Answer Choices:
a. In the orientation phase
b. During the working phase
c. In the termination phase
d. When the patient initially brings up the topic
Answer:
A
Question: A patient says, “I’m still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?” What is the nurse’s best response? a. “Why are you asking me when you’re able to speak for yourself?” b. “I will be glad to address it when I see your doctor later today.” c. “That’s a good topic for you to take up with your doctor.” d. “Do you think you can’t speak to a doctor?”
Answer Choices:
a. “Why are you asking me when you’re able to speak for yourself?”
b. “I will be glad to address it when I see your doctor later today.”
c. “That’s a good topic for you to take up with your doctor.”
d. “Do you think you can’t speak to a doctor?”
Answer:
C
Question: A new staff nurse completes orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?
Answer Choices:
a. Perform mental health assessment interviews.
b. Establish therapeutic relationships.
c. Prescribe psychotropic medication.
d. Individualize nursing care plans.
Answer:
c. Prescribe psychotropic medication.
Question: In which situations does a nurse have a duty to intervene and report? (Select all that apply.)
Answer Choices:
a. A health care provider consults the Physicians’ Desk Reference.
b. A peer is unable to write behavioral outcomes.
c. A peer tries to provide patient care in an alcohol-impaired state.
d. A team member has violated the boundaries of a vulnerable patient.
e. A patient refuses a medication prescribed by a licensed health care provider.
Answer:
c. A peer tries to provide patient care in an alcohol-impaired state, d. A team member has violated the boundaries of a vulnerable patient.
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? 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 Choices:
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
Question: What information is conveyed by nursing diagnoses? (Select all that apply.) 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 Choices:
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, D, E
Question: A nurse documents: “Patient is mute, despite repeated efforts to elicit speech. Makes no eye contact. Is inattentive to staff. Gazes off to the side or looks upward rather than at the speaker.” Which nursing diagnosis should be considered?
Answer:
The nursing diagnosis to be considered is not provided in the options given.
Question: The nurse will order a special diet for the patient taking what medication?
Answer Choices:
a. Buspirone
b. Haloperidol
c. Tranylcypromine
d. Phenelzine
Answer:
d. Phenelzine
Question: Which descriptions exemplify consistency regarding therapeutic nurse–patient relationships? (Select all that apply.) a. Giving each patient a chance for a first impression of staff b. Having the same nurse care for a patient on a daily basis c. Providing a schedule of daily activities to a patient d. Setting a time for regular sessions with a patient e. Offering solutions to a patient’s problems
Answer Choices:
a. Giving each patient a chance for a first impression of staff
b. Having the same nurse care for a patient on a daily basis
c. Providing a schedule of daily activities to a patient
d. Setting a time for regular sessions with a patient
e. Offering solutions to a patient’s problems
Answer:
B, C, D
Question: A new nurse tells a mentor, “I want to convey to my patients that I am interested in them and that I want to listen to what they have to say.” Which behaviors are helpful in meeting the nurse’s goal? (Select all that apply.) a. Sitting behind a desk, facing the patient b. Introducing self to a patient and identifying own role c. Using facial expressions that convey interest and encouragement d. Assuming an open body posture and sometimes mirror imaging e. Maintaining control of the topic under discussion by asking direct questions
Answer Choices:
a. Sitting behind a desk, facing the patient
b. Introducing self to a patient and identifying own role
c. Using facial expressions that convey interest and encouragement
d. Assuming an open body posture and sometimes mirror imaging
e. Maintaining control of the topic under discussion by asking direct questions
Answer:
B, C, D
Question: A nurse wants to enhance the growth of a patient by showing positive regard. What nursing action is consistent with this wish? a. Making patient rounds daily b. Staying with a tearful patient c. Administering daily medication as prescribed d. Examining personal feelings about a patient
Answer Choices:
a. Making patient rounds daily
b. Staying with a tearful patient
c. Administering daily medication as prescribed
d. Examining personal feelings about a patient
Answer:
B
Question: A patient whose blindness is related to a functional neurological (conversion) disorder appears to be unconcerned about this problem. Which understanding should guide the nurse’s planning for this patient?
Answer Choices:
a. Suppressing accurate feelings regarding the problem.
b. Anxiety is relieved through the physical symptom.
c. Emotional needs are met through hospitalization.
d. The patient relates to abstract defense traits.
Answer:
b. Anxiety is relieved through the physical symptom.
Question: To provide comprehensive care to patients, which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
Answer Choices:
a. Problem-solving skills
b. Calm and caring manner
c. Ability to cross service systems
d. Knowledge of psychopharmacology
Answer:
c. Ability to cross service systems
Question: Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day and seldom comes out for breaks or lunch. Which term best describes this behavior?
Answer:
a. Avoidant
Question: A family member asks the nurse, “Do you think stress and physical illness are connected? Since my father’s death, my mother has had shingles and the flu, but she’s usually not one who gets sick.” Which answer by the nurse best reflects current knowledge about long term effects of stress?
Answer Choices:
a. “It is probably a coincidence. Emotions and physical responses travel on different tracks.”
b. “Your mother is grieving. It’s normal for grief to lead to physical illness.”
c. “Long-term stress can weaken the immune system and make a person more susceptible to illness.”
d. “Your mother’s illness is likely not related to stress but to her age.”
Answer:
c. “Long-term stress can weaken the immune system and make a person more susceptible to illness.”
Question: A Filipino-American patient avoided eye contact when interacting with the nurse. The nurse concluded that the patient had low self-esteem. Interventions were used to raise the patient’s self-esteem; however, after 3 weeks, the patient’s eye contact did not improve. What is the most accurate analysis of this scenario? a. The patient’s eye contact should have been directly addressed by role-playing to increase comfort with eye contact. b. The nurse should not have independently embarked on treatment planning for this patient. c. The patient’s poor eye contact is indicative of anger and hostility that remain unaddressed. d. The nurse should have assessed the patient’s culture before concluding the patient had low self-esteem.
Answer Choices:
a. The patient’s eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
b. The nurse should not have independently embarked on treatment planning for this patient.
c. The patient’s poor eye contact is indicative of anger and hostility that remain unaddressed.
d. The nurse should have assessed the patient’s culture before concluding the patient had low self-esteem.
Answer:
D
Question: Why should the nurse introduce the matter of a contract during the first session with a new patient? a. To specify what the nurse will do for the patient b. To explain the participation and responsibilities of each party c. To indicate the feeling tone established between the participants d. To prevent either party from prematurely ending the relationship
Answer Choices:
a. To specify what the nurse will do for the patient
b. To explain the participation and responsibilities of each party
c. To indicate the feeling tone established between the participants
d. To prevent either party from prematurely ending the relationship
Answer:
B
Question: An advanced practice nurse determines that a group of patients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills. The nurse would arrange for what form of therapy?
Answer Choices:
a. Milieu therapy
b. Cognitive therapy
c. Short-term dynamic therapy
d. Systematic desensitization
Answer:
A. Milieu therapy
Question: Cortisol is released in response to a patient’s prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level? a. Diuresis and electrolyte imbalance b. Focused and alert mental status c. Drowsiness and lethargy d. Restlessness and anxiety
Answer Choices:
a. Diuresis and electrolyte imbalance
b. Focused and alert mental status
c. Drowsiness and lethargy
d. Restlessness and anxiety
Answer:
B
Question: What patient behavior is the desirable outcome for the orientation stage of a nurse–patient relationship? a. Gaining a sense of independence b. Building rapport and trust with the nurse c. Assuming self-responsibility and autonomy d. Effective resolution of feelings of transference
Answer Choices:
a. Gaining a sense of independence
b. Building rapport and trust with the nurse
c. Assuming self-responsibility and autonomy
d. Effective resolution of feelings of transference
Answer:
B