Therapeutic Communication in Nursing Final
Test Solutions
Course Introduction
Therapeutic Communication in Nursing focuses on developing the essential communication skills required to foster effective nurse-patient relationships. This course explores verbal and nonverbal techniques, active listening, empathy, and cultural sensitivity to enhance patient outcomes and build trust. Students learn to navigate complex clinical situations, manage challenging conversations, and support patients and their families through various stages of illness and recovery. Emphasis is placed on self-awareness, emotional intelligence, and the ethical considerations vital to therapeutic interactions in diverse healthcare settings.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
Available Study Resources on Quizplus
28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165
Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) Two nursing students discuss career plans after graduation. One student wants to enter psychiatric nursing. The other student asks, "Why would you want to be a psychiatric nurse? All they do is talk. You will lose your skills." Select the best response by the student interested in psychiatric nursing.
A) "Psychiatric nurses practice in safer environments than other specialties and nurse-to-patient ratios are better because of the nature of patients' problems."
B) "Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multidimensional problems. I'm challenged by those situations."
C) "I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not want to continue them after I graduate."
D) "Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses. That appeals to me."
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
A) "Many mental illnesses are hereditary."
B) "Mental illness can be evidence of a brain disorder."
C) "People claim mental illness so they can qualify for disability."
D) "If people with mental illness went to church, they would be fine."
E) "Mental illness is a result of the breakdown of the American family."
Answer: C, D, E
Q2) A patient's history shows intense and unstable relationships with others. The patient initially idealizes an individual and then devalues the person when the patient's needs are not met. Which aspect of mental health is a problem?
A) Effectiveness in work
B) Communication skills
C) Productive activities
D) Fulfilling relationships
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Theories and Therapies
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2049
Sample Questions
Q1) A psychiatric technician says, "Little of what takes place on the behavioral health unit seems to be theory based." A nurse educates the technician by identifying which common use of Sullivan's theory?
A) Structure of the therapeutic milieu of most behavioral health units
B) Frequent use of restraint and seclusion for behavior modification
C) Assessment tools based on age-appropriate versus arrested behaviors
D) Use of the nursing process to determine the best sequence for nursing actions
Answer: A
Q2) An advanced practice nurse determines that a group of patients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills. The nurse would arrange for:
A) milieu therapy.
B) cognitive therapy.
C) short-term dynamic therapy.
D) systematic desensitization.
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
5
Chapter 4: Biological Basis for Understanding
Psychopharmacology
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient asks a nurse, "What are neurotransmitters? My doctor says mine are out of balance." The best reply would be:
A) "You must feel relieved to know that your problem has a physical basis."
B) "Neurotransmitters are chemicals that pass messages between brain cells."
C) "It is a high-level concept to explain. You should ask the doctor to tell you more."
D) "Neurotransmitters are substances we eat daily that influence memory and mood."
Q2) A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:
A) mood improvement.
B) logical thought processes.
C) reduced levels of motor activity.
D) decreased extrapyramidal symptoms.
Q3) A drug causes muscarinic-receptor blockade. A nurse will assess the patient for:
A) dry mouth.
B) gynecomastia.
C) pseudoparkinsonism.
D) orthostatic hypotension.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: Settings for Psychiatric Care
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2051
Sample Questions
Q1) A community psychiatric nurse assesses that a patient diagnosed with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, "I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?
A) Arrange for a short hospitalization.
B) Schedule weekly clinic appointments.
C) Refer the patient to the crisis intervention clinic.
D) Call the family and ask them to observe the patient closely.
Q2) A patient tells the nurse at the clinic, "I haven't been taking my antidepressant medication as directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me about the pills." Select the nurse's most appropriate intervention.
A) Investigate the possibility of once-daily dosing of the antidepressant.
B) Suggest to the patient to take the medication when no one is watching.
C) Explain how taking each dose of medication on time relates to health maintenance.
D) Add the following nursing diagnosis to the plan of care: ineffective therapeutic regimen management, related to lack of knowledge.
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Legal and Ethical Basis for Practice
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) After leaving work, a staff nurse realizes that documentation of the administration of a medication to a patient was omitted. This off-duty nurse telephones the unit and tells the nurse, "Please document the administration of the medication I forgot to do. My password is alpha1." The nurse should:
A) fulfill the request.
B) refer the matter to the charge nurse to resolve.
C) access the record and document the information.
D) report the request to the patient's health care provider.
Q2) Which scenario is an example of a tort?
A) The primary nurse does not complete the plan of care for a patient within 24 hours of the patient's admission.
B) An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized.
C) A patient's admission status is changed from involuntary to voluntary after the patient's hallucinations subside.
D) A nurse gives an as-needed dose of an antipsychotic drug to a patient to prevent violence because a unit is short staffed.
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Nursing Process and QSEN: The Foundation for
and Effective Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) A newly admitted patient diagnosed with major depressive disorder has lost 20 pounds over the past month and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
A) Imbalanced nutrition: Less than body requirements
B) Chronic low self-esteem
C) Risk for suicide
D) Hopelessness
Q2) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.
Q3) A nurse assessing a new patient asks, "What is meant by the saying, 'You can't judge a book by looking at the cover'?" Which aspect of cognition is the nurse assessing?
A) Mood
B) Attention
C) Orientation
D) Abstraction
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Communication Skills: Medium for All Nursing Practice
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2054
Sample Questions
Q1) 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."
Q2) 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
C) A cultural barrier
D) Social skills
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Therapeutic Relationships and the Clinical
Interview
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) A patient says, "Please don't share information about me with the other people." How should the nurse respond?
A) "I won't share information with others without your permission, but I will share information about you with other staff members."
B) "A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know."
C) "It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others."
D) "I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us."
Q2) A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
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?"
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Trauma and Stress-Related Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) A patient is brought to the emergency department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T), 98.6° F; pulse (P), 72 beats per minute (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?
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
Q2) Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)
A) An 8-year-old child watches an R-rated movie with both parents.
B) A young adult jumps from a bridge with a bungee cord with a best friend.
C) An adolescent is kidnapped and held for 2 years in the home of a sexual predator.
D) A passenger is in a bus that overturns on a sharp curve in the road, tumbling down an embankment.
E) An adult is trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:
A) repression.
B) devaluation.
C) identification.
D) compensation.
Q2) A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias) are often treated with which type of medication?
A) Beta blockers
B) Antipsychotic medications
C) Tricyclic antidepressant agents
D) Monoamine oxidase inhibitors
Q3) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nurse can correctly assess the student's experience as:
A) culturally influenced.
B) displacement.
C) trait anxiety.
D) mild anxiety.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
A) Narcotic analgesics for use as needed for acute pain
B) Antidepressant medications to treat underlying depression
C) Long-term use of benzodiazepines to support coping with anxiety
D) Conventional antipsychotic medications to correct cognitive distortions
Q2) A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:
A) establish a "buddy" system with other patients who can feed the patient at each meal.
B) expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.
C) direct the patient to locate items on the tray independently and feed himself or herself unassisted.
D) address the needs of other patients in the dining room, and then feed this patient.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Personality Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) A patient tells a nurse, "I sometimes get into trouble because I make quick decisions and act on them." A therapeutic response would be:
A) "Let's consider the advantages of being able to stop and think before acting."
B) "It sounds as though you've developed some insight into your situation."
C) "I'll bet you have some interesting stories to share about overreacting."
D) "It's good that you're showing readiness for behavioral change."
Q2) What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:
A) identify when feeling angry.
B) use manipulation only to get legitimate needs met.
C) acknowledge manipulative behavior when it is called to his or her attention.
D) accept fulfillment of his or her requests within an hour rather than immediately.
Q3) For which behavior would limit setting be most essential? The patient:
A) clings to the nurse and asks for advice about inconsequential matters.
B) is flirtatious and provocative with staff members of the opposite sex.
C) is hypervigilant and refuses to attend unit activities.
D) urges a suspicious patient to hit anyone who stares.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Eating Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?
A) Weight, muscle, and fat are congruent with height, frame, age, and sex.
B) Calorie intake is within the required parameters of the treatment plan.
C) Weight reaches the established normal range for the patient.
D) The patient expresses satisfaction with body appearance.
Q2) A patient diagnosed with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?
A) Because severe anxiety concerning eating is expected, objective and subjective data must be routinely collected.
B) Patient involvement in decision making increases a sense of control and promotes compliance with the treatment.
C) A team approach to planning the diet ensures that physical and emotional needs of the patient are met.
D) Because of increased risk for physical problems with refeeding, obtaining patient permission is required.
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Mood Disorders: Depression
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A patient was started on escitalopram (Lexapro) 5 days ago and now says, "This medicine isn't working." The nurse's best intervention would be to:
A) discuss with the health care provider the need to change medications.
B) reassure the patient that the medication will be effective soon.
C) explain the time lag before antidepressants relieve symptoms.
D) critically assess the patient for symptom relief.
Q2) A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
A) Arms crossed
B) Staring at the nurse
C) Smiling inappropriately
D) Eyes pointed downward
Q3) When counseling patients diagnosed with major depressive disorder, an advanced practice nurse will address the negative thought patterns by using:
A) psychoanalytic therapy.
B) desensitization therapy.
C) cognitive behavioral therapy.
D) alternative and complementary therapies.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Bipolar Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/2062
Sample Questions
Q1) A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?
A) Increased muscle tension and anxiety
B) Vegetative signs and poor grooming
C) Poor judgment and hyperactivity
D) Cognitive deficit and sad mood
Q2) A patient tells the nurse, "I am so ashamed of being bipolar. When I'm manic, my behavior embarrasses my family. Even if I take my medication, there's no guarantee I won't have a relapse. I am such a burden to my family." These statements support which nursing diagnoses? (Select all that apply.)
A) Powerlessness
B) Defensive coping
C) Chronic low self-esteem
D) Impaired social interaction
E) Risk-prone health behavior
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A patient diagnosed with schizophrenia is hospitalized after arguing with coworkers and threatening to harm them. The patient is aloof and suspicious and says, "Two staff members I saw talking were plotting to assault me." Based on data gathered at this point, which nursing diagnoses relate? (Select all that apply.)
A) Risk for other-directed violence
B) Disturbed thought processes
C) Risk for loneliness
D) Spiritual distress
E) Social isolation
Q2) When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What likely side effects did the patient experience?
A) Sedation and muscle stiffness
B) Sweating, nausea, and diarrhea
C) Mild fever, sore throat, and skin rash
D) Headache, watery eyes, and runny nose
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Neurocognitive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) A patient diagnosed with severe dementia no longer recognizes family members and becomes anxious and agitated when they attempt reorientation. Which alternative could the nurse suggest to the family members?
A) Wear large name tags.
B) Focus interaction on familiar topics.
C) Frequently repeat the reorientation strategies.
D) Strategically place large clocks and calendars.
Q2) What is the priority nursing intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
A) Avoidance of physical contact
B) High level of sensory stimulation
C) Careful observation and supervision
D) Application of wrist and ankle restraints
Q3) Which description best applies to a hallucination? A patient:
A) looks at shadows on a wall and says, "I see scary faces."
B) states, "I feel bugs crawling on my legs and biting me."
C) becomes anxious when the nurse leaves his or her bedside.
D) tries to hit the nurse when vital signs are taken.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Substance-Related and Addictive Disorders
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) Which documentation indicates that the treatment plan for a patient in an alcohol treatment program was effective?
A) Is abstinent for 10 days and states, "I can maintain sobriety one day at a time." Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
B) Is abstinent for 15 days and states, "My problems are under control." Plans to seek a new job where coworkers will not know history.
C) Attends AA daily; states many of the members are "real" alcoholics and says, "I may be able to help some of them find jobs at my company."
D) Is abstinent for 21 days and says, "I know I can't handle more than one or two drinks in a social setting."
Q2) Which assessment findings best correlate to the withdrawal from central nervous system depressants?
A) Dilated pupils, tachycardia, elevated blood pressure, elation
B) Labile mood, lack of coordination, fever, drowsiness
C) Nausea, vomiting, diaphoresis, anxiety, tremors
D) Excessive eating, constipation, headache
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Crisis and Mass Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) An adult tells the nurse, "I can't take anymore! Last year my husband left me. Three months ago, I found a lump in my breast. Yesterday my daughter told me she's quitting college and moving in with her boyfriend." What is the priority nursing diagnosis?
A) Fear, related to impending breast surgery
B) Deficient knowledge, related to breast lesion
C) Ineffective coping, related to perceived loss of daughter
D) Impaired verbal communication, related to spousal estrangement
Q2) An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills?
How will I feed my family?" Which nursing diagnosis applies?
A) Hopelessness
B) Powerlessness
C) Chronic low self-esteem
D) Disturbed thought processes
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Child, Partner, and Elder Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's teacher, principal, and school psychologist.
B) Report the suspected abuse or neglect according to state regulations.
C) Document the observations and speculations in the medical record.
D) Continue the assessment.
Q2) An 11-year-old child says, "My parents don't like me. They call me stupid and say I never do anything right, but it doesn't matter. I'm too dumb to learn." Which nursing diagnosis applies to this child?
A) Chronic low self-esteem, related to negative feedback from parents
B) Deficient knowledge, related to interpersonal skills with parents
C) Disturbed personal identity, related to negative self-evaluation
D) Complicated grieving, related to poor academic performance
Q3) Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
A) Self-awareness protects one's own mental health.
B) Strong negative feelings interfere with assessment and judgment.
C) Strong positive feelings lead to underinvolvement with the victim.
D) Positive feelings promote the development of sympathy for patients.
To view all questions and flashcards with answers, click on the resource link above.
23
Chapter 22: Sexual Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) A nurse working a rape telephone hotline should focus communication with callers to:
A) arrange long-term counseling.
B) serve as a sympathetic listener.
C) obtain information to relay to the local police.
D) explain immediate steps that a victim of rape should take.
Q2) The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
A) Use accepting, nurturing, and empathetic communication techniques.
B) Educate the victim about strategies to avoid attacks in the future.
C) Discourage the expression of feelings until the victim stabilizes.
D) Maintain a matter-of-fact manner and objectivity.
Q3) Which activities are in the scope of practice of a sexual assault nurse examiner? (Select all that apply.)
A) Requiring HIV testing of a victim
B) Collecting and preserving evidence
C) Providing long-term counseling for rape victims
D) Obtaining signed consents for photographs and examinations
E) Providing pregnancy and sexually transmitted disease prophylaxis
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Suicidal Thoughts and Behavior
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) A nurse uses the modified SAD PERSONS scale to interview a patient. This tool provides data relevant to:
A) current stress level.
B) mood disturbance.
C) suicide potential.
D) level of anxiety.
Q2) The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:
A) hopelessness.
B) sadness.
C) elation.
D) anger.
Q3) A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?
A) "Are you having thoughts of suicide?"
B) "I am not sure I understand what you are trying to say."
C) "Try to stay hopeful. Things have a way of working out."
D) "Tell me more about what interested you before you began feeling depressed."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to leave the unit, saying, "I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy, the nurse should first say:
A) "You must come away from the door."
B) "You have been a widow for many years."
C) "You want to go home to prepare your husband's dinner?"
D) "Was your husband angry if you did not have dinner ready on time?"
Q2) A patient with a history of anger and impulsivity is hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolds the nurse for "not knowing enough to give me pain medicine when I need it." Which intervention would best address this problem?
A) Tell the patient to notify the nurse 30 minutes before the pain returns so the medication can be prepared.
B) Urge the health care provider to change the prescription for pain medication from as needed to a regular schedule.
C) Tell the patient that verbal assaults on nurses will not shorten the wait for pain medication.
D) Have the clinical nurse leader request a psychiatric consultation.
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Care for the Dying and Those Who Grieve
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, "I don't want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day." What action should the nurse take?
A) Ask the patient to reconsider the decision because many interested and caring friends can be sources of support.
B) Discuss the request with the parents and sibling. Suggest that they explain the patient's decision to friends.
C) Suggest that the patient discuss these wishes with the health care provider.
D) Place a "no visitors" sign on the patient's door.
Q2) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Children and Adolescents
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) When assessing a 2-year-old diagnosed with autism spectrum disorder, a nurse expects:
A) hyperactivity and attention deficits.
B) failure to develop interpersonal skills.
C) history of disobedience and destructive acts.
D) high levels of anxiety when separated from a parent.
Q2) Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective? The child:
A) plays with one toy for 30 minutes.
B) repeats words spoken by a parent.
C) holds the parent's hand while walking.
D) spins around and claps hands while walking.
Q3) The health care provider prescribes medication for a child diagnosed with attention deficit hyperactivity disorder (ADHD). The desired behavior for which the nurse should monitor is:
A) increased expressiveness in communicating with others.
B) improved ability for cooperative play with other children.
C) ability to identify anxiety and implement self-control strategies.
D) improved socialization skills with other children and authority figures.
To view all questions and flashcards with answers, click on the resource link above.
Page 28
Chapter 27: Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) The father of a child diagnosed with schizophrenia says, "I lost my job, so we have no health insurance." The mother says, "I must watch this child all the time. Without supervision, our child becomes violent and destructive." A sibling says, "My parents don't pay attention to me." These comments signify:
A) life-cycle stressors.
B) psychobiologic issues.
C) family burden of mental illness.
D) stigma associated with mental illness.
Q2) A nurse prepares for an initial interview with a patient with suspected adult attention deficit hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem?
A) Headaches
B) Inattention
C) Sexual impulses
D) Trichotillomania
To view all questions and flashcards with answers, click on the resource link above.
29
Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2074
Sample Questions
Q1) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?
A) The patient with dementia is persistently angry and hostile.
B) Early morning agitation and hyperactivity occur in dementia.
C) Confusion seems to worsen at night when dementia is present.
D) A patient who is depressed is preoccupied with somatic symptoms.
Q2) An 80-year-old patient has difficulty walking because of arthritis and says, "It's awful to be old. Every day is a struggle. No one cares about old people." Which is the nurse's most therapeutic response?
A) "Everyone here cares about old people. That's why we work here."
B) "It sounds like you're having a difficult time. Tell me about it."
C) "Let's not focus on the negative. Tell me something good."
D) "You are still able to get around, and your mind is alert."
Q3) An advance directive gives valid direction to health care providers when a patient is:
A) aggressive.
B) dehydrated.
C) unable to verbally communicate.
D) unable to make health care decisions.
To view all questions and flashcards with answers, click on the resource link above.
Page 30