Exam 1

A nurse is caring for a client who has a bruise on her left upper arm. The client states,"The bruise is from when my partner grabbed my arm." Which of the following responses should the nurse make?

"Your partner grabbed your arm and caused the bruise."

Symptoms of panic anxiety

1. Can't focus, function or communicate. 2. Hallucinations + delusions 3. Feeling of terror or they are "going crazy" 4. Extreme withdrawal actions or wild/desperate actions 5. Dilated pupils, labored breathing, sweating, trembling, pallor, palpitations, sleeplessness

What does SOLER stand for?

1. Sit squarely 2. Open posture 3. Lean toward the other 4. Eye contact 5. Relax"

Which of the following hormones has been implicated in the etiology of mood disorder with seasonal affective disorder? A. Increased levels of melatonin B. Decreased levels of oxytocin C. Decreased levels of prolactin D. Increased levels of thyrotropin

A. Increased levels of melatonin

The act of covering up a real or perceived weakness by emphasizing a trait one considers more desirable

Compensation

In what stage of the grieving process is the individual with delayed or inhibited grief fixed?

Denial

Anorexia nervosa has been associated with a primary dysfunction of which structure of the brain?

Hypothalamus

An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires

Identification

The attempt to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors

Rationalization

A retreat to an earlier level of development and the comfort measures associated with that level of functioning

Regression

The involuntary blockage of unpleasant feelings and experiences from one's awareness

Repression

A dramatic reduction in which neurotransmitter is most closely associated with Alzheimer's disease?

Somatostatin + Acetylcholine

The voluntary blockage of unpleasant feelings and experiences from one's awareness

Suppression

Prolonged stress causes the body to become _____________

exhausted --> increases risk for illness

a nurse is talking with a client who is recovering from a panic attack and tells the nurse that he feels

"Have you experienced anything like this before?"

A nurse is talking with a client who is crying and appears anxious. The client states, "My teenage daughter and I are always yelling and arguing." Which of the following responses should the nurse make?

"Let's discuss ways to calm the situation the next time an argument starts."

A nurse is caring for a client who tells the nurse that he is feeling very stressed and overwhelmed. Which of the following responses should the nurse make?

"Tell me more about the stress you are feeling."

Therapeutic Communication includes...

- Empathy - Offering self - Active listening - Acceptance - Eye contact - Silence - Broad openings - Reflect - Summarize - Motivational interviewing

Adaptation responses that occur when the body encounters a stressor include..

- Release of Norepinephrine and epinephrine - Pupils dilate - Bronchioles dilate - Inc BP, HR, RR, CO - Inc heart contraction force - Dec gastric + intestinal motility - Dec secretions - Sphincters contract - Inc glycogenolysis + gluconeogenesis - Dec glycogen synthesis - Inc ureter motility - Bladder muscle contracts - Sphincter relaxe - Inc sweat gland secretion - Lipolysis of fat cells

A client comes to the mental health clinic with reports of anxiety and depression. Regarding the transactional model of stress and adaptation, which of the following are important nursing actions when assessing his complaints? (Select all that apply.) A) Evaluate the client's perception of precipitating events. B) Ask the client about past stressors and degree of positive coping abilities. C Assess the client's existing social supports. D) Evaluate the client's physical strength.E) Monitor the client's temperature

A) evaluate the client's perception of precipitating events B) ask the client about past stressors and degree of positive coping abilities C) assess the client's existing social supports

A client who has arrived at the health clinic for diabetic education is perspiring, wringing his hands, and states, "I'm so anxious about giving myself shots I can hardly breathe. I don't know what to do." Which of these actions by the nurse demonstrates good clinical judgment?" A. Assist the client in relaxation exercises before commencing diabetes education B. Instruct the client that it is not hard to give oneself a shot an commence teaching C. Assess the client further for symptoms of anxiety D. Cancel diabetic education and encourage the client to reschedule when he feels less anxious

A. Assist the client in relaxation exercises before commencing diabetes education

Psychotropic medications may act at the neural synapse to accomplish which of the following? (Select all that apply.) A. Inhibit the reuptake of certain neurotransmitters, creating more availability B. Inhibit catabolic enzymes, promoting more availability of a neurotransmitter C. Block receptors, resulting in less neurotransmitter activity D. Add synthetic neurotransmitters found in the drug

A. Inhibit the reuptake of certain neurotransmitters, creating more availability B. Inhibit catabolic enzymes, promoting more availability of a neurotransmitter C. Block receptors, resulting in less neurotransmitter activity

Anna, who is 72 years old, is of the age when she may have experienced many loses coming close together. What is this called? A. bereavement overload B. normal mourning C. isolation D. cultural relativity

A. bereavement overload

When assessing whether a client is exhibiting adaptive responses to stressors, the nurse must recognize which of the following?

Adaptive responses are those that preserve the integrity of the individual

A new client tells the nurse at the mental health clinic, "I was so stressed out after work today and trying to get to my appointment here on time that I started having chest pain." Which action by the nurse is a priority at this point? A) Offer the client anti-anxiety medication as prescribed. B) Assess the client's physical status including vital signs. C) Reinforce that since the client arrived on time there is nothing to worry about. D) Help the client to identify adaptive coping mechanisms for dealing with stress.

B) Assess the client's physical status including vital signs.

A client regularly develops nausea and vomiting when she is faced with a stressful situation. Which of the following should be considered when attempting to identify predisposing factors associated with Cindy's response? (Select all that apply.) A) Identify what happened right before she had the most recent episode of nausea and vomiting. B) Consider genetic influences. C) Identify any existing physical conditions that might make the client more vulnerable to respond in this way. D) Explore past experiences that may have resulted in this becoming a learned response.

B) Consider genetic influences. C) Identify any existing physical conditions that might make the client more vulnerable to respond in this way. D) Explore past experiences that may have resulted in this becoming a learned response.

A client reports hearing on last night's evening news that 25 people were killed in a tornado in south Texas, but appears to express no anxiety in response to this stressful situation. Which of these actions by the nurse is a priority? A) Ask where the client lives. B) Assess the client's perception about the relevance of this event. C) Encourage the client to use adaptive coping skills to help others through this tragedy. D) Ask where the client grew up.

B) assess the client's perception about the relevance of this event

Which of the following statements by a client are examples of adaptive coping mechanisms? A. "I like to take the edge off by having a few drinks" B. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last month" C. "When the stress gets to be too much, I feel better after I kick the dog" D. "I try to stay away from people because its less stressful than arguing with everybody"

B. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last month"

A client who was admitted to the psychiatric unit for major depressive disorder reports to the nurse, "Ever since my daughter died by suicide 10 years ago, I can't stand to be around my friends. They just don't get it!" Which of these actions by the nurse demonstrates good clinical judgement? A. Affirm that other people cannot possible provide adequate support in circumstances like this B. Assist the client to explore the connection between grief and anger. C. Tell the client that her friends are doing the best they can and should try to accept their support. D. Ask the client to describe how her daughter killed herself

B. Assist the client to explore the connection between grief and anger.

A client with a history of schizophrenia is brought to the emergency department by police who report that she was knocking down food displays at a grocery store and yelling that the food is all poisoned. The client reports to the nurse that she has no idea why she was brought to the emergency department because "there is nothing wrong with me." Which of these actions by the nurse demonstrates good clinical judgment? A. Instruct the police officer that the client should be incarcerated because there is nothing that can be done in an emergency department B. Document that the client is manifesting suspicious ideation and anosognosia C. Ask the doctor to order gastric lavage because the client reports having been poisoned D. Instruct the client that the food is not poisoned and there is something wrong with her

B. Document that the client is manifesting suspicious ideation and anosognosia

A decrease in which of the following neurotransmitters has been implicated in depression? A. Gamma-aminobutyric acid, acetylcholine, and aspartate B. Norepinephrine, serotonin, and dopamine C. Somatostatin, substance P, and glycine D. Glutamate, histamine, and opioid peptides

B. Norepinephrine, serotonin, and dopamine

Psychoneuroimmunology is a branch of science that involves which of the following? (Select all that apply.) a. The impact of psychoactive medications at the neural synapse b. The relationships between the immune system, the nervous system, and psychological processes including mental illness c. The correlation between psychosocial stress and the onset of illness d. The potential role of viruses in the onset of schizophrenia e. The genetic factors that influence the prevention of mental illness

B. The relationships between the immune system, the nervous system, and psychological processes including mental illness C. The correlation between psychosocial stress and the onset of illness D. The potential role of viruses in the onset of schizophrenia

During a primary care physician appointment, a client who has been a widow for 7 years reports to the nurse that she does not want to wake up in the morning and feels there is nothing left for her. Which of these actions by the nurse is a priority? A. Listen empathically and encourage the client to find some activities to increase socialization B. Encourage the client to discuss this with her physician C. Assess the client for symptoms of depression and suicide risk D. Instruct the client that grief takes a long time to resolve but that she will be feeling better soon

C. Assess the client for symptoms of depression and suicide risk

Three years ago, Anna's dog, Lucky, whom she had for 16 years, was hit by a car and killed. Anna's daughter reports that since that time, Anna has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive because: A. it has been more than three years since Lucky died B. her grief is too intense just over the loss of a dog C. her grief is interfering with her functioning D. people in this culture would not comprehend such behavior over loss of a pet

C. her grief is interfering with her functioning

How do circadian rhythms influence mental health and mental illness?

Circadian rhythms and mental illness are intertwined. Some mental health disorders such as bipolar disorder have been linked with abnormal circadian rhythms. Those with depression tend to spend more day time in bed and sleeping which will in turn mess up their circadian rhythms.

A client tells the nurse, "My spouse and I got into a big fight and I just stormed out because I didn't know what else to do." Which action by the nurse is a priority at this point? A) Encourage the client to seek legal advice from a divorce lawyer. B) Ask the client to describe the spouse's side of the story. C) Affirm the client's response as the most appropriate way to reduce anxiety in such situations.D Assist the client to describe the event.

D) assist the client to describe the event

A client says to the nurse, "I think that meditation might be a good thing for reducing anxiety but I've never learned how to do it." Which of these would be the most appropriate response by the nurse? A) Instruct the client that antianxiety medication must be taken before engaging in meditation. B) Ask why the client never learned this method of relaxation. C) Educate the client about the evidence supporting pet therapy as the most effective psychosocial coping mechanism. D) Educate the client about how to engage in mindfulness meditation.

D) educate the client about how to engage in mindfulness mediation

Anna's dog, Lucky, got away from her while they were taking a walk. He ran into the street and was hit by a car. Anna cannot remember any of these circumstances of his death. This is an example of what defense mechanism? A rationalization B. suppression C. denial D. repression

D. repression

Refusal to acknowledge the existence of a real situation or the feelings associated with it

Denial

What psychiatric disorder may be linked to chronic hypothyroidism?

Depression + suicidal ideation

Transference of feelings from one target to another that is considered less threatening or neutral

Displacement

Non-therapeutic Communication includes...

Don't give personal opinion or advice No false reassurance (everything will be ok!)

Internalization of the beliefs and values of another individual, which symbolically become a part of the self, to the extent that the feeling of separateness or distinctness is lost

Introjection

Separating a thought or a memory from the feeling, tone, or emotions associated with it

Isolation

A nurse is caring for a client who expresses concern about his diagnosis. Which of the following actions should the nurse take to demonstrate active listening?

Lean in toward the client.

The attribution to another person of feelings or impulses that are unacceptable to one's self

Projection

Jane was involved in an automobile accident in which both her parents were killed. When you ask her about it, she says she has no memory of the accident. What ego defense mechanism is she using?

Repression

Why is stress management so important in ones overall health?

Sustained response to stress can inc vulnerability to a variety of diseases and maladaptive coping responses

Symbolic negation or cancellation of a previous action or experience that one finds intolerable

Undoing

A depressed client who has been unkempt and untidy for weeks comes to group therapy today wearing makeup and a clean dress with hair washed and combed. Which of the following responses by the nurse is most appropriate? a. "I see you have put on a clean dress and combed your hair." b. "You look wonderful today!" c. "I'm sure everyone will appreciate that you have cleaned up for the group today." d. "Now that you see how important it is, I hope you will do this every day."

a. "I see you have put on a clean dress and combed your hair."

A client asks the nurse, "Do you think I should tell my husband about my affair with my boss?" Which is the most appropriate response by the nurse? a. "What do you think would be best for you to do?" b. "Of course you should. Marriage has to be based on truth." c. "Of course not. That would only make things worse." d. "I can't tell you what to do. You have to decide for yourself."

a. "What do you think would be best for you to do?"

A client states to the nurse, "I worked as a secretary to put my husband through college, and as soon as he graduated, he left me. I hate him! I hate all men!" Which of the following is an empathetic response by the nurse? a. "You are very angry now. This is a normal response to your loss." b. "I know what you mean. Men can be very insensitive." c. "I understand completely. My husband divorced me, too." d. "You are depressed now, but you will feel better in time."

a. "You are very angry now. This is a normal response to your loss."

When an individual's stress response is sustained over a long period, the endocrine system involvement results in which of the following? a.Decreased resistance to disease b.Increased libido c.Decreased blood pressure d.Increased inflammatory response

a. Decreased resistance to disease

A client is being discharged from the inpatient psychiatric unit and states to his primary nurse, "Everyone abandons me and now you're probably going to abandon me, too." Which of these actions by the nurse best accomplishes termination of the therapeutic relationship? a. Discuss the boundaries of this relationship and assist the client to explore his feelings. b. Terminate the therapeutic relationship while exploring ways to remain connected as friends. c. Provide discharge medication instructions and encourage the client to follow up with his physician. d. Assure the client that he is not being abandoned and remind him that he can return to the unit in the future.

a. Discuss the boundaries of this relationship and assist the client to explore his feelings.

Which of these actions by the nurse demonstrates an application of the QSEN competency related to informatics? a. Learns how to effectively communicate information using electronic health records b. Provides a verbal report of client behavioral issues at shift change c. Asks the supervisor for guidelines on how to prevent lawsuits d. Reads journals to learn information about new treatments and approaches to nursing care

a. Learns how to effectively communicate information using electronic health records

A client says to the nurse, "I've been offered a promotion, but I don't know if I can handle it." The nurse replies, "You're afraid you may fail in the new position." This is an example of which therapeutic technique? a. Restating b. Making observations c. Focusing d. Verbalizing the implied

a. Restating

3. The environment in which communication takes place influences the outcome of the interaction. Which of the following are aspects of the environment that influence communication? (Select all that apply.) a. Territoriality b. Density c. Dimension d. Distance e. Intensity

a. Territoriality b. Density d. Distance

The nurse collects the following information during the admission assessment. For which of these pieces of data should the nurse take additional action to ensure that "duty to warn" laws are followed? a. The client threatens violence toward another individual. b. The client states he wants to kill everyone that has demons. c. The client is having command hallucinations. d. The client reveals paranoid delusions about another individual.

a. The client threatens violence toward another individual.

Which of the following behaviors suggest a possible breach of professional boundaries? (Select all that apply.) a. The nurse repeatedly requests to be assigned to a specific patient. b. The nurse shares the details of her divorce with the patient. c. The nurse makes arrangements to meet the patient outside of the therapeutic environment. d. The nurse shares how she dealt with a similar difficult situation.

a. The nurse repeatedly requests to be assigned to a specific patient. b. The nurse shares the details of her divorce with the patient. c. The nurse makes arrangements to meet the patient outside of the therapeutic environment.

The nurse decides to respect family wishes and not tell the client of his terminal status because that would bring the most happiness to the most people. Which of the following ethical theories is considered in this decision? a. Utilitarianism b. Kantianism c. Christian ethics d. Ethical egoism

a. Utilitarianism

A client states, "I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the most therapeutic response? a. "That's not true." b. "I have a hard time believing that is true." c. "Surely you don't really believe that." d. "I will help you search this room so that you can see there is no camera."

b. "I have a hard time believing that is true."

An adolescent who has just returned from group therapy is crying. She says to the nurse, "All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I've never had a close friend. I guess I never will." Which is the most appropriate response by the nurse? a. "What makes you think you will never have any friends?" b. "You're feeling pretty down on yourself right now." c. "I'm sure they didn't mean to hurt your feelings." d. "Why do you feel this way about yourself?"

b. "You're feeling pretty down on yourself right now."

The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent. With which of the following legal actions might the nurse be charged because of this nursing action? a. Assault b. Battery c. False imprisonment d. breach of confidentially

b. Battery

The nurse decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considered in this decision? a. Kantianism b. Christian ethics c. Natural law theories d. Ethical egoism

b. Christian ethics

The nurse, who is an adult child of an alcoholic, is working with a client who abuses alcohol. The client has experienced a successful detoxification process and is beginning a rehabilitation program. He says to the nurse, "I'm not going to go to those stupid AA meetings. They don't help anything." The nurse, whose father died of complications from alcoholism, responds with anger: "Don't you even care what happens to your children?" The nurse's response is an example of which of the following? a. Transference b. Countertransference c. Self-disclosure d. A breach of professional boundaries

b. Countertransference

Which of the following tasks are associated with the orientation phase of relationship development? (Select all that apply.) a. Promoting the patient's insight and perception of reality b. Creating an environment for the establishment of trust and rapport c. Using the problem-solving model toward goal fulfillment d. Obtaining available information about the patient from various sources e. Formulating nursing diagnoses and setting goals

b. Creating an environment for the establishment of trust and rapport e. Formulating nursing diagnoses and setting goals

A client on the psychiatric unit begins yelling out loud that no one is listening to him and that he is going to "blow up" soon. The orderly asks the nurse if he should go ahead and put the client in restraints for the safety of others. Which of these responses by the nurse is most appropriate? a. Educate the orderly that restraints may never be initiated without a physician's order. b. Instruct the orderly that it would be best to see if the client can be assisted to calm down by listening to his concerns. c. Instruct the orderly to put the client in restraints but make sure to assess the client every 15 minutes for issues regarding circulation, nutrition, respiration, hydration, and elimination. d. Instruct the orderly to get others to assist him in restraining the client but be aware restraints should be discontinued at the earliest possible time regardless of when a physician's order is scheduled to expire.

b. Instruct the orderly that it would be best to see if the client can be assisted to calm down by listening to his concerns.

Anna has been grieving the death of Lucky for 3 years. She is unable to take care of her normal activities because she insists on visiting Lucky's grave daily. What is the most likely reason that Anna's daughter has put off seeking help for Anna? a. Women are less likely than men to seek help for emotional problems. b. Relatives often try to normalize behavior rather than label it mental illness. c. She knows that all older people are expected to be a little depressed. d. She is afraid that the neighbors will think her mother is "crazy."

b. Relatives often try to normalize behavior rather than label it mental illness.

The nurse says to a client, "You are being readmitted to the hospital. Why did you stop taking your medication?" What communication technique does this represent? a. Disapproving b. Requesting an explanation c. Disagreeing d. Probing

b. Requesting an explanation

When the nurse shows unconditional acceptance of an individual as a worthwhile and unique human being, he or she is exhibiting which of the following characteristics? a. Trust b. Respect c. Genuineness d. Empathy

b. Respect

A client with schizophrenia appears very watchful of others and tells the nurse, "There are infiltrators everywhere and I think they are trying to kill me." Which of these actions by the nurse would best promote development of trust with this client? a. Touch the client's shoulder and state, "I want you to feel safe here." b. State to the client, "I'm interested in hearing your thoughts. Would you like to talk more about this?" c. Ask the client, "Why would you think such a thing?" d. Tell the client, "It is an expectation that we will not talk about things that aren't real."

b. State to the client, "I'm interested in hearing your thoughts. Would you like to talk more about this?"

Anna's daughter notices that Anna appears to be listening to another voice when just the two of them are in a room together. When questioned, Anna admits that she hears someone telling her that she was a horrible caretaker for Lucky and did not deserve to ever have a pet. Which of the following best describes what Anna is experiencing? a.) Neurosis b.) Psychosis c.) Depression d.) Bereavement

b.) Psychosis

A client, who has been in the hospital for 3 weeks, has used Valium "to settle her nerves" for the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time but states to the nurse, "I don't know if I will be able to make it without Valium after I go home. I'm already starting to feel nervous. I have so many personal problems." Which is the most appropriate response by the nurse? a. "Why do you think you need drugs to deal with your problems?" b. "Everybody has problems, but not everybody uses drugs to deal with them. You'll just have to do the best that you can." c. "Let's explore some things you can do to decrease your anxiety without resorting to drugs." d. "Just hang in there. I'm sure everything is going to be okay."

c. "Let's explore some things you can do to decrease your anxiety without resorting to drugs."

A client who is being discharged from an inpatient hospital stay has his wife bring a box of chocolates and a bouquet of flowers for his primary nurse. He presents these gifts to the nurse, saying, "Thank you for taking care of me." What is the most appropriate response by the nurse? a. "I don't accept gifts from patients." b. "Thank you so much! It is so nice to be appreciated." c. "Thank you. I will share these with the rest of the staff." d. "Hospital policy forbids me to accept gifts from patients."

c. "Thank you. I will share these with the rest of the staff."

A competent, voluntary client has stated he wants to leave the hospital. The nurse hides his clothes to keep him from leaving. With which of the following legal actions might the nurse be charged because of this nursing action? a. Assault b. Battery c. False imprisonment d. Breach of confidentiality

c. False imprisonment

When there is congruence between what is felt and what is expressed, the nurse is exhibiting which of the following characteristics? a. Trust b. Respect c. Genuineness d. Empathy

c. Genuineness

The nurse decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following ethical theories is considered in this decision? a. Natural law theories b. Ethical egoism c. Kantianism d. Utilitarianism

c. Kantianism

Elena has just received a promotion on her job. She is very happy and excited about moving up in her company, but she has been experiencing anxiety since receiving the news. Her primary appraisal is that she most likely views the situation as which of the following? a. Benign-positive b.Irrelevant c.Challenging d.Threatening

c. challenging

A client was involved in an automobile accident while under the influence of alcohol. She swerved her car into a tree and narrowly missed hitting a child on a bicycle. She is in the hospital with multiple abrasions and contusions. She is talking about the accident with the nurse. Which of the following statements by the nurse is most appropriate? a. "Now that you know what can happen when you drink and drive, I'm sure you won't let it happen again." b. "You know that was a terrible thing you did. That child could have been killed." c. "I'm sure everything is going to be okay now that you understand the possible consequences of such behavior." d. "How are you feeling about what happened?"

d. "How are you feeling about what happened?"

A client who has been diagnosed with schizophrenia and has been on medication for several months states, "I'm not taking that stupid medication anymore." Which of the following responses by the nurse demonstrates a motivational interviewing style of communication? a. "Don't you know that if you don't take your medication you will never recover?" b. "Why won't you cooperate with the treatment your doctor prescribed?" c. "Bill, the medication is not stupid." d. "Tell me more about why you don't want to take the medication."

d. "Tell me more about why you don't want to take the medication."

A client who has been in rehabilitation for alcohol dependence returns from a visit to his home and tells the nurse, "We were having a celebration and I did have one drink, but it really wasn't a problem." The nurse notices that his breath smells of alcohol. Which of the following responses by the nurse demonstrates a motivational interviewing style of communication? a. "You are obviously not motivated to change, so perhaps we should discuss your discharge from the treatment program." b. "You need to abstain from alcohol in order to recover, so let me talk to the doctor about the consequences of your behavior." c. "Why would you destroy everything you've worked so hard to achieve?" d. "What do you mean when you say, 'It really wasn't a problem'?"

d. "What do you mean when you say, 'It really wasn't a problem'?"

A nurse reports to the supervisor that a depressed client is refusing medication to treat his heart condition and states he "would rather just die." The nurse is not sure how to intervene because, although clients have a right to refuse medication, this client may be so depressed that his behavior represents risk for suicide. Which of these actions by the supervisor is a priority? a. Tell the nurse that medication will have to be given forcibly if the client continues to refuse medication. b. Instruct the nurse that, because the client is elderly, he is unable to make this decision and medication will need to be secretly mixed in his food. c. Educate the nurse that the physician has the final say so the nurse should ask the physician what to do. d. Activate appropriate hospital resources, such as an ethics committee, so this issue can be explored further.

d. Activate appropriate hospital resources, such as an ethics committee, so this issue can be explored further.

Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit down in the chair and be still, I'm going to put you in restraints!" With which of the following legal actions might the nurse be charged because of this nursing action? a. Defamation of character b. Battery c. Breach of confidentiality d. Assault

d. Assault

A client who is angry with his psychiatrist says to the nurse, "He doesn't know what he is doing. That medication isn't helping a thing!" The nurse responds, "He has been a doctor for many years and has helped many people." This is an example of what nontherapeutic technique? a. Rejecting b. Disapproving c. Probing d. Defending

d. Defending

The nurse is working with a client in the anger-management program. Which of the following identifies actions associated with the working phase of the therapeutic relationship? a. The nurse and the client work together to identify goals for developing more adaptive ways to handle anger. b. The client expresses a desire to continue in the anger management program after the goals have been met. c. The nurse reviews the client's medical record and assesses his or her personal feeling about working with a client who abused their spouse. d. The nurse assists the client in practicing various techniques to effectively manage anger and provides positive feedback when the client attempts to improve maladaptive behaviors.

d. The nurse assists the client in practicing various techniques to effectively manage anger and provides positive feedback when the client attempts to improve maladaptive behaviors.

Anna states that Lucky was her closest friend, and since his death, there is no one who could ever replace the relationship they had. According to Maslow's hierarchy of needs, which level of need is not being met? a.) Physiological needs b.) Self-esteem needs c.) Safety and security needs d.) Love and belonging needs

d.) Love and belonging needs