Answer Choices:
a. “Have you been a victim of a crime or seen someone badly injured or killed?”
b. “Do you feel especially uncomfortable in social situations involving people?”
c. “Do you repeatedly do certain things over and over again?”
d. “Do you find it difficult to control your worrying?”
Answer:
d. “Do you find it difficult to control your worrying?”
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 Choices:
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: 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? 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. c. Acknowledge the patient’s transition through the termination phase but decline the card. d. Accept the card and invite the patient to return to participate in other arts and crafts groups.
Answer Choices:
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.
c. Acknowledge the patient’s transition through the termination phase but decline the card.
d. Accept the card and invite the patient to return to participate in other arts and crafts groups.
Answer:
A
Question: Two nursing students discuss career plans after graduation. One student wants to enter psychiatric nursing. The other student asks, “Why would you want to be a psychiatric nurse? All they do is talk. You will lose your skills.” Select the best response by the student interested in psychiatric nursing.
Answer Choices:
A. “Psychiatric nurses’ practice in safer environments than other specialties.”
B. “Psycho-ratios are better because of the nature of patient care.”
C. “Psychiatric nurses use complex communication skills, as well as psychosocial skills to solve multidimensional problems. The skillset of these nurses is broader.”
D. “I think I will be good in the mental health field. I do not want to be a psychiatric nurse, so I do not want to continue there after graduation.”
Answer:
C. “Psychiatric nurses use complex communication skills, as well as psychosocial skills to solve multidimensional problems. The skillset of these nurses is broader.”
Question: A person has minor physical injuries after an automobile accident. The person is unable to focus and says, “I feel like something awful is going to happen.” This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person’s level of anxiety?
Answer Choices:
a. Mild
b. Moderate
c. Severe
d. Panic
Answer:
c. Severe
Question: A nurse is demonstrating signs of dementia. Which part of the brain, if affected, is most likely associated with this condition?
Answer Choices:
a. Brainstem
b. Cerebellum
c. Temporal lobe
d. Prefrontal cortex
Answer:
D. Prefrontal cortex
Question: A patient has the nursing diagnosis anxiety as evidenced by an inability to control compulsive cleaning. Which phrase referring to the likely trigger correctly completes the etiological portion of the diagnosis?
Answer Choices:
a. Ensuring the health of household members
b. Attempting to avoid interactions with others
c. Having persistent thoughts about bacteria, germs, and dirt
d. Needing approval for cleanliness from friends and family
Answer:
c. Having persistent thoughts about bacteria, germs, and dirt
Question: An African-American patient says to a Caucasian nurse, “There’s no sense talking. You wouldn’t understand because you live in a white world.” What would be the nurse’s best action? a. Explain, “Yes, I do understand. Everyone goes through the same experiences.” b. Say, “Please give an example of something you think I wouldn’t understand.” c. Reassure the patient that nurses interact with people from all cultures. d. Change the subject to one that is less emotionally disturbing.
Answer Choices:
a. Explain, “Yes, I do understand. Everyone goes through the same experiences.”
b. Say, “Please give an example of something you think I wouldn’t understand.”
c. Reassure the patient that nurses interact with people from all cultures.
d. Change the subject to one that is less emotionally disturbing.
Answer:
B
Question: Select the best outcome for a patient with this nursing diagnosis: impaired social interaction, related to sociocultural dissonance as evidenced by stating, “Although I’d like to, I don’t join in because I don’t speak the language very well.” What should the focus of an appropriate outcome be?
Answer Choices:
a. Demonstrating improved social skills
b. Expressing a desire to interact with others
c. Becoming more independent in decision making
d. Selecting and participating in one group activity per day
Answer:
d. Selecting and participating in one group activity per day
Question: Which assessment questions are most relevant to ask a patient with possible obsessive-compulsive disorder? (Select all that apply.)
Answer Choices:
a. “Have you been a victim of a crime or seen someone badly injured or killed?”
b. “Are there certain social situations that cause you to feel especially uncomfortable?”
c. “Do you have to do things in a certain way to feel comfortable?”
d. “Is it difficult to keep certain thoughts out of awareness?”
e. “Do you do certain things over and over again?”
Answer:
C, D, E
Question: A patient discloses several concerns and mixed feelings. If the nurse wants to seek clarification, which comment would be appropriate? a. “What are the common elements here?” b. “Tell me again about your experiences.” c. “Am I correct in understanding that…?” d. “Tell me everything from the beginning.”
Answer Choices:
a. “What are the common elements here?”
b. “Tell me again about your experiences.”
c. “Am I correct in understanding that…?”
d. “Tell me everything from the beginning.”
Answer:
C
Question: A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?
Answer Choices:
a. Offering hope allays and defuses the patient’s anxiety.
b. Concerns stated aloud become less overwhelming and help decrease feelings of isolation.
c. Anxiety is reduced by focusing on and validating what is occurring in the environment.
d. Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.
Answer:
b. Concerns stated aloud become less overwhelming and help decrease feelings of isolation.
Question: The nurse should document the patient’s comment in what section of the assessment? a. Physical b. Spiritual c. Financial d. Psychological
Answer Choices:
a. Physical
b. Spiritual
c. Financial
d. Psychological
Answer:
B
Question: A patient tells a nurse, “My new friend is the most perfect person one could imagine—kind, considerate, and good looking. I can’t find a single flaw.” This patient is demonstrating which defense mechanism?
Answer Choices:
a. Denial
b. Projection
c. Idealization
d. Compensation
Answer:
c. Idealization
Question: On the basis of current knowledge of neurotransmitter effects, a nurse anticipates that the treatment plan for a patient with memory difficulties may include medications designed to do what?
Answer Choices:
a. Inhibit GABA production.
b. Increase dopamine sensitivity.
c. Decrease dopamine at receptor sites.
d. Prevent destruction of acetylcholine.
Answer:
D. Prevent destruction of acetylcholine.
Question: Federal courts to date have held that the Constitution does not guarantee the absolute right of the individual to keep and bear arms.
Answer Choices:
True
False
Answer:
True