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A group leader states that he respects the competence and responsibility of members of
the group but gets annoyed when one of the group members "takes over" a group
meeting. The group leader is demonstrating the interpersonal need for:
1. Self-respect.
2. Religion.
3. Control.
4. Social reasoning.
Answer:
Which statement by a nurse would indicate a nonjudgmental attitude toward violence
and abuse?
1. "Parents should not allow their children to party in the middle of the night; this is
when most date rapes happen."
2. "I admitted an 18-year-old for a suicide attempt following a date rape."
3. "Most people who have sex when drunk tend to perceive it as rape."
4. "Most adolescents call it rape when they don"t enjoy a sexual experience."
Answer:
A severely depressed client's risk for self-directed violence increases when:
1. A no-suicide contract is made with the client.
2. The client is encouraged to discuss feelings.
3. The client is asked to discuss the suicide plan.
4. The antidepressant medication begins to work.
Answer:
The client with a diagnosis of major depression tells the nurse that multiple generations
of women in her family also suffered from depression. She states "I guess it is a family
tradition to have problems dealing with stress." The nurse tells the client which of the
following?
1. There is evidence to suggest that genotype is not influenced by stress.
2. There is probably a shared stressful environment.
3. Mood disorders do seem to have some basis in heredity among other contributing
factors.
4. There is no evidence to suggest a familial occurrence of mood disorders.
Answer:
The psychiatric"mental health nurse reflecting on professional role activities is referred
to the standards of professional performance by a colleague. To which organization
should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Answer:
When caring for a new client with OCD, it is most important for the nurse to:
1. Not interrupt the ritual.
2. Teach ritual interruption skills.
3. Interrupt the ritual.
4. Teach about anti-anxiety foods.
Answer:
A client describes being very sad during dreary winter seasons. The nurse knows that
this disorder may be treated with:
Standard Text: Select all that apply.
1. Light therapy.
2. Haloperidol (Haldol).
3. Group therapy.
4. Assertiveness training.
5. Bupropion ER (Wellbutrin ER).
Answer:
The psychiatric"mental health nurse is working with the new graduate nurse who is
orienting to the psychiatric unit. Which comment by the new graduate indicates further
clarification of the generalist-nursing role is needed?
1. "I would feel better if you would look at my documentation that addresses progress
toward treatment goals."
2. "I will spend time each day evaluating the effectiveness of the therapeutic milieu."
3. "I am a little nervous about conducting psychotherapy with clients."
4. "I am doing some reading on how to incorporate complementary interventions into
treatment plans."
Answer:
The client with bulimia is experiencing anxiety. What action should the nurse take to
assist the client to avoid binge eating and purging in response to the anxiety?
1. Assume a matter-of-fact attitude and positive expectations of the client.
2. Project a calm reassuring attitude and provide a quiet non-stimulating environment.
3. Contract for safety since the client is likely to engage in self-injurious behavior.
4. Maintain total control of the environment and project an attitude of authority.
Answer:
Because of the risk of postural hypotension, the client on clozapine (Clozaril) should be
taught which of the following?
1. To wear sunscreen if going outdoors
2. To rise slowly from a lying position
3. To check for involuntary movements of the mouth
4. To have weekly blood work
Answer:
In working with a preschool-age child, which intervention would be considered as part
of an effective plan for time-outs?
1. Identify in advance, situations that lead to anger
2. Explanations are not important to the child who is out of control
3. Length of time depends upon how long it takes the child to calm down
4. Incorporate a token economy
Answer:
The client's family states, "We don't understand what is happening to Dad. He seems
better earlier in the day and then in the evening his confusion and agitation really
increase." What is the best explanation for what the client is experiencing?
1. Sundowner syndrome
2. Delirium
3. Anxiety
4. Psychosis
Answer:
While caring for the client with a mental illness, which action by the psychiatric"mental
health nurse best indicates use of Hildegard Peplau's nursing theory?
1. Establishing a therapeutic nurse-client relationship
2. Intervening to enhance the client's abilities to perform self-care
3. Assessing client's interactions with their environment
4. Evaluating the effectiveness of the client's coping and adaptation skills
Answer:
The treatment plan for a client with acute mania has been effective when the nurse
charts that the client has:
1. Pressured speech and wears short shorts and a low-cut blouse.
2. An expansive mood and has organized a unit pool tournament.
3. An irritable mood and sat for one minute to eat lunch.
4. Been intrusive with peer conversations.
Answer:
A family member reports that his mother has started hiding valuables around the house,
then can"t remember where she put them. He asks the nurse to explain what is
happening. Which of the following assessment tools might the nurse utilize to screen
the mother for signs of cognitive dysfunction?
1. Benton Visual Retention Test
2. Thematic Apperception Test
3. Raven's Progressive Matrices Test
4. Sentence Completion Test
Answer:
Which of the following nursing interventions would be useful when caring for elders
with behavioral disturbances who bite, hit, kick, or scream at caregivers during delivery
of care?
Standard Text: Select all that apply.
1. Return at a later time to resume care when clients are calmer.
2. Order clients to stop biting, hitting, and screaming.
3. Continue the activity by restraining their hands and feet.
4. Allow clients to refuse bathing if no body odor is present.
5. Distract clients by encouraging them to sing with you.
Answer:
The nurse is working with a family in the process of a divorce. The parents are
pressuring the children to decide which parent to live with after the divorce. The
children are conflicted because they love both parents equally and want the family to
stay together. This is an example of a:
1. Schismatic family.
2. Skewed family.
3. Hostile family.
4. Disengaged family.
Answer:
