NRSG 126 Final

Which of the following theories could be classified as humanistic theories? Select all that apply.
A) Cognitive therapy
B) Maslow's hierarchy of needs
C) Gestalt therapy
D) Rogers' client-centered therapy
E) Rational emotive therapy
F) Piaget's cognitive

B) Maslow's hierarchy of needs
D) Rogers' client-centered therapy

A patient is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as highest priority in the plan of care?
A) Weight 24% below normal for height
B) Distorted body image
C) Fe

D) Frequent vomiting after meals

All of the following nursing diagnoses are appropriate for the care of a client with anorexia. Which nursing diagnosis has the highest priority?
A) Activity intolerance
B) Ineffective coping
C) Chronic low self-esteem
D) Imbalanced nutrition: less than bo

D) Imbalanced nutrition: less than body requirements

A patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?
A) Trust
B) Autonomy
C) Initiati

A) Trust

A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?
A) Identity versus role confusion
B) Industry versus inferiority
C) Integrity versus despair
D) Generati

C) Integrity versus despair

A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
A) Trust
B

D) Industry

A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states, "It's just an infection; it will clear up." The statement indicates that this patient
A) needs education on cervical cancer.
B) is unable to expr

D) is using denial to protect herself from an emotionally painful thought.

A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?
A) Argue with the supervisor that he is usu

D) Tell the unit housekeeper that his work is sloppy

The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?
A) Dissociation
B) Displacement
C) Intellectualization
D) Su

C) Intellectualization

A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, "I have to work too much and don't have time to study. It wouldn't matter anyway bec

B) rationalization and projection

A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following

B) Projection

The nurse is sitting down with a patient to begin a conversation. Which of the following positions should the nurse take to convey acceptance of the patient?
A) Leaning forward with arms on the table sitting directly across for the patient
B) Turned sligh

D) Sitting upright facing the patient with both feet on the floor

The nurse has established a therapeutic relationship with a patient. The patient is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?
A) Orientation
B) Identification
C) Exploitation

B) Identification

Which of the following considerations should have the most influence in the nurse's choice of the treatment for the client?
A) The client's feelings and perceptions about his or her situation
B) The nurse's beliefs about the theories of psychosocial devel

A) The client's feelings and perceptions about his or her situation

What is required for a transitional care model to be most effective in promoting the client's health and well-being and prevent relapse and rehospitalization? Select all that apply.
A) Collaboration
B) Administrative support
C) Adequate funding
D) Family

A) Collaboration
B) Administrative support
C) Adequate funding

The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, "I am just devastated that my marriage is falling apart," the nurse can best show empathy through which of the following responses?
A) "I

B) "You feel like your world is falling apart right now.

Which of the following statements is true of the component of a therapeutic relationship "acceptance"?
A) The nurse accepts the behavior of any inappropriate behavior.
B) It is avoiding judgments of the person, no matter what the behavior is.
C) It involv

B) It is avoiding judgments of the person, no matter what the behavior is.

The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to
A) alleviate stressors in life.
B) allow the client to know the nurse's feelings.
C) establish relationships.
D) facilitate a positive change.

D) facilitate a positive change.

Which of the following is the most important skill the nurse must bring to the therapeutic nurse/client relationship?
A) Confrontation
B) Empathy
C) Humor
D) Reframing

B) Empathy

When preparing for the first clinical experience with patients on a forensic unit at a psychiatric hospital, the nursing instructor discusses students' beliefs and fears surrounding forensic patients. The primary reason for discussing personal beliefs is

D) become aware of possible barriers to developing therapeutic relationships.

The client says to the nurse, "I feel really close to you. You are the only true friend I have." The most therapeutic response the nurse can make is,
A) "I am sure there are other people in your life who are your friends; besides, we just met."
B) "It mak

C) "Since ours is a professional relationship, let's explore other opportunities in your life for friendship.

A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which of th

A) Defining boundaries

A nurse openly admits to not being able to relate to a patient's experience. According to Munhall, this will most likely have what influence on the therapeutic relationship?
A) The nurse will avoid imposing any values on the patient.
B) The patient will n

A) The nurse will avoid imposing any values on the patient.

The nurse is mindful of maintaining relationships with patients that are therapeutic. Certain characteristics of the relationships the nurse will foster include: Select all that apply.
A) offering sound advice to the patient.
B) establishing boundaries fo

B) establishing boundaries for both the nurse and patient.
C) maintaining a patient-focus at all times.
E) avoiding concern with whether the patient likes the nurse.

One of the primary differences between social and therapeutic relationships is the
A) amount of emotion invested.
B) degree of satisfaction obtained.
C) kind of information given.
D) type of responsibility involved.

D) type of responsibility involved.

During the orientation phase of the nurse/patient relationship, the nurse directs the patient to do which of the following?
A) Identify problems to examine
B) Express needs and feelings
C) Develop interpersonal skills
D) Identify self-care strategies

A) Identify problems to examine

The nurse has been working with a patient with an eating disorder for one week. During the morning treatment team meeting, the treatment plan is updated. Which of the following would be appropriate interventions at this time in the nurse/patient relations

A) Exploring perceptions of reality
B) Promoting a positive self-concept
D) Working through resistance

During the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore problems?
A) Comparing past and present coping strategies
B) Encouraging the client to clarify feelings and behaviors

B) Encouraging the client to clarify feelings and behaviors

The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?
A) Inform the patient of priority problems

B) Assess the patient's perception of a problem

Which one of the following goals of therapeutic communication would the nurse strive to attain first?
A) Facilitate the client's expression of emotions.
B) Establish a therapeutic nurse/client relationship.
C) Teach the client and family necessary self-ca

A) Facilitate the client's expression of emotions.

The nurse asks the patient what he would like to talk about. This is an example of
A) broad opening.
B) encouraging expression.
C) focusing.
D) offering self.

A) broad opening.

The patient expresses frustration that the doctor does not spend enough time with the patient when making rounds. The nurse replies, "The doctors are very busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this respo

B) Defending

A patient asks the nurse what she should do about her "cheating" husband. The nurse replies, "You should divorce him. You deserve better than that." The nurse used which communication technique?
A) Giving information
B) Verbalizing the implied
C) Giving a

C) Giving advice

The nurse asks the client what that experience was like. Which communication skill is the nurse using?
A) Encouraging expression
B) Encouraging description of perceptions
C) Exploring
D) Requesting an explanation

A) Encouraging expression

Which of the following are nontherapeutic techniques? Select all that apply.
A) Silence
B) Voicing doubt
C) Agreeing
D) Challenging
E) Giving approval
F) Accepting

C) Agreeing
D) Challenging
E) Giving approval

The nurse says to the client, "You become very anxious when we start talking about your drinking." Which of the following techniques is the nurse using?
A) Confronting behavior
B) Making an observation
C) Translating into feelings
D) Verbalizing the impli

B) Making an observation

A patient states, "I feel fine. It's a good day." The nurse notes the patient looking away, and a decreasing pitch in his voice while speaking. Which of the following is the most therapeutic response by the nurse?
A) "I'm glad you are feeling good today.

D) "You say you feel fine, but you don't really sound fine.

The nurse asks the patient, "What was it like for you when you first knew you had no place to go?" The patient looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
A) Change the subject to something the patient will di

D) Sit quietly until the patient responds

A patient yells, "All the nurses here are so mean. None of you really care about us!" The most therapeutic response would be,
A) "I cannot allow you to yell like that."
B) "We care about you."
C) "Oh, really?"
D) "You seem very irritated.

D) "You seem very irritated.

Patient says to the nurse, "I wonder what's playing at the movie tonight." The most therapeutic response would be,
A) "Are you telling me you would like to go to the movies?"
B) "Why don't you look in the newspaper."
C) "There's nothing worth watching."
D

A) "Are you telling me you would like to go to the movies?

The client stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse would state, "How are your stress reduction classes going?"
A) Chang

A) Changing the subject

The nurse enters the client's room and finds the client anxiously pacing the floor. The client begins shouting at the nurse, "Get out of my room!" The best intervention by the nurse would be to
A) approach the client and ask, "What's wrong?"
B) call for h

D) stand at the doorway and say, "You seem upset.

Which of the following is an important part of therapeutic communication for clients who have OCD?
A) To encourage the client to keep the obsession secret.
B) To encourage the client to discuss his or her obsession with the nurse.
C) The nurse must have t

B) To encourage the client to discuss his or her obsession with the nurse.

The client with a history of explosive outbursts becomes angry and states, "I am really getting angry." The nurse sees this as
A) controlling.
B) manipulation.
C) progress.
D) regression.

C) progress.

The police find a woman wandering around a parking lot, singing very loudly. They bring her to the hospital; she has no knowledge of what she has been doing for the past 12 hours and is dressed in unfamiliar clothing. This is an example of
A) Dissociation

A) Dissociation

A nurse is questioning whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. What is the ethical principle that will best guide the decision on appropriate use of seclusion?
A) Autonomy
B) Beneficence
C) Justice
D)

A) Autonomy

Ensuring that the client has informed consent before agreeing to a treatment regimen displays which of the following ethical principles?
A) Fidelity
B) Nonmaleficence
C) Justice
D) Autonomy

D) Autonomy

The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family

A) "How is not working right now affecting you?

Which is a standard for establishing a code of conduct for living?
A) Acceptance
B) Empathy
C) Values
D) Positive regard

C) Values

A nurse makes the statement in a treatment team meeting, "It's not worth it to try to teach this patient how to make better choices. He has been here many times before and goes back home and does the same thing." The nurse is sharing which of the followin

D) Attitude

How might the nurse best provide culturally competent care?
A) Behave as appropriate for the nurse's culture.
B) Find out as much as possible about a client's cultural values, beliefs, and health practices.
C) Know what to expect from many cultural groups

B) Find out as much as possible about a client's cultural values, beliefs, and health practices.

A client's prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?
A) The client is self-motivated and asks for help when needed.
B) The client is able to resist illness whe

A) The client is self-motivated and asks for help when needed.

Which of the following personal characteristics influence a client's response to stressors? Select all that apply.
A) Self-efficacy
B) Sense of belonging
C) Spirituality
D) Hardiness
E) Resilience
F) Resourcefulness

A) Self-efficacy
C) Spirituality
D) Hardiness
E) Resilience
F) Resourcefulness

Individuals who grow up in "at-risk" environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?
A) Hardiness
B) Resilience
C) Social skills
D) Tolerance

B) Resilience

The client says to the nurse, "I know I can learn to cope with my family situation. By getting help here at the clinic, I'll be able to deal with them more effectively, and I won't be so stressed out all the time." This client is demonstrating a high leve

D) self-efficacy

A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect?
A) Blunt affect
B) Restricted affect
C) Broad affect
D) Flat affect

D) Flat affect

A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?
A) Self-efficacy
B) Resilience
C) Resourcefulness
D) Hardiness

D) Hardiness

It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client? Select all that apply.
A) Family members are independent of one another.
B) Family members

B) Family members spend time together.
C) Family members engage in recreational activities together.

A client made threats to harm his parents if they come too close to him. The parents called 911, and the client is now held involuntarily for a psychiatric evaluation. During this time of involuntary admission, the client retains all client rights except

B) Right to freedom

Which of the following would be circumstances when a client could be subjected to involuntary hospitalization? Select all that apply.
A) When a client states that he or she intends to commit suicide and is making plans to do so.
B) When a client does not

A) When a client states that he or she intends to commit suicide and is making plans to do so.
C) When a client states that he or she intends to harm others by a deliberate act.
E) When a client is unable to control his or her rage and is assaulting every

A client who has depression is admitted to treatment on a voluntary basis. While in the hospital, the client makes several comments about wanting to "end it all." The client decides one day to leave against medical advice. Which of the following would be

C) Contacting the psychiatrist for initiation of commitment proceedings

Which of the following client situations most urgently requires the nurse to break confidentiality and warn a third party?
A) An abused woman states, "I have dreams that he is dead."
B) A mother states, "Sometimes I feel like killing my kids!"
C) A parano

D) A jealous man states, "I am getting my gun and going to shoot my wife's lover!

Two nurses are discussing the rights of hospitalized psychiatric clients. Which of the following statements is an error?
A) Confidentiality allows for the disclosure of information under specific circumstances.
B) If a committed client is also found to be

B) If a committed client is also found to be incompetent, he loses his rights under the Patient's Bill of Rights.

When is a nurse legally obligated to breach confidentiality?
A) At any time a client is threatening
B) If threats are made to an identifiable third party
C) Whenever the client becomes aggressive
D) When the client violates the nurse's boundaries

B) If threats are made to an identifiable third party

A nurse is performing safety assessments on a client in mechanical restrains as required by policy. Which action by the nurse demonstrates the ethical principle of nonmaleficence?
A) Explaining the behavioral requirements for release of restraint to the c

B) Assuring that the restraints are not causing injury to the client

An adult client is put in restraints after all other attempts to reduce aggression have failed. Which of the following is required now that restraints have been instituted?
A) Review of the appropriateness of restraints every 8 hours
B) A face-to-face eva

B) A face-to-face evaluation by a licensed independent practitioner within 1 hour of restraint.

Which of the following are criteria that must be adhered to when instituting the short- term use of restraint or seclusion? Select all that apply.
A) The client is aggressive.
B) The client is being punished.
C) The client is imminently dangerous to himse

A) The client is aggressive.
C) The client is imminently dangerous to himself or herself or to others.
E) All other means of calming the client have been unsuccessful.

A client with a somatic symptom illness asks what is causing her physical symptoms. Which would be the appropriate explanation for the nurse to offer?
A) Physical symptoms can be attributed to an organic cause.
B) Physical symptoms are deliberately expres

D) Physical symptoms are an involuntary way of dealing with psychic conflict.

Which of the following dilemmas involve the ethical principle of fidelity? Select all that apply.
A) When the nurse is unable to agree with the policies or common practices of an agency
B) When the nurse is faced with a decision to violate a policy that i

A) When the nurse is unable to agree with the policies or common practices of an agency
B) When the nurse is faced with a decision to violate a policy that is harmful to the client

Which of the following statements about anger, hostility and aggression are accurate? Select all that apply.
A) Anger is an emotional response to a real or perceived provocation.
B) Hostility stimulates the sympathetic nervous system.
C) Physical aggressi

A) Anger is an emotional response to a real or perceived provocation.
C) Physical aggression involves harming other persons or property.
E) Hostility is also referred to as verbal aggression.

Which one of the following statements about anger is most accurate?
A) Anger is an abnormal human emotion that is always negative.
B) It is best to express anger by whatever means possible to minimize its consequences.
C) Most men are socialized to suppre

D) Anger awareness and expression are necessary for women's growth and development.

At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?
A) Triggering
B) Escalation
C) Crisis
D) Postcrisis

C) Crisis

Which psychiatric disorder makes a person most susceptible to anger attacks that do not result in physical aggression?
A) Delusions
B) Depression
C) Dementia
D) Delirium

B) Depression

A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately to prevent the client from moving to which phase of the aggressing cycle?
A) Triggering
B) Escalation
C) Crisis
D) Recovery

B) Escalation

The client's son is yelling and is hitting his hand with a rolled up newspaper. Which stage of aggression does the nurse identify that the client's son is exhibiting?
A) Triggering
B) Escalation
C) Crisis
D) Recovery

B) Escalation

The nurse is teaching a client to recognize early signs of anger and aggression. The nurse explores ways that the client can recognize which of the following?
A) Decreased problem-solving ability
B) Restlessness and irritability
C) Remorse
D) Severe muscl

B) Restlessness and irritability

Which of the following statements about the crisis phase of aggression when the client becomes physically aggressive is true?
A) All staff should act to take charge of the situation.
B) The client must be restrained or sedated at once.
C) Staff should avo

D) Four to six trained staff members are needed to restrain.

Which may be concerns that a nurse has when caring for clients who have conduct disorders? Select all that apply.
A) Thinking that the client should be able to refrain from hostility and aggression through use of will power.
B) Having conflicted feelings

A) Thinking that the client should be able to refrain from hostility and aggression through use of will power.
B) Having conflicted feelings regarding holding clients accountable for their behaviors without having a punitive attitude.
D) Having anxiety an

Which of the following terms is used to describe the process by which a person experiences the grief?
A) Anticipatory grieving
B) Disenfranchised grief
C) Bereavement
D) Mourning

C) Bereavement

The nurse is conducting a history and physical exam on a client who is grieving the unwanted loss of a marriage by divorce. Which of the following physical symptoms of grief would the nurse most likely expect to detect in the history?
A) Headaches
B) Inso

B) Insomnia

A woman has just had a therapeutic abortion to end an unintended pregnancy. Afterward, the woman cries because although she wanted to have children in future years, this pregnancy was not well-timed. Which type of grief is this woman most likely to experi

D) Disenfranchised grief

Which of the following losses are likely to result in disenfranchised grief? Select all that apply.
A) A young adult whose spouse has just died suddenly
B) A family whose long-time pet snake has just died
C) A nurse who has just witnessed the death of a p

B) A family whose long-time pet snake has just died
C) A nurse who has just witnessed the death of a patient
D) A couple who has just experienced pregnancy loss
E) The gay lover of a man who just died from AIDS

Which of the following is most likely to prevent the client from experiencing complicated grief?
A) Tendency to suppress emotions
B) History of depression
C) Places trusts familiar others
D) Dependent on others to meet needs

C) Places trusts familiar others

Which of the following persons are most likely experiencing complicated grieving? Select all that apply.
A) The spouse of a person who died 7 years ago and visits the grave several times a day.
B) The grandchild of a soldier killed in war who visits the g

A) The spouse of a person who died 7 years ago and visits the grave several times a day.
C) A driver whose spouse and children all died as a result of his driving drunk.
D) An adult who insisted for many years that he or she hated his or her deceased pare

The nurse is establishing outcomes for a grieving client. Which of the following is an appropriate outcome?
A) The client will develop a plan for coping with the loss.
B) The client will demonstrate self-reliance during the grief process.
C) The client wi

A) The client will develop a plan for coping with the loss.

A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, i?The best part of my day is when I am back at work. Is that wrong?i? The nurse educates that work and other daily activities serve which purpose?
A) "You cannot work effec

D) "Working is letting you take an emotional break from grieving. There's nothing wrong with that.

Which of the following are critical components in assessment of a person's grief? Select all that apply.
A) Adequate perception regarding the loss
B) Adequate time to experience the loss
C) Adequate support while grieving for the loss
D) Adequate opportun

A) Adequate perception regarding the loss
C) Adequate support while grieving for the loss
E) Adequate coping behaviors during the process

A married couple has just received the news that the husband has terminal cancer. The wife tells the nurse, i?Maybe if we get another opinion and start treatment right way there is a chance of survival.i? The nurse documents that the wife is expressing si

C) Bargaining

After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly. The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ro

D) Depression

The client says to the nurse, i?I really want to see my first grandchild born before I die. Is that too much to ask?i? The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
A) Acceptance
B) Anger
C) Bargaining

C) Bargaining

The nurse is collecting assessment data on a client who is suspected to be a victim of violence. Which assessment data would support the suspicion that the client is a victim of abuse? Select all that apply.
A) The client has few friends.
B) The client ho

A) The client has few friends.
D) There is a moderate amount of alcohol use in the home.
E) The client reports that the father was abusive during childhood.

Which of the following are common characteristics of violent families regardless of the type of abuse that exists? Select all that apply.
A) Abuse of power and control
B) Alcohol and other drug abuse
C) Intergenerational transmission
D) Social isolation
E

A) Abuse of power and control
B) Alcohol and other drug abuse
C) Intergenerational transmission
D) Social isolation

Which of the following are common reasons why abused women remain with the abusive partner? Select all that apply.
A) The abused person is personally and financially dependent on the abuser.
B) The abused person has low self-esteem and defines her success

A) The abused person is personally and financially dependent on the abuser.
B) The abused person has low self-esteem and defines her success as a person by the ability to make the relationship work.
D) The abused person believes that she is unable to func

Which of the following are typical characteristics of the perpetrator of intimate partner abuse? Select all that apply.
A) The perpetrator often believes that the partner is his own property.
B) The perpetrator is often irrationally jealous, even of his o

A) The perpetrator often believes that the partner is his own property.
B) The perpetrator is often irrationally jealous, even of his own children.
C) The perpetrator is emotionally immature and needy.

The nurse is caring for a 16-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?
A) The client will experience long-term emotional trauma.
B) The client will have no ill effects due to his age.
C) The clien

A) The client will experience long-term emotional trauma.

Which of the following behaviors would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?
A) The child has a preference for associating with peers, rather than adults.
B) The child has learning problems and shyness.
C)

C) The child tells sexually explicit stories to peers.

Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim on intimate partner violence?
A) Encourages the partner to have a life outside the intimate relationship
B) An inflated sense of self-esteem
C)

C) Needy and possessive of the partner

Which one of the following statements regarding intimate partner violence is true?
A) Males are never the victim in intimate partner violence.
B) It is common for abusers to use one type of abuse only.
C) Intimate partner violence can exist with former pa

C) Intimate partner violence can exist with former partners.

The nurse is involved in a community education program for new parents and plans to include information on child abuse. The nurse will teach the parents that the most common form of child abuse is which of the following?
A) Neglect
B) Physical abuse
C) Se

A) Neglect

A coherent elderly woman has been financially and emotionally abused by her adult children for the past several years, but has failed to report the abuse to anyone. Which is the most likely reason that the woman neglects to report the abuse?
A) She cannot

D) She is emotionally close to her children and does not want to bring them harm.

A school nurse is educating a group of adolescent girls about rape and sexual assault. The nurse evaluates the students' understanding when they report which of the following as a high-risk factor regarding the incidence of rape?
A) The highest incidence

A) The highest incidence of rape occurs in adolescents and young adult women.

Which of the following are common behavioral and emotional responses to abuse? Select all that apply.
A) One third of abusive men are likely to have come from violent homes.
B) Women who grew up in violent homes are 50% more likely to expect or accept vio

A) One third of abusive men are likely to have come from violent homes.
B) Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships.
C) Dependency on the abuser is a common trait found in victims of do

A woman has just presented at the emergency department after being raped. The initial nursing action would be to
A) provide emotional support.
B) refer her to a rape crisis hotline.
C) encourage her to file charges immediately.
D) perform a nursing histor

A) provide emotional support.

Which of the following statements regarding the individual responses to trauma and stressors is a positive outcome?
A) Many individuals are unable to cope with the event, manage their stress and emotions, or resume the daily activities of their lives.
B)

B) Some individuals may develop enhanced coping as a result of dealing with the stressor.

Which of the following statements about posttraumatic stress disorder is accurate?
A) Estimates are that the disorder is very rare.
B) Estimates are that up to 60% of people at risk develop PTSD.
C) Only 20% of victims of rape develop PTSD.
D) PTSD sympto

B) Estimates are that up to 60% of people at risk develop PTSD.

Which of the following might the nurse recognize as longer-term responses to trauma and stress? Select all that apply.
A) Acute stress disorder
B) Posttraumatic stress disorder
C) Adjustment disorder
D) Reactive attachment disorder
E) Dissociative disorde

B) Posttraumatic stress disorder
C) Adjustment disorder
D) Reactive attachment disorder
E) Dissociative disorder

Which of the following would the nurse know are the major elements of posttraumatic stress disorder (PTSD)? Select all that apply.
A) Trying to avoid any places or people or situations that may trigger memories of the trauma
B) Reexperiencing the trauma t

B) Reexperiencing the trauma through dreams or recurrent and intrusive thoughts
D) Emotional numbing such as feeling detached from others
E) Being on guard, irritable, or experiencing hyperarousal

Which of the following are events that a person may experience, witness, or be confronted by that may trigger posttraumatic stress disorder (PTSD)? Select all that apply.
A) Being a survivor of a tsunami that resulted in thousands of deaths
B) Being stran

A) Being a survivor of a tsunami that resulted in thousands of deaths
C) Being a marine in a combat situation where the entire platoon was wiped out except for one person
D) Being hidden in a closet and hearing the entire family murdered by someone who br

client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. The initial medical diagnosis is to rule out posttraumatic stress disorder (PTSD). Which would the nurse assess for when determining the major ele

A) Reexperiencing the trauma through dreams or recurrent and intrusive thoughts
B) Showing emotional numbing such as feeling detached from others
C) Being on guard, irritable, or experiencing hyperarousal

Which of the following statements about the assessment of persons with anxiety and anxiety disorders is most accurate?
A) When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated wit

A) When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated with another condition.

The nurse knows that which one of the following statements is true about stress and anxiety?
A) All people handle stress in the same way.
B) Stress is a person's reaction to anxiety.
C) Anxiety occurs when a person has trouble dealing with life situations

D) Stress is the wear and tear that life causes on the body.

A client says to the nurse, "I just can't talk in front of the group. I feel like I'm going to pass out." The nurse assesses the client's anxiety to be at which level?
A) Mild
B) Moderate
C) Severe
D) Panic

C) Severe

A student is preparing to give a class presentation. A few minutes before the presentation is to begin, the student seems nervous and distracted. The student is looking at and listening to the peer speaker and occasionally looking at note cards. When the

B) Moderate

A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing
A) hallucinations.
B) depersonalization.
C) derealization.
D) denial.

B) depersonalization.

Which of the following statements about the use of defense mechanisms in persons with anxiety disorders are accurate? Select all that apply.
A) Defense mechanisms are a human's attempt to reduce anxiety.
B) Persons are usually aware when they are using de

A) Defense mechanisms are a human's attempt to reduce anxiety.
C) Defense mechanisms can be harmful when overused.
D) Defense mechanisms are cognitive distortions.
F) Defense mechanisms can control the awareness of anxiety.

Which one of the following can be a positive outcome of using defense mechanisms?
A) Defense mechanisms can inhibit emotional growth.
B) Defense mechanisms can lead to poor problem-solving skills.
C) Defense mechanisms can create difficulty with relations

D) Defense mechanisms can help a person to reduce anxiety.

Which of the following are interpersonal theories regarding the etiologies of major anxiety disorders? Select all that apply.
A) Sigmund Freud's theory
B) Henry Stack Sullivan's theory
C) Hildegard Peplau's theory
D) Pavlov's theory

B) Henry Stack Sullivan's theory
C) Hildegard Peplau's theory

A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called
A) systematic desensitization.
B) f

A) systematic desensitization.

When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?
A) Caffeine
B) High-fat foods
C) Refined sugars
D) Sodium

A) Caffeine

Which of the following are reasons that the nurse must understand why and how anxiety behaviors work? Select all that apply.
A) To provide better care for the client
B) To help understand the role anxiety plays in performing nursing responsibilities
C) To

A) To provide better care for the client
B) To help understand the role anxiety plays in performing nursing responsibilities
E) To help nurses to function at a high level

The nursing student correctly identifies which of the following statements are true of the etiology of OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up.
B) The etiology of

A) The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up.
B) The etiology of OCD is not definitively explained at this time.
E) Cognitive models may partially explain why people develop OCD.

Which of the following are features of the thinking of a person who has OCD according to the cognitive model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his or her life.
B) The person with OCD believes on

B) The person with OCD believes one's thoughts are overly important and has a need to control those thoughts as they overestimate the threat posed by their thoughts.
D) The person with OCD is concerned with perfectionism and has an intolerance of uncertai

Which of the following statements about the typical history of illness that would be assessed in a client who has OCD is consistent with OCD?
A) OCD usually requires hospitalization.
B) OCD treatment is usually outpatient.
C) OCD only affects the client's

B) OCD treatment is usually outpatient.

Which of the following would be appropriate outcomes for a client with OCD? Select all that apply.
A)The client will stop engaging in the compulsive activity.
B) The client will spend less time performing rituals.
C) The client will complete daily routine

B) The client will spend less time performing rituals.
C) The client will complete daily routine activities within a realistic time frame.
E) The client will demonstrate effective use of behavior therapy techniques.

Which of the following is the most important variable in determining the likelihood of success in improving life for a client with OCD?
A) The client must be willing to make changes in his or her behavior.
B) The client must acknowledge that the behavior

A) The client must be willing to make changes in his or her behavior.

Before eating a meal, a client with obsessiven?compulsive disorder must wash her hands for 14 minutes, comb her hair for 114 strokes, and switch the light off and on 44 times. When evaluating the progress of the client, what is the most important treatmen

B) Gradually decrease the amount of time spent for performing rituals.

13. Which of the following treatment modalities is most effective for OCD?
A) Behavioral techniques
B) Medication
C) Behavioral techniques and medication
D) Ignoring it

C) Behavioral techniques and medication

Which of the following is essential for the nurse to communicate to the client with OCD and to the client's family?
A) The client's diagnosis should be kept secret from everyone outside the immediate family and friends.
B) The importance of medication com

B) The importance of medication compliance and that it may be necessary for medication to be changed to find the one that works best.

Which of the following is the desired outcome for a client with OCD?
A) That the client will no longer experience any signs or symptoms of OCD
B) That the client will no longer experience anxiety
C) That the OCD symptoms no longer interfere with the clien

C) That the OCD symptoms no longer interfere with the client's responsibilities

Which of the following are important for the nurse to remember when teaching relaxation and behavioral techniques to a client with OCD? Select all that apply.
A) It is important to teach the client to use relaxation techniques when the client's anxiety is

A) It is important to teach the client to use relaxation techniques when the client's anxiety is low.
B) The nurse may teach the client about relaxation techniques when the client is experiencing anxiety.
C) The client must be willing to engage in exposur

The student nurse correctly identifies that which one of the following statements is true regarding clients with OCD?
A) Since the client is aware that his or her behavior is bizarre, the client should just stop the behavior.
B) Clients with OCD seem norm

B) Clients with OCD seem normal on the outside but suffer from overwhelming fear and anxiety.

The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?
A) Hallucinations
B) Delusions
C) Anhedonia
D) Ideas of reference

B) Delusions

All of the following are nursing diagnoses identified for a client with schizophrenia. The student nurse correctly anticipates which diagnosis will resolve when the client's negative symptoms improve?
A) Impaired verbal communication
B) Risk for other-dir

D) Social isolation

During the nursing assessment, a client describes constantly hearing voices mumbling in the background. The client denies that the voices are telling him to do anything harmful. The nurse documents that the client is experiencing which of the following?
A

B) Auditory hallucinations

A client with schizophrenia reads the advice column in the newspaper daily. When asked why the client is so interested in the advice column, the client replies, i?This person is my guide and tells me what I must do every day.i? The nurse would best descri

A) Referential delusion

The nurse is preparing a client with schizophrenia for discharge. The nurse asks the client, i?How are you going to care for yourself at home?i? The purpose of the nurse's question is to assess the client's
A) self concept.
B) judgment.
C) insight.
D) soc

C) insight.

All of the following are included in the plan of care for a client with schizophrenia. Which nursing intervention should the nurse perform first when caring for this client?
A) Observe for signs of fear or agitation
B) Maintain reality through frequent co

A) Observe for signs of fear or agitation

The nurse is assessing for negative symptoms of schizophrenia in a newly admitted client. The nurse would note which behavior as indicative of a negative symptom?
A) Difficulty staying on subject when responding to assessment questions
B) Belief of owning

C) Hesitant to answer the nurse's questions during the assessment interview

Which of the following attitudes would be best for the nurse when the client who has schizophrenia acts as though the nurse is not trustworthy or that his or her integrity is being questioned?
A) That the client is correct and the nurse is not trustworthy

C) That the client's behavior is a part of the illness

Psychosomatic illness refers to physical symptoms that are either created or worsened by psychic influences. Which conditions are thought to be attributed to the connection between mind and body? Select all that apply.
A) Diabetes
B) Arthritis
C) Hyperten

A) Diabetes
C) Hypertension
D) Headache
E) Colitis

The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. Which would be the appropriate explanation for the nurse to offer?
A) "She is not really experiencing the symptoms. She is making the

B) "There is no physical cause. Mental distress is causing the symptoms, even though she is not aware of it.

A client with somatic symptom illness tells the nurse that she is sick so often that her husband and children take over most of the household duties, such as cooking, cleaning, doing laundry, and so forth. Which is this evidence of?
A) Dysfunctional famil

D) Secondary gain

The nurse is planning care for a client with somatic symptom illness disorder. Which should the nurse plan to reassess on a daily basis?
A) Sensory deficits experienced by the client
B) Character of pain reported by the client
C) Frequency of generalized

C) Frequency of generalized somatic complaints

The nurse performs a thorough physical examination for a client being admitted for a somatic symptom illness. Which of the following is the best rationale for the physical exam?
A) Ease the client's mind that the nurse is looking for physical illness.
B)

D) Underlying pathology should be ruled out.

The nurse is identifying outcomes for a client with a somatic symptom illness. Which is an appropriate outcome to include in the plan of care?
A) The client will verbally express his or her emotions.
B) The client will be free from stress.
C) The client w

A) The client will verbally express his or her emotions.

Which are appropriate long-term treatment outcomes for clients who have somatic symptom illness? Select all that apply.
A) The client will assume responsibility for self-care activities.
B) The client will identify the relationship between stress and phys

B) The client will identify the relationship between stress and physical symptoms.
D) The client will verbally express emotional feelings.
E) The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings.

Which of the following terms are applicable when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a i?heroi? for saving the victim?
A) Malingering
B) Factitious disorder
C) Munchausen's synd

C) Munchausen's syndrome by proxy

Which is the primary gain for a client with conversion disorder?
A) Emotional detachment
B) Emotional support from family
C) Identification of anxious feelings
D) Relief from emotional conflict

D) Relief from emotional conflict

An actor has prepared extensively for his first stage production. On the morning of the opening of the play, the actor awakens with laryngitis. From which disorder is the actor most likely suffering?
A) Acute upper respiratory infection
B) Conversion diso

B) Conversion disorder

For a client taking clozapine (Clozaril), which of the following symptoms should the nurse report to the physician immediately as it may be indicative of a potentially fatal side effect?
A) Inability to stand still for 1 minute
B) Mild rash
C) Photosensit

D) Sore throat and malaise

Which of the following medications rarely causes extrapyramidal side effects (EPS)?
A) Ziprasidone (Geodon)
B) Chlorpromazine (Thorazine)
C) Haloperidol (Haldol)
D) Fluphenazine (Prolixin)

A) Ziprasidone (Geodon)

A patient is being seen in the crisis unit reporting that poison letters are coming in the mail. The patient has no history of psychiatric illness. Which of the following medications would the patient most likely be started on?
A) Aripiprazole (Abilify)
B

A) Aripiprazole (Abilify)