AQ Questions For Final

Which defense mechanism is most often used by parents who abuse an infant or toddler? Identification 2 Denial 3 Rationalization 4 Displacement

4

Which term would the nurse use to describe the thought processes of a male client who insists that he is the commander of an alien spaceship despite repeated reality orientation? 1 Illusion 2 Delusion 3 Confabulation 4 Hallucination

Ans:

A survivor of a major earthquake exhibits a flattened affect, minimal eye contact, and monotone speech. Which defense mechanism is the survivor displaying? 1 Disassociation 2 Splitting 3 Introjection 4 Compensation

Ans: 1

For a person who has an alcohol abuse problem, which rationale supports family involvement in the treatment program? 1 Alcoholism involves the entire family and affects all members. 2 Alcoholics try to hide their drinking from their families. 3 Family members provide insights into the dynamics behind the drinking. 4 Family members have been most successful in providing necessary support

Ans: 1

Which substance is considered addictive in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)? Select all that apply. One, some, or all responses may be correct. 1 Alcohol 2 Caffeine 3 Cannabis 4 Gambling 5 Hallucinogens 6 Antianxiety medications

Ans: 1, 2, 3, 5, 6

A 25-year-old man is angry and has several verbal altercations with other clients and then refuses to take prescribed medications. Which intervention is best? 1 Tell him that he must take medication to stay on the unit and continue inpatient treatment. 2 Explain the purpose and benefits of the medication but allow him to refuse the medication. 3 Offer the opportunity to take the medication before calling security and initiating restraints. 4 Inform him that his behavior is offensive and his choices are medication or the seclusion room

Ans: 2

A young adult client who has permanent paralysis secondary to a spinal cord injury says, "I wish God would end my suffering and take me." Which response would the nurse use? 1 "You shouldn't give up hope; things can change." 2 "Being incapacitated is difficult for you." 3 "Would you like to speak to a religious advisor?" 4 "Have you talked to your family about your feelings?

Ans: 2

In comparing assessment findings in clients with vascular dementia and dementia of the Alzheimer type, which factor is unique to vascular dementia? 1 Memory impairment 2 Abrupt onset of symptoms 3 Difficulty making decisions 4 Inability to use words to communicate

Ans: 2

Which behavior indicates that the client has learned the most effective method to cope with anger? 1 Goes for a long jog 2 Talks about the anger 3 Goes outside and screams 4 Focuses on cause of anger

Ans: 2

Which behavior is the client displaying when pretending to be ill? 1 Psychosis 2 Malingering 3 Conversion 4 Loss of reality

Ans: 2

Which short-term goal is best for an adolescent client who had an angry outburst toward another client in the dayroom? 1 Vent angry feelings to the other client in a private area 2 Talk about the situation that precipitated the anger 3 Apologize for the behavior in the community meeting 4 Ask for medication for when feelings of anger begin

Ans: 2

Which type of delusion would the nurse chart about a client who says, "I've figured out how foreign agents have infiltrated the news media. Now they want to shut me up"? 1 Nihilistic 2 Persecution 3 Control 4 Grandeur

Ans: 2

Which intervention would the nurse use to prevent injury to others when caring for a client with intermittent explosive disorder? Select all that apply. One, some, or all responses may be correct. 1 Administer antipsychotics. 2 Set limits and expectations. 3 Use seclusion and time out. 4 Provide structure and boundaries. 5 Ignore attention-seeking behaviors.

Ans: 2, 4, 5

A female client monopolizes the group therapy discussion and the other group members become inattentive. Which intervention is best? 1 Gently telling the client that she is taking up too much of the group's time 2 Saying nothing and waiting for one of the group members to interrupt the monopolizer 3 Thanking the client for sharing and asking other group members to contribute 4 Confronting the client by stating that the group is not really interested in her topic

Ans: 3

An older woman has lived alone since the death of her husband 10 years ago, and she has a long list of vague complaints. Which assessment is the priority for the home health nurse to perform? 1 Assess for feelings of loneliness and isolation. 2 Determine if the client has unresolved grief. 3 Determine if there are safety issues. 4 Ask about availability of support systems. 00:00:33 Question Answer Confidence ButtonsJust a guessPretty sureNailed it

Ans: 3

Which intervention is most helpful for a depressed client whose husband has recently died? 1 Involve the client in group exercises and other physical activities. 2 Motivate the client to interact with male clients and the nursing staff. 3 Talk with the client about her husband and the details of his death. 4 Encourage the client to talk about and plan for the future.

Ans: 3

Which nursing intervention is the most therapeutic to help a late-middle-age individual cope with the emotional aspects of aging? 1 Focusing on the individual's past experiences 2 Scheduling the individual to attend lectures on aging 3 Assisting the individual with plans for the future 4 Encouraging the individual to focus on her or his career

Ans: 3

The parents of an infant born with a unilateral cleft lip and palate ask, "What caused our baby to be born deformed?" Which response is the most therapeutic? 1 "You're feeling guilty about what happened." 2 "I'm glad you're able to ask these kinds of questions." 3 "You don't need to worry, because surgery can correct it." 4 "It sounds like you're concerned that you did something wrong."

Ans: 4

Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? 1 Infuse intravenous fluids. 2 Monitor the level of anxiety. 3 Obtain frequent vital signs. 4 Administer chlordiazepoxide

Ans: 4

Which priority action would the nurse manager use to help the nurse who may be experiencing burnout? 1 Transfer the nurse to another unit in the facility. 2 Help the nurse choose a position on a low-stress unit. 3 Encourage the nurse to attend educational programs. 4 Help the nurse identify personal responses to job stress

Ans: 4

Which personality disorder would the nurse suspect in a client telling a rambling, lengthy, unclear, and overly detailed story about their dog, who they say is the president? Select all that apply. One, some, or all responses may be correct. 1 Schizoid 2 Paranoid 3 Histrionic 4 Borderline 5 Narcissistic 6 Schizotypal

Ans: 6