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Review Questions

1 .
What is the primary rationale for a nursing assessment of a client’s nonverbal communication?
  1. Nonverbal communication gives clues to what the client is feeling without words.
  2. Nonverbal communication will not explain the verbal communication.
  3. The client has garbled speech and looks to the family member to help.
  4. The nurse should assess the verbalizations first, then look at the nonverbal actions.
2 .
What main purpose does self-reflection provide for the nurse?
  1. a guide for professional behavior with clients
  2. a guide to encourage the client to disclose their feelings
  3. helps the nurse-client relationship be open to improvement and change
  4. helps the nurse take action on the client’s behaviors
3 .
What is an example of an action by the nurse that demonstrates active listening?
  1. The nurse is facing the client and then looks to the family for answers.
  2. The nurse is leaned back in the chair, arms crossed, asking questions.
  3. The nurse is asking questions and looking at their watch frequently.
  4. The nurse is looking at the client, nodding to answers.
4 .
A newly licensed nurse shares with their preceptor, “I really like working with Gloria! She and I are so much alike!” What concept should the preceptor review with the nurse?
  1. legal implications of nursing practice
  2. aspects of a social relationship
  3. documentation issues for mental health
  4. aspects of physical boundaries
5 .
The nurse is preparing to assess the client’s attitude toward mental illness. Rank these steps in priority order for effectiveness of the interaction.
  1. The nurse offers educational resources.
  2. The nurse examines their own beliefs.
  3. The nurse plans to use open-ended questions during the interaction.
  4. The nurse explores the client’s cultural values without judgment.
  1. 1,2,3,4
  2. 2,1,3,4
  3. 4,2,1,3
  4. 2,3,4,1
6 .
What statement by a client demonstrates their need for support?
  1. “I will attend group therapy each week because I know it helps me.”
  2. “I plan to keep my appointments with the nurse to review my weekly treatment plan.”
  3. “I don’t like to take medications; however, I know it helps me stay balanced in my thinking.”
  4. “This medication I am taking causes so many side effects, I don’t know if I can keep taking it.”
7 .
What is an example of a nurse’s most therapeutic response when a client’s statement demonstrates a barrier to seeking treatment?
  1. Client: “My coworkers joke about mental illness, but I don’t join in.”
    Nurse: “Good for you! They shouldn’t make fun of that.”
  2. Client: “I explained my medication side effects to my little brother and he says he understands now.”
    Nurse: “Isn’t he only ten years old?”
  3. Client: “My father thinks I should handle my problems myself and stop spending money on doctor visits.”
    Nurse: “How do you feel about your father’s comment?”
  4. Client: “I schedule my group therapy for after work.”
    Nurse: “The time you go doesn’t make any difference.”
8 .
The nurse is planning discharge teaching and notes the client’s previous lack of compliance with follow-up care. What is a contributing factor that the client cannot control?
  1. the client’s attitude
  2. limited access to health care
  3. discussions with the nurse
  4. becoming informed about medications
9 .
What is an example of the nurse implementing the Clinical Judgment Measurement Model?
  1. recognizing cues and prioritizing needs
  2. forming solutions based on the nurse’s prior experience
  3. taking all action immediately
  4. taking all action at a later time
10 .
Why would the nurse continually observe the behavior of the client during both the physical exam and the psychosocial assessment?
  1. to see if the behavior matches the verbal communication and if the client is cooperative
  2. to determine if the client is listening to the nurse and if the client’s responses are truthful
  3. to detect the client’s sexual identity
  4. to evaluate the outcomes of care
11 .
What is the best nursing response when the client says, “I will answer that question if you promise not to tell anyone”?
  1. “You will be closely watched while you are here.”
  2. “You can trust me; I won’t tell anyone.”
  3. “Information is only shared with the health-care team.”
  4. “Of course, I have to tell what you say.”
12 .
What is the best nursing inquiry to assess spirituality/cultural data on the psychosocial nursing assessment?
  1. “What are your favorite hobbies?”
  2. “Are you a member of a faith community?”
  3. “What sports do you enjoy?”
  4. “How far did you go in school?”

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