A parent brings an adolescent child to the doctor’s office. The nurse will be assessing
both physical and psychosocial concerns. Which of the following actions by the nurse
demonstrates a developmental approach to interviewing the adolescent?
1. Interview the adolescent in private.
2. Refer the psychosocial assessment to the mental health counselor at school.
3. Ask the parent to wait for the doctor in the next room.
4. Include the parent in the interview.
Answer:
When a client with memory loss is in need of orienting cues, the most appropriate
response for maintaining dignity and self-esteem would be:
1. “What an unusually warm and sunny day for the 12th of November.”
2. “I”m sure you remember to look at your calendar every day. What is today’s date?”
3. “What is today’s date? I have such a hard time keeping track.”
4. “You remember that yesterday was Veteran’s Day, don”t you? Of course that would
make today November 12th.”
Answer:
The mother of a young child diagnosed with conduct disorder asks the nurse to
recommend a qualified nurse to provide family therapy. The nurse knows that:
1. Nurse family therapists should be clinical specialists or advanced practitioners in
mental health nursing.
2. Nurses with a bachelor’s degree are qualified to provide family therapy if they are
nationally certified in mental health nursing.
3. Nurses are not reimbursed by third party insurers to provide family therapy.
4. Nurses specializing in family therapy are expensive and it is difficult to get a timely
appointment.
Answer:
The most appropriate intervention for the nurse to use when integrating cognitive
behavioral approaches into therapy for clients with bulimia nervosa is:
1. Individual interventions.
2. Behavior modification.
3. Family groups.
4. Client education.
Answer:
A team meeting is scheduled to teach nurses about communicating with clients who are
using defense mechanisms. The instructor understands that more teaching is needed
when a nurse says which of the following?
1. “Defense mechanisms are not helpful and must be challenged.”
2. “People use defense mechanisms every day, though they are not aware of it.”
3. “Defense mechanisms are used when you feel threatened or anxious.”
4. “Primitive and early-formed defenses would be stronger and more difficult to
change.”
Answer:
The nurse plans to increase self-esteem and reduce social isolation for residents living
at the long-term care facility. Which one of the following strategies should the nurse
include to meet these goals?
1. Reality orientation
2. Reminiscence therapy
3. Respite services
4. Restorative care
Answer:
A suicidal client tells his psychiatric nurse practitioner, “My death will benefit my
family; I”m 83-years-old and have outlived my usefulness.” The nurse practitioner
knows this is an example of:
1. Suicide theory.
2. Sociocultural theory.
3. Interpersonal theory.
4. Biologic theory.
Answer:
How can the nurse differentiate the client with obsessive-compulsive personality
disorder from a client with perfectionist personality traits?
1. Clients with obsessive-compulsive personality disorder will exhibit order in all areas
of their lives.
2. Clients with obsessive-compulsive personality disorder will exhibit fear, anxiety, and
an excessive need for order.
3. Clients with obsessive-compulsive personality disorder will exhibit the need for
perfection in everyone but themselves.
4. Clients with obsessive-compulsive personality disorder will exhibit order in their
work lives but are able to relax when away from work.
Answer:
Which of the following treatment programs would be most appropriate for homeless
clients whose judgment is severely impaired by paranoid delusions and command
hallucinations due to medication and treatment nonadherence?
1. Inpatient hospital-based care
2. Mobile outreach units
3. Assertive community treatment
4. Partial hospitalization programs
Answer:
A client admitted to the inpatient unit has a diagnosis of schizophrenia, residual type.
The nursing diagnosis which has the highest priority for this client is:
1. Disturbed Thought Process
2. Impaired Social Interaction
3. Risk for Violence: Self-Directed or Other-Directed
4. Impaired Verbal Communication
Answer:
The nurse suspects a 75-year-old male client is contemplating suicide. Which of the
following factors place him at greater risk for suicide?
Standard Text: Select all that apply.
1. Being non-Hispanic Black
2. Frequent alcohol consumption
3. Being married
4. High socio-economic status
5. Having chronic pain caused by cancer
Answer:
A nurse is talking with the wife of a client who has terminal cancer. The wife is
explaining what an ordeal it has been over the last six months. She states her diabetes is
out of control and she feels tired and exhausted all the time. What risks does chronic
stress present for the wife?
Standard Text: Select all that apply.
1. Risk for mental illness
2. Risk for fracture
3. Risk for stroke or heart attack
4. Risk for infection
5. Risk for an auto accident
Answer:
Which change in mental status is consistently seen in delirious individuals that
differentiates it from dementia?
1. Apraxia
2. Disorientation to self
3. Clouding of consciousness
4. Impaired short-term memory
Answer:
A client who is a construction supervisor has a history of becoming violent when the
client’s workers do not complete their work within the established deadline. Police have
been called to the worksite multiple times for behaviors including loud shouting and
destruction of property. The most appropriate expected outcome related to resolving this
problem would be for the client to:
1. Identify personal needs.
2. Refrain from impulsive behavior.
3. Refrain from self-injury and from injuring others.
4. Identify alternative methods for expressing anger.
Answer:
The nurse is planning a psychoeducation group for substance abusers and is conducting
selection interviews. Which of the following individuals with substance abuse issues
would not be an appropriate member?
1. A client who has attended AA meetings in the past
2. A client who has been court ordered to attend group therapy
3. A client who has recently been promoted to district manager
4. A client who is also being treated for a psychiatric illness
Answer:
The student nurse asks if advance practice training is needed to lead psychoeducation
groups and assist families. The instructor tells the nurse that all nurses can lead the
groups as long as they:
1. Support a loss of autonomy.
2. Promote rigidity and chaos.
3. Understand family and group dynamics.
4. Isolate family members from one another.
Answer:
A nurse has been offered a transfer to an adolescent substance abuse treatment center.
Which of the following will assist the nurse in deciding whether to accept or decline the
assignment?
1. Assess his/her self-awareness related to working with substance abusers
2. Make a list of the benefits of accepting the position
3. Review his/her experience to determine if this will be a worthwhile endeavor
4. Examine the repercussions for declining the transfer
Answer: