NUR 91884

subject Type Homework Help
subject Pages 14
subject Words 6425
subject Authors Carol Ren Kneisl, Eileen Trigoboff

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page-pf1
The nurse planning a brief presentation about the "first American psychiatric nurse" will
research which of the following?
1. Hildegard Peplau
2. Harriet Bailey
3. Linda Richards
4. Gwen Tudor (Will)
Answer:
page-pf2
The nurse is teaching a group of students the various historical explanations of mental
illness. Which statement by the students indicates understanding of the nurse's teaching
regarding the era of magico-religious explanations?
1. "The insane were believed to be divinely inspired and care was generally benevolent
and kindly."
2. "Mental illnesses were caused by imbalances in body humors: blood, bile, and
phlegm."
3. "Mental and physical illness were the result of superhuman forces that inflicted
suffering."
4. "Mental illnesses were influenced by the moon; hence, the term lunacy."
Answer:
The client tells the nurse that their spouse does not believe that medications are needed
page-pf3
to improve depression. What nursing response would be most helpful in improving the
client's medication adherence?
1. Suggest that the spouse's views are not important
2. Ask the client to consider marriage counseling
3. Tell the client to ignore the spouse
4. Include the spouse in medication teaching
Answer:
Clients who experience sexual assault often experience increased rates of mental
disorder. Which risk factor would apply to a client who was sexually assaulted?
1. Physical environment
2. Social environment
3. Social class
4. Ethnicity
page-pf4
Answer:
The psychiatric mental health nursing student is preparing to attend a meeting of the
psychiatric mental health care team to discuss possible updates to clients' diagnoses. In
preparing for this meeting, the nursing student should consult which of the following
references?
1. Standards of Psychiatric Nursing Practice
2. Psychiatric nursing care plan manual
3. Diagnostic and Statistical Manual of Mental Disorders
4. Dictionary of common mental disorders
Answer:
page-pf5
The nurse is admitting a client from the emergency room. Which of the following
would be used to clarify the nurse's understanding of the client's chief complaint?
1. "If you are bleeding, where is the blood?"
2. "I feel your pain when I see you hold your side."
3. "Are you saying you feel that you are bleeding inside?"
4. "Don"t worry; we have the technology to take care of you."
page-pf6
Answer:
The nurse assesses a client during a panic attack and determines the client's level of
anxiety to be acute. What physical changes did the nurse likely observe?
Standard Text: Select all that apply.
1. Sweating
2. Breathing difficulty
3. Trembling
4. Impaired cognition
5. Vomiting
page-pf7
Answer:
Which statement best describes a holistic-interactional approach to nursing care for
clients with mental disorders?
1. "Clients with psychotic symptoms rarely indicate an interest in creative activities."
2. "Medication is the only treatment required to manage affective symptoms for clients
with mood disorders."
3. "Developing comfortable relationships with clinicians is the major factor in
maintaining mental health."
4. "I always try to understand the complex relationship between a client's
psychobiologic health and expressions of self-esteem."
Answer:
page-pf8
A client who is being physically and sexually abused states, "God doesn"t want to
bother with me. Am I an evil person? Why do these things always happen to me?
What's wrong with God?" These statements indicate that the client is most likely
experiencing:
Standard Text: Select all that apply.
1. Spiritual distress
2. Anger
3. Altered thought process
4. Fear
5. Hopelessness
Answer:
page-pf9
The nurse has observed a number of behaviors in the client that indicate that stress
management is needed. The behavior the nurse did not observe was:
1. Increased tendency to feel frustrated.
2. Verbalization of feelings.
3. Loss of objectivity.
4. Unnecessary risk-taking.
Answer:
Involving families with the client's treatment is an important aspect of family nursing. It
page-pfa
is important to involve them as much as appropriate for the formulation and
implementation of:
1. Family identity.
2. Hope, support, and happiness.
3. Behavioral contracts.
4. Positive client behavior.
Answer:
page-pfb
Which of the following statements represents a myth about aging?
1. Advancing age does not condemn one to dependence and isolation.
2. Older adults do not benefit from supportive psychosocial services.
3. Senility and sadness are not inevitable outcomes with advancing age.
4. Aging itself is not a problem.
Answer:
The client states, "I was reared in a chaotic, alcoholic family situation." The nurse
knows that the most useful theory for explaining the client's somatoform disorder would
come from:
1. Humanistic theory.
2. Psychosocial theory.
page-pfc
3. Biologic theory.
4. Genetic theory.
Answer:
The nurse conducts ongoing evaluation of the crisis situation to ensure the client's right
to the least restrictive intervention. This means the assessment factor receiving the
highest priority is:
page-pfd
1. The client's condition in comparison to the adequacy of the environment designed to
prevent injury.
2. The client's mental status.
3. The client"staff ratio.
4. The comfort level of the environment.
Answer:
page-pfe
The nurse is working with a client in the dayroom. Which of the following behavioral
cues by the nurse may indicate a countertransference reaction?
1. Annoyance and hostility toward a client
2. Ordinary concern for the client
3. Feeling comfortable after meeting with the client
4. Thinking about the interaction after meeting with a client
Answer:
page-pff
Knowing that there is a high rate of smoking in the local community, a nurse decides to
lead a community health promotion group and seeks the hospital's backing. The nurse
decides to organize the curriculum around the Lazarus Model of Stress. How does this
model motivate smoking cessation?
1. By helping participants understand the nature of stress as a conflict
2. By helping participants understand stressors in their own lives
3. By encouraging the exploration of the pros and cons of smoking
4. By understanding the negative effects of stress on the body
Answer:
page-pf10
The nurse is in the orientation phase of the nurse"client relationship with the client.
Which of the following questions would the nurse commonly ask in this phase?
1. "Which of your behaviors cause you the most problems in relationships with others?
2. "What would you like to accomplish in the time we spend together?"
3. "What is the most satisfying accomplishment you feel you have made in your
relationships with others?"
4. "How would you describe your relationships with members of your family?"
Answer:
page-pf11
A female client has made the decision to leave her husband, who abuses alcohol. She
states she is very depressed. Which of the following statements best demonstrates the
nurse's empathy?
1. "I know you are feeling very depressed right now. I felt the same way when I left my
husband. From my experience, you are doing the right thing."
2. "I can understand that you are feeling depressed right now. It must have been a very
difficult decision to make. I"ll sit here with you for a while."
3. "I am very sorry you are going through this difficult time. I wish things could be
different."
4. "It is sad thing to break up a marriage. It's a shame that it didn't work out for you."
Answer:
page-pf12
A 22-year-old client with schizophrenia was just admitted to the inpatient unit. While
assessing the client, the nurse notes that the client is staring at a staff member intensely
with a flat affect. The client is mumbling and the client's limbs are in constant motion
(bouncing knee up and down and tapping fingers). Without further data, which
observation is most indicative of the client's potential for violence?
1. Intense stare
2. Mumbling
3. Flat affect
4. Constant motion
Answer:
page-pf13
A client with Crohn's disease is seen in the nursing clinic following a recent flare-up.
The client describes herself as married with no children and a hard-working elementary
school teacher. Which questions asked by the nurse are an important part of this client's
assessment?
Standard Text: Select all that apply.
1. "What sort of coping mechanisms do you usually use?"
2. "Do you consider yourself to be hard-driving, ambitious, and competitive?"
3. "How are things at work for you at present?"
4. "What can you tell me about your relationship with your husband?"
5. "How do you feel about yourself in general?"
Answer:

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