Answer Options:
a. Counseling
b. Health teaching
c. Milieu management
d. Psychobiological intervention
Answer: C. Milieu management
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?
Answer Options:
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: C. Discussing national leadership during the Vietnam War
Question: Which benefits are most associated with the use of telehealth? (Select all that apply.)
Answer Options:
a. Cost savings for patients
b. Maximization of care management
c. Access to services for patients in rural areas
d. Prompt reimbursement by third-party payers
e. Rapid development of trusting relationships with patients
Answer: A. Cost savings for patients
B. Maximization of care management
C. Access to services for patients in rural areas
Question: A nurse is screening the following individuals for age-related changes. Which activity would be most important to recommend to a “young-old” adult aged 65 to 70. Which activity is most appropriate?
Answer Options:
A. Using a magnifying glass to read
B. Learning how to join an online social network
C. Discussing national leadership during the Vietnam War
D. Identifying the most troubling story in today’s newspaper
Answer: B. Learning how to join an online social network
Question: A nurse listens to a group of recent retirees. One says, “I volunteer with Meals on Wheels, coach teen sports, and do church visitation.” Another laughs and says, “I’m too busy taking care of myself to volunteer. I don’t have time to help others.” These comments contrast which developmental tasks?
Answer Options:
a. Trust versus Mistrust
b. Industry versus Inferiority
c. Intimacy versus Isolation
d. Generativity versus Self-Absorption
Answer: d. Generativity versus Self-Absorption
Question: What information is conveyed by nursing diagnoses? (Select all that apply.)
Answer Options:
a. Medical judgments about the disorder
b. Goals and outcomes for the plan of care
c. Unmet patient needs currently present
d. Supporting data that validate the diagnoses
e. Probable causes that will be targets for nursing interventions
Answer: C. Unmet patient needs currently present
D. Supporting data that validate the diagnoses
E. Probable causes that will be targets for nursing interventions
Question: What is the focus of priority nursing care for the period immediately after a patient has an electroconvulsive therapy (ECT) treatment?
Answer Options:
a. Supporting physiological stability
b. Reducing disorientation and confusion
c. Monitoring pupillary responses
d. Assisting the patient to plan for the future
Answer: A. Supporting physiological stability
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 is unable to follow instructions or respond to verbal interventions from staff. Which nursing diagnosis has the highest priority?
Answer Options:
a. Risk for injury
b. Self-care deficit
c. Disturbed energy field
d. Disturbed thought processes
Answer: A. Risk for injury
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. Holds the parent’s hand while walking.
Question: During the first interview, a nurse notices that the patient does not make eye contact. What can the nurse correctly assume from this behavior?
Answer Options:
a. The patient is not truthful.
b. The patient is feeling sad.
c. The patient has a poor self-concept.
d. The need for more information is required to draw a conclusion.
Answer: D. The need for more information is required to draw a conclusion.
Question: Which statements indicate that a patient perceives his or her nurse as caring? (Select all that apply.)
Answer Options:
a. “The nurse always asks me which type of juice I want to help me swallow my medication.”
b. “The nursing staff helps me keep track of my medications.”
c. “My nurse is willing to go to social activities with me.”
d. “The staff lets me do whatever I choose without interfering.”
e. “My nurses look at me as a whole person with different needs.”
Answer: A. “The nurse always asks me which type of juice I want to help me swallow my medication.”
B. “The nursing staff helps me keep track of my medications.”
E. “My nurses look at me as a whole person with different needs.”
Question: The relationship between a nurse and patient as it relates to status and power is best described by which term?
Answer Options:
a. Symmetric
b. Complementary
c. Incongruent
d. Paralinguistic
Answer: B. Complementary
Question: A nurse says, “When I was in school, I learned to call upset patients by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name.” Which statement is the best appraisal of this nurse’s comment?
Answer Options:
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
Answer: A. One descriptive research study rarely provides enough evidence to change practice.
Question: A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?
Answer Options:
a. Interview room furnished with a desk and two chairs.
b. Small, empty storage room with no windows or furniture.
c. Room with an examining table, instrument cabinets, desk, and chair.
d. Nurse’s office, furnished with chairs, files, magazines, and bookcases.
Answer: A. Interview room furnished with a desk and two chairs.
Question: Which technique will best communicate to a patient that the nurse is interested in listening?
Answer Options:
a. Restate a feeling or thought the patient has expressed.
b. Ask a direct question, such as, “Did you feel angry?”
c. Make a judgment about the patient’s problem.
d. Say, “I understand what you’re saying.”
Answer: A. Restate a feeling or thought the patient has expressed.
Question: A patient is experiencing restlessness that starts as an inner tension and escalates to shaking and pacing. The patient takes a medication with which side effect?
Answer Options:
a. Anticholinergic effects
b. Dopamine-blocking effects
c. Endocrine-stimulating effects
d. Ability to stimulate spinal nerves
Answer: b. Dopamine-blocking effects
Question: A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address?
Answer Options:
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient’s pain prior to the assessment.
Answer: b. Assess if the patient can hear the spoken word clearly.
Question: A nurse provided medication education for a patient who is prescribed phenelzine for depression. Which patient behavior indicates effective learning?
Answer Options:
a. Monitors sodium intake and weight daily.
b. Wears support stockings and elevates the legs when sitting.
c. Consults the pharmacist when selecting over-the-counter medications.
d. Can identify foods with high selenium content, which should be avoided.
Answer: C. Consults the pharmacist when selecting over-the-counter medications.