Exam 3 Practice Questions
An individual with a history of antisocialpersonality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected? 1. "It's not my fault." 2. "I'm too ashamed to talk about it." 3. "I just don't remember doing it." 4. "I'm really sorry about all the people."
1. "It's not my fault."
After an examination and treatment for rape, the nurse prepares to discharge a client from the emergency department (ED). Which discharge teaching should the nurse provide? 1. Information on available community resources 2. The names and phone numbers of local attorneys who defend rape victims 3. When to return to the ED for follow-up care 4. The phone number of the battered women's shelter or safe house
1. Information on available community resources
A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder? 1. Schizoid personality disorder 2. Dependent personality disorder 3. Borderline personality disorder 4. Antisocial personality disorder
1. Schizoid personality disorder
A 12-year-old girl suddenly refuses to change for gym, participate in physical activities, has difficulty walking and sitting, and will not eat her food at lunchtime. What should the school nurse consider when assessing this child's symptoms? 1. Sexual abuse 2. Emotional neglect 3. Physical neglect 4. Emotional abuse
1. Sexual abuse
To assess for biological variations of a patient, which question should the nurse ask? 1. "What do you do to keep well?" 2. "Who purchases the food in your household?" 3. "How do you deal with pain?" 4. "What time do you usually eat your meals?"
2. "Who purchases the food in your household?"
Which would the nurse identify as a maladaptive grieving response? 1. An individual thought she saw her dead husband when she was out shopping. 2/ A client is experiencing marked feelings of worthlessness and low self-esteem. 3. A woman has not cried since the death of her husband. 4. A year after his death, a wife maintains all of her husband's belongings.
2. A client is experiencing marked feelings of worthlessness and low self-esteem.
Which is characteristic of the diagnosis of anorexia nervosa? 1. Obsession with weight gain 2. Body image disturbance 3. Disregard for the feelings of others 4. Healthy family relationships
2. Body image disturbance
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? 1. Odd beliefs and magical thinking 2. Grandiose sense of self-importance 3. Pattern of intense and chaotic relationships 4. Submissive and clinging behaviors
2. Grandiose sense of self-importance
From a biological theory perspective, which of the following predisposes individuals to be abusive? 1. Unmet needs for security resulting in an underdeveloped ego and a weak super ego 2. Imitation of individuals who have a predisposition toward aggressive behavior 3. Various levels of norepinephrine, dopamine, and serotonin 4. The influence of culture and social structure
3.
Which statement would indicate to the nurse that a widow is nearing the end of the grief process? 1. "My husband left me so quickly. I'm furious that he is not here for me!" 2. "My husband was often grumpy, but I know he loved me unconditionally." 3. "I feel so guilty that I was out with my friend when he had his heart attack." 4. "My husband was the best husband in the world."
3. "My husband was often grumpy, but I know he loved me unconditionally."
Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. What term is used to describe this situation? 1. Prolonged grieving 2. Distorted grief response 3. Bereavement overload 4. Delayed grief response
3. Bereavement overload
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? 1. Predictability 2. Controlled anger 3. Little tolerance for being alone 4. Stable and satisfactory relationships
3. Little tolerance for being alone
Which of the following statements indicate that love may be an important component of the healing process? 1. Love increases the production of cortisol 2. Love increases the inflammatory response 3. Love increases the production of dopamine. 4. Love increases the fight-or-flight response
3. Love increases the production of dopamine.
A client's husband died 1 year ago. She has recently started dating a gentleman from her grief support group. This behavior is indicative of which of the grief tasks described by Worden? 1. Task I: Accepting the reality of the loss 2. Task II: Processing the pain of grief 3. Task III: Adjusting to a world without lost entity 4. Task IV: Finding an enduring connection with the lost entity in the midst of embarking on a new life
3. Task III: Adjusting to a world without lost entity
A young mother in a severely abusive relationship is admitted to the psychiatric unit after an attempted suicide. The client tells the nurse, "I'm sure things will be better between us once I go home." Which is the most appropriate nursing response? 1. "Research shows that men who batter get worse than improve." 2. "Aren't you concerned about your children?" 3. "You really should not return home to that violent situation." 4. "Let's develop a safety plan in case he becomes violent in the future."
4. "Let's develop a safety plan in case he becomes violent in the future."
A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe? 1. Social isolation 2. Suspiciousness of others 3. Bizarre speech patterns 4. Generates conflict among the staff
4. Generates conflict among the staff
A client is 5′8″ tall and weighs 105 pounds. The client has been taking laxatives daily and self-induces vomiting after eating. Which is the priority nursing diagnosis for this client? 1. Ineffective denial 2. Disturbed body image 3. Low self-esteem 4. Imbalanced nutrition, less than body requirements
4. Imbalanced nutrition, less than body requirements
A patient with a bipolar disorder diagnosis is having religious delusions. How might the delusions impact the spiritual assessment? 1. Delusional patients cannot participate in assessments. 2. Religious delusions will have no impact on the spiritual assessment. 3. Assessment findings cannot be relied upon. 4. It may be difficult to differentiate from general religious beliefs.
4. It may be difficult to differentiate from general religious beliefs.
Which assessment finding would the nurse expect to find in clients diagnosed with bulimia? 1. They are below normal weight. 2. They binge when they experience hunger. 3. They will be highly motivated to seek help. 4. They are within their normal weight range.
4. They are within their normal weight range.
A school nurse notices bruises and scars on a child's body. The nurse suspects that the child is being physically abused. Which action by the nurse is a priority at this point? a. As a health-care worker, report the suspicion to child protective services. b. Check the child again in a week and see if there are any new bruises. c. Meet with the child's parents and ask them how she got the bruises. d. Initiate paperwork to have the child placed in foster care.
a. As a health-care worker, report the suspicion to child protective services.
During the assessment of a 35-year-old Asian American client, the nurse asks the client her preferences among different group treatment options. The client indicates that she will need to discuss this with her parents because that's how decisions are made in her family. The most likely rationale is that the client: a. Ascribes to collectivist cultural values. b. Ascribes to individualistic cultural values. c. Has a passive dependent personality disorder. d. Comes from an emotionally abusive family.
a. Ascribes to collectivist cultural values.
A client whose husband died from cancer 1 month ago attends a grief support group being conducted by the hospice nurse. During the group this client states, "Sometimes I wish I could go be with my husband. I just want to die." Which action by the nurse is a priority? a. Ask the client if she is having thoughts of harming or killing herself. b. Instruct the client and the other group members that this is a normal part of the grieving process. c. Make arrangements for the client to be evaluated by a psychiatrist. d. Elicit support from other group members by asking them if any of them have had similar feelings.
a. Ask the client if she is having thoughts of harming or killing herself.
A client who lost his wife after 35 years of marriage presents at his primary care physician's office 10 months later. He has lost 20 pounds and tells the nurse, "I just don't want to eat or do anything else for that matter." Which of these actions by the nurse is a priority? a. Assess the client for depression and suicide risk. b. Ask the physician to order gastrointestinal studies. c. Encourage the client to talk about his relationship with his deceased wife. d. Instruct the client that the doctor will be in shortly, but right now the physical assessment must be completed.
a. Assess the client for depression and suicide risk.
Which of the following is most likely to initiate a grief response in an individual? (Select all that apply.) a. Death of a pet dog b. Being told by her doctor that she has begun menopause c. Failing an exam d. Losing a spouse through divorce
a. Death of a pet dog b. Being told by her doctor that she has begun menopause c. Failing an exam d. Losing a spouse through divorce
A client on the psychiatric unit has a diagnosis of antisocial personality disorder. Which of the following characteristics is consistent with this diagnosis? a. Lack of guilt for wrongdoing b. Insight into his own behavior c. Ability to learn from past experiences d. Compliance with authority
a. Lack of guilt for wrongdoing
Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder? a. Overly self-centered and exploitative of others b. Suspicious and mistrustful of others c. Rule conscious and disapproving of change d. Anxious and socially isolated
a. Overly self-centered and exploitative of others
A client presents in the emergency department with complaints of suicidal ideation. The following information is collected by the nurse. Which of these assessment findings suggests that bulimia nervosa might be a health problem? (Select all that apply.) a. Parotid glands appear enlarged. b. Teeth have a "moth-eaten" pattern of tooth decay. c. Client reports that she takes laxatives daily. d. Client's weight is within the expected range.
a. Parotid glands appear enlarged. b. Teeth have a "moth-eaten" pattern of tooth decay. c. Client reports that she takes laxatives daily. d. Client's weight is within the expected range.
A client diagnosed with borderline personality disorder manipulates the staff in an effort to fulfill her own desires. All of the following may be examples of manipulative behaviors in the borderline patient except: a. Refusal to stay in a room alone, stating, "It's so lonely." b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has explained she must wait 1 hour. c. Stating to the nurse, "I really like having you for my nurse. You're the best one around here." d. Cutting arms with razor blade after discussing dismissal plans with physician.
a. Refusal to stay in a room alone, stating, "It's so lonely."
A client who has come to the mental health clinic with symptoms of depression says to the nurse, "My father is dying. I have always hated my father. He physically abused me when I was a child. We haven't spoken for many years. He wants to see me now, but I don't know if I want to see him." Which of these nursing diagnoses is a priority? a. Spiritual distress b. Risk for physical injury c. Altered mental status d. Risk for self-harm
a. Spiritual distress
A battered woman presents to the emergency department with multiple cuts and abrasions. Her right eye is swollen shut. She says that her husband did this to her. What is the priority nursing intervention? a. Tending to the immediate care of her wounds b. Providing her with information about a safe place to stay c. Administering the prn tranquilizer ordered by the physician d. Explaining how she may go about bringing charges against her husband
a. Tending to the immediate care of her wounds
Which of the following is thought to facilitate the grief process? a. The ability to grieve in anticipation of the loss b. The ability to grieve alone without interference from others c. Having recently grieved for another loss d. Taking personal responsibility for the loss
a. The ability to grieve in anticipation of the loss
The Maudsley approach to treatment of adolescents with anorexia nervosa advances which of the following fundamental concepts? a. The patient's family should be actively involved in each phase of treatment. b. Parents should be prohibited from involvement in helping their child eat since there are often control issues. c. Adolescents need to work on developing healthy self-identities before they can begin to gain weight. d. Individual psychotherapy is the most effective treatment for adolescents with anorexia nervosa.
a. The patient's family should be actively involved in each phase of treatment.
The nurse is caring for a client who has been hospitalized with anorexia nervosa and is severely malnourished. The client continues to refuse to eat. What is the most appropriate response by the nurse? a. "You know that if you don't eat, you will die." b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube." c. "You might as well leave if you are not going to follow your therapy regimen." d. "You don't have to eat if you don't want to. It is your choice."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
A client arrives at the emergency department and tells the nurse her husband inflicted the cuts to her face that required sutures. She says, "I didn't want to come. I'm really okay. He only does this when he has too much to drink. I just shouldn't have yelled at him." The best response by the nurse is: a. "How often does he drink too much?" b. "It is not your fault. You did the right thing by coming here." c. "How many times has he done this to you?" d. "He is not a good husband. You have to leave him before he kills you."
b. "It is not your fault. You did the right thing by coming here."
A client has sought help for his concern that he is binge eating and feels like it has "gotten out of control." He asks the nurse what can be done to help him. Which of the following is the most accurate response? a. "Nothing can be done." b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge eating behaviors." c. "The primary problem is obesity. I can help you set up a calorie-restricted diet." d. "Medications can help with weight loss, but there are no medications effective for reducing binge eating."
b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge eating behaviors."
A college-age client is brought to the emergency department by her roommate after she confided that she was raped by her date who invited her to a frat party. The client says to the nurse, "It's all my fault. I shouldn't have gone to a party where I knew there was going to be alcohol." Which of these is the best response by the nurse? a. "Yes, you're right. You put yourself in a very vulnerable position when you allowed him to get you drunk." b. "You are not to blame for his behavior. You obviously made some right decisions, because you survived the attack." c. "There's no sense looking back now. Just look forward, and make sure you don't put yourself in the same situation again." d. "You'll just have to see that he is arrested so he won't do this to anyone else."
b. "You are not to blame for his behavior. You obviously made some right decisions, because you survived the attack."
Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder? a. Belittling themselves and their abilities b. A lifelong pattern of social withdrawal c. Suspicious and mistrustful of others d. Overreacting inappropriately to minor stimuli
b. A lifelong pattern of social withdrawal
An 80-year-old client arrives at the emergency department accompanied by her daughter. The daughter tells the nurse that her mom lost her husband 2 months ago and since then her mom has complained of feeling depressed and anxious. Earlier today, she began complaining of chest pain. Which of these actions by the nurse is a priority? a. Instruct the daughter not to worry; these are common grief responses in the elderly. b. Assess vital signs and obtain an ECG. c. Refer the client to grief support groups in the area. d. Educate the client in relaxation and deep breathing exercises and evaluate whether this helps resolve the chest pain.
b. Assess vital signs and obtain an ECG.
A client is hospitalized on the psychiatric unit with a history and current diagnosis of bulimia nervosa. Which of the following symptoms would be congruent with this client's diagnosis? a. Binging, purging, obesity, hyperkalemia b. Binging, purging, normal weight, hypokalemia c. Binging, laxative abuse, amenorrhea, severe weight loss d. Binging, purging, severe weight loss, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
A nurse on the psychiatric unit documents that the client was attempting to use "splitting" behaviors with staff. This should be interpreted to mean that the client is: a. Trying to keep staff away from other patients. b. Characterizing staff members as either all good or all bad. c. Having brief psychotic episodes. d. Manifesting two or more distinct subpersonalities when communicating with staff.
b. Characterizing staff members as either all good or all bad.
The nurse begins to conduct a psychosocial assessment and recognizes that the client speaks very little English and is having difficulty responding to questions. The priority nursing action is: a. Medicate the client to reduce anxiety. b. Contact an interpreter before conducting the assessment. c. Ask a family member to translate questions. d. Ask the questions in different ways.
b. Contact an interpreter before conducting the assessment.
A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa. She is emaciated and refuses to eat. What is the priority nursing diagnosis for this client? a. Complicated grieving b. Imbalanced nutrition: Less than body requirements. c. Interrupted family processes d. Anxiety (severe)
b. Imbalanced nutrition: Less than body requirements.
A child, age 5, is sent to the school nurse's office with an upset stomach. She has vomited and soiled her blouse. When the nurse removes her blouse, she notices that the child has numerous bruises on her arms and torso in various stages of healing. She also notices some small scars, and her abdomen protrudes on her small, thin frame. From the objective physical assessment, the nurse should screen further for: a. Physical and sexual abuse. b. Physical abuse and neglect. c. Emotional neglect. d. Sexual and emotional abuse.
b. Physical abuse and neglect.
A culturally relevant health history considers all except which one of the following? a. Past and present modalities of self-care and self-treatments b. Presence or absence of health insurance c. Prevalence of disease conditions among family and relatives d. Past and present exposure to illnesses, hazardous conditions, and toxic substances
b. Presence or absence of health insurance
A young man who has just undergone a sexual assault is brought into the emergency department by a friend. What is the priority nursing intervention? a. Help him to bathe and clean himself up. b. Provide physical and emotional support during evidence collection. c. Provide him with a written list of community resources for survivors of rape. d. Discuss the importance of a follow-up visit to evaluate for sexually transmitted diseases.
b. Provide physical and emotional support during evidence collection.
A male client with antisocial personality disorder was found in a female patient's room on her bed. When instructed to leave the room, the client states, "I'm sick of you telling me what I can or can't do. If I want to carry on a relationship with a female patient, it's my right. I'll do exactly as I please!" Which of these actions by the nurse is a priority at this point? a. Reassure the client that he will have plenty of opportunities with women after he is discharged. b. Reinforce the rules of the treatment program that all clients are expected to follow. c. Escort the client to seclusion. d. Establish a trusting relationship by telling the client that you will make an exception just this once.
b. Reinforce the rules of the treatment program that all clients are expected to follow.
The client is an American Indian admitted to the psychiatric hospital with a diagnosis of depression. He reports to the nurse that his problem is "ghost sickness." Which of these should be documented by the nurse? a. The client reports experiencing manic symptoms. b. The client reports preoccupation with death and the deceased. c. The client is hallucinating. d. The client is fabricating a nonexistent illness.
b. The client reports preoccupation with death and the deceased.
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and tells the nurse she is afraid she is going to gain weight. Which is the most appropriate response by the nurse? a. "Don't worry. The dietitian will ensure you don't get too many calories in your diet." b. "Don't worry about your weight. We are going to work on other problems while you are in the hospital." c. "I understand that you are concerned about your weight, and we will talk about the importance of good nutrition, but for now I want you to tell me about your recent invitation to join the National Honor Society. That's quite an accomplishment." d. "You are not fat, and the staff will ensure that you do not gain weight while you are in the hospital, because we know that is important to you."
c. "I understand that you are concerned about your weight, and we will talk about the importance of good nutrition, but for now I want you to tell me about your recent invitation to join the National Honor Society. That's quite an accomplishment."
A client with BPD reports to the nurse that she is having abdominal pain and is requesting pain medication. Which action by the nurse is a priority? a. Explore alternative pain management strategies. b. Confront the client about her manipulation to try to get drugs. c. Assess her pain in more detail. d. Set limits on her attempts to cling to the nurse.
c. Assess her pain in more detail.
A client, who is dying of cancer, says to the nurse, "I just want to see my new grandbaby. If only God will let me live until she is born, then I'll be ready to go." This is an example of which of Kübler-Ross's stages of grief? a. Denial b. Anger c. Bargaining d. Acceptance
c. Bargaining
Which of the following physical manifestations would you expect to assess in a client suffering from anorexia nervosa? a. Tachycardia, hypertension, hyperthermia b. Bradycardia, hypertension, hyperthermia c. Bradycardia, hypotension, hypothermia d. Tachycardia, hypotension, hypothermia
c. Bradycardia, hypotension, hypothermia
Cultural assessment in the mental health setting should identify individual preferences with regard to which of these variable cultural dimensions? a. Interpreters b. Race c. Distance d. Political party
c. Distance
A 10-year-old child returns to school after the death of his mother. The school nurse becomes aware that this child is frequently talking in the classroom about fears that he will die, too. The classroom teacher is asking for recommendations about how to handle this situation. Which of these actions by the nurse is most appropriate? a. Instruct the teacher to refer the child for psychological evaluation because this is a warning sign of depression and possible suicide. b. Encourage the teacher to redirect the child to activities that are focused on school performance. c. Educate the teacher that this a common reaction in children of this age and it is best for the teacher to offer reassurance that he is safe. d. Instruct the teacher to prohibit discussion of this topic in class because children in this age-group cannot understand the finality of death.
c. Educate the teacher that this a common reaction in children of this age and it is best for the teacher to offer reassurance that he is safe.
Which medication has been used with some success in clients with anorexia nervosa? a. Lorcaserin (Belviq) b. Diazepam (Valium) c. Fluoxetine (Prozac) d. Carbamazepine (Tegretol)
c. Fluoxetine (Prozac)
CLAS standards apply to all of the following except: a. Health-care organizations. b. Individual clinicians and health-care practitioners. c. Manufacturers of pharmaceutical products. d. Hospitals.
c. Manufacturers of pharmaceutical products.
A client with multiple cuts and abrasions arrives at the emergency department with her three small children. She tells the nurse her husband inflicted the wounds. In the interview, she tells the nurse, "He's been getting more and more violent lately. He's been under a lot of stress at work the last few weeks, so he drinks a lot when he gets home. He always gets mean when he drinks. I was getting scared. So I just finally told him I was going to take the kids and leave. He got furious when I said that and began beating me with his fists." With knowledge about the cycle of battering, what does this situation represent? a. Phase I. Attempting to stay out of his way and keep everything calm. b. Phase I. A minor battering incident for which she assumes all the blame. c. Phase II. The acute battering incident that was provoked by her threat to leave. d. Phase III. The honeymoon phase where the husband believes that he has "taught her a lesson and she won't act up again."
c. Phase II. The acute battering incident that was provoked by her threat to leave.
An adolescent who recently lost his brother in a fatal accident is referred to the school nurse following a physical fight with a peer. After attending to the client's bleeding lip, the parents ask the nurse for recommendations because their son has had several physical confrontations after the death of his brother. Which of these actions by the nurse is most beneficial? a. Encourage the parents to set more limits because adolescents need more structure as they work through their grief. b. Encourage the parents to schedule an appointment with a psychiatrist because his behavior is a sign of a developing conduct disorder. c. Provide information about available support groups for adolescents who have also experienced the loss of a loved one. d. Instruct the parents that making their son accept legal consequences for his behavior will likely resolve the problem behavior.
c. Provide information about available support groups for adolescents who have also experienced the loss of a loved one.
A recent widow states, "I'm going to have to learn to pay all the bills. Hank always did that. I don't know if I can handle all of that." This is an example of which of the tasks described by Worden? a. Task I: Accepting the reality of the loss b. Task II: Processing the pain of grief c. Task III: Adjusting to a world without the lost entity d. Task IV: Finding an enduring connection with the lost entity in the midst of embarking on a new life
c. Task III: Adjusting to a world without the lost entity
Some obese individuals take amphetamines to suppress appetite and help them lose weight. Which of the following is an adverse effect associated with the use of amphetamines that makes this practice undesirable? a. Bradycardia b. Amenorrhea c. Tolerance d. Convulsions
c. Tolerance
A woman who has a long history of being battered by her husband is staying at the woman's shelter. She has received emotional support from staff and peers and has been made aware of the alternatives open to her. Nevertheless, she decides to return to her home and marriage. The best response by the nurse to the woman's decision is: a. "I just can't believe you have decided to go back to that horrible man." b. "I'm just afraid he will kill you or the children when you go back." c. "What makes you think things have changed with him?" d. "I hope you have made the right decision. Call this number if you need help."
d. "I hope you have made the right decision. Call this number if you need help."
A patient diagnosed with antisocial personality disorder approaches the nurse and says, "You're so cute, are you married?" Which of these is the most appropriate response by the nurse? a. "I'm married, but that's none of your business." b. "Let's talk about your love life instead." c. "Thank you so much for the compliment but I'm married." d. "Our relationship is strictly professional. It is not appropriate for us to have that kind of discussion."
d. "Our relationship is strictly professional. It is not appropriate for us to have that kind of discussion."
As a child, a client was physically abused by his father. The father is now dying and has expressed a desire to see his son before he dies. The patient is depressed and says to the mental health nurse, "I'm so angry! Why did God have to give me a father like this? I feel cheated of a father! I've always been a good person. I deserved better. I hate God!" Which of these nursing interventions is a priority? a. Ask the client why he thinks God gave him such an abusive father. b. Instruct the client to set aside his feelings temporarily to meet the needs of his dying father. c. Ask the client to describe in detail how he was physically abused. d. Ask the client if he would be willing to talk with a chaplain.
d. Ask the client if he would be willing to talk with a chaplain.
According to researchers, which of the following is a common theme in the health history of the client with BPD? a. Autism b. Attention deficit-hyperactivity disorder c. Positive and fulfilling interpersonal relationships d. Early childhood trauma
d. Early childhood trauma
In evaluating pharmacotherapy interventions, the nurse recognizes that: a. All patients respond to drug therapy in the same manner. b. Dosing and age-specific considerations are minor factors in evaluation. c. Patients from other cultures do not recognize the value of medication as a treatment modality. d. Environmental, cultural, and genetic factors can affect pharmacokinetics.
d. Environmental, cultural, and genetic factors can affect pharmacokinetics.
The nurse is providing education to a support group for survivors of rape. Which of the following items is evidence-based information to include in this teaching? a. Rapists typically drink alcohol and are not in control of their actions. b. Rape is usually an event that occurs between two people who are sexually frustrated. c. Men who are born into poverty are predisposed to becoming rapists after puberty. d. Rape is an expression of power and dominance by means of sexual aggression and violence.
d. Rape is an expression of power and dominance by means of sexual aggression and violence.
A client with a diagnosis of borderline personality disorder exhibits alternating clinging and distancing behaviors with the nurse who has been assigned to her care. The most appropriate nursing intervention with this type of behavior would be to: a. Encourage the client to establish trust in one staff person, with whom all therapeutic interaction should take place. b. Secure a verbal contract from the client that she will discontinue these behaviors. c. Withdraw attention if these behaviors continue. d. Rotate staff members who work with the client so that she will learn to relate to more than one person.
d. Rotate staff members who work with the client so that she will learn to relate to more than one person.
When conducting a physical assessment, the nurse recognizes that biocultural variation is present in: a. Education level. b. Oxygen saturation. c. Socioeconomic status. d. Skin color.
d. Skin color.
A school nurse notices bruises and scars on a child's body, but the child refuses to say how she received them. Which of the following is an evidence-based approach for further assessment by the nurse? a. Have her evaluated by the school psychologist. b. Tell her she may select a "treat" from the treat box (e.g., sucker, balloon, junk jewelry) if she answers the nurse's questions. c. Explain to her that if she answers the questions, she may stay in the nurse's office and not have to go back to class. d. Use a "family" of dolls to role-play the child's family with her.
d. Use a "family" of dolls to role-play the child's family with her.
Engel identifies which of the following as successful resolution of the grief process? a. When the bereaved person can talk about the loss without crying b. When the bereaved person no longer talks about the lost entity c. When the bereaved person puts all remembrances of the loss out of sight d. When the bereaved person can discuss both positive and negative aspects about the lost entity
d. When the bereaved person can discuss both positive and negative aspects about the lost entity
