Practice exam questions: mancuso
A nurse is reviewing therapeutic and nontherapeutic communication techniques with a student. which of the following are therapeutic communication techniques? a. restating b. listening c. asking the client, "why" d. maintaining neutral responses e. giving advice, approval, or disapproval f. providing acknowledgement and feedback
a, b, d, f
All treatment team members are seen as equally important in helping clients meet their treatment goals. this type of therapy approach is: a. milieu therapy b. interpersonal therapy c. behavior modification d. rational emotive therapy
a.
An agitated 80-year-old patient states, "I'm having trouble with my bowels." which response by the nurse incorporates the interviewing skill of reflection? a. "you seem distressed about your bowels" b. "you're having trouble with your bowels?" c. "it's common to have problems with the bowels at your age" d. "when did you first notice having trouble with your bowels?"
a.
An overweight 12-year-old boy is brought to the clinic by his parents. The child tells the nurse that he dislikes school because his classmates tease him about his weight. He states rather sadly, "i'm always last when they choose up sides in the gym." the nurse's most therapeutic response would be: a. "that hurts a lot when you want to be liked" b. "have you tried letting them know how that makes you feel?" c. "not everybody's a great athlete and you have other strengths" d. "won't it be great when you lose weight and can do better in gym?"
a.
In an attempt to remain objective and support a client during a crisis, the nurse uses imagination an determination to project the self into the client's emotions. The nurse accomplishes this by using the technique known as: a. empathy b. sympathy c. projection d. acceptance
a.
The nurse identifies that an individual who nurtures, teaches and gives to others reflects which stages of Erikson's stages of development? a. generativity vs. stagnation b. ego integrity vs. despair c. industry vs. inferiority d. initiative vs. guilt
a.
The nurse identifies that the patient in middle adulthood is experiencing a developmental crisis when there is an inability to: a. achieve a feeling of success b. develop peer relationships c. delay satisfaction d. face death
a.
When the nurse assesses an adult, which behavior may indicate an unresolved developmental task of infancy? a. avoiding assistance from others b. rationalizing unacceptable behaviors c. being overly concerned about cleanliness d. apologizing constantly for small mistakes
a.
A client who has recently been diagnosed with AIDDS comments to the nurse, "there are so many rotten people around. why couldn't one of them get AIDS instead of me?" they could best respond: a. "it might be good if you speak with a minister" b. "it seems unfair that you should have this disease." c. "i'm sure you really don't wish this on someone else" d. "i'm sure you know that AIDS is now considered a chronic illness."
b.
An older adult is admitted to the intensive care unit. For which common behavioral adaptation to sensory overload should the nurse monitor the patient? a. dementia b. confusion c. drowsiness d. bradycardia
b.
The nurse understands that the stage of development that is most unstable and challenging with regard to the development of a personal identity is: a. toddlerhood b. adolescence c. childhood d. infancy
b.
After a traumatic event, a client is extremely upset and exhibits pressure and rambling speech. a therapeutic technique that the nurse can use when a client's communication rambles is: a. touch b. silence c. focusing d. summarizing
c.
One afternoon the nurse on the unit overhears a young female client having an argument with her boyfriend. A while later the client complains to the nurse that dinner is always late and the meals are terrible. The nurse recognizes that the defense mechanism the client is using is: a. projection b. dissociation c. displacement d. intellectualization
c.
The nurse identifies that the age group that is the greatest risk for constipation is: a. inactive school-aged children b. middle aged adults c. older adults d. bottle-fed infants
c.
The nurse identifies that the person at greatest risk for problems with regulating body temperature is the: a. toddler b. teenager c. older adult d. school-age child
c.
The nurse is providing dietary teaching to a group of adolescents recently diagnosed with diabetes mellitus. the nurse understands that many foods are ingested by the adolescent because of: a. taste b. routine c. pressure d. preference
c.
The nurse understands that according to Erikson, establishing relationships based on commitment mainly occurs in which stage of psychosocial development? a. generativity vs. stagnation b. identity vs. role confusion c. intimacy vs. isolation d. trust vs. mistrust
c.
Which age group should the nurse identify is reflected in the following statement. "more time is spent in bed but less time is spent asleep" a. 2 yr olds b. 40 yr olds c. 70 yr olds d. 14 yr olds
c.
A client scheduled for bowel surgery states to a nurse, "i'm not sure if I should have this surgery." which response by the nurse is appropriate? a. "it's your decision" b. "don't worry, everything will be fine" c. "why don't you want to have this surgery?" d. "tell me what concerns you have about the surgery"
d.
During a group therapy session occasionally silence will occur. To deal with this situation in a growth-promoting way, the leader should: a. be willing to sit indefinitely to wait out the silence b. call on specific members to talk when silence occurs c. go around the group, requiring each member to talk in turn d. comment on the silence or nonverbal behavior related to the silence
d.
The nurse is aware that in the working phase of the nurse-client relationship, clients: a. often focus the conversation on the nurse b. accept limits and initiate topics for discussion c. commonly exhibit testing behaviors such as flirtation and lateness d. may repress emotionally charged material to avoid shocking the nurse
b.
The goals of therapeutic communication mainly should depend on the: a. environment in which communication takes place b. role of the nurse in the particular clinical setting c. skill level of the nurse in the situation d. concerns of the patient
d.
The patient states, "i think that I am dying" the nurse responds, "you feel as though you are dying?" what interviewing approach did the nurse use? a. focusing b. reflecting c. validating d. paraphrasing
d.
When the nurse cares for individuals across the life span, which age group generally demonstrates an inefficiency of adaptation? a. 60 plus years b. 40-60 years c. 12-19 years d. 3-11 years
a.
Which comment best demonstrates agism, "he is 75 years old and: a. has outlived his usefulness" b. reads the newspaper with difficulty" c. reminisces about his past work experience" c. is most happy when working in his home workshop"
a.
The nurse can best handle the answering of personal questions asked by the client in any phase of the nurse-client relationships by: a. reviewing the positive and negative aspects of the subject b. providing brief, truthful answers and redirecting the focus of the conversation c. offering an honest, brief expression of personal views on the subject raised d. reminding the client gently that the nurse's feelings are not the client's concern
b.
The nurse is providing care to a client admitted to the hospital with a diagnosis of acute anxiety disorder. The client says to the nurse, "i have a secret that I want to tell you. you won't tell anyone about it, will you?" the appropriate nursing response would be which of the following? a. "No, i won't tell anyone" b. "I cannot promise to keep a secret" c. "If you tell me the secret, I will tell it to your doctor" d. if you tell me secret, I will need to document it in your record"
b.
The nurse plans to use family therapy as a means of assisting a family to cope with their child's terminal illness. The nurse's basis for this choice is that: a. it is more time efficient to deal with the whole family together b. the entire family is involved and what happens to one member affects all c. the nurse can control manipulation and alliances better by using this mode of intervention d. it will prevent the parents from deceiving each other about the true nature of their child's condition
b.
The patient appears tearful and is quiet and withdrawn. the nurse says, "you seem very sad today." what interviewing approach did the nurse use? a. examining b. reflecting c. clarifying d. orienting
b.
When a nurse revises a client's nursing care plan based on the client's responses that show evidence that goals were not attained, the phase of the nursing process being applied is: a. planning b. evaluation c. assessment d. implementation
b.
When assessing the ability to age successfully the nurse understands that this is based on a person's ability to: a. cope with social isolation b. adjust to the change in social roles c. associate with members of every age group d. increase the number of meaningful relationships
b.
A community health nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights" which response by the nurse illustrates a therapeutic communication technique for this client? a. "that's normal" b. "sleeping?" c. "you're having difficulty sleeping?" d. "sometimes, I have trouble sleeping too."
c.
The nurse understands that, according to Erikson, the person who becomes self-absorbed and obsessed with one's own needs is having difficulty resolving which stage of psychosocial development? a. industry vs. inferiority b. ego integrity vs. despair c. generativity vs. stagnation d. identity vs. role confusion
c.
The nurse identifies that the behavior in an adult that indicates an unresolved developmental conflict associates with adolescence is: a. being overly concerned about following daily routines b. requiring excessive attention from others c. relying on oneself rather than others d. failing to set life goals
d.
The nurse in the emergency department is assessing patients of various ages. the nurse understands that the age group that has the greatest individual differences in appearance and behavior is: a. children b. adolescents c. older adults d. middle-age adults
d.
The nurse understands that an individual who is preoccupied with work and the drive to succeed at the expense of emotionally committing to others reflects a negative resolution of which stage of Erikson's stages of development? a. autonomy vs. shame and doubt b. identity vs. role confusion c. ego integrity vs. despair d. intimacy vs. isolation
d.
The parents of an autistic child begin family therapy with a nurse therapist. the father states that the family members wish to share their religion with the therapist. the nurse should: a. limit the father's discussion of religion b. plan for a mutual discussion of religious beliefs c. invite the family's minister to a therapy session d. keep the sessions focused on the family's concerns
d.
