The client is experiencing an episode of anxiety. The nurse will expect to observe which
common coping behaviors?
Standard Text: Select all that apply.
1. Problem solving
2. Indulgence
3. Somatization
4. Acting out
5. Withdrawal
Answer:
A client’s progress notes read, “states he does not want to sit or talk with others; they
“frighten” him; stays in room alone unless strongly encouraged to come out; no group
involvement; at times listens to group from a distance but does not engage in
conversation; some hypervigilance and scanning noted.” The nurse decides that the
client’s behavior is defensive and plans care accordingly. Which strategy should the
nurse employ?
1. Help the client gradually accept realistic goals.
2. Help the client identify his fears regarding participating in the group.
3. Help the client develop motivation and a plan for group involvement.
4. Help the client see that there is a possibility for change.
Answer:
A child or adolescent who experiences a parent’s or friend’s suicide are at greater risk
for suicide and should be:
1. Screened for possible drug overdose.
2. Evaluated for depression.
3. Observed for suicidal attempts.
4. Immediately hospitalized.
Answer:
During a staff meeting, a nurse makes the following remark about the clients on the
unit, “These clients are just trying to avoid the problems of life. They just need to go out
and work.” Which of the following responses best demonstrates the charge nurse’s
respectful attitude toward this nurse?
1. “I agree that most clients are just avoiding life, but our mission is to provide care.”
2. “It is not our responsibility to determine whether clients have problems or not.”
3. “You seem to be having trouble accepting the fact that clients can lose emotional
control of their lives. Why don”t we talk about this as a group?”
4. “When you say that our clients are just avoiding life problems, it sounds like you are
frustrated by the needs our clients express. Am I hearing you correctly?”
Answer:
During a medications management class, the nurse discusses the use of antipsychotic
medications to treat psychosis. Which of the following statements indicate how these
medications affect neurotransmitter activity?
1. Antipsychotics increase dopamine receptors.
2. Antipsychotics decrease the sensitivity of the receptor sites on the post-synaptic
neuron.
3. Antipsychotics increase the amount of dopamine in the post-synaptic neuron.
4. Antipsychotics block dopamine receptors.
Answer:
An aspiring actor was brought in by police for psychiatric evaluation. After learning
that the client did not get a callback for the role the client wanted, the client got drunk
and physically attacked the director. The client has no previous history of violent
behavior. Which theory best explains this client’s behavior?
1. Humanistic
2. Psychoanalytic
3. Social-interpersonal
4. Behavioral
Answer:
In planning care for a client with negative thinking, the nurse would intervene by
teaching the client to:
1. Identify and reframe negative thoughts.
2. Discuss personal worthlessness with all unit peers.
3. Make a list of things the client does poorly.
4. Avoid unit activities until the client desires to participate.
Answer:
A nursing student is working to develop assessment skills. The student knows that
nurses utilize principles of assessment:
1. Upon admission.
2. Throughout hospitalization.
3. At the point of entry to care.
4. Prior to discharge.
Answer:
The nurse knows that obtaining a smoking cessation contract from a client will:
1. Help clients adapt through change.
2. Increase positive reinforcement through adaptation.
3. Facilitate change through contracts.
4. Formulate well-thought-out plans.
Answer:
A client describes being sad since his wife died three weeks ago. When he describes the
memorial service, funeral, and his plans for the future, the nurse assesses this as:
Standard Text: Select all that apply.
1. A crisis.
2. Bereavement.
3. Delayed grief.
4. Normal grief.
5. Dysfunctional grieving.
Answer:
An anxious client is to complete the Minnesota Multiphasic Personality Inventory-2 as
part of the psychological testing. The client is worried about not having enough time to
prepare for the test. To decrease anxiety, the nurse reviews the purpose of the test and
explains that the client will:
1. Just need to complete a series of sentences.
2. Interpret ink blots.
3. Only have to copy geometric designs.
4. Be answering true or false questions.
Answer:
After explaining active progressive relaxation to the client as a potentially useful
technique to help manage anxiety, a nurse guides a client through the experience of
“active progressive relaxation.” The nurse tells the client that:
1. This relaxation technique can be used by anyone at any time.
2. This relaxation technique is useful for postoperative clients.
3. Muscles of the neck and back should not be excessively tightened.
4. This is a safe process and nothing bad can happen.
Answer:
Which of the following behaviors observed by the nurse will be important to disclose to
the teacher of a child with a stereotypic movement disorder?
1. An episode of self-mutilation
2. Depression that results from feelings of inadequacy
3. Tendency to be hypoactive
4. Flexibility and ability to contribute to learning
Answer:
The nurse is working with a client who is participating in social skills training. The
nurse knows that the client is learning instrumental role behavior, problem solving
skills, and intrapersonal skills through:
Standard Text: Select all that apply.
1. Reinforcement
2. Substance abuse
3. Role-playing
4. Practicing
5. Readmission to the hospital
Answer:
The nurse instructs the client that a person’s sense of identity as a male or female
develops from which of the following?
Standard Text: Select all that apply.
1. Self-identity
2. Biology
3. Sexual reassignment surgery
4. Numerous sexual partners
5. Identity imposed by others
Answer: