Question: Which action by the nurse is best associated with the demonstration of empathy? a. Observing the patient’s physical behavior and nonverbal communications b. Encouraging the patient time to express their concerns and physical needs c. Providing a therapeutic milieu where the patient is provided safety
Which action by the nurse is best associated with the demonstration of empathy? a. Observing the patient’s physical behavior and nonverbal communications b. Encouraging the patient time to express their concerns and physical needs c. Providing a therapeutic milieu where the patient is provided safety d. Encouraging the patient to communicate with their support system Correct Answer A
Question: A nurse assesses a patient who reluctantly participates in activities, answers questions with minimal responses, and rarely makes eye contact. What information should be included when documenting the assessment? (Select all that apply.) a. Uncooperative patient b. Patient’s subjective responses c. Only data obtained from the patient’s verbal responses
A nurse assesses a patient who reluctantly participates in activities, answers questions with minimal responses, and rarely makes eye contact. What information should be included when documenting the assessment? (Select all that apply.) a. Uncooperative patient b. Patient’s subjective responses c. Only data obtained from the patient’s verbal responses d. Description of the patient’s behavior during the interview e. Analysis of why the patient is unresponsive during the interview Correct Answer B, D
Question: Why is it important for a nurse to possess an appropriate degree of assertiveness? (Select all that apply.) a. Reduces interpersonal stress. b. Builds effective team relationships. c. Supports development of technical nursing skills. d. Reduces potential for the increased risk of client injury. e. Supports the delivery of effective, appropriate nursing care.
Why is it important for a nurse to possess an appropriate degree of assertiveness? (Select all that apply.) a. Reduces interpersonal stress. b. Builds effective team relationships. c. Supports development of technical nursing skills. d. Reduces potential for the increased risk of client injury. e. Supports the delivery of effective, appropriate nursing care. Correct Answer A, B, D, E
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
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 Correct Answer C, D, E
Question: A patient says to the nurse, “I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn’t rested well.” Which comment would be appropriate if the nurse seeks clarification? a. “It sounds as though you were uncomfortable with the content of your dream.” b. “I understand what you’re saying. Bad dreams leave me feeling tired, too.”
A patient says to the nurse, “I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn’t rested well.” Which comment would be appropriate if the nurse seeks clarification? a. “It sounds as though you were uncomfortable with the content of your dream.” b. “I understand what you’re saying. Bad dreams leave me feeling tired, too.” c. “So, all in all, you feel as though you had a rather poor night’s sleep?” d. “Can you give me an example of what you mean by ‘stoned’?” Correct Answer D
Question: A patient diagnosed with schizophrenia tells the nurse, “They are out to get me. They have it in for me. I know that the CIA is after me with those special waves.” Which response would be most therapeutic? a. “The CIA is interested in criminals, not in private citizens like you.” b. “It sounds like you’re concerned about your privacy.”
A patient diagnosed with schizophrenia tells the nurse, “They are out to get me. They have it in for me. I know that the CIA is after me with those special waves.” Which response would be most therapeutic? a. “The CIA is interested in criminals, not in private citizens like you.” b. “It sounds like you’re concerned about your privacy.” c. “The CIA is prohibited from operating in health care facilities.” d. “You have lost touch with reality, which is a symptom of your illness.” Correct Answer B
Question: The patient says, “My marriage is just great. My spouse and I usually agree on everything.” The nurse observes the patient’s foot moving continuously as the patient twirls a shirt button. What type of communication is the patient presenting? a. Clear b. Mixed c. Precise
The patient says, “My marriage is just great. My spouse and I usually agree on everything.” The nurse observes the patient’s foot moving continuously as the patient twirls a shirt button. What type of communication is the patient presenting? a. Clear b. Mixed c. Precise Correct Answer B
Question: A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of ‘offering self’? a. “I’ve also had traumatic life experiences. Maybe it would help if I told you about them.” b. “Why do you think you had so much difficulty adjusting to this change in your life?”
A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of ‘offering self’? a. “I’ve also had traumatic life experiences. Maybe it would help if I told you about them.” b. “Why do you think you had so much difficulty adjusting to this change in your life?” c. “I hope you will feel better after getting accustomed to how this unit operates.” d. “I’d like to sit with you for a while to help you get comfortable talking to me.” Correct Answer D
Question: Which technique will best communicate to a patient that the nurse is interested in listening? a. Restate a feeling or thought the patient has expressed. b. Ask a direct question, such as, “Did you feel angry?” c. Make a judgment about the patient’s problem. d. Say, “I understand what you’re saying.”
Which technique will best communicate to a patient that the nurse is interested in listening? a. Restate a feeling or thought the patient has expressed. b. Ask a direct question, such as, “Did you feel angry?” c. Make a judgment about the patient’s problem. d. Say, “I understand what you’re saying.” Correct Answer A
Question: A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate? a. “What are the common elements here?” b. “Tell me again about your experiences.” c. “Am I correct in understanding that…?” d. “Tell me everything from the beginning.”
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate? a. “What are the common elements here?” b. “Tell me again about your experiences.” c. “Am I correct in understanding that…?” d. “Tell me everything from the beginning.” Correct Answer C
Question: A patient tells the nurse, “I don’t think I will ever get out of here.” Select the nurse’s most therapeutic response. a. “Don’t talk that way. Of course, you will leave here.” b. “Keep up the good work and you certainly will.” c. “You don’t think you’re making progress?” d. “Everyone feels that way sometimes.”
A patient tells the nurse, “I don’t think I will ever get out of here.” Select the nurse’s most therapeutic response. a. “Don’t talk that way. Of course, you will leave here.” b. “Keep up the good work and you certainly will.” c. “You don’t think you’re making progress?” d. “Everyone feels that way sometimes.” Correct Answer C
Question: While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient’s chin lowers to the chest while the patient looks at the floor. Which aspect of communication has the nurse assessed? a. Nonverbal communication b. A message filter
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient’s chin lowers to the chest while the patient looks at the floor. Which aspect of communication has the nurse assessed? a. Nonverbal communication b. A message filter Correct Answer A
Question: 2. A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.) a. Remove jewelry, glasses, and harmful items from the patient and staff members.
2. A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.) a. Remove jewelry, glasses, and harmful items from the patient and staff members. b. Appoint a person to clear a path and open, close, or lock doors. c. Quickly approach the patient and grab the closest extremity. d. Select the person who will communicate with the patient. e. Move behind the patient to use the element of surprise. Correct Answer a. Remove jewelry, glasses, and harmful items from the patient and staff members. b. Appoint a person to clear a path and open, close, or lock doors. d. Select the person who will communicate with the patient.
Question: 3. Which central nervous system structures are most associated with anger and aggression? (Select all that apply.) a. Amygdala b. Cerebellum c. Basal ganglia d. Temporal lobe e. Parietal lobe
3. Which central nervous system structures are most associated with anger and aggression? (Select all that apply.) a. Amygdala b. Cerebellum c. Basal ganglia d. Temporal lobe e. Parietal lobe Correct Answer a. Amygdala d. Temporal lobe
Question: 4. Which behaviors are most consistent with the clinical picture of a patient who is becoming increasingly aggressive? (Select all that apply.) a. Pacing b. Crying c. Withdrawn affect d. Rigid posture with clenched jaw e. Staring with narrowed eyes into the eyes of another
4. Which behaviors are most consistent with the clinical picture of a patient who is becoming increasingly aggressive? (Select all that apply.) a. Pacing b. Crying c. Withdrawn affect d. Rigid posture with clenched jaw e. Staring with narrowed eyes into the eyes of another Correct Answer a. Pacing d. Rigid posture with clenched jaw e. Staring with narrowed eyes into the eyes of another
Question: 5. Because an intervention is required to control a patient’s aggressive behavior, a critical incident debriefing takes place. Which topics should be the focus of the discussion? (Select all that apply.) a. Patient behavior associated with the incident b. Genetic factors associated with aggression c. Intervention techniques used by staff
5. Because an intervention is required to control a patient’s aggressive behavior, a critical incident debriefing takes place. Which topics should be the focus of the discussion? (Select all that apply.) a. Patient behavior associated with the incident b. Genetic factors associated with aggression c. Intervention techniques used by staff d. Effect of environmental factors e. Review of theories of aggression Correct Answer a. Patient behavior associated with the incident c. Intervention techniques used by staff d. Effect of environmental factors
Question: A nurse counsels a person whose spouse recently died. The nurse uses cheer and humor to lift the person’s spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct? a. The nurse’s technique was effective. b. Use of humor should be added to the plan of care. c. This approach may prove useful in other, similar situations.
A nurse counsels a person whose spouse recently died. The nurse uses cheer and humor to lift the person’s spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct? a. The nurse’s technique was effective. b. Use of humor should be added to the plan of care. c. This approach may prove useful in other, similar situations. d. The nurse needs help developing therapeutic communication skills. Correct Answer d. The nurse needs help developing therapeutic communication skills.
Question: A patient’s fiancé died in an automobile accident several days ago. The patient reports crying a lot and feeling bouts of guilt and anger. This behavior is most characteristic of which stage of grief? a. Denial b. Bargaining c. Development of awareness d. Preoccupation with the loss
A patient’s fiancé died in an automobile accident several days ago. The patient reports crying a lot and feeling bouts of guilt and anger. This behavior is most characteristic of which stage of grief? a. Denial b. Bargaining c. Development of awareness d. Preoccupation with the loss Correct Answer c. Development of awareness
Question: After the death of a spouse, an adult repeatedly says, “I should have made him go to the doctor when he said he didn’t feel well.” What response is this individual likely experiencing? a. Preoccupation with the image of the deceased b. Sensations of somatic distress c. Anger d. Guilt
After the death of a spouse, an adult repeatedly says, “I should have made him go to the doctor when he said he didn’t feel well.” What response is this individual likely experiencing? a. Preoccupation with the image of the deceased b. Sensations of somatic distress c. Anger d. Guilt Correct Answer d. Guilt