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. By discussing the anger with a clinician during a supervisory session.
Question: A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
Answer Options:
a. Arms crossed
b. Staring at the nurse
c. Smiling inappropriately
d. Eyes casted downward
Answer: D. Eyes casted downward
Question: A patient’s nursing diagnosis is Insomnia. The desired outcome is: “Patient will sleep for a minimum of 5 hours nightly by October 31.” On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?
Answer Options:
a. Consistently demonstrated
b. Often demonstrated
c. Sometimes demonstrated
d. Never demonstrated
Answer: D. Never demonstrated
Question: What action by a nurse constitutes a breach of a patient’s right to privacy?
Answer Options:
a. Asking a family to share information about a patient’s prehospitalization behavior.
b. Discussing the patient’s history with other staff members during care planning.
c. Documenting the patient’s daily behaviors during hospitalization.
d. Releasing unauthorized information to the patient’s employer.
Answer: d. Releasing unauthorized information to the patient’s employer.
Question: A patient says, “I often make careless mistakes and have trouble staying focused. Sometimes it’s hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment.” Which problem should the nurse document?
Answer Options:
a. Inattention
b. Impulsivity
c. Hyperactivity
d. Social impairment
Answer: a. Inattention
Question: A patient says to the nurse, “I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn’t rested well.” Which comment would be appropriate if the nurse seeks clarification?
Answer Options:
a. “It sounds as though you were uncomfortable with the content of your dream.”
b. “I understand what you’re saying. Bad dreams leave me feeling tired, too.”
c. “So, all in all, you feel as though you had a rather poor night’s sleep?”
d. “Can you give me an example of what you mean by ‘stoned’?”
Answer: D. “Can you give me an example of what you mean by ‘stoned’?”
Question: At one point in an assessment interview a nurse asks, “Does your faith help you in stressful situations?” This question would be asked during the assessment of what topics?
Answer Options:
a. Culture
b. Religious affiliation
c. Educational background
d. Coping strategies
Answer: D. Coping strategies
Question: A patient with a high level of motor activity runs from chair to chair and cries, “They’re coming! They’re coming!” The patient does not follow instructions or respond to verbal interventions from staff. The initial nursing intervention of highest priority is to:
Answer Options:
a. provide for patient safety.
b. increase environmental stimuli.
c. respect the patient’s personal space.
d. encourage the clarification of feelings.
Answer: A. provide for patient safety.
Question: A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies about giving advice?
Answer Options:
a. It is rarely helpful.
b. It fosters independence.
c. It lifts the burden of personal decision making.
d. It helps the patient develop feelings of personal adequacy.
Answer: A. It is rarely helpful.
Question: Which research evidence would most influence a group of nurses to change their practice?
Answer Options:
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway
Answer: B. Systematic review of randomized controlled trials
Question: Before assessing a new patient, a nurse is told by another health care worker, “I know that patient. No matter how hard we work, there isn’t much improvement by the time of discharge.” What action will the nurse take to provide appropriate care for this patient?
Answer Options:
a. Document the other worker’s assessment of the patient.
b. Assess the patient based on data collected from all sources.
c. Validate the worker’s impression by contacting the patient’s significant other.
d. Discuss the worker’s impression with the patient during the assessment interview.
Answer: B. Assess the patient based on data collected from all sources.
Question: A nurse prepares to lead a discussion at a community health center regarding children’s health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use? (Select all that apply.)
Answer Options:
a. Mental retardation
b. Asperger’s disorder
c. Autism spectrum disorder
d. Pervasive developmental disorder
e. Intellectual development disorder
Answer: c. Autism spectrum disorder
e. Intellectual development disorder