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Which statement would have the best potential to obtain assessment data from a client
about possible use of complementary and alternative practices or products?
1. "Tell me everything you takeprescription medicines, over-the-counter medicines,
vitamins, dietary supplements, herbs, as well as how much coffee, tea, and soda you
drink daily and any recreational drugs you use."
2. "Tell me about the medicines the doctor prescribed and the amounts prescribed."
3. "What things do you do for yourself to maintain or improve your health?"
4. "Do you take dietary supplements and herbs on top of the medicines the doctor
prescribes for you?"
Answer:
Which of the following interventions are used by the nurse to demonstrate active
listening?
Standard Text: Select all that apply.
1. Using silence
2. Covering one's mouth when yawning
3. Leaning in toward the client
4. Nodding one's head in response to client's verbal comments
5. Rocking back and forth in the chair
Answer:
During the nursing assessment of the older adult female client, the nurse finds the client
believes others are poisoning her food. Which of the following psychiatric disorders
would not be indicated?
1. Delirium
2. Adjustment disorder
3. Anxiety disorder
4. Dementia
Answer:
A client is brought to the emergency department after being in a house fire. After
determining the client is stable physically, what is the first phase of crisis intervention?
1. Assess the impact this experience has had on the client
2. Confront the reality of the crisis
3. Reassure client and family
4. Teach coping skills to client
Answer:
During a group session, the nursing student notes one of the clients imitating another
client's manner of speaking and communicating. The client being imitated has actively
participated in all groups and is going home tomorrow. The nursing student suspects the
client doing the imitating is:
1. Modeling behavior.
2. Being a comedian.
3. Expecting an award.
4. Jealous of the other client.
Answer:
A therapeutic contract with a client will be renegotiated:
1. Daily.
2. As needed.
3. During the treatment team meeting.
4. At the beginning of each shift.
Answer:
A client is being admitted to the inpatient unit for stabilization of psychoses. The
client's mother found the client trying to drown a cat in the bathtub. The client believed
it was possessed by the devil. The mother reports that the father also suffered from a
mental illness and was physically abusive. Based on this information the priority
nursing diagnosis is:
1. Post-Trauma Syndrome.
2. Disturbed Thought Processes.
3. Risk for Injury.
4. Risk for Violence: Other-Directed.
Answer:
The nurse is writing a scholarly paper on early nursing leaders who made major
contributions to the development of the multifaceted psychiatric nursing role of today.
The nurse should include which of the following nurses when writing the paper?
Standard Text: Select all that apply.
1. Florence Nightingale
2. Frances Sleeper
3. Linda Richards
4. Gwen Tudor (Will)
5. Hildegard Peplau
Answer:
A nursing student is preparing a presentation on Erikson's developmental theory. The
student wants to include in the presentation that Erikson's eight developmental stages
are most closely aligned with:
1. Cognitive behaviorist concepts.
2. Maslow's theory of self-actualization and hierarchy of needs.
3. Freud's psychosexual stages.
4. Sullivan's stages of interpersonal development.
Answer:
The nurse is working with a client and family. When planning care, the nurse will
consider principles underlying psychobiological research including which of the
following concepts?
1. Mental illness is primarily considered to be a consequence of environment.
2. The brain is unresponsive to the environment.
3. The brain is relatively unchangeable after birth.
4. Understanding the role of neurotransmitters in the formation of behavior is valuable
to nursing care.
Answer:
A nursing student asks the nurse educator the differences between social and
professional relationships. The nurse educator knows that the defining characteristic of
a professional relationship is which of the following?
1. Can be either spontaneous or planned
2. Is the only relationship where roles are defined
3. Requires more planning, consistency, and time
4. Does not address the personal needs of the nurse
Answer:
The nursing student knows that involving families with the client's treatment is an
important aspect of family nursing. Certain biases, such as believing families are
responsible for the client's mental illness, prevents:
1. Social interaction and violates family rights.
2. Hope, support, and happiness.
3. Future episodes of negative client behavior.
4. Family identity and reduces negative perceptions.
Answer:
The nurse admits a client who initially presents as intelligent, articulate, and
superficially charming. The client claims his admission to the mental health unit is a big
mistake. He states that there was a mix-up in the emergency room and he was
incorrectly identified. A probable diagnosis is:
1. Antisocial personality disorder.
2. Avoidant personality disorder.
3. Dependent personality disorder.
4. Obsessive-compulsive personality disorder.
Answer:
In explaining cognitive behavioral theory to a student, the nurse would not describe the
concept of:
1. Reinforcement.
2. Psychic determinism.
3. Conditioned response.
4. Shaping.
Answer:
A mother questions why it is important to list when her child sat up, began crawling,
started walking, and was potty trained as she is bringing the toddler in because the child
screams at night. The nurse explains to the mother that:
1. It is not normal for a young child to scream at night.
2. Children who scream at night have more difficulty with problem solving.
3. Children with mental disorders have difficulty with elimination at night.
4. A developmental history is part of assessing well-being of a child.
Answer:
The nurse makes certain that a client who is Catholic is able to attend Mass on Sunday.
The nurse has determined the client's religious practices from the assessment. This is an
example of:
1. Ethnocentrism.
2. Cultural blindness.
3. Culturally competent care.
4. Differential treatment based on spiritual beliefs.
Answer:
A client with newly diagnosed breast cancer states that her fate is in God's hands and
that she will accept whatever the future holds. The nurse is aware that a sense of
coherence helps people cope successfully with life's challenges, but the nurse is
concerned about the woman's continuation with medical treatment. What might the
nurse think is lacking in this client's coping?
1. She does not appear to be demonstrating motivation or feeling about investing time
and energy in life.
2. She does not seem to have a basic trust that things will work out.
3. She seems to have lost hope.
4. She is expressing that she does not have the resources to meet the demands of her
illness.
Answer:
Parents of adult clients with mental health disorders struggle to find a balance between
emotional support and fostering independence. The nurse helps by:
1. Teaching the client and family about past mistakes.
2. Providing psychoeducation group therapy.
3. Providing interaction with family members.
4. Teaching the client to embrace the future.
Answer:
Since chemical dependency is a family disease, it is important to help non-abusing
family members change over-responsible behaviors such as:
1. Expressing their feelings directly.
2. Rejecting the client until the client is chemically clean.
3. Distancing themselves from the client's problem.
4. Covering up for problems the client has.
Answer:
The nursing instructor notes a nursing student is very imaginative. When teaching
students about designing and adjusting behavioral contracts, the nursing instructor
knows that this particular student will have an advantage in developing contracts
because:
1. Monitoring nonverbal communication is a secondary goal.
2. Effective communication skill is the key negotiating tool.
3. Reprioritization of goals is the most important issue.
4. Creativity is an essential component.
Answer:
