Marcia Quiz Questions for Exam
Match the following terms to their definition: Abstract standards that give a person a sense of right and wrong and establish a code of conduct for living Ideas one holds to be true which may or may not be based on objective data Recognizing how one's own qualities affect one's performance and the impact they have on others General feelings or a frame of reference around which a person organizes knowledge about the world
1. values 2. beliefs and assumptions 3. self awareness 4. attitudes
What does the nurse focus on when beginning the working phase of the nurse client relationship? Select one: a. Encouraging the client to share their perceptions and feelings about the problem b. Referring the client to a self-help group c. Evaluating present vs. past coping strategies for dealing with the problem d. Identifying possible solutions for the client's problems
a. Encouraging the client to share their perceptions and feelings about the problem
During which phase of the nurse-client relationship does the client identify and explore specific problems? Answer a. working b. orientation c. resolution d. debriefing
a. working
The nurse recognizes that the client needs more teaching when the client makes which of the following statements? Question 1 Select one: a."I need to eliminate all stress from my life in order to feel better." b."I feel stress when something inside me is unbalanced." c."I can experience stress during a happy experience." d. "Stress can help me grow if it is not overwhelming."
a."I need to eliminate all stress from my life in order to feel better."
A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening? Question 10 Answer a."What would you like to talk about?" b."What occurred prior to the trauma, and when did you go to the emergency department?" c."Tell me about the trauma you experienced." d."I notice you seem uncomfortable discussing this."
a."What would you like to talk about?"
A young adult client tells the nurse, "I'm afraid my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic? Question 11 Answer a."You feel that your mother does not want you to come back home?" b."Why don't you talk to your mother? You may find out she doesn't feel that way." c."It's quite common for clients to feel that way after a lengthy hospitalization." d."Your mother seems like an understanding person. I'll help you approach her."
a."You feel that your mother does not want you to come back home?" - reflecting
The nurse understands which of the following to be true when assessing the mental health of a client? Question 12 Select one: a.A wide variety of factors influence mental health. b.Those diagnosed with a mental illness will function at lower levels. c.A person's level of mental health is the same from day to day. d.Mental health is determined by the universal definition of mental health.
a.A wide variety of factors influence mental health.
What can prevent the nurse from forming reckless conclusions about a client's history, motives, or behavior? Select all that apply. Question 15 Answer a.Acknowledging own tendencies to make assumptions and disregard blind spots b.Considering objective data and disregarding subjective data from the client c.Drawing conclusions based on the client's observable behavior d.Using the science of nursing to interpret the client cues e.Asking the client to talk about their history, thoughts, feelings, and wants. f.Recognizing that one does not know the client's subjective world
a.Acknowledging own tendencies to make assumptions and disregard blind spots e.Asking the client to talk about their history, thoughts, feelings, and wants. f.Recognizing that one does not know the client's subjective world
Which of the following are key characteristics of mental health? Select all that apply. Question 14 Select one or more: a.Acting in ways that respect oneself and others b.Ability to meet role responsibilities c.Overall satisfaction with oneself d.Achieving approval from others e.Viewing oneself as more special than others f.Succeeding in whatever one attempts g.Freedom from sadness h.Effective functioning in daily life i.Building and maintaining satisfying relationships j.Being happy every day
a.Acting in ways that respect oneself and others b.Ability to meet role responsibilities c.Overall satisfaction with oneself h.Effective functioning in daily life i.Building and maintaining satisfying relationships
A student is overwhelmed with the unending new demands in the nursing program. The student begins to tell self "good enough" when receiving grades in the 84% - 89% range instead of the 90% - 95% range the student desires. Which of the following methods of coping does this represent? Question 10 Select one: a.Adapting to the external stress b.Altering the external stress c.Accepting personal standards that cannot be changed d.Avoiding external stress
a.Adapting to the external stress
Which of the following are involved in empathy? Select all that apply. Answer a.Careful listening b.Letting the client know you have experienced similar themes in your own life c.Conveying a sense of understanding back to the client. d.Feeling sorry for the client. e.Gaining insight into the client's thoughts, feelings, and perspectives f.Feeling the same emotions that the client is feeling
a.Careful listening c.Conveying a sense of understanding back to the client. e.Gaining insight into the client's thoughts, feelings, and perspectives
During the admission assessment, the nurse asks the client, "How are you feeling?" The client responds, "I was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually I am able to put in 11.7 gallons. I am very happy to have saved so much money." The nurse recognizes this response as what? Question 6 Select one: a.Circumstantial thinking b.Neologisms c.Flight of ideas d.Echolalia
a.Circumstantial thinking
A nurse who is insecure about her skills regularly volunteers to work double shifts in order to impress the nursing supervisor. This is an example of which defense mechanism? Question 8 Select one: a.Compensation b.Regression c.Displacement d.Fixation
a.Compensation
The nurse and the client are using therapeutic communication skills. Which statements are true of concrete and abstract messages? Select 2 that apply. Question 13 Select one or more: a.Concrete messages are clear, direct, and easy to understand. b.Concrete messages require the listener to interpret what the speaker says. c.Abstract messages are important for accurate information exchange. d.Abstract messages are best used for persons who are anxious. e.Abstract messages include figures of speech that are difficult to interpret.
a.Concrete messages are clear, direct, and easy to understand. e.Abstract messages include figures of speech that are difficult to interpret.
What does the mental status exam assess for a client? Select all that apply. Question 4 Select one or more: a.Current emotional state b.Mental functioning c.Plan of care d.Physical health status e.Behavioral function
a.Current emotional state b.Mental functioning e.Behavioral function
The nurse responds to the client by saying, " Tell me what the procedure was like for you." Which communication skill is the nurse using? Question 14 Select one: a.Encouraging expression b.Accepting c.General lead d.Requesting an explanation
a.Encouraging expression
The nurse is mindful of maintaining relationships with clients that are therapeutic. Which characteristic would be most important for the nurse to foster? Select all that apply. Question 13 Select one or more: a.Establishing health promoting boundaries for both the nurse and client. b.Offering sound advice to the client. c.Maintaining a client focus at all times. d.Sharing own personal feelings openly with the client. e.Not being overly concerned as to whether the client likes the nurse.
a.Establishing health promoting boundaries for both the nurse and client. c.Maintaining a client focus at all times. e.Not being overly concerned as to whether the client likes the nurse.
A client alluded to sexual concerns when communicating with the nurse. The nurse wants to spend some time talking to the client while respecting the client's right to privacy. Which setting would be the most appropriate setting for the nurse to talk with the client? Question 7 Select one: a.In a quiet corner of the dayroom at least 4 feet away from others b.In the client's room when the client's roommate is present and 3 feet away c.At the nurse's station when other clients and visitors are less than 4 feet away d.In an interview room in a remote section of the unit with the nurse 1 foot away from the client
a.In a quiet corner of the dayroom at least 4 feet away from others
The nurse asks the client, "What is similar about a cow and a horse?" and "What do a bus and an airplane have in common?" These questions would best assess which area? Question 14 Select one: a.Intellectual function b.Judgment c.Insight d.Memory
a.Intellectual function
A nursing student is preparing to take an exam and is experiencing anxiety as a heightened sense of awareness. Which level of anxiety would this correspond with? Question 6 Select one: a.Mild b.Moderate c.Severe d.Panic
a.Mild
The nurse watches the expressions the client is making as group therapy is conducted. Which statement about verbal and nonverbal communication skills is accurate? Question 2 Select one: a.Nonverbal communication is as important, if not more than, verbal communication. b.Verbal communication is most important because it is what the patient says. c.Verbal communication involves the unconscious mind. d.One third of meaning is transmitted nonverbally and two thirds is communicated verbally.
a.Nonverbal communication is as important, if not more than, verbal communication.
The nurse asks the client about what goals the client has for the client's psychosocial treatment. Where is this noted in the psychosocial assessment? Question 6 Select one: a.Presenting Issues b.Psychosocial History c.General Client Information d.Interdisciplinary Reports
a.Presenting Issues
The client became combative in the emergency department prior to arriving on the inpatient unit. Where would the nurse first note this risk for violence in the psychosocial assessment? Question 5 Select one: a.Priority Communication Alerts b.Presenting Issues, Brief History, Current Psychosocial Needs c.The Mental Status Exam d.The Psychosocial History
a.Priority Communication Alerts
A client is supposed to be ambulating ad lib. Instead, the client refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. The client also yells that the nurses are lazy and incompetent. The client's behavior is an example of which defense mechanism? Question 7 Select one: a.Projection b.Introjection c.Reaction formation d.Rationalization
a.Projection
Which section of the psychosocial assessment contains information about any delays the client had in meeting developmental milestones? Question 7 Select one: a.Psychosocial History b.The Mental Status Exam c.Physical Health and Medications d.General Client Information
a.Psychosocial History
The nurse is conducting an admission interview with an adult mental health client. The client begins to talk in a childish voice about riding a bike and playing outside. What defense mechanism is this client demonstrating? Question 11 Select one: a.Regression b.Projection c.Suppression d.Repression
a.Regression
Which behavior by the nurse demonstrates positive regard? Select 4 that apply. Select one or more: a.Responding openly b.Spending time with the client c.Considering the client's ideas and preference when planning care d.Communicating judgments about the client's behavior e.Calling the client by name
a.Responding openly b.Spending time with the client c.Considering the client's ideas and preference when planning care e.Calling the client by name
Which defense mechanism is being used when a student decides not to think about a parent's illness in order to study for a test? Question 6 Select one: a.Suppression b.Repression c.Intellectualization d.Dissociation
a.Suppression
What section of the psychosocial assessment includes assessments of how the client is thinking, behaving, and feelings in the present moment? Question 8 Select one: a.The Mental Status Exam b.Physical Health and Medications c.The Psychosocial History d.Presenting Issues, Brief History, Current Psychosocial Needs
a.The Mental Status Exam
The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which would the nurse identify as having a positive impact on the individual's mental health? Question 11 Answer a.The ability to effectively manage stress b.Not needing others for companionship c.Striving for total self-reliance d.A family history of mental illness
a.The ability to effectively manage stress
The client is angry but not aggressive. Which of the following is the best approach for dealing with a client's anger? Question 2 Select one: a.Try to understand the meaning of the client's anger. b.Match the client's tone, rate, and intensity of speech. c.Do not allow clients to talk about their anger until you are ready. d.Do not talk about the client's anger with other health care professionals.
a.Try to understand the meaning of the client's anger.
Which of the following best describes therapeutic use of self? Answer a.Using a variety of one's own strengths, personality, skills, knowledge, and awareness to build a helping relationship with a client b.Sharing what similar life lessons the nurse has learned with the client c.Providing therapy for the client d.Being a caregiver, advocate, and teacher for the client
a.Using a variety of one's own strengths, personality, skills, knowledge, and awareness to build a helping relationship with a client
What problem-focused coping skill should the nurse teach a client who suffers from anxiety to improve the client's overerall coping? Question 3 Select one: a.Using specific steps to arrive at a solution b.Progressive relaxation c.Meditation d.Use of biofeedback
a.Using specific steps to arrive at a solution
A client is known to express tangential thinking. The nurse would assess for which when interacting with the client? Question 9 Select one: a.Wandering off the topic and never answering the question b.Stopping abruptly in the middle of expressing oneself c.Excessive and fast talking about an array of ideas d.Jumping from one idea to another with no definite connection.
a.Wandering off the topic and never answering the question
What are possible warnings or signals of abuse of the nurse-client relationship? Select 3 that apply. Select one or more: a.spending off-duty time with the client b.accepting behavior c.nurse making more exceptions for client than usual d. talking to team members about clients e.inappropriate conversations in the nurse-client relationship
a.spending off-duty time with the client c.nurse making more exceptions for client than usual e.inappropriate conversations in the nurse-client relationship
The nurse must put extra effort into correctly interpreting nonverbal communication from the client. How can the nurse best do this? 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 do which of the following? Question 12 Select one: a.validate the meaning of the nonverbal behavior b.empathize with the client's feelings c.increase the client's awareness of their nonverbal behavior d. check for congruence between client's nonverbal and verbal messages
a.validate the meaning of the nonverbal behavior
A mother rescues two of her four children from a house fire. While being treated for burns in the hospital she tells the nurse, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response? Question 8 Answer a."It's best if you try not to think about what happened. Try to move on." b."It sounds like you're feeling guilty because you weren't able to save your children." c."The smoke was too thick. You couldn't have gone back in." d."Focus on the fact that you could have lost all four of your children."
b."It sounds like you're feeling guilty because you weren't able to save your children."
A nurse can best assess a client's ability to use abstract thinking by asking the client which question? Question 11 Select one: a."Can you begin with the number 100 and subtract 7, and then subtract 7 again?" b."What do I mean when I say, 'Don't sweat the small stuff?'" c."What are you going to do next time you hear voices?" d."What would you do if you found a wallet containing $100 on the sidewalk?"
b."What do I mean when I say, 'Don't sweat the small stuff?'"
A client says, "It's been so long since I've been with my family." Which statement by the nurse is an example of restating? Question 16 Select one: a."Go on. Tell me more." b."You say you haven't seen your family in a while." c."When was the last time you saw your family?" d."Tell me what happened when you last saw your family."
b."You say you haven't seen your family in a while."
A nurse has invited a client to sit down and have a conversation. The client takes the first seat. The nurse pulls up another chair to sit with the client. Approximately how far from the client should the nurse place her chair? Question 1 Select one: a.8-10 inches b.3 to 6 feet c.1 to 2 feet d.6 to 8 feet
b.3 to 6 feet
Which of the following is an example of the defense mechanism of displacement? Question 9 Select one: a.A student minimally studies for a course and fails the course. The student then blames the failure on the teacher's poor instruction. b.A husband and wife have an argument. The husband becomes so angry he hits a door instead of his wife. c.A woman wants to marry a man exactly like her deceased father, and settles for someone whose appearance resembles her father. d.A woman, though told her father will soon die of metastatic cancer, continues to plan to visit him in 18 months.
b.A husband and wife have an argument. The husband becomes so angry he hits a door instead of his wife.
A psychiatric-mental health nurse works to avoid using nontherapeutic communication techniques when engaging with clients. Which technique would the nurse most likely avoid using? Select 3 that apply. Question 15S elect one or more: a.Silence b.Agreeing c.Disapproving d.Challenging e.Exploring f.Voicing doubt
b.Agreeing c.Disapproving d.Challenging
The client stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse stated, "How are your stress reduction classes going?" Question 6 Select one: a.Offering advice b.Changing the subject c.Challenging d.Disapproving
b.Changing the subject
The nurse is providing care to the client in the community. The client sends the nurse a friend request on social media. How should the nurse respond? Question 3 Answer a.Accept the request to show acceptance to the client. b.Decline the request and graciously give rationale during the next client appointment. c.Accept the request but only interact with the client during non-working hours. d.Decline the request but remind the client they are free to look at your profile if they wish.
b.Decline the request and graciously give rationale during the next client appointment.
Which of the following nursing assessments can indicate the client is stressed? Question 4 Select one: a.Increased urinary output b.Diaphoresis c.Decreased heart rate d.Constricted pupils
b.Diaphoresis
The nurse is assessing a client who is talking about the client's son's recent death but who shows no emotion of any kind. The client describes the physiologic events that occurred as the son died. The nurse recognizes that the client is using which defense mechanism? Question 1 Select one: a.Suppression b.Intellectualization c.Dissociation d.Displacement
b.Intellectualization
The overweight client states, "I've tried so hard to stay on a diet in the past, but nothing seems to work." The nurse responds, "I can help you with that. The best diet we recommend is one similar to the Mediterranean Diet" The nurse's response has the potential to do which of the following? Select all that apply. Question 5 Answer a.Encourage the client to "trust the experts" in diet and weight management. b.Lead the client to conclude that the nurse doesn't really understand the client's problems. c.Shut down the client's expression of emotions about dietary and weight problems the client has experienced. d.Prevent the nurse from understanding what dietary problems the client has experienced up to this point. e.Increase the client's self-confidence in being able to stay on a new diet.
b.Lead the client to conclude that the nurse doesn't really understand the client's problems. c.Shut down the client's expression of emotions about dietary and weight problems the client has experienced. d.Prevent the nurse from understanding what dietary problems the client has experienced up to this point.
What can the nurse do to help most clients minimize anxiety? Question 7 Select one: a.Give very detailed explanations of care provided. b.Listen attentively to the client's concerns. c.Require the client to get together with family members. d.Talk faster and louder to the client.
b.Listen attentively to the client's concerns.
The client says, "When I get angry, I get into a fistfight with my wife or I take it out on the kids." The nurse pauses then responds by saying, "I notice that you are smiling as you talk about this physical violence." What technique is the nurse using? Question 2 Answer a.Encouraging comparison b.Making observations c.Formulating a plan of action d.Exploring
b.Making observations
At what level of anxiety can a person best learn new information? Question 5 Select one: a.No anxiety b.Mild c.Moderate d.Severe
b.Mild
The nurse is providing hygiene care for a 70-year-old client in a nursing home who states that the client does not like the physician. Later, when the physician enters the room, the nurse notes that the client is very friendly with the physician, complimenting the physician's care. Which defense mechanism is this client displaying? Question 5 Select one: a.Projection b.Reaction-formation c.Rationalization d.Displacement
b.Reaction-formation
What is true about the nurse and ethnocentrism? Answer a.The nurse must agree with the cultural values of the client. b.The nurse needs to be aware of any tendency to view own culture and values as superior. c.Ethnocentrism is a desirable trait in a nurse. d.The nurse must deny their ethnocentrism.
b.The nurse needs to be aware of any tendency to view own culture and values as superior.
What is the best reason why the nurse establishes professional boundaries with a client? Answer a.To avoid litigation the client may try to bring against the nurse b.To safeguard the nurse's therapeutic effectiveness c.To prevent a client from becoming too dependent on the nurse d.To prevent inappropriate sexual tension from developing
b.To safeguard the nurse's therapeutic effectiveness
What is an euthymic mood? Question 12 Select one: a.a depressed mood b.a mood that is neither elevated or depressed c.an elevated mood d.another word for euphoria
b.a mood that is neither elevated or depressed
Two staff nurses in a psychiatric emergency department are being considered for a promotion that will be announced via memo on a unit bulletin board. They work in a collaborative team environment, have been colleagues for 15 years, and socialize outside work. Nurse A hears from a third colleague that Nurse B was promoted. Nurse A responds, "I knew I'd never get the job. The nurse manager hates me." Nurse A is most likely demonstrating: Question 2 Select one: a.denial. b.projection. c.reaction formation. d.compensation.
b.projection.
Which statement alerts the nurse to the use of suppression by a 19-year-old who lost a leg in a car accident? Question 3 Select one: a."I don't remember anything about what happened to me." b."My mother is heartbroken about this." c."I'd rather not talk about it right now." d."It's all Andy's fault! He was going 90 miles an hour on the freeway."
c."I'd rather not talk about it right now."
During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, "I'm old, and my life has no purpose anymore. But promise me you won't tell anyone." How should the nurse respond? Question 7 Select one: a."Let's talk about something to cheer you up." b."Don't worry, I won't tell anyone else." c."I'm sorry, but I can't keep that kind of secret." d."What can we do to help you feel better?"
c."I'm sorry, but I can't keep that kind of secret."
A patient diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is most therapeutic? Question 1 Answer a."You are probably very depressed, which is understandable with such a diagnosis." b."I think we should talk more about your anger with your family." c."You're feeling angry that your family continues to hope for you to be cured?" d."Have you shared your feelings with your family?"
c."You're feeling angry that your family continues to hope for you to be cured?"
Which of the following behaviors by a nurse is considered a violation of professional boundaries? Question 10 Answer a.Providing an extra ten minutes of emotional support to a distressed client b.Maintaining client confidentiality when presenting a case study to a those in a different clinical track c.Accepting money or gifts of significant value from a client d.Sharing a common experience in a general way to establish rapport
c.Accepting money or gifts of significant value from a client
The nurse using therapeutic communication asks the client what the client would like to talk about. This is an example of what? Question 4 Select one: a.Offering self b.Encouraging expression c.Broad opening d.Focusing
c.Broad opening
The nurse asks a client to list the days of the week in reverse order. The nurse is assessing what? Question 10 Select one: a.Orientation b.Abstract thinking c.Concentration d.Memory
c.Concentration
When is the best time to do a safety assessment when conducting a psychosocial assessment? Question 9 Answer a.When reading the client's pre-admission paperwork b.After doing the physical exam c.Concurrently throughout all parts of the psychosocial assessment d.Before taking a psychosocial history
c.Concurrently throughout all parts of the psychosocial assessment
A client is admitted to the psychiatric unit and states, "I am president of the largest corporation in the world. I can make everyone do whatever I want." The nurse knows the client is exhibiting what? Question 1 Select one: a.Loose associations b.Ideas of reference c.Delusional thinking d.Thought broadcasting
c.Delusional thinking
What is true of dementia? Question 2 Select one: a.It is one of the normal variants of aging. b.It primarily involves memory loss. c.Dementias involve some form of brain failure. d.The course of most dementias are similar.
c.Dementias involve some form of brain failure.
Which goal of therapeutic communication would the nurse strive to attain first? Question 14 Select one: a.Implement interventions designed to address the client's needs. b.Facilitate the client's expression of emotions. c.Establish a therapeutic nurse-client relationship d.Teach the client and family necessary self-care skills.
c.Establish a therapeutic nurse-client relationship
A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? Question 5 Answer a.Presenting reality b.Defending c.Giving false reassurance d.Giving advice
c.Giving false reassurance
The client looks directly at the nurse when the nurse is talking. When the client is talking, the client occasionally looks up and off to the side to think of how to words something before quickly returning their gaze back to the nurse. How would the nurse document the client's eye contact? Question 4 Answer a.Fair b.Poor c.Good d.Intermittent
c.Good
A psychologist chose the profession because the psychologist was inspired by an aunt who was a successful psychologist. Which of Freud's ego defense mechanisms is this indicative of? Question 10 Select one: a.Displacement b.Compensation c.Identification d.Denial
c.Identification
Which is a psychological symptom that alerts the nurse that the client is experiencing stress? Select one: a.Attempts to problem-solve b.Increased blood pressure c.Irritable responses d.Decreased urine output
c.Irritable responses
The nurse has completed the psychosocial assessment. Which is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care? Question 3 Select one: a.Consider only the abnormal findings in the assessment. b.Focus individually on each piece of information obtained from the client. c.Look for patterns reflected in the overall assessment. d.Verbally present all data obtained in the treatment team meeting.
c.Look for patterns reflected in the overall assessment.
Which factor influencing assessment is under the nurse's control? Question 1 Select one: a.Client participation and feedback b.Client's ability to understand c.Nurse's attitude and approach d.Client's health status
c.Nurse's attitude and approach
In which type of nurse-client communication does the nurse encourage the client to take the lead? Question 6 Answer a.Patient teaching b.Collaboration c.Therapeutic communication d.Assessment
c.Therapeutic communication
What is the primary purpose of setting and maintaining professional boundaries in nursing practice? Answer a.To prevent uncomfortable situations from happening in the nurse-client relationship b.To keep clients from overtaxing or manipulating the nurse c.To ensure that care for the client is safe and therapeutic d.To remind the client that the nurse is the one in charge of the relationship
c.To ensure that care for the client is safe and therapeutic
The nurse tells a coworker, "I can't provide good care for this client because he reminds me of my grandfather who was abusive to me." What kind of problem is contributing to the nurse's under involvement with the client? Answer a.overidentification b.transference c.countertransference d.overprotecting
c.countertransference
A nurse is developing a therapeutic relationship with the client. To do this, the nurse must respect the client's religious and spiritual beliefs. What result is most likely to occur if the nurse does not show this respect? Question 3 Select one: a.indifference from the client b. deterioration of the client's mental health c.eroding trust in the nurse-client relationship d.longer rehabilitation for the client
c.eroding trust in the nurse-client relationship
A young adult client asks the nurse, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate first? Question 9 Answer a."It would be best to do that in order to increase independence." b."Let's discuss and explore all of your options." c."Why would you want to leave a secure home?" d."Do you think you should move from your parent's house and get a job?"
d."Do you think you should move from your parent's house and get a job?"
A client had an angry outburst during a group meeting. After the group the nurse talks to the client. Which statement is therapeutic? Question 3 Answer a."Showing your anger in that manner is very childish and insensitive." b."You accomplish nothing when you lose your temper like that." c."Why do you continue to alienate your peers by your angry outbursts?" d."During group you raised your voice, yelled at a peer, left, and slammed the door."
d."During group you raised your voice, yelled at a peer, left, and slammed the door."
The client says, "I didn't get much rest after they brought me to the unit." The nurse uses a general lead to encourage the client to continue telling the story. Which nursing statement is an example of a general lead? Question 13 Answer a."Do you know why you are here?" b."Tell me about the events that led to your admission." c."Tell me about the emotions you felt." d."Tell me more."
d."Tell me more."
Which statement would be an empathetic response in a client interaction? Question 9 Select one: a."You really should find your own housing and get out of the situation with your father." b."Well, it sure sounds like your father has difficulty controlling his temper." c."Why do you think your father chose that time and place to yell at you?" d."Was it embarrassing when your father yelled at you in the grocery store?"
d."Was it embarrassing when your father yelled at you in the grocery store?"
Which of the following questions would best assess the client's insight? Question 5 Select one: a."What season is it now?" b."What health concerns do you have?" c."How did you come to the hospital?" d."What problems led up to your admission to the hospital?"
d."What problems led up to your admission to the hospital?"
When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient? Question 12 Answer a."Really?" b."I see." c."Sometimes I have trouble sleeping too." d."You're having difficulty sleeping?"
d."You're having difficulty sleeping?"
While conducting an interview with a client, the nurse is observing the client's facial expressions and nonverbal cues. What are these physical manifestations known as? Question 8 Select one: a.Temperament b.Demeanor c.Mood d.Affect
d.Affect
The nurse senses that a client is struggling with feelings of anxiety and discouragement but turns to away to complete other responsibilities. Later the nurse tells a coworker, "I already spent more time with that patient than my other patients, and I don't want the patient to become dependent on me." What best describes the nurse's behavior. Answer a.A boundary crossing b.Over involvement with the client c.Setting limits on client dependency tendencies d.Avoiding responsibility to address client's emotional needs
d.Avoiding responsibility to address client's emotional needs
The client appears tired and is only expressing emotions in a limited way nonverbally. What range of emotion does the nurse document? Question 10 Answer a.Broad b.Labile c.Flat d.Blunted
d.Blunted
In a group therapy session, group members confront a 35-year-old client about the client's abuse of prescription pain medications. The client states, "The doctor prescribed me these pills, that doesn't make me a drug addict." The nurse identifies this as an example of which defense mechanism? Question 9 Select one: a.Projection b.Regression c.Sublimation d.Denial
d.Denial
During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies, "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique? Question 7 Select one: a.Verbalizing the implied b.Giving information c.Agreeing d.Giving advice
d.Giving advice
Two nursing students are observing a nurse is teach a group of clients about discharge planning. One of the clients believes that the presence of students is signaling the client to begin singing the national anthem. Which type of thinking does this represent? Question 7 Select one: a.Circumstantial b.Obsessional c.Clang association d.Ideas of reference
d.Ideas of reference
Which is true regarding mental health and mental illness? Question 13 Answer a.Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures. b.It is easy to determine if a person is mentally healthy or mentally ill. c.Persons who engage in fantasies are mentally ill. d.In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
d.In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
What is the primary danger of not listening well to the client or clarifying roles and expectations during the orientation phase of the nurse-client relationship? Answer a.Wasting the nurse's and the client's time b.Manipulation of the nurse by the client c.Client feelings of dependency on the nurse. d.Loss of therapeutic effectiveness e.Client confusion about the nature of the relationship
d.Loss of therapeutic effectiveness
When assessing children, it is important for nurses to do what? Question 4 Select one: a.Recognize that developmental level should not impact interviewing techniques. b.Use direct inquiry for all pediatric clients. c.Interview pediatric clients using interactive play. d.Modify interviewing techniques based on developmental level.
d.Modify interviewing techniques based on developmental level.
The nurse is aware that some coworkers have a negative bias towards a client whom they don't fully understand. The nurse volunteers to work with the client but does not openly share about the care being given to the client for fear of criticism. What is most problematic about the nurse's behavior? Answer a.Volunteering to work with the client b.Giving extra time to the client c.Believing that others do not fully understand the client d.Not being open with coworkers and supervisors about care being given
d.Not being open with coworkers and supervisors about care being given
During the assessment, the nurse asks the client to describe the client's problems. The purpose of this question is to obtain information about what client attribute? Question 2 Select one: a.Communication skills b.Heath literacy c.Admitting diagnosis d.Perception of the problem
d.Perception of the problem
The student nurse is attempting to have a good therapeutic conversation with the client. However, the student is so busy trying to think of what to say next that the student doesn't listen well to what the client is actually saying. What block to listing is this? Question 8 Answer a.Being overly concerned with oneself b.Filtering c.Getting off track d.Rehearsing
d.Rehearsing
A student nurse does not want to think about the upcoming final exam. The student nurse will start studying for the exam tomorrow. The student nurse is exhibiting which type of defense mechanism? Question 4 Select one: a.Regression b.Conversion c.Denial d.Suppression
d.Suppression
Which of the following is true about the Mental Status Exam (MSE)? Question 10 Answer a.MSE data is gather during the psychosocial assessment without asking questions specific to the MSE. b.The MSE is basically the same as the psychosocial assessment. c.The MSE gives a picture of the client's mental health in the past 24 hours. d.The MSE reflects the client's mental functioning during the psychosocial assessment.
d.The MSE reflects the client's mental functioning during the psychosocial assessment.
What is the primary difference between a social and a therapeutic relationship? Answer a.The kind of information the client gives the nurse in the relationship b.The amount of emotion invested in the relationship c.The degree of satisfaction obtained from the relationship d.The focus of the relationship
d.The focus of the relationship
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? Question 11 Select one: a.To assess the client's skin temperature and circulation status b.To extend an offer of friendship to the client c.To express sympathy to the client d.To offer comfort and support for the client
d.To offer comfort and support for the client
Which of the following findings would suggest mild to moderate cognitive deterioration/dementia and indicate an need to perform a mini mental status exam? Question 3 Answer a.Pressured speech, theatrical dress and make-up, labile mood, rhyming speech b.Dysthymia, anhedonia, psychomotor retardation, automatic negative thoughts c.Loosening of associations, unkempt appearance, irrational beliefs, auditory hallucinations d.Trouble remembering words and new routines, kempt appearance, lowered frustration tolerance
d.Trouble remembering words and new routines, kempt appearance, lowered frustration tolerance
The nurse is initiating a therapeutic relationship with a client. Which information would the nurse most likely include when explaining the purpose of this relationship? Select one: a.allowing the client to know the nurse's feelings. b.establishing a friendship c.alleviating all stressors in life. d.facilitating a positive change in health
d.facilitating a positive change in health
