test 1 practice Nclex questions

one of the four aims of nursing practice is to restore health. which examples of nursing interventions reflect this goal. select all that apply. a. nurse counsels adolescents in a drug rehab program b.a nurse performs ROM exercises for patient on bed rest c.nurse shows diabetic patient how to inject insulin d.a nurse recommends a yoga class e. nurse provides hospice care for patient at end of life f. a nurse teaches nutrition class at HS

ABC

A nurse is teaching first aid to counselors of a summer camp for children with asthma this is an example of what aim of health teaching? A) promoting health B) preventing illness C) restoring health D)Facilitating coping

B) preventing bc its first aid and that's the goal for prevention

Nursing is recognized increasingly as a profession based on which defining criteria? Select all that apply. a. Well defined body of general knowledge b. Interventions dependent upon the medical practice c. Recognized authority by a professional group d. Regulation by the medical industry e. Code of ethics f. Ongoing research

CEF

a sophomore in HS has missed school because of leukemia. He said he feels like he is falling behind in everything and misses hanging out at the mall with his friends most of all a. personal identity disturbance b. body image disturbance c.self esteem disturbance d. altered role performance

D

A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions? A. "You seem to be motivated to change your behavior." B. "How will these changes affect your family relationships?" C. "Why don't you make a list of the behaviors you need to change." D. "The team recommends that you make only one behavioral change at a time."

a

A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations? A. "You appear to be talking to someone I do not see." B. "Please describe what you are seeing." C. "Why do you continually look in the corner of this room?" D. "If you hum a tune, the voices may not be so distracting."

a

A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially? A. Contact the patient's health care provider (HCP). B. Call the patient's family to arrange for transportations. C. Attempt to persuade the patient to stay for only a few more days. D. Tell the patient that leaving would likely result in an involuntary commitment.

a

A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which communication technique should the nurse use to encourage the patient to eat? A. Using open-ended questions and silence B. Sharing personal preference regarding food choices C. Documenting reasons why the patient does not want to eat D. Offering opinions about the necessity of adequate nutrition

a

After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, "I'm so proud of you for being assertive. You are so good!" Which communication technique has the leader employed? A. The nontherapeutic technique of giving approval B. The nontherapeutic technique of interpreting C. The therapeutic technique of presenting reality D. The therapeutic technique of making observations

a

When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient? A. Monitor closely for harm to self or others. B. Assist in completing an application for admission C. Supply the patient with written information about their mental illness. D. Provide an opportunity for the family to discuss why they felt the admission was needed.

a

Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process? A. "We've discussed past coping skills. Let's see if these coping skills can be effective now." B. "Please tell me in your own words what brought you to the hospital." C. "This new approach worked for you. Keep it up." D. "I notice that you seem to be responding to voices that I do not hear."

a

Which nursing response is an example of the nontherapeutic communication block of requesting an explanation? A. "Can you tell me why you said that?" B. "Keep your chin up. I'll explain the procedure to you." C. "There is always an explanation for both good and bad behaviors." D. "Are you not understanding the explanation I provided?"

a

Which therapeutic communication technique is being used in this nurse-client interaction? Client: "My father spanked me often." Nurse: "Your father was a harsh disciplinarian." A. Restatement B. Offering general leads C. Focusing D. Accepting

a

a nurse caring for a patient is hospitalized following a mastectomy. which action should be the focus of termination phase. a. determining progress made in achieving established goals b.clarifying when patient should take meds c.report progress made in teaching to staff d.include all family in teaching session

a

a public health nurse is leaving the home of a young mother who has a special needs baby. the neighbor states "how is she doing, since the baby father is no help?" what is the nurses best response to the neighbor? a. new mothers need support b. lack of father is diffcult c. how are you today d. it is a very sad situation

a

nurse practice acts are established in each state of the US to regulate nursing practice. what is the common element of every state practice? a. defining the legal scope of nursing practice b.providing continuous education programs c.determined content on nClex for exam d.create institutional policies for health care practices

a

during a nursing staff meeting the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure vital signs are reported and charted within 15 minutes of following assessment. this is an example of which characteristics of effective communication. select all the apply. a. group decision making b.group leadership c.group power d. group identity c.group patterns of interaction d.group cohesiveness

a d e f

A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening? A. "What occurred prior to the rape, and when did you go to the emergency department?" B. "What would you like to talk about?" C. "I notice you seem uncomfortable discussing this." D. "How can we help you feel safe during your stay here?"

b

A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating? A. Making observations and the defense mechanism of suppression B. Verbalizing the implied and the defense mechanism of denial C. Reflection and the defense mechanism of projection D. Encouraging descriptions of perceptions and the defense mechanism of displacement

b

A nurse is caring for a pt in the ICU who is being monitored for possible aneurysm following a loss of consciousness in ER. The nurse anticipates preparing patient for ordered diagnostic tests. The knowledge of the diagnostic procedure for this condition reflected which aspect of nursing? a. the art b. the science c. the caring d. the holistic approach

b

After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response? A. "Do you believe that I was the cause of your blood test being canceled?" B. "I see that you are upset, but I feel uncomfortable when you swear at me." C. "Have you ever thought about ways to express anger appropriately?" D. "I'll give you some space. Let me know if you need anything."

b

The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase? A. Planning short-term goals B. Making appropriate referrals C. Developing realistic solutions D. Identifying expected outcomes

b

Which nursing statement is a good example of the therapeutic communication technique of offering self? A. "I think it would be great if you talked about that problem during our next group session." B. "Would you like me to accompany you to your electroconvulsive therapy treatment?" C. "I notice that you are offering help to other peers in the milieu." D. "After discharge, would you like to meet me for lunch to review your outpatient progress?"

b

Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations? A. "My sister has the same diagnosis as you and she also hear voices." B. "I understand that the voices seem real to you, but I do not hear any voices." C. "Why not turn up the radio so that the voices are muted." D. "I wouldn't worry about these voices. The medication will make them disappear."

b

a nursing student is preparing to give care to a patient. what is the most important question that the nursing student should ask the patient about personal hygiene? a. would you prefer a bath or shower? b. may I help you with ur bath now or later this morning? c I will be giving you a bath, do you prefer soap or shower gel? d.i prefer a shower in the evening, when would you like your bath?

b

mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response? A. "The smoke was too thick. You couldn't have gone back in." B. "You're feeling guilty because you weren't able to save your children." C. "Focus on the fact that you could have lost all four of your children." D. "It's best if you try not to think about what happened. Try to move on."

b

student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response? A. "It's scary to feel put on the spot by a client. Nurses don't always have the answer." B. "Remember, clients, not nurses, are responsible for their own choices and decisions." C. "Just keep the client's best interests in mind and do the best that you can." D. "Set a goal to continue to work on this aspect of your practice."

b

A client diagnosed with dependent personality disorder states, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate? A. "It would be best to do that in order to increase independence." B. "Why would you want to leave a secure home?" C. "Let's discuss and explore all of your options." D. "I'm afraid you would feel very guilty leaving your parents."

c

A client on an in-patient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response? A. "How would your family feel if you died?" B. "You feel worthless now, but that can change with time." C. "You've been feeling sad and alone for some time now?" D. "It is great that you have come in for help."

c

A client's younger daughter is ignoring curfew. The client states, "I'm afraid she will get pregnant." The nurse responds, "Hang in there. Don't you think she has a lot to learn about life?" This is an example of which communication block? A. Requesting an explanation B. Belittling the client C. Making stereotyped comments D. Probing

c

A patient diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic? A. "Have you shared your feelings with your family?" B. "I think we should talk more about your anger with your family." C. "You're feeling angry that your family continues to hope for you to be cured?" D. "You are probably very depressed, which is understandable with such a diagnosis."

c

An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback? A. "Why did you use the client's name on your clinical worksheet?" B. "You were very careless to refer to your client by name on your clinical worksheet." C. "Surely you didn't do this deliberately, but you breached confidentiality by using the client's name." D. "It is disappointing that after being told, you're still using client names on your worksheet."

c

Nurse Patrick is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead? A. "Do you know why you are here?" B. "Are you feeling depressed or anxious?" C. "Yes, I see. Go on." D. "Can you chronologically order the events that led to your admission?"

c

The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique? A. To reframe the client's thoughts about mental health treatment B. To put the client at ease C. To explore a subject, idea, experience, or relationship D. To communicate that the nurse is listening to the conversation

c

When interviewing a client, which nonverbal behavior should a nurse employ? A. Maintaining indirect eye contact with the client B. Providing space by leaning back away from the client C. Sitting squarely, facing the client D. Maintaining open posture with arms and legs crossed

c

When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient? A. "I see." B. "Really?" C. "You're having difficulty sleeping?" D. "Sometimes, I have trouble sleeping too."

c

Which nursing statement is a good example of the therapeutic communication technique of giving recognition? A. "You did not attend group today. Can we talk about that?" B. "I'll sit with you until it is time for your family session." C. "I notice you are wearing a new dress and you have washed your hair." D. "I'm happy that you are now taking your medications. They will really help."

c

Which statement demonstrates the best understanding of the nurse's role regarding ensuring that each client's rights are respected? A. "Autonomy is the fundamental right of each and every client." B. "A patient's rights are guaranteed by both state and federal laws." C. "Being respectful and concerned will ensure that I'm attentive to my patient's rights." D. "Regardless of the patient's conditions, all nurses have the duty to respect patient rights."

c

Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol." Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?" A. Reflecting B. Making observations C. Formulating a plan of action D. Giving recognition

c

a nursing student is nervous and concerned about working in a facility. which action would best decrease anxiety and ensure success in the students provision of patient care? a.determine established goals in instituion b.ensuring that verbal and nonverbal communication is congruent c.engaging in self talk to plan the day and decrease fear d.speaking with colleagues on how you feel

c

which phrase describes a purpose of the ANA's nursing social policy statement? select all that apply. a. describe nurse as a dependent caregiver b. provide standards of nursing educational programs c.define cope of nursing practice d. establish a knowledge base for nursing practice e. to describe nursing social responsibility f. regulate nursing research

c. define cope of nursing practice d. establish a knowledge base for nursing practice e. to describe nursing social responsibility

Joe struggles with deficient self knowledge. a nurse asks Joe traits or qualities that he would like to be of himself. He lists 25 and then when the nurse asks if he knows anyone with those traits he says his father. this discrepancy btwn patients description of himself as he is and as he would to be indicates: a. negative self concept c.joes modesty d. body image disturbance d. low self esteem

d because it is a discrepancy btwn ideal and real selves. its not self concept bc not enough data given.

A patient's unresolved feelings related to loss would be most likely observed during which phase of the therapeutic nurse-patient relationship? A. Trusting B. Working C. Orientation D. Termination

D. Termination In the termination phase, the relationship comes to a close. Ending treatment sometimes may be traumatic for patients who have come to value the relationship and the help. Because loss is an issue, any unresolved feelings related to loss may resurface during this phase.

A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening? A. S B. O C. L D. E E. R

o Option A: Sitting squarely facing the client (S).Option C: Leaning forward toward the client (L)Option D: Establishing eye contact (E).Option E: Relaxing (R).

a patient has been in the US 3 months and suffered the loss of her husband and job. She states that nothing feels familiar... "I don't know who I am supposed to be here" and she misses home terribly. a. personal identity disturbance b. body image disturbance c.self esteem disturbance d. altered role performance

personal identity distrubance

The nurse in the mental health unit recognizes which of the following as therapeutic communication techniques? Select all that apply. A. Restating B. Listening C. Asking the patient "Why?" D. Maintaining neutral responses E. Providing acknowledgment and feedback F. Giving advice and approval or disapproval

A,b,d,e

nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? A. The therapeutic technique of "giving advice" B. The therapeutic technique of "defending" C. The nontherapeutic technique of "presenting reality" D. The nontherapeutic technique of "giving false reassurance"

d

a nurse is counseling parents attending a parent workshop on how to build self esteem in their children. which teaching points who the nurse include to help parents achieve this goal? select all that apply a. teach parents to reinforce Childs positive qualities b. teach parents to overlook occasional negative behavior c. teach parents to ignore neutral behavior that is matter of personal preference d. teach parents to listen and fix things e. describe children's behavior and judge it f. teach parents to let child practice skills and make it safe to fail

A,c,f

a newly hired nurse in a busy suburban hospital are required to read the state nurse practice acts as part of their training. which topics are covered by this act. Select all that apply a. violations that may result in disciplinary actions b. clinical procedures c. medication administration d. scope of practice e. delegation procedures f. medicare reimbursement

A,D

Which of the following individuals are communicating a message? Select all that apply. A. A mother spanking her son for playing with matches B. A teenage boy isolating himself and playing loud music C. A biker sporting an eagle tattoo on his biceps D. A teenage girl writing, "No one understands me." E. A father checking for new e-mail on a regular basis

A,b,c,d

client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst? A. "Why do you continue to alienate your peers by your angry outbursts?" B. "You accomplish nothing when you lose your temper like that." C. "Showing your anger in that manner is very childish and insensitive." D. "During group, you raised your voice, yelled at a peer, left, and slammed the door."

d

a nurse is performing a psychological assessment of a 19 yr old male who has Down syndrome. patient is mildly developmentally disabled with intelligence quotient of 82. he told his nurse "im a good helper. You see I carry trays bc im so strong. But im not very smart, so I have learned to just help with the things I know how to do." the patient most likely has which of the following? a. negative self concept, low self esteem b. negative self concept, high self esteem c. positive self concept, fairly high self esteem d. positive self concept, low self esteem

C. he is a good helper, and he mentions he is strong. Saying he's not smart is not low self esteem because his quotient proves as much.

A client states, "You won't believe what my husband said to me during visiting hours. He has no right treating me that way." Which nursing response would best assess the situation that occurred? A. "Does your husband treat you like this very often?" B. "What do you think is your role in this relationship?" C. "Why do you think he behaved like that?" D. "Describe what happened during your time with your husband."

d

A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic? A. "It's quite common for clients to feel that way after a lengthy hospitalization." B. "Why don't you talk to your mother? You may find out she doesn't feel that way." C. "Your mother seems like an understanding person. I'll help you approach her." D. "You feel that your mother does not want you to come back home?"

d

A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement bestaddresses this situation? A. "Everyone diagnosed with OCD needs to control their ritualistic behaviors." B. "It is important for you to discontinue these ritualistic behaviors." C. "Why are you asking for help if you won't participate in unit therapy?" D. "Let's figure out a way for you to attend unit activities and still wash your hands."

d

A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died! I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? A. "You have everything to live for." B. "Why do you see yourself as a failure?" C. "Feeling like this is all part of being depressed." D. "You've been feeling like a failure for a while?"

d

During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse's best response? a. "you need to speak to other patients quietly so you don't disturb the other patients" b. "let me help you with your transfer technique" c. "when you are finished, be sure to apologize for your rough demeanor" d. "when your patient is safe and comfortable meet me at the desk"

d

On review of the patient's record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient's behavior? A. Fearfulness regarding treatment measures. B. Anger and aggressiveness directed toward others. C. An understanding of the pathology and symptoms of the diagnosis. D. A willingness to participate in the planning of the care and treatment plan.

d

The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead? A. "Do you know why you are here?" B. "Are you feeling depressed or anxious?" C. "Can you chronologically order the events that led to your admission?" D. "Yes, I see. Go on."

d

What is the purpose of a nurse providing appropriate feedback? A. To give the client good advice B. To advise the client on appropriate behaviors C. To evaluate the client's behavior D. To give the client critical information

d

Which nursing statement is a good example of the therapeutic communication technique of focusing? A. "Describe one of the best things that happened to you this week." B. "I'm having a difficult time understanding what you mean." C. "Your counseling session is in 30 minutes. I'll stay with you until then." D. "You mentioned your relationship with your father. Let's discuss that further."

d

Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I get angry, I get into a fistfight with my wife, or I take it out of the kids." Nurse: "I notice that you are smiling as you talk about this physical violence." A. Encouraging comparison B. Exploring C. Formulating a plan of action D. Making observations

d

a 3 yr old is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview the nurse should implement which communication technique to elicit the most information from the parents. a. use of reflective questions b.used of closed questions c.use of assertive questions d. use of clarifying questions

d

a nurse enter the room of a patient with cancer. the patient is crying and states "I feel so alone" which response by the nurse is the most therapeutic action? a. the nurse stands at patients bed side and states "I understand how you feel my mom said the same thing when she was ill" b.the nurse places a hand on patients arm and says "you feel so alone" c. the nurse asks "why do you feel alone your wife has been here everyday " d. the nurse hold patients hand and asks. "what makes you feel so alone?"

d