Question: A patient says, “I’ve done a lot of cheating and manipulating in my relationships.” What nonjudgmental response by the nurse is most appropriate?
Answer Choices: a. “How do you feel about that?” b. “It’s good that you realize this.” c. “That’s not a good way to behave.” d. “Have you outgrown that type of behavior?”
Answer: a
Question: A patient says, “People should be allowed to commit suicide without interference from others.” A nurse replies, “You’re wrong. Nothing is bad enough to justify death.” What is the best analysis of this interchange?
Answer Choices: a. The patient is correct. b. The nurse is correct. c. Neither person is totally correct. d. Differing values are reflected in the two statements.
Answer: d
Question: Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
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: 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 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: Which behavior shows that a nurse values autonomy?
Answer Choices: a. Setting limits on a patient’s romantic overtures toward the nurse b. Suggesting one-on-one supervision for a patient who is suicidal c. Informing a patient that the spouse will not be in during visiting hours d. Helping the patient weigh the consequences of their behaviors and decisions
Answer: d
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?
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.
Answer: b
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?
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 community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. What is the role of the new nurse who begins working with this patient?
Answer Choices: a. Beginning at the orientation phase b. Resuming the working relationship c. Entering into a social relationship d. Returning to the emotional catharsis phase
Answer: a
Question: As a patient diagnosed with mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
Answer Choices: a. The invitation facilitates dependency on the nurse. b. The nurse’s action blurs the boundaries of the therapeutic relationship. c. The invitation is therapeutic for the patient’s diversional activity deficit. d. The nurse’s action assists the patient’s integration into community living.
Answer: b
Question: A nurse says, “I am the only one who truly understands this patient. Other staff members are too critical.” What does the nurse’s statement indicate?
Answer Choices: a. Boundary blurring b. Sexual harassment c. Positive regard d. Advocacy
Answer: a
Question: Which descriptors exemplify consistency regarding therapeutic nurse-patient relationships? (Select all that apply.)
Answer Choices: a. Having the same nurse care for a patient on a daily basis b. Encouraging a patient to share initial impressions of staff 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 Correct Answers: a, c, d
Answer: Not provided in source.
Question: A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.)
Answer Choices: a. Focus dialog with the patient on problems that may occur in the future. b. Help the patient express feelings about the relationship with the nurse. c. Help the patient prioritize and modify socially unacceptable behaviors. d. Reinforce expectations regarding the parameters of the relationship. e. Help the patient identify strengths, limitations, and problems. Correct Answers: a, b, d, e
Answer: Not provided in source.
Question: A new psychiatric nurse is providing care to a parent diagnosed with bipolar disorder. This nurse angrily recalls embarrassing events concerning the parent’s behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.)
Answer Choices: a. Seeking ways to use the understanding gained from childhood to help patients cope with their own illnesses b. Recognizing that these feelings are unhealthy and try to suppress them when working with patients c. Recognizing that psychiatric nursing is not an appropriate career choice and explore other nursing specialties d. Beginning new patient relationships by saying, “My own parent had mental illness, so I accept it without stigma” e. Recognizing that the feelings may add sensitivity to the nurse’s practice, but supervision is important
Answer: a, e
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.)
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: Which scenario best demonstrates an example of eustress?
Answer Choices: a. A child loses a beloved family pet. b. A single male prepares to take a 1-week vacation to a tropical island with a group of close friends. c. A couple receives a bank notice there were insufficient funds in their account for a recent rent payment. d. A married female receives notification that their current employer is experiencing financial problems and some workers will be terminated.
Answer: b
Question: A patient diagnosed with liver failure has been on the transplant waiting list 8 months. The patient says, “Why is it taking so long for me to get a liver? I think all this waiting is affecting me.” The nurse should document the patient’s concern in which section of the assessment?
Answer Choices: a. Physical b. Spiritual c. Financial d. Psychological
Answer: b
Question: A person with a fear of heights drives across a high bridge. Which structure will stimulate a response from the autonomic nervous system?
Answer Choices: a. Thalamus b. Parietal lobe c. Hypothalamus d. Pituitary gland
Answer: c
Question: A person with a fear of closed spaces enters into an elevator. Which division of the autonomic nervous system is stimulated in response to this experience?
Answer Choices: a. Limbic system b. Peripheral nervous system c. Sympathetic nervous system d. Parasympathetic nervous system
Answer: c
Question: A patient is brought to the emergency department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient’s vital signs are temperature (T), 98.6° F; pulse (P), 72 beats/min (bpm); and respirations (R), 16 breaths per minute. After being informed that surgery is required for the broken leg, which vital sign readings would be expected?
Answer Choices: a. T, 98.6° F; P, 64; R, 14 b. T, 98.6° F; P, 68; R, 12 c. T, 98.6° F; P, 62; R, 16 d. T, 98.6° F; P, 84; R, 22
Answer: d
Question: As part of the stress response, the HPA axis is stimulated. Which structures make up this system?
Answer Choices: a. Hippocampus, parietal lobe, and amygdala b. Hypothalamus, pituitary gland, and adrenal glands c. Hind brain, pyramidal nervous system, and anterior cerebrum d. Hepatic artery, parasympathetic nervous system, and acoustic nerve
Answer: b