experiencing a mood disorder. Which client statement indicates that the nurse-client relationship has been established? A) "I feel worthless and have no real use in life." B) "I really don't want to talk about that right now." C) "What difference does it make what I say to you?" D) "I know you are busy. I don't have much to say now."

A

The nurse is planning the care of a client with complex mental health needs. The nurse can best apply the principles of Orem's general theory of nursing by: A) teaching the client skills of daily living that will enhance the client's self-care B) helping the client understand the relationship between the client's culture and thinking C) helping the client influence the client's behavior by changing the client's thinking D) helping the client set ambitious, yet achievable, goals

A

The nurse is providing care for a client with a diagnosis of depression. How can the nurse best address the client's needs in the biologic domain? A) Administering the client's scheduled dose of citalopram B) Evaluating the client's response to milieu therapy C) Teaching the client communication techniques D) Encouraging the client to join a support group

A

The nurse is seeing a client who is the primary caregiver for a parent with dementia. The client reports having a low mood and anxiety. The client tells the nurse, "I think I am completely burnt out." Select the nurse's best response. A) "What has helped you in the past when you have felt like this?" B) "Do you think it is time to send your parent to a respite caregiver?" C) "Should you be taking anti-anxiolytic medication to manage these feelings?" D) "Can other family members step in to look after your parent?"

A

When arranging seating for a group, the nurse needs to consider ... A) arranging chairs in a circle with chairs close to one another B) using a room without doors to promote the openness of the group C) arranging chairs at a rectangular table with chairs close to one another D) using three semicircles, with one or two chairs outside the circles to seat the monopolizers of the group

A

When discussing a client's mental health condition with someone other than the health care team, the nurse must be aware of which of the following? A) Breach of confidentiality B) Assault C) Battery D) Neglect

A

When observing a client diagnosed with mania, the nurse observes his mood to be elated. What is another term for this type of mood? A) euphoric B) labile C) dysphoric D) euthymic

A

When referring to the pharmacodynamics of a medication, what is the result of an agonistic effect? A) The target receptors are stimulated B) The biological activities related to the drug are inhibited C) The outcome of the therapy has not been achieved D) Minor side effects are experienced

A

Which correctly describes the primary effect of a selective serotonin reuptake inhibitor (SSRI) antidepressant drug? A) Its ability to block the reuptake of serotonin B) The management of the symptomology related to depression C) The inhibition of the hormonal cascade that affects the release of serotonin D) The increase in the number of serotonin receptor sites in the central nervous system

A

Which court decision or act states that psychotherapists have a duty to exercise reasonable care in protecting the foreseeable victims of their clients' violent actions? A) Tarasoff v. Regents of the University of California B) The Patient Self-Determination Act C) The Mental Health Systems Act of 1980 D) Public Law 99-319, The Protection and Advocacy for Mentally Ill Individuals Act of 1986

A

Which domain of the biopsychosocial model encompasses functional health patterns such as exercise and sleep? A) biologic B) psychological C) social D) physical

A

Which statement would be an empathetic response in a client interaction? A) "You must have been embarrassed when your father yelled at you in the grocery store." B) "You really should find your own housing and get out of the situation with your father." C) "Well, it sounds like your father has difficulty controlling his temper." D) "Why do you think your father chose that time and place to yell at you?"

A

Which type of elder abuse involves harm of self-worth? A) Emotional B) Physical C) Neglect D) Abandonment

A

While assessing for intimate partner violence, the nurse learns that a client has not seen immediate family members for several years because the visits would upset the client's spouse. On which potential issue should the nurse focus with this client? A) social isolation B) revictimization C) economic dependency D) emotional dependency

A

Which problems can arise during the working phase of a nurse-client relationship that serve to impair the therapeutic work? Select all that apply. A) The client struggles with expressing feelings B) The client demonstrates dependence on the group C) The nurse believes that the relationship has not been productive D) The nurse demonstrates evidence of countertransference E) The client demonstrates aggressive behavior towards the nurse

A, B, D

Serotonin plays a role in which of these areas? Select all that apply. A) emotion B) cognition C) sensory perceptions D) breathing E) arterial blood pressure

A, B, C

The nurse is facilitating a support group for people who have lost a family member or friend to suicide. When discussing strategies for coping with grief, which should the nurse include? Select all that apply. A) completing a daily journal entry before bedtime B) writing out the events leading up to the loved one's suicide C) cognitive behavioral therapy D) encourage time spent in solitude E) take anti-anxiolytic medications as often as possible

A, B, C

Which functions are controlled by the extrapyramidal motor system? Select all that apply. A) muscle tone B) common reflexes C) automatic voluntary motor functioning D) memory E) vision

A, B, C

A client is being diagnosed with major depressive disorder based on reports of depressed mood, insomnia, loss of pleasure, extreme fatigue, and poor concentration. To confirm this diagnosis, which condition related to the client's report of symptoms must be present? Select all that apply. A) Issues must be among the recognized symptoms for this disorder B) Symptoms cause a noticeable negative effect on the client's ability to function C) Symptoms interfere with the client's ability to maintain social and employment relationships D) The client's symptoms are unrelated to an underlying medical condition E) Symptoms have been observed over a minimum period of 4 weeks

A, B, C, D

Effective communication involves the process of giving and receiving of information that includes which of the following? Select all that apply. A) A sender B) A receiver C) The message D) The feedback E) The environment

A, B, C, D

A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication(s) would the nurse expect to administer? Select all that apply. A) Lithium carbonate B) Carbamazepine C) Fluoxetine D) Paroxetine E) Divalproex sodium

A, B, E

The nurse is interviewing a client who is newly admitted with a psychiatric disorder and asks questions about the client's medical history. Why is it important for the nurse to know the client's medical history with this assessment? Select all that apply. A) The client may only have a physical disorder B) The client may need to have routine medication given C) The client's physical symptoms can relate to the psychiatric disorder D) The client may need the family to stay due to physical needs E) The client's physical condition can influence the psychiatric condition

A, C

A client who has been prescribed fluoxetine for depression and has just had the dosage increased comes the emergency department. The nurse suspects serotonin syndrome based on which assessment? Select all that apply. A) Change in mental status B) Hyporeflexia C) Ataxia D) Constipation E) Diaphoresis F) Fever

A, C, E, F

A nurse is caring for a client in the hospital who was admitted for injuries sustained from an abusive spouse. The client says she's scared to leave her husband for fear he will hurt her. Which actions should the nurse plan to include in the plan of care for this client? Select all that apply. A) Consult social services B) Educate the client and husband on the effects of spousal abuse C) Confront the husband about the abuse. D) Plan an interdisciplinary team meeting regarding this situation E) Educate the client on resources available to her

A, D, E

A client has escalating behavior issues and is threatening to leave the unit. Which factor is most important for the nurse in selection of a type of restraint for this client? A) Ankle restraints are best to be used to keep a client from escaping from the unit B) The least restrictive method of restraint should be used to keep the client safe C) Medications administered can also be considered a type of restraint for a client D) A client can be restrained in the bed with a tightly tucked sheet to limit movement

B

A client was admitted to the psychiatric unit after being picked up by police officers who found the client frantically running back and forth across the freeway. The client's spouse reports that the client stayed up all night, ate very little, and talked incessantly. Additional assessment findings that indicate a manic episode include what? A) Psychomotor retardation, fatigue, and apathy B) Pressured speech, combative behavior, and impaired judgment C) Catatonic excitement, loose associations, and recurrent illusions D) Self-destructive behavior, overidealization, and devaluation

B

A depressed, suicidal client is scheduled for electroconvulsive therapy (ECT), which requires consent. Legally, who should sign the consent for this treatment? A) A member of the treatment team B) The client C) The client's spouse D) The psychiatrist

B

A client is admitted to the unit in an acute manic episode. The client has had three major depressive episodes in the past 10 years and two other hospitalizations for mania. Which disorders would reflect the client's symptom profile? A) Bipolar II B) Cyclothymic disorder C) Bipolar I D) Euthymic state

C

A nursing instructor teaching about sexual assault identifies a need for further instruction when one of the students makes which statement? A) "Sexual assault involves nonconsenting sexual activity." B) "Fondling can be a type of sexual assault." C) "It is not considered rape if it occurs with same-sex couples." D) "Sexual assault occurs about once every 2 minutes in the United States."

C

A client has been diagnosed with Parkinson's disease. His symptoms of spasticity are related to a decrease in which neurotransmitter? A) Acetylcholine B) Dopamine C) Adrenocorticotropic hormone D) Serotonin

B

A nurse is facilitating anger management classes. A client states she is verbally and sometimes physically abusive to her teenaged children when they are defiant. The client explains, "That's how I was raised!" Which of the following interventions is best to meet the client's treatment goals? A) Suggest the client restrict privileges rather than resorting to abusive behavior B) Teach the client to identify and monitor anger cues C) Explore how social beliefs about parenting techniques have changed D) Suggest the client and her children begin family therapy

B

According to psychoanalytic theory, matters of right and wrong are controlled by the conscious. What term does Freud use to identify the conscious? A) Id B) Superego C) Ego D) Latency

B

An agitated client has been put in restraints against the client's will because of inadequate staffing. The nurse determines this as which form of malpractice? A) Battery B) False imprisonment C) Defamation D) Assault

B

Disclosure of client information beyond the interdisciplinary team without consent of the client is a breach of ... A) beneficence B) confidentiality C) duty D) veracity

B

In the Freudian model, which is true regarding the id? A) It is the sum of certain mental mechanisms such as perception B) It is formed by unconscious desires and primitive instincts C) It is associated with ethics and standards of behavior D) It is able to control movement and contact with reality

B

Student nurses are learning about the ethical treatment of clients. The nursing educator asks the students about the meaning of non-maleficence. Which response by the student nurse is best? A) "The nurse must follow all orders." B) "The nurse must pay attention to the client's advanced directives." C) "The client can do no harm to themselves." D) "The nurse encourages the client to stop smoking."

B

The nurse is meeting with a group of clients in a therapy session to set goals and plan how to achieve these goals. Which theorist's concepts is the nurse utilizing? A) B. F. Skinner B) Imogene King C) Hildegard Peplau D) Ida Jean Orlando

B

The nurse is with a young client who has just been informed of the client's terminal illness. The client's heart rate increases, the client's eyes dilate, and the client's blood pressure increases. The nurse recognizes this response as: A) part of the limbic system response B) sympathetic nervous response C) hypothalamic-pituitary response D) local adaptation syndrome

B

To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? A) Shout and let the client know that this behavior is not tolerated B) Try to clarify what has upset the client C) Inform client that the nurse is in charge of situation D) Offer medication as the solution to the outburst

B

Which of the following is an inhibitory neurotransmitter? A) Dopamine B) GABA C) Norepinephrine D) Epinephrine

B

Which of the following would best assess a client's judgment? A) Counting by serial sevens B) Discussing hypothetical situations C) Interpreting proverbs D) Spelling words backward

B

During which stage of group development may the group grieve the loss of group cohesiveness? A) Beginning B) Working C) Termination D) Intermittent

C

A client on a medical unit has a comorbid diagnosis of depression and has been taking mirtazapine for several months prior to the current admission. When providing care to the client, which action would be most appropriate for the nurse to do? Select all that apply. A) Assess the client's mood immediately prior to administration and 30 minutes after B) Monitor the client's mood and affect over the course of the admission C) Ensure that the client is not cheeking or stockpiling the medication D) Ensure that the client adheres to the necessary dietary modifications E) Monitor the client for hypertensive crises

B, C

When assessing a child with major depression, which information would the nurse need to keep in mind? Select all that apply. A) The risk for suicide is less in children than adults B) Children more often have anxiety symptoms C) Mood may be more irritable than sad D) Somatic complaints are rarely noted E) Children have more interaction with their peers than adults do

B, C

A psychiatric-mental health nurse is engaging in active listening with a client. Which technique would the nurse most likely use? Select all that apply. A) Changing the subject to gather more information B) Responding indirectly to statements C) Using open-ended statements D) Concentrating fully on what the client says E) Allowing the client to talk as long as the client wishes

B, C, D

A nurse is attempting to determine a client's right to independence and the extent to which the nurse would offer beneficial treatment to the client. Which ethical principle would the nurse identify as being involved? Select all that apply. A) Fidelity B) Autonomy C) Veracity D) Beneficence E) Justice

B, D

The nurse is admitting a client to the hospital. The nurse gives the client information about patient rights while in the hospital. Which statement by the client indicates that more teaching is needed? A) "I can get a copy of my medical record if I want to read it." B) "You can not give any information to anyone unless I agree." C) "The doctor can copy my information and send it to my son." D) "You can not tell a caller that I am in the hospital."

C

The nurse is caring for a mental health client who has developed difficulty with balance and muscle tone after a car accident that involved a head injury. Based on this information, what area of the brain was most likely injured in the accident? A) Diencephalon B) Brain stem C) Cerebellum D) Pons

C

The nurse is sitting with a client who is crying. After a few minutes, the nurse places one hand on the client's shoulder. Which best describes the purpose of the nurse's touch with this client? A) To express sympathy to the client B) To assess the client's skin temperature and circulation status C) To offer comfort and support for the client D) To extend an offer of friendship to the client

C

The nursing theorist Peplau identified which as the essence of psychiatric-mental health nursing? A) Nursing care independent of physicians B) The nurse's use of self C) The nurse-client relationship D) A neurobiologic approach

C

Which action by the group leader demonstrates effective leadership? A) Firmly disciplining negative behavior B) Using autocratic leadership strategies C) Encouraging participation by all members D) Conducting meetings based on personality attributes

C

A 22-year-old client has been manipulative of staff and disruptive in the milieu. Although she is not dangerous to herself or others, she has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but she consistently refuses "any drugs." The staff realizes that legally this client can ... A) be coerced to accept treatment B) be committed by her family to receive needed treatment C) have her family sign permission for treatment D) continue to refuse treatment

D

A client brings a spouse to the mental health clinic with reports that the spouse has been exhibiting a tendency to self-mutilate, experiences fits of intense rage, and is increasingly aggressive toward others. How should the nurse elaborate on the type of symptoms this client is demonstrating? A) "Lack of norepinephrine in the body produces symptoms such as obesity, fibromyalgia, and panic attacks." B) "Lack of histamine in the body produces symptoms such as anxiety, hypertension, and difficulty regulating body temperature." C) "Lack of dopamine in the body produces symptoms such as depression, fatigue, and lack of motivation." D) "Lack of serotonin in the body produces symptoms such as aggression, hostility, and compulsiveness."

D

A client is brought to the emergency department with reports of slurred speech, spasms, and jerky movements. The significant other shows the nurse a pill bottle and states that the client has been taking antipsychotic medications for "awhile". The nurse notices that an "improper dose" is ordered on the prescription bottle. How would the nurse explain what system is causing the movements? A) "Dysfunction of the corticospinal motor track may include masses such as strokes, subdural hemorrhage, abscesses and tumors" B) "Dysfunction of the pyramidal motor track can manifest plantar extension and hyperreflexia" C) " Dysfunction of the primary motor cortex can manifest in paralysis on the opposite side of the body" D) " Dysfunction of the extrapyramidal motor track can manifest serious neurologic symptoms including dystonia, pseudoparkinsonism, and akathisia"

D

A client presents to the mental health clinic with reports including lack of focus, lethargy, and inattention. The nurse talks about the different neurotransmitters and what each neurotransmitter does. How would you elaborate on the type of symptoms this client is demonstrating? A) "Lack of histamine in the body produces symptoms such as anxiety, hypertension, and difficulty regulating body temperature." B) "Lack of dopamine in the body produces symptoms such as depression, fatigue, and lack of motivation." C) "Lack of serotonin in the body produces symptoms such as irritability, sleep disturbances, and compulsiveness." D) "Lack of norepinephrine in the body produces symptoms such as obesity, fibromyalgia, and panic attacks."

D

A client who is manic threatens others on the unit. Which would be the initial nursing action in response to this behavior? A) Administering a sedative that has been prescribed to be used PRN B) Insisting the client take a "time-out" in the client's room C) Clearing the area of all other clients D) Setting limits on aggressive and intimidating behavior

D

A nurse has approached a new client on the psychiatric care unit in order to establish a therapeutic relationship and conduct a focused assessment. As the nurse approaches the client, the client says, "Oh good. Here comes one more person to tell me that I'm crazy." Which of the nurse's following responses would constitute countertransference? A) "Is that a message you've been hearing a lot over the past couple of days?" B) "It sounds like you're exasperated with the caregivers you've interacted with. Is that fair to say?" C) "Actually, I've not come here to tell you that." D) "There's no need to get rude with me. I'm just trying to do my job and to help you out."

D

After spending 15 minutes talking with a client, the client leaves the interaction feeling defensive. This is evidence that the communication can be described as what? A) In an improper environment B) Blocked by external noise C) Therapeutic D) Nontherapeutic

D

During a therapeutic communication session, the nurse tells the client of a past experience. Which statement best reflects the nurse's use of self-disclosure? A) It forms the solid foundation for effective communication. B) Self-disclosure should be used with all clients to some degree. C) The more the nurse discloses, the more the client will disclose. D) Self-disclosure on the nurse's part should benefit the client.

D

Group leadership behavior that is authoritarian and controls the interaction by giving directions and information, while allowing little discussion, refers to ... A) indirect leadership B) member leadership C) laissez-faire leader D) direct leadership

D

The client is to undergo a computed tomography (CT) scan of the head with contrast. Ensuring that the client has provided informed consent for a treatment regimen displays which ethical principle? A) Fidelity B) Nonmaleficence C) Justice D) Autonomy

D

The client tells the nurse, "I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her." The nurse should recognize this as: A) confrontation B) countertransference C) incongruence D) transference

D

The client tells the nurse, "I'm frightened about my surgery tomorrow." What response by the nurse is best? A) "What's to be frightened about, the OR crew will take care of you." B) "Didn't the surgeon answer all your questions?" C) "Hundreds of people have this surgery daily." D) "Can you tell me what frightens you?"

D

The nurse best assesses a client's memory by asking which question? A) "Do you have any problems with memory?" B) "What did you have for lunch yesterday?" C) "Do you know why you are here?" D) "Who is the current president?"

D

The nurse is demonstrating countertransference with a client with which behavior? A) maintaining a professional demeanor with the client B) discussing the client's behavior with a family member C) explaining to the client that it is normal for the client to feel attachment D) relating to the client because the client resembles a favorite cousin

D

The nurse is interviewing a client admitted with a diagnosis of depression. What question asked by the nurse best indicates interest and establishes rapport with the client? A) "What is your name and date of birth?" B) "What type of coping mechanisms do you use?" C) "Are you feeling stressed right now?" D) "Tell me what a routine day would be for you?"

D

The nurse is working in the emergency department with a client who was raped 1 hour ago. Which is most important for the nurse to remember when planning care? A) The client should set aside any angry feelings until physical care is completed. B) Evidence collection according to procedures is not as important as treating the client's injuries. C) The nurse will need to make decisions for this client. D) The client may feel threatened by some of the procedures.

D

The nurse must be alert to the nonverbal expressions of the client. Because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to ... A) Increase the client's awareness of nonverbals B) Investigate the source of nonverbal behavior C) Validate the client's feelings D) Validate the meaning of the nonverbals

D

When conducting a psycho-social assessment, the nurse inquires about the client's social supports. In order to effectively do this, which does the nurse need to explore? A) The number of networks B) Challenges faced with social networks C) The proximity of the networks to the client D) The length and quality of relationships

D

While talking with a client who is suspected of being a victim of intimate partner violence, the nurse observes that the client receives repeated text messages. The client states that the messages from the spouse, who is demanding to know where the client is, with whom, and when the client plans to return home. Which phase within the cycle of violence does the nurse assess that the client is experiencing? A) damage occurs B) violence erupts C) remorse ensues D) tension building

D

With a client who is aggressive with a potential for violence, which item would the nurse want to limit or remove from the breakfast tray? A) eggs B) skim milk C) skim milk D) coffee

D