Answer Options:
a. Remind the patient of priorities and deadlines.
b. Teach work-related skills such as basic computer literacy.
c. Establish penalties for failing to organize and prioritize tasks.
d. Give encouragement and strategies for managing ongoing attention.
Answer: d. Give encouragement and strategies for managing ongoing attention.
Question: A patient’s blindness is related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should implement what intervention?
Answer Options:
a. Establishing a “buddy” system with other patients who can feed the patient at each meal.
b. Expecting the patient to self-feed after explaining the arrangement of the food on the tray.
c. Directing the patient to locate items on the tray independently with feeding being unassisted.
d. Addressing the needs of other patients in the dining room, and then feeding this patient.
Answer: B. Expecting the patient to self-feed after explaining the arrangement of the food on the tray.
Question: A therapist recently convicted of multiple counts of Medicare fraud says, “Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too.” These statements demonstrate which personal characteristic?
Answer Options:
a. Shame
b. Anxiousness
c. Superficial remorse
d. Absence of guilt
Answer: D. Absence of guilt
Question: Which patient behavior would limit setting be most essential?
Answer Options:
a. Clings to the nurse and asks for advice about inconsequential matters.
b. Is flirtatious and provocative with staff members of the opposite sex.
c. Is hypervigilant and refuses to attend unit activities as prescribed.
d. Urges a suspicious patient to hit anyone who stares at them.
Answer: D. Urges a suspicious patient to hit anyone who stares at them.
Question: “Capital” is sometimes defined as funds supplied to a firm by investors.
Answer Options:
a. True
b. False
Answer: True
Question: What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? (Select all that apply.)
Answer Options:
a. ODD relives traumatic events by acting them out.
b. ODD tests limits and disobeys authority figures.
c. ODD has difficulty separating from the parents.
d. ODD uses stereotypical or repetitive language.
e. CD often violates the rights of others.
Answer: b. ODD tests limits and disobeys authority figures.
e. CD often violates the rights of others.
Question: A nurse prepares the plan of care for a 15-year-old adolescent diagnosed with moderate intellectual developmental disorder (IDD) is believed capable of achieving which goal within 5 years? (Select all that apply.)
Answer Options:
a. Live in graded or flat that the government provides.
b. Obtain employment in a local sheltered workshop.
c. Correctly use public buses to travel in the community.
d. Independently perform his or her own personal hygiene.
e. Complete high school or earn a general equivalency diploma (GED).
Answer: b. Obtain employment in a local sheltered workshop.
c. Correctly use public buses to travel in the community.
d. Independently perform his or her own personal hygiene.
Question: After formulating the nursing diagnoses for a new patient, what is the next action a nurse should take?
Answer Options:
a. Design interventions to include in the plan of care.
b. Determine the goals and outcome criteria.
c. Implement the nursing plan of care.
d. Complete the spiritual assessment.
Answer: B. Determine the goals and outcome criteria.
Question: A nurse explains to the family of a patient who is mentally ill how the nurse–patient relationship differs from social relationships. Which is the best explanation?
Answer Options:
a. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.”
b. “The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.”
c. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.”
d. “The focus is the creation of a partnership in which each member is committed to growth and satisfaction of the other.”
Answer: A. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.”
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 Options:
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: A patient diagnosed with mental illness asks a psychiatric technician, “What’s the matter with me?” The technician replies, “Your wiring nuts need tightening.” The nurse who overheard the exchange should take action based on what principle?
Answer Options:
a. Violation of the patient’s right to be treated with dignity and respect
b. The nurse’s obligation to report coworker negligence
c. Preventing defamation of the patient’s character
d. Supervisory liability
Answer: A. Violation of the patient’s right to be treated with dignity and respect
Question: A 26-month-old child displays negative behaviors. The parent says, “My child refuses toilet training and shouts, ‘No!’ when given direction. What do you think is wrong?” Select the nurse’s best reply.
Answer Options:
a. “This is normal for your child’s age. The child is striving for independence.”
b. “The child needs firmer control. Punish the child for disobedience and say, ‘No.’”
c. “There may be developmental problems. Most children are toilet trained by age 2 years.”
d. “Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan.”
Answer: a. “This is normal for your child’s age. The child is striving for independence.”