Answer Choices:
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
Question: A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given direction. The nurse’s counseling with the parent should be based on the premise that the child is engaged in which of Erikson’s psychosocial crises?
Answer Choices:
a. Trust versus Mistrust
b. Initiative versus Guilt
c. Industry versus Inferiority
d. Autonomy versus Shame and Doubt
Answer:
D. Autonomy versus Shame and Doubt
Question: A psychiatric nurse’s best initial action involves what, after a homeless shelter calls to say a patient has not been staying at the shelter and has not been seen for several days?
Answer Choices:
a. Report the situation to the manager of the shelter.
b. Tell the patient, “You must stop smoking to save money.”
c. Assess the patient’s weight; determine the foods and amounts eaten.
d. Seek hospitalization for the patient while a new plan is being formulated.
Answer:
c. Assess the patient’s weight; determine the foods and amounts eaten.
Question: A patient experiencing moderate anxiety says, “I feel undone.” An appropriate response for the nurse would be:
Answer Choices:
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. “I’m not sure I understand. Give me an example.”
Question: Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder? 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 Choices:
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
Question: A patient comments, “I never know the right answer” and “My opinion is not important.” Using Erikson’s theory, which psychosocial crisis did the patient have difficulty resolving?
Answer Choices:
a. Initiative versus Guilt
b. Trust versus Mistrust
c. Autonomy versus Shame and Doubt
d. Generativity versus Self-Absorption
Answer:
C. Autonomy versus Shame and Doubt
Question: A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
Answer Choices:
a. Mashed potatoes, ground beef patty, corn, green beans, apple pie
b. Avocado salad, ham, creamy potatoes, asparagus, chocolate cake
c. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee, yeast rolls
d. Noodles with cheddar cheese sauce, smoked sausage, sauerkraut, and rye bread
Answer:
A
Question: What cognitive strategy should a nurse use to assist a very dependent patient achieve independence?
Answer Choices:
a. Reveal dream content.
b. Take prescribed medications.
c. Examine thoughts about being autonomous.
d. Role model ways to ask for help from others.
Answer:
C. Examine thoughts about being autonomous.
Question: A nurse is conducting a session, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, “I really need to talk to you right now.” What action is most appropriate? a. Use the remaining time to talk to the interrupting patient. b. Ending the unproductive session with the current patient and spend the time with the patient who has just interrupted. c. Inviting the interrupting patient to join in the session with the current patient. d. Telling the patient who interrupted, “This session will end in 5 minutes; then, I will talk with you.”
Answer Choices:
a. Use the remaining time to talk to the interrupting patient.
b. Ending the unproductive session with the current patient and spend the time with the patient who has just interrupted.
c. Inviting the interrupting patient to join in the session with the current patient.
d. Telling the patient who interrupted, “This session will end in 5 minutes; then, I will talk with you.”
Answer:
D
Question: When a nurse assesses an older adult patient, the patient’s answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. What would be an appropriate question for the nurse to ask in this situation?
Answer Choices:
a. “Are you having difficulty hearing when I speak?”
b. “How can I make this assessment interview easier for you?”
c. “I notice you are frowning. Are you feeling annoyed with me?”
d. “You’re having trouble focusing on what I’m saying. What is distracting you?”
Answer:
a. “Are you having difficulty hearing when I speak?”
Question: A patient states, “I’m starting cognitive behavioral therapy. What can I expect from the sessions?” Which responses by the nurse are appropriate? (Select all that apply.)
Answer Choices:
a. “The therapist will be active and questioning.”
b. “You may be given homework assignments.”
c. “The therapist will ask you to describe your dreams.”
d. “The therapist will help you look at ideas and beliefs you have about yourself.”
e. “The goal is to increase your subjectivity about thoughts that govern your behavior.”
Answer:
A. “The therapist will be active and questioning.”
B. “You may be given homework assignments.”
D. “The therapist will help you look at ideas and beliefs you have about yourself.”
Question: What do the Q and S relate to in the acronym QSEN?
Answer Choices:
a. Qualitative Standardization
b. Quality and Safety
c. Quantitative Statements
d. Quick Standards
Answer:
b. Quality and Safety
Question: Which assessment finding indicates that a patient with moderate-to-severe anxiety has successfully lowered the anxiety level to mild?
Answer Choices:
a. Patient asks, “What’s the matter with me?”
b. Patient stays in a room alone and paces rapidly.
c. Patient successfully concentrates on what the nurse is saying.
d. Patient states, “I don’t want anything to eat. My stomach is upset.”
Answer:
c. Patient successfully concentrates on what the nurse is saying.
Question: A patient says to the nurse, “My life does not have any happiness in it anymore. I once enjoyed holidays, but now they’re just another day.” How would the nurse document the patient’s statement?
Answer Choices:
a. Vegetative
b. Anhedonia
c. Euphoria
d. Anergia
Answer:
B
Question: A patient approaches the nurse and impatiently blurts out, “You’ve got to help me! Something terrible is happening. My heart is pounding.” The nurse responds, “It’s almost time for visiting hours. Let’s get your hair combed.” Which approach has the nurse used?
Answer Choices:
a. Bringing up an irrelevant topic
b. Responding to physical needs
c. Addressing false cognitions
d. Focusing
Answer:
a. Bringing up an irrelevant topic
Question: To plan effective care for patients diagnosed with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because of what characteristic?
Answer Choices:
a. They are generally chronic in nature.
b. They have a physiological basis.
c. They can be voluntarily controlled.
d. They provide relief from health anxiety.
Answer:
d. They provide relief from health anxiety.
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 Choices:
a. Risk for injury
b. Self-care deficit
c. Disturbed energy field
d. Disturbed thought processes
Answer:
a. Risk for injury
Question: A student nurse tells the instructor, “I don’t need to interact with my patients. I learn what I need to know by observation.” The instructor can best interpret the nursing implications of Sullivan’s theory by providing what response?
Answer Choices:
a. “Nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills.”
b. “Observing patient interactions can help you formulate priority nursing diagnoses and appropriate interventions.”
c. “I wonder how accurate your assessment of the patient’s needs can be if you do not interact with the patient.”
d. “Noting patient behavior changes is important because these changes might indicate personality.”
Answer:
A. “Nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills.”
Question: A professor’s 4-year-old child has a temperature of 101.6 F, diarrhea, and complains of stomach pain. The professor is scheduled to teach three classes today. Which actions by the professor demonstrate effective parenting? (Select all that apply.)
Answer Choices:
a. Telephoning a grandparent to stay with the child at home for the day
b. Telephoning a colleague to teach his classes and staying home with the sick child
c. Taking the child to the university and keeping the child in a private office for the day
d. Taking the child to a day care center and hoping day care workers will not notice the child is sick
e. Giving the child one dose of ibuprofen (Motrin) and taking the child to the day care center
Answer:
A, B
Question: A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably present what behavior?
Answer Choices:
a. Readily seek psychiatric counseling.
b. Being resistant to accepting psychiatric help.
c. Attending psychotherapy sessions without encouragement.
d. Being eager to discover the true reasons for physical symptoms.
Answer:
b. Being resistant to accepting psychiatric help.