Answer Options:
a. Beginning at the orientation phase
b. Returning the working relationship
c. Entering into a social relationship
d. Returning to the emotional catharsis phase
Answer: A
Question: A veteran of military combat tells the nurse, “I saw a child get blown up over a year ago, and now I keep seeing bits of flesh everywhere. I see something red and the visions race back to my mind.” Which phenomenon associated with posttraumatic stress disorder (PTSD) is this veteran describing?
Answer Options:
a. Re-experiencing
b. Hyperarousal
c. Avoidance
d. Psychotic
Answer: A
Question: An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)
Answer Options:
a. Substance abuse disorders
b. Depression
c. Eating disorders
d. Personality disorders
e. Schizophrenia
Answer: A, B, C, D
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 Options:
a. Boundary blurring
b. Sexual harassment
c. Positive regard
d. Advocacy
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 Options:
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 veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, “If there’s a loud noise at night, I get under my bed because I think we’re getting bombed.” What type of experience has the veteran described?
Answer Options:
a. Illusion
b. Flashback
c. Nightmare
d. Auditory hallucination
Answer: B
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 Options:
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 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 Options:
a. Risk for injury
b. Self-care deficit
c. Disturbed energy field
d. Disturbed thought processes
Answer: A
Question: A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse’s immediate attention?
Answer Options:
a. “It’s good to be home. I missed my family and friends.”
b. “I saw my best friend get killed by a roadside bomb. It should have been me instead.”
c. “Sometimes I think I hear bombs exploding, but it’s just the noise of traffic in my hometown.”
d. “I want to continue my education but I’m not sure how I will fit in with other college students.”
Answer: B
Question: A firm should never accept a project if its acceptance would lead to an increase in the firm’s cost of capital (its WACC).
Answer Options:
a. True
b. False
Answer: b. False
Question: At what point in the nurse-patient relationship should a nurse plan to first address termination? a. In the orientation phase b. During the working phase c. In the termination phase
Answer: A
Question: Which assessment question would be most appropriate for the nurse to ask a patient who is at risk for developing generalized anxiety disorder (GAD)?
Answer Options:
a. “Have you been a victim of a crime or seen someone badly injured or killed?”
b. “Do you feel especially uncomfortable in social situations involving people?”
c. “Do you repeatedly do certain things over and over again?”
d. “Do you find it difficult to control your worrying?”
Answer: D
Question: A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. How should the nurse respond?
Answer Options:
a. By suppressing the angry feelings.
b. By expressing the anger openly and directly with the patient.
c. By telling the nurse manager to assign the patient to another nurse.
d. By discussing the anger with a clinician during a supervisory session.
Answer: D
Question: A patient diagnosed with schizophrenia 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 Options:
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 soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2014. When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?
Answer Options:
a. Immediately upon return to the United States from Afghanistan
b. Before departing Afghanistan to return to the United States
c. Two years after returning from Afghanistan
d. Screening should be ongoing
Answer: D
Question: A patient is brought to the emergency department after a motorcycle accident. The patient is 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 Options:
a. T, 98.6°; P, 64; R, 14
b. T, 98.6°; P, 68; R, 12
c. T, 98.6°; P, 62; R, 16
d. T, 98.6°; P, 84; R, 22
Answer: D
Question: A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?
Answer Options:
a. Offering hope allays and defuses the patient’s anxiety.
b. Concerns stated aloud become less overwhelming and help decrease feelings of isolation.
c. Anxiety is reduced by focusing on and validating what is occurring in the environment.
d. Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.
Answer: B