The student nurse is comparing the essential characteristics of each cluster of
personality disorders. The student correctly identifies the essential characteristics of
cluster C disorders as:
1. Anxiety.
2. Pervasive distrust.
3. Impulsivity.
4. Openness.
Answer:
A nurse is discussing the demanding and dependent behavior of an older, depressed
female client with the treatment team. Which of the following comments indicates
ageism?
1. “She is demanding and dependent because she is lonely and not receiving enough
attention from staff members.”
2. “She is feeling depressed and could benefit from counseling or an antidepressant.”
3. “She should be encouraged to attend more activities and do as much as possible by
herself.”
4. “She should be encouraged to spend more time with people her own age instead of
trying to look or act younger.”
Answer:
The nurse is assessing the client for signs and symptoms of brain dysfunction. If the
limbic system function is disrupted, you expect the client to have difficulty with:
1. Emotional responses.
2. Consciousness.
3. Vital life functions.
4. Auditory hallucinations.
Answer:
A client was admitted to the psychiatric unit on a suicide watch. In an effort to include
family members in the client’s care, the nurse must:
Standard Text: Select all that apply.
1. Be prepared to deal with family members who may be confused, angry, or
uninterested. Strive to remain neutral, and do not make assumptions about the family’s
behavior.
2. Involve the family in a bereavement support group.
3. Involve the family in psychoeducational and family network services.
4. Take the bereaved on a family outing.
5. Decide with the client which family members and friends are to be contacted and by
whom.
Answer:
The client says to the nurse, “It’s my right to refuse medications.” Which statement best
reflects the nurse’s ability to create a mutual understanding?
1. “Refusing your medications is your right, but it won”t get you out of here.”
2. “Can you tell me why you”re so angry that you will refuse your medications?”
3. “Can you tell me what concerns you have about medications?”
4. “If you refuse your medications, you will just get sick again.”
Answer:
A client becomes upset when touched by a staff member who is attempting to assess the
client’s blood pressure. The nurse recognizes that there is a problem with:
1. Confidentiality.
2. Staff control.
3. Duty to protect.
4. Informed consent.
Answer:
A home care nurse is teaching an older client about colostomy care. The client’s wife is
taking charge of the irrigations. Both are very anxious. During the procedure, the wife
continually watches the nurse, asking “Is this correct?” and waits for approval before
continuing. Both the client and his wife express how glad they are that the nurse is
coming and that they don”t know what they will do without the help. Knowing that the
goal of care is to promote independence, how will the nurse address these behaviors?
Standard Text: Select all that apply.
1. Remind the couple that there are only a few visits left.
2. Tell the husband he has to do the irrigation.
3. Reinforce the wife’s competency and the strength of coping as a team.
4. Gradually encourage them to do the procedure on their own, while continuing to
provide support.
5. Recognize this passive behavior and take a firm stand against it.
Answer:
Which of the following interventions might facilitate the nurse’s understanding of how
clients with eating disorders view their bodies?
1. Observe the client’s interactions with other clients with eating disorders.
2. Assess the client’s response to limit setting when eating.
3. Discuss the importance of food and exercise in maintaining body image.
4. Ask the clients to draw a picture of themselves as they are now and as they desire to
be.
Answer:
A client who cross-dresses is intent on keeping it a secret and not disclosing it to his
partner. The nurse should:
1. Offer education and support.
2. Determine where cross-dressing will take place.
3. Determine when cross-dressing will take place.
4. Disclose the cross-dressing secret to the partner.
Answer:
The nurse is explaining biophysicalsocial theory to a group of students. Which
biopsychosocial theory would most support tracing anxiety back to birth trauma?
1. Behavioral
2. Humanistic
3. Psychosocial
4. Genetic
Answer:
The nurse knows the Johari Window is a theoretical tool used to represent:
1. The id and the superego in relation to self-awareness.
2. Depression in family members.
3. A multidimensional model of self.
4. Self-disclosure in relation to others.
Answer:
A client on the inpatient psychiatric unit asks the nurse, “Why is the daily schedule so
full of activities and why do we have so many rules to follow?” Which of the following
is the best response by the nurse?
1. “A daily routine helps you keep on track and organize your thoughts. The rules help
people live together respectfully.”
2. “Clients with mental illness get too chaotic and unpredictable when they don”t have a
structured routine to follow.”
3. “Idle hands and minds are the devil’s playground.”
4. “The real world is full of rules and activities for everyone to follow.”
Answer:
Which of the following services are not typically offered by community mental health
centers?
1. Psychoeducation groups
2. Medication management clinics
3. Vocational rehabilitation
4. Legal assistance
Answer:
A nurse is caring for a client slated for a cardiac procedure in the morning. Which
behavior exhibited by the client would indicate the client is experiencing severe
anxiety?
1. The client thinks the hospital is a prison and says the jailers have taken the client’s
clothes.
2. The client is reading today’s newspaper and makes small talk about a current event.
3. The client cannot remember what has been taught about post-operative breathing.
4. The client keeps asking about blood clots despite the nurses repeated answers.
Answer:
A woman has been living in a shelter with her children after escaping her abusive
husband. Her move-out date is getting closer. She states, “I”m afraid to leave here. I”m
afraid for my safety and the safety of my children.” Which response by the nurse most
accurately conveys empathy?
1. “Even though you are scared, it’s the policy that you have to leave. It’s unfortunate,
but there’s nothing I can do.”
2. “We learned your husband has moved out of state. I don”t think you have anything to
worry about now.”
3. “This is a difficult and scary transition. Let’s work on developing a plan to keep you
and your family safe.”
4. “You”ve had a month to come up with a plan for keeping you and your family safe.
Let’s review your options.”
Answer:
The nurse is planning care for an Asian client who is Buddhist. Which of the following
actions is most important for the nurse to take to provide culturally relevant mental
health care?
1. Explain western medical ideas to assist cultural adaptation.
2. Develop a thorough understanding of Buddhist religion.
3. Seek clarification of this client’s health beliefs.
4. Use standard nursing interventions for this client.
Answer: