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Review Questions

1 .
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning medications. The client responds to the nurse with, “I know I can’t trust you!” What should the nurse consider when attempting to understand the client’s statement?
  1. The statement is inappropriate for the client to express to a professional nurse.
  2. The statement could be an example of transference to the nurse.
  3. The statement is an example of countertransference to the nurse.
  4. The statement is the way the client chooses to express their feelings to the nurse.
2 .
A forty-year-old client in the therapist’s office coughs and makes awkward sounds when the therapist chooses to talk about his childhood sexual abuse. Where does this reflexive behavior stem from?
  1. These are reflexes driven by the id.
  2. These noises are because of a history of verbal ticking.
  3. This is part of his therapy.
  4. The client is consciously interrupting the conversation.
3 .
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds the blanket throughout the session while rocking back and forth in the chair. What defense mechanism is the client demonstrating?
  1. denial
  2. projection
  3. undoing
  4. regression
4 .
What is an empathic response for the nurse to give to a client who recently lost their mother to a diagnosis of breast cancer?
  1. “At least she is not suffering any longer.”
  2. “Most women do not survive breast cancer.”
  3. “What are your plans for the funeral services?”
  4. “I can see how difficult this is for you.”
5 .
What theorist defined growth as development in stages with a positive and negative consequence if not met?
  1. Peplau
  2. Orenstein
  3. Freud
  4. Erikson
6 .
What therapy is used to adapt one’s perceptions about life situations?
  1. milieu therapy
  2. psychoanalysis
  3. cognitive behavioral therapy
  4. reality therapy
7 .
What therapy environment permits the nurse to assess the client while they are exposed to different relationships and behaviors?
  1. milieu therapy
  2. electrical impulse therapy
  3. talk therapy
  4. individual therapy
8 .
What is one difference between family therapy and group therapy?
  1. Family therapy is a quicker means to solve problems.
  2. Family therapy allows strangers with common problems to interact.
  3. Family therapy provides management of co-occurring problems within the home.
  4. Family therapy is only provided in a hospital setting.
9 .
In managing the milieu for clients experiencing disorientation and fear, what would the nurse consider a priority?
  1. client and family education
  2. recreational activities
  3. social skills
  4. client safety
10 .
What is the order of Maslow’s hierarchy of needs, from lower level to upper level?
  1. physiological, safety/security, belonging and love/social, esteem, self-actualization
  2. esteem, self-actualization, physiological, safety/security, belonging and love/social
  3. belonging and love/social, esteem, self-actualization, physiological, safety/security
  4. safety/security, physiological, esteem, belonging and love/social, self-actualization
11 .
Randi feels excluded in group activities and social events and expresses sadness to the nurse. According to Maslow, where have needs not been met?
  1. self-actualization needs
  2. safety needs
  3. social needs
  4. esteem needs
12 .
What is the significance of empathy and positive regard, according to Rogers’s theory?
  1. components of group therapy
  2. components of family therapy
  3. optional to person-centered therapy
  4. necessary to person-centered therapy
13 .
In nursing practice, Maslow’s theory informs nursing      and Rogers’s theory informs nursing     .
  1. evaluation; care planning
  2. assessment; care planning
  3. reflection; self-awareness
  4. self-actualization; safety
14 .
What areas of nursing focus promote the biological theory to help the client with a psychiatric disorder? Select all that apply.
  1. monitoring sleep and activity
  2. administering medications
  3. teaching coping skills
  4. monitoring drug-level lab reports
15 .
What is the benefit of biological theory, related to perspectives on mental illness?
  1. There is now a cure for most psychiatric disorders.
  2. Clients can now take medication to control their disorders.
  3. Providers lose their compassion with mental illness.
  4. It decreases the stigma of mental illness overall.
16 .
For the client considering electroconvulsive therapy, what is the appropriate teaching?
  1. ECT does not require a consent.
  2. ECT cannot be used to treat major depression.
  3. ECT uses electrical stimulation to targeted areas of the brain.
  4. ECT uses transcranial magnetic stimulation to targeted areas of the brain.
17 .
What type of development is described in Piaget’s theory?
  1. moral
  2. interpersonal
  3. cognitive
  4. emotional
18 .
The nurse is assessing a client for moral development. What statement by the client indicates the client is in the preconventional stage?
  1. “I do my best to follow the rules of society, so I won’t go to jail.”
  2. “I see how the rules are hard to follow for some people and they suffer.”
  3. “The rules of society are made to be broken if they are not fair to all.”
  4. “We have rules to keep us in society safe and to be civil to one another.”
19 .
The nurse is assessing a child’s cognitive ability to think logically. The nurse asks the child to count backward from 10 to 0, and the child complies. What cognitive stage is this child in?
  1. sensorimotor
  2. formal operational
  3. concrete operational
  4. preoperational
20 .
A nurse in a wellness center is presenting a class on integrating holistic therapies with traditional health-care models. The nurse talks about the trend in health care to treat each client in a manner that connects the person as a whole being. What would best be considered a holistic approach to health?
  1. physical, emotional, and spiritual well-being
  2. emotional and sexual contact
  3. healthy work environment
  4. financial success and postsecondary education
21 .
A nurse is reviewing common themes or social determinants among populations preventing clients’ achievement of health care–related goals. The nurse wants to include interventions into the clients’ plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?
  1. Healthy People 2030
  2. community-based outcomes
  3. culturally competent therapy
  4. national client safety goals
22 .
Building trust is an important technique for nurses to provide. What professional QSEN competency does this demonstrate?
  1. nursing assessment
  2. client teaching
  3. client-centered care
  4. quality improvement

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