Answer Options:
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: 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 Options:
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: A
Question: A nurse designs a plan of exercise for a patient experiencing stress. What rationale should the nurse cite when presenting this plan to the treatment team?
Answer Options:
a. Exercise will stimulate endorphins and improve the patient’s feelings of well-being.
b. Exercise prevents damage from overstimulation of the sympathetic nervous system.
c. Exercise detoxifies the body by removing metabolic wastes and other toxins.
d. Exercise will prevent exacerbation of the stress by the limbic system.
Answer: A
Question: Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse–patient relationship?
Answer Options:
a. “I don’t have any problems.”
b. “It is so difficult for me to talk about my problems.”
c. “I don’t know how talking about things twice a week can help.”
d. “I want to find a way to deal with my anger without becoming violent.”
Answer: D
Question: How should the nurse who wants to demonstrate genuineness with a patient diagnosed with schizophrenia do so most effectively?
Answer Options:
a. By restating what the patient says.
b. By using congruent communication strategies.
c. By using self-disclosure in patient interactions.
d. By consistently interpreting the patient’s behaviors.
Answer: B
Question: During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? a. Preorientation b. Orientation c. Working d. Termination
Answer: C
Question: Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
Answer Options:
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: Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)
Answer Options:
a. An 8-year-old child watches an R-rated movie with both parents.
b. A young adult jumps from a bridge with a bungee cord with a best friend.
c. An adolescent is kidnapped and held for 2 years in the home of a sexual predator.
d. A passenger is in a bus that overturns on a sharp curve in the road, tumbling down an embankment.
e. An adult is trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.
Answer: C, D, E Question: 119 3. A nurse assesses the health status of veterans of the war in Afghanistan. Screening will be a priority for signs and symptoms of which health problems? (Select all that apply.) Answer Options: a. Schizophrenia b. Eating disorder c. Traumatic brain injury d. Seasonal affective disorder e. Posttraumatic stress disorder Correct Answer: C, E Question: 120 4. 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 Options: 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 Correct Answer: A, B Question: 121 A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to: Answer Options: a. verify the patient’s learning style. b. create outcomes and a teaching plan. c. lower the patient’s current anxiety level. d. assess how the patient uses defense mechanisms. Correct Answer: C
Question: A patient experiencing moderate anxiety says, “I feel undone.” An appropriate response for the nurse would be:
Answer Options:
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
Question: A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?
Answer Options:
a. Interview room furnished with a desk and two chairs.
b. Small, empty storage room with no windows or furniture.
c. Room with an examining table, instrument cabinets, desk, and chair.
d. Nurse’s office, furnished with chairs, files, magazines, and bookcases.
Answer: A
Question: Which descriptors exemplify consistency regarding therapeutic nurse–patient relationships? (Select all that apply.)
Answer Options:
a. (Which) Having the same nurse care for a patient on a daily basis
b. Giving a time for regular sessions with a patient
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: A, C, D
Question: During a session, a patient is silent, and 5 minutes remain in the session. The patient is silent for most of the session. Another patient comes to the door of the room, interrupts, says to the nurse, “I really need to talk to you right now.” What action is most appropriate? a. Telling the interrupting patient, “I am not available to talk with you at this time.” b. Ending the unproductive session with the current patient and spend 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: A patient with a mass in the left upper lobe of the lung is scheduled for a biopsy. The patient has difficulty understanding the nurse’s comments and asks, “What are they going to do?” Assessment findings on the patient include a tremulous voice, respirations 28 breaths per minute, and pulse rate 110 beats/min. What is the patient’s level of anxiety?
Answer Options:
a. Mild
b. Moderate
c. Severe
d. Panic
Answer: B
Question: Which scenario best demonstrates an example of eustress?
Answer Options:
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 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 Options:
a. “It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system.”
b. “You may be paying more attention to your mother since your father died and noticing more things such as minor illnesses.”
c. “So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link.”
d. “Negative emotions and stress may interfere with the body’s ability to protect itself and can increase the likelihood of infection.”
Answer: D