Fa Davis practice Q's

Which statement made by the student nurse needs correction regarding skills for active listening? A. "Always maintain an open posture while listening to someone." B. "Maintain constant eye contact while listening to others." C. "Always sit squarely facing the client while listening to him or her." D. "Lean forward toward the client while listening to him or her."

B

Which phase of the nurse-client relationship development deals with creating an environment for the establishment of trust and rapport with the client? A. The working phase B. The orientation phase C. The termination phase D. The preinteraction phase

B

A client asks the nurse, "Do you think I should tell my mother about my brother's drinking habits?" What would be the best response by the nurse? A. "what do you think you should do with this information" B. "I'm not able to decide anything. it's up to you" C. "I don't think so. talk to him personally" D. "I think you have to tell you, mother. Its your responsiblity"

A

A client tells the nurse, "I think I am going to kill myself." Which response by the nurse is most appropriate to assess risk of suicide? A. "What do you plan to do?" B. "Why are you going to kill yourself?" C. "Do you really think you would?" D. "Don't you think people would be sad?"

A

A client with depression says, "I feel like I am alone out in the ocean." What would the nurse say in response to this statement using a therapeutic communication technique? A. "You must be feeling very lonely." B. "Are you feeling that no one understands you?" C. "You are feeling like nobody cares about you." D. "Please explain the situation more clearly."

A

A client with major depressive disorder is hospitalized due to severe suicidal tendencies and is on antidepressant drugs. One day the nurse observes the client to appear high energy and confident. What might this dramatic clinical change indicate to the nurse? A. The client may have set a suicidal plan. B. The client can be discharged from the hospital. C. The client is improved and can be withdrawn from the therapy. D. The client should be left alone for some time to improve.

A

For the past 3 days, a student has skipped classes, cried constantly, experienced panic attacks, and is now exhibiting difficulty with short-term memory. In her assessment of this student, what crucial information should the nurse initially obtain prior to planning interventions? A. The student's description of the precipitating stressor B. The student's usual ability to cope with stress C. The student's available support system D. The student's access to community resources

A

The nurse is assessing the room of an adolescent female client. Which item, if found in the room, would be of most concern to the nurse? A. Rope B. Pills C. Knife D. Razor blade

A

The nurse tells an angry client, "I see you have been walking back and forth frequently." Which therapeutic communication technique should the nurse follow while communicating with the client? A. Making observations B. Giving broad openings C. Offering general leads D. Placing the event in a timeline

A

The student nurse is assigned to care for a client with severe mental illness who has a designated legal representative. Which action of the student nurse violates the Health Insurance Portability and Accountability Act (HIPAA)? A. Discussing the client's health information at the reception desk B. Maintaining confidentiality of the client's health information C.Providing notice of privacy policies to the client's representative D. Discussing the client's health information with the client's representative in a private area

A

Which category of touch does the nurse exhibit while greeting a client with a handshake? A. Social-polite B. Love-intimacy C.Friendship-warmth D. Functional-professional

A

Which client is capable of making independent decisions about his or her own medical treatment? A. An elderly client in the end stage of life B. An 8-year-old client diagnosed with diabetes C. A teenaged client diagnosed with severe obsessive-compulsive disorder D. An elderly client suffering from severe Alzheimer's disease

A

Which phase of the therapeutic relationship will help the nurse overcome resistance behaviors of the client whose level of anxiety has risen? A. The working phase B. The orientation phase C. The termination phase D. The preinteraction phase

A

A client has been diagnosed with a life-threatening condition. The nurse discloses the client's health information to the client's family members. Which information does the nurse document in the client's record following disclosure? Select all that apply. A. Date of disclosure B. Reason for disclosure C. Specific information disclosed D. Contact number of professional who disclosed the information E. Address of person to whom information was disclosed

A, B, C

Which suggestions should a primary health-care provider provide to the family and friends of a suicidal client? Select all that apply. A. "Always take even minor attempts of suicide seriously." B. "Instruct the client not to think about attempting suicide." C. "Be friendly with suicidal clients by promising to not to tell their secret plans of suicide." D. "Be supportive to clients when they express feelings of depression." E. "Express concern when the client expresses thoughts about committing suicide."

A, D, E

Which interventions should the nurse implement to prevent malpractice while caring for a client with psychiatric illness? Select all that apply. A. Responding to the client B. Careful documentation of the client's response C. Educating the client about his or her condition D. Discussing the client's condition with other nurses E. Performing routine body searches in mentally ill clients

A,B,C

While obtaining data from a client, the nurse observes that the client's eyebrows are in the frowning position. Which type of associated feelings could the nurse interpret in the client? Select all that apply. A. Anger B. Suprise C. Enthusiasm D. Unhappiness E. Concentration

AD,E

A nurse is conducting chart reviews at a community mental health facility. Which of the following events is an example of a maturational crisis? A. Rape B. Marriage C. Sever physical illness D. Job loss

B

Following an accident, the health-care provider schedules surgery for an 8-year-old child. Which intervention should the nurse implement prior to surgery? A. Obtain consent from a health-care colleague B. Obtain consent from the child's guardian C. Obtain consent from the client D. Obtain consent from the client's 16-year-old sibling

B

The family members of a client diagnosed with a life-threatening disease tell the nurse, "Don't tell the client about his disease, because he gets depressed." The nurse responded, "I am going to tell the client about his condition because it is my moral duty." Which ethical principle did the nurse follow? A. Ethical egoism B. Kantianism C. Utilitarianism D. Natural law theory

B

The nurse finds that a client with schizophrenia is aggressive and has attempted suicide. On inquiry, the nurse learns that the client also harmed the caregiver while the caregiver tried to rescue the client. Which ethical principle should the nurse break in this situation? A. Justice B. Autonomy C. Beneficence D. Nonmaleficence

B

The nurse is assessing the room of an adolescent male client. Which item, if found in the room, would be of most concern to the nurse? A. Rope B. Gun C. Pills D. Razor blade

B

The nurse is caring for a client who is in the isolation room. Which statement made by the nurse indicates that the nurse is trying to increase the client's feeling of self-worth? A. "I see you put away your clothes." B. "I'll sit in here with you for a while." C. "I notice you are pacing a lot." D. "Yes, I understand what you said."

B

The nurse is caring for a depressed client in a health-care setting. Which action should the nurse implement to avoid accidental false imprisonment of the client? A. Only touch the client when absolutely necessary B. Reduce use of restraints with the client C. Only administer medication as prescribed. .D. Reduce actions that might frighten the patient

B

The nurse is caring for a psychiatric client who is experiencing concrete thinking. Which nursing intervention is most essential to develop a therapeutic relationship with the client? A. Establishing an acquaintance with the client B. Keeping promises made to the client C. Considering the client's ideas when planning care D. Being open and real while interacting with the client

B

The nurse is developing a therapeutic relationship with the client. Which statement made by the nurse indicates an empathetic response? A. "I understand your feelings because I have gone through the same thing." B. "If you felt bad about those harsh comments, it is okay to be sad and cry." C. "I will surely incorporate your ideas and preferences when planning your care." D. "Be assured that whatever we discuss will not leave the boundaries of our health-care team."

B

Which client requires the renewal of restraint orders every 2 hours unless state law is more restrictive? A. A client who is 8 years old B. A client who is 13 years old C. A client who is 20 years old D. A client who is 35 years old

B

A mother of a 16-year-old client reports, "My daughter has been in an irritable mood for 2 weeks and has lost weight considerably." The primary health-care provider suspects the client has major depressive disorder. Which further questions will help the primary health-care provider confirm major depressive disorder? Select all that apply. A. "Does your daughter have a history of seizures?" B. "Do you ever notice your child talking about suicide?" C. "Does your daughter still participate in her usual activities?" D. "Is your daughter currently under therapy for hyperthyroidism?" E. "Are there any signs of mood swings expressed by your daughter?"

B, C

The health-care provider is caring for a psychotic client in need of a renal transplant. Unfortunately, the client has no family or friends who can serve as health-care proxy. Which action is appropriate for the health-care provider to take? A. Avoid scheduling the client's renal transplant B. Proceed with the renal transplant as planned C. Request the court to appoint a guardian for the client before surgery takes place D. Obtain informed consent from the hospital administrator for the client's renal transplant

C

The nurse does not administer medication or provide food to a client at correct time intervals. Which behavior is depicted by the nurse in this case? A. Assault B. Seclusion C. Negligence D. Breach of confidentiality

C

The nurse is caring for a client facing a dispositional crisis. Which outcome indicates that the client has overcome this crisis? A. The client finds support systems to help him or her return to normal activities. B. The client identifies problematic areas and approaches to change. C. The client feels empowered to clarify his or her needs. D. The client is supported through therapy and hospitalization, if necessary, to maintain client safety.

C

The nurse is caring for a client who is experiencing a crisis situation. Which outcome indicates that the client does not have a distorted perception of the crisis event? A. The client does not feel lonely. B. The client feels overwhelmed by the crisis. C. The client's attempts toward problem-solving are effective. D. The client's behavioral strategies are successful in diverting the problem.

C

The nurse, who is caring for a client undergoing a crisis, says, "Try to consider your problem from a different perspective." This advice would be most effective for a client undergoing which phase of crisis development? A. Phase I B. Phase II C. Phase III D. Phase IV

C

Two students fail their introductory nursing course. One student plans to seek tutoring and retake the course next fall. The second student attempts suicide. Which of the following factors would have been influential in the development of the second student's crisis? a. The time of year in which the event occurred b. The presence of support systems c. A lack of adequate coping mechanisms d. The individual's family birth order

C

What is the minimum distance that the nurse should maintain while interacting with a client? A. 18 inches B. 30 inches C. 48 inches D. 156 inches

C

Which ethical theory involves a mental conflict between moral values? A. Kantianism B. Ethical egoism C. Ethical dilemma D. Natural law theory

C

A client with low self-esteem tells the nurse, "I am of no value to anybody." Which statement by the nurse in response to the client indicates a better example of therapeutic communication? A. "Of course you are something. Everyone is something" B. "what makes you say this" C. " You must be feeling very lonely right now" D. "You are feeling like nobody cares about you"

D

During ethical decision making, the nurse effectively follows and communicates the decision made. Which step of a model for making ethical decisions does the nurse exemplify? A. Planning. B. Assessment C. Evaluating D. Implementation

D

The client tells the nurse that he feels unable to commit to a long-term relationship with his girlfriend because of the abandonment he felt after his parents divorced when he was a child. Which type of crisis is the client undergoing? A. Psychiatric emergency B. Crisis reflecting psychopathology. C. Crisis for anticipated life transitions. D. Maturational/developmental crisis

D

The nurse and client have developed a romantic relationship with each other. Which type of boundary is being violated in this situation? A. Social boundary B. Material boundary C.Personal boundary D. Professional boundary

D

The nurse is caring for a client who is undergoing phase IV of crisis intervention. How would the nurse evaluate the effectiveness of the crisis intervention for this client? a. Using the reality-oriented approach b. Establishing the goals of the interventions c. Building a working relationship with the client d. Determining the presence of positive behavioral changes in the client

D

The nurse is caring for a client whose father was an alcoholic and was abusive toward the client. Which would be the primary nursing intervention for this client? A. Monitoring the vitals of the client B. Conducting family therapy sessions. C. Helping the client become aware of the reality of the surroundings D. Helping the client identify unresolved issues

D

The nurse is helping the client correct distortions the client is experiencing. Which would be the rationale behind this nursing intervention? A. To help the client regain a sense of self-control B. To enhance the client's ability to manage and deal with stress C. To increase the client's ability to connect symptoms with anxiety D. To decrease fearfulness in the client through reality-based perceptions

D

The nurse is teaching a newly recruited nurse about unlawful acts. Which action described by the nurse would be categorized as intentional tort? A. Failing to fulfill an obligation to others B. Stealing hospital supplies and drugs C. Showing negligence during a medical treatment D. Touching a client without his or her consent

D

The primary health-care provider suggests that the nurse provide verbal therapy rather than restraining therapy to a client with cognitive impairment. Which right of the client is protected in this situation? A. The right to privacy B. The right to freedom C. The right to confidentiality D. The right to the least-restrictive treatment

D

Which nonverbal behavior of the nurse indicates an open posture for attentive listening? A. Establishing eye contact B. Sitting squarely facing the patient C. Leaning towards the patient D. Uncrossed arms and legs

D

Which statement made by the student nurse reflects an understanding of gender differences about suicide? A. "More men than women attempt suicide." B. "Women use more lethal means than men, such as firearms." C. "Women succeed more often than men at completing suicide attempts." D. "Women are more likely to accept help from professionals than men."

D

Which actions would the nurse see in a severely anxious client after diazepam is administered? Select all that apply. A. Subdued anger B. Elevated mood C. Suppressed intrusive thoughts D. Temporary relief of anxious symptoms E. Enhanced ability to cope with stressful situations

D, E