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
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: 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: 2. A patient approaches the nurse and impatiently blurts out, “You’ve got to help me! Something terrible is happening. My heart is pounding.” The nurse responds, “It’s almost time for visiting hours. Let’s get your hair combed.” Which approach has the nurse used?
Answer Options:
a. Bringing up an irrelevant topic
b. Responding to physical needs
c. Addressing false cognitions
d. Focusing
Answer Options:
a. Bringing up an irrelevant topic
b. Responding to physical needs
c. Addressing false cognitions
d. Focusing
Answer: A
Question: A patient says, “I’ve done a lot of cheating and gambling in my relationships.” What nonjudgmental response by the nurse is most appropriate?
Answer Options
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: Why should the nurse introduce the matter of a contract during the first session with a new patient?
Answer Options
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: 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: As a nurse escorts a patient being discharged after treatment for panic disorder, the patient gives the nurse a gold necklace with a heart pendant and says, “Thank you for helping mend my broken heart.” Which is the nurse’s best response?
Answer Options
a. “Accepting gifts violates the policies and procedures of the facility.”
b. “I’m glad you feel so much better now. Thank you for the beautiful necklace.”
c. “I’m glad I could help you, but I can’t accept the gift. My reward is seeing you renewed sense of hope.”
d. “Helping people is what nursing is all about. It’s rewarding to me when patients recognize how hard we work.”
Answer: C
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 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: 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: Which behavior shows that a nurse values autonomy?
Answer Options
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: CKD patients can have anemia.
True
False
Answer: True
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 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 Options
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: Intense fear of discomfort is found in which psychiatric disorder?
Delirium
Obsessive-compulsive disorder
Manic disorder
Panic disorder
Answer: Panic disorder
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 Options
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.
Answer: B, C, D, E
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: 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 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: 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 Options
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: 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: A nurse explains to the family of a patient who is mentally ill how the nurse–patient relationship differs from social relationships. Which is the best explanation?
Answer Options
a. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.”
b. “The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.”
c. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.”
d. “The focus is the creation of a partnership in which each member is committed to growth and satisfaction of the other.”
Answer: A
Question: A nurse wants to enhance the growth of a patient by showing positive regard. What nursing action is consistent with this wish?
Answer Options
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: 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