practice questions Flashcards
(22 cards)
hen interviewing a Pt of a different culture, which of the following questions should a nurse consider asking? SATA.
A. Would using perfume products be acceptable?
B. Who may be expected to be present during the Pt interview?
C. Should communication patterns be modified to accommodate this Pt?
D. How much eye contact should be made w/ the Pt?
E. Would hand shaking be acceptable?
What should a psychiatric nurse prioritize when developing care plans for multiple inpatient clients?
The life-threatening potential
Which statement reflects the documentation of objective data in a client’s chart?
“Client sitting in chair, playing a game.”
How should the nurse document Mr. S’s affect during the mental status examination?
Blunted/flat
What is the nurse assessing when asking the client to identify the date, time of day, and location of the clinic?
Orientation
What elements should be included in a client’s mental status assessment?
Speech, mood, affect and thought
What stage of stress is a nursing student likely experiencing if she develops a sinus infection toward the end of every semester?
Stage of exhaustion
What should a nurse expect to assess when meditation is effective as a stress management technique?
An achieved state of relaxation
What is the most important initial step in learning how to manage anxiety?
Awareness of factors creating stress
What defense mechanism is the patient using when stating, “I work hard to provide for my family. I don’t see why I can’t drink to relax.”?
Rationalization
What statement by a wife indicates she is in the acceptance stage of grief after a divorce?
“Yes, it was a difficult relationship, but I think I have learned from the experience.”
According to Peplau, what therapeutic role is a nurse serving when providing a child with parental guidance and praise?
The role of surrogate
What nursing statement conveys empathy to a mother who has lost her child?
“It must be horrible to lose a child; I’ll stay w/ you until your husband arrives.”
What ethical interpretation is associated with Nurse B’s lack of involvement when Nurse A administers an extra dose of a narcotic tranquilizer?
Taking no action is still considered an action by Nurse B
Which statement by the nurse conveys empathy for a client?
I can imagine how upsetting this must be for you.
What behavior is a client exhibiting if she begins having two to three drinks per night to unwind during an unpleasant divorce?
Maladaptive
What difficulty would a client with a limbic system problem most likely have?
With performing emotional behavior
What steps are included in the problem-solving model of the therapeutic relationship? (Select all that apply)
Identifying and defining the problem
Identifying alternative solutions to the problem
Weighing advantages and disadvantages of each alternative
What nursing interventions are appropriate when a psychiatric home health nurse visits a client who speaks little English? (Select all that apply)
Using simple words and avoiding medical terms
Using simple words with simple actions while verbalizing them
Discussing one topic clearly before introducing a new topic
What should a nursing intervention at the secondary level of prevention be for a couple experiencing relationship difficulties?
Refer the couple to a therapist
What is the best response a nurse should make to a Hispanic mother concerned about her daughter having ‘sleep-overs’ with girlfriends?
It is very common for children of this age to want close companionship with same-gender friends.
What action should a nurse take when a client demands release from the hospital after being voluntarily admitted?
Review the client’s record and assess the situation.
