Answer Options:
a. “I am feeling safe and comfortable here. Nobody bothers me.”
b. “They will not let me drink. They have many rules in the shelter.”
c. “Those guys are always watching me. I think someone stole my shoes.”
d. “That shot made my arm sore. I’m not going to take any more of them.”
Answer: A
Question: Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
Answer Options:
a. Acquire knowledge of the patient’s sexual roles and preferences.
b. Develop an understanding of human sexual responses.
c. Assess the patient’s sexual functioning.
d. Clarify the nurse’s own personal values.
Answer: D
Question: For patients diagnosed with severe and persistent mental illness, what is the major advantage of case management?
Answer Options:
a. Modification of traditional psychotherapy
b. Efficient access and use of resources
c. Focus on social skills training and self-esteem building
d. Bringing groups of patients together to discuss common problems
Answer: B
Question: Which family scenario presents the greatest risk for family violence?
Answer Options:
a. An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3-year-old child present a number of stressors.
b. A husband who finds employment 2 weeks after losing his previous job, a wife with stable employment, and a child diagnosed with a defiant disorder.
c. A single mother with an executive position, a healthy child, and significant job demands.
d. A single homosexual male parent and an adolescent son who has just begun dating girls.
Answer: a. An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3-year-old child present a number of stressors.
Question: A troubled adolescent opened fire in a high school cafeteria, fatally shooting three people and injuring many others. Hundreds of parents come to the high school after hearing the news reports. After the police arrest the shooter, which action would reduce chaos?
Answer Options:
a. Ask the police to encircle the school campus with their vehicles.
b. Announce over the loudspeakers, “The campus is now safe. Please return to your classrooms.”
c. Require parents to pass through metal detectors and then allow them to look for their children in the school.
d. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Answer: d. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Question: A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse’s initial priority?
Answer Options:
a. Develop a relationship.
b. Find supported employment.
c. Administer prescribed medication.
d. Teach appropriate health care practices.
Answer: A
Question: A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?
Answer Options:
a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling.
b. A 9-month-old who does not eat vegetables and likes to be rocked.
c. A 3-month-old who cries after feeding until burped and sucks a thumb.
d. A 3-year-old who is mute, passive toward adults, and twirls while walking.
Answer: D
Question: A nurse and social worker co-lead a reminiscence group for six “baby boomer” adults. Which activity is appropriate to include in the group?
a. Post-World War II music
b. Learning to send and receive email
c. Discussing national leadership during the Vietnam War
d. Identifying the most troubling story in today’s newspaper
Answer: A
Question: Shortly after a 15-year-old’s parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, “All the other kids have families. If my parents loved me, then they would stay together.” Which nursing intervention is most appropriate?
Answer Options:
a. Develop a plan for activities of daily living.
b. Communicate disbelief relative to the adolescent’s feelings.
c. Assist the adolescent to differentiate reality from perceptions.
d. Assess and document the adolescent’s level of depression daily.
Answer: C
Question: A 37 year old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, “That girl looked like she was 19 years old.” Which defense mechanism is this patient using?
Answer Options:
a. Denial
b. Identification
c. Displacement
d. Rationalization
Answer: D
Question: A man tells the nurse, “All my life, I have felt and acted like a woman while living in a man’s body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity.” Which request is the patient likely to make to the health care provider?
a. “Can you refer me for psychological testing?”
b. “Will you assist me before hormonal therapy?”
c. “Will you alter my medical records?”
d. “What should I tell my parents?”
Answer: B
Question: When assessing a 2-year-old diagnosed with autism spectrum disorder, what should a nurse expects?
Answer Options:
a. Hyperactivity and attention deficits
b. Failure to develop interpersonal social skills
c. History of disobedience and destructive acts
d. High levels of anxiety when separated from a parent
Answer: B
Question: Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective?
Answer Options:
a. Plays with one toy for 90 minutes.
b. Repeats words spoken by a parent.
c. Holds the parent’s hand while walking.
d. Spins around and claps hands while walking.
Answer: C