Nurses who wish to use hypnosis in their practice:
1. Recognize that hypnosis is an advanced intervention that requires specialized training
in hypnotherapy.
2. Are qualified to do so if they can effectively use guided meditation.
3. Do not need special training in hypnosis.
4. Do not need to be concerned with whether or not hypnosis is within the scope of
nursing practice.
Answer:
Concepts of interactionism are evidenced in which of the following statements the
nurse makes to the parent of an adolescent hospitalized for an overdose of cocaine and
Valium?
1. “Peer pressure is usually responsible for these accidental overdoses.”
2. “All behavior has meaning, so we will focus on trying to understand the meaning of
the drug use as well as the occurrence of overdose.”
3. “Use of Valium probably means your child accidentally overdosed by trying to treat
the effects of cocaine.”
4. “Adolescence is such a painful time. Rehabilitation programs give kids a chance to
get away from their everyday pressures.”
Answer:
The mental health team nurse is having some role issues regarding how best to facilitate
client progress toward therapeutic goals. What is the priority action by the nurse in
order to aid the team as they assist the client?
1. Acknowledge the diversity of the mental health team.
2. Recognize that conflict is natural and expected.
3. Determine personal values, biases, and goals.
4. Attend all mental health team meetings.
Answer:
The nurse on the inpatient unit is reviewing the record of a client admitted the previous
day, and notes the client has an Axis I diagnosis. What inferences can the nurse make
about the client?
1. The client has a clinical psychiatric disorder.
2. The client is in need of immediate medical attention.
3. The client has a chronic condition.
4. The client lacks a support system.
Answer:
The client’s partner describes the role of the client as female and states the expectation
that the client will exhibit certain female behaviors. This is an example of:
1. Intersex.
2. Gender identity disorder.
3. Gender role stereotyping.
4. Androgyny.
Answer:
Which statement by a client would suggest that the ABCs of crisis counseling have
been met?
1. “I am really glad we did this counseling.”
2. “I will call you if I need you.”
3. “I now know some better ways of coping.”
4. “I will miss working with you.”
Answer:
A client reporting respiratory discomfort, dizziness, and becoming easily fatigued is
given a diagnosis of cardiac neurosis. Which interventions would the nurse expect to be
used with this client?
Standard Text: Select all that apply.
1. Psychiatric treatment
2. Weight control
3. Relaxation training
4. Biofeedback
5. Stress management
Answer:
A client admitted with borderline personality disorder complains during group therapy
that she, “always falls for the bad guy.” She has been in and out of rehabilitation and
abuse crisis centers. The nursing student knows this client would benefit from:
1. Intrapsychic cognitive therapy.
2. Family conflict therapy.
3. Dialectical behavioral therapy.
4. Self-reflective therapy.
Answer:
A client is standing in the hallway on the phone arguing with the caller. As the client
becomes increasing loud and argumentative, an appropriate action for the nurse to take
would be to:
1. Move the other clients away from the area providing the client privacy to continue
the conversation.
2. Stand next to the client and say in a calm, firm voice, “If you cannot lower your
voice, you will lose your phone privileges indefinitely.”
3. Walk up to the client and softly say, “This conversation appears to be getting you
upset, tell this person that you will talk later and come sit with me to discuss what is
bothering you.”
4. Do nothing. The client does not pose any danger as the person the client is angry with
is not physically present.
Answer:
A nursing student is praised for the comprehensive assessment of a client diagnosed
with suicidal ideation. Based on the assessment interview, the student develops a plan to
keep the client safe, and the client signs the resulting:
1. DNR contract.
2. Behavioral contract.
3. Patient bill of rights contract.
4. Acceptance letter.
Answer:
The nurse is planning a group to rehabilitate sex offenders in a forensic psychiatric
hospital. Which of the following factors would most likely decrease the degree of trust
and cohesion among the members?
1. One hour weekly sessions
2. Addition of new members
3. Confidentiality rights of victims
4. Member interaction outside the group
Answer:
The nurse knows that medication teaching has been ineffective when the client with an
anxiety disorder states, “My SSRI isn”t working. I”ve been on it for:
1. One week.”
2. Four weeks.”
3. 12 weeks.”
4. Eight weeks.”
Answer:
A delusional client walks up to the nurse and says, “I am the appointed overseer. Who
are you and why are you here?” The most therapeutic response is which of the
following?
1. “I am your nurse and I will be here to help you until suppertime.”
2. “You don”t know who I am?”
3. “You know who I am.”
4. “You are not the overseer; you are a client in the hospital.”
Answer:
The nurse knows that when the mental health client has learned how to successfully
adapt in new or different circumstances, the client has developed a sense of:
1. Pride.
2. Self-efficacy.
3. Self.
4. Self-esteem.
Answer:
A mother told the nurse she was “appalled” that the nurse would dare to ask if she took
any drugs during her pregnancy. The nurse explains that the information is important in
understanding the child’s health because embryonic exposure to toxins during
pregnancy is the major risk factor for:
1. Depression in preschoolers.
2. Lactose intolerance.
3. Mental retardation.
4. Mental illness.
Answer:
The nurse knows that when clients are unable or unwilling to perform assigned family
roles, the family experiences:
1. Stress and disequilibrium.
2. Recognition and communication.
3. Personal and political advocacy.
4. Acceptance.
Answer:
When speaking with a client who has a mental illness, the nurse uses medical
terminology and is condescending. This type of behavior negates the basic rules of
negotiating a behavioral contract and:
1. Encourages the client to ask questions.
2. Causes the client to feel uncomfortable with the contract.
3. Appropriately introduces the client to important terminology.
4. Helps the client understand behavioral contracts on his/her terms.
Answer: