Answer Options
a. By suppressing the angry feelings.
b. By expressing the anger openly and directly with the patient.
c. By telling the nurse manager to assign the patient to another nurse.
d. By discussing the anger with a clinician during a supervisory session.
Answer: D
Question: A patient says, “People should be allowed to commit suicide without interference from others.” A nurse replies, “You’re wrong. Nothing is bad enough to justify death.” What is the best analysis of this interchange?
Answer Options
a. The patient is correct.
b. The nurse is correct.
c. Neither person is totally correct.
d. Differing values are reflected in the two statements.
Answer: D
Question: An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)
Answer Options
a. Substance abuse disorders
b. Depression
c. Eating disorders
d. Personality disorders
e. Schizophrenia
Answer: A, B, C, D
Question: 3. A patient experiencing moderate anxiety says, “I feel undone.” An appropriate response for the nurse would be:
Answer Options:
a. “Why do you suppose you are feeling anxious?”
b. “What would you like me to do to help you?”
c. “I’m not sure I understand. Give me an example.”
d. “You must get your feelings under control before we can continue.”
Answer Options:
a. “Why do you suppose you are feeling anxious?”
b. “What would you like me to do to help you?”
c. “I’m not sure I understand. Give me an example.”
d. “You must get your feelings under control before we can continue.”
Answer: C
Question: A nurse designs a plan of exercise for a patient experiencing stress. What rationale should the nurse cite when presenting this plan to the treatment team?
Answer Options
a. Exercise will stimulate endorphins and improve the patient’s feelings of well-being.
b. Exercise prevents damage from overstimulation of the sympathetic nervous system.
c. Exercise detoxifies the body by removing metabolic wastes and other toxins.
d. Exercise will prevent exacerbation of the stress by the limbic system.
Answer: A
Question: A nurse says, “I am the only one who truly understands this patient. Other staff members are too critical.” What does the nurse’s statement indicate?
Answer Options
a. Boundary blurring
b. Sexual harassment
c. Positive regard
d. Advocacy
Answer: A
Question: What patient behavior is the desirable outcome for the orientation stage of a nurse-patient relationship?
a. Gaining a sense of independence
b. Building rapport and trust with the nurse
c. Assuming self-responsibility and autonomy
d. Effective resolution of feelings of transference
Answer: B
Question: Termination of a therapeutic nurse-patient relationship with a patient has been successful when nurse engages in what action?
a. Avoids upsetting the patient by shifting focus to other patients before the discharge.
b. Gives the patient a personal telephone number and permission to call after discharge.
c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer: C
Question: Into which section of Freud’s iceberg model of the human mind would you find “Thoughts”?
Answer Options:
a. Conscious
b. Preconscious
c. Unconscious
d. Anti-American
Answer: b. Preconscious
Question: After the termination of a long-term relationship, the patient and new nurse usually have to begin at ground zero, the orientation phase, to build a new relationship. If termination is successfully completed, then the orientation phase sometimes progresses quickly to the working phase. Other times, even after successful termination, the orientation phase may be prolonged. Which stage is the nurse returning to with this patient?
Answer Options
a. Beginning at the orientation phase
b. Returning the working relationship
c. Entering into a social relationship
d. Returning to the emotional catharsis phase
Answer: A
Question: As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse’s best action?
Answer Options
a. Accept the card while recognizing the effectiveness of the relationship and the patient’s thoughtfulness.
b. Inform the patient that accepting gifts violates the policies of the facility. Decline the card regretfully.
Answer: A
Question: Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
Answer Options
a. Trust, congruence, attitudes, and boundaries
b. Goals, resistance, unconscious motivations, and diversion
c. Relationship parameters, the contract, confidentiality, and termination
d. Transference, countertransference, intimacy, and developing resources
Answer: C