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Review Questions

1 .
A nurse working with a client for a long time has developed a strong rapport with the client. When the nurse gets home from work, she is looking at Facebook and notices a friend request from the client. The nurse really likes this client. How does the nurse show that she understands professional boundaries?
  1. She eagerly accepts the friend request and later thanks the client.
  2. She denies the friend request and then explains to the client why they cannot be friends on social media.
  3. She ignores the friend request and doesn’t say anything to the client.
  4. She emails the client to say she cannot accept the friend request.
2 .
Building a rapport with a client is the foundation of the therapeutic relationship. Nurse Tom is caring for a thirty-two-year-old mother of three who just had her first anxiety attack. Following AIDET, what is one of the first things Tom could say to make her feel more relaxed after acknowledging her?
  1. “My name is Tom and I will be taking good care of you today.”
  2. “Thank you for coming in today. Please let me know if there is anything you need.”
  3. “I will be asking you a series of questions during my assessment. It should take about 20 minutes.”
  4. “Next, I am going to tell you three words and I would like you to say them and then memorize them as I will ask you to recall them in a few minutes.”
3 .
Nurse Alena is caring for a ten-year-old client, Lu, whose mother recently married a man with two teenage sons. Nurse Alena asks Lu if she is having any difficulties with the transition to a new family structure. In this family style, how might children feel?
  1. Children may initially feel conflicted.
  2. Children feel extra love.
  3. Children feel the effects of poverty.
  4. Children may be more likely to grow up quickly.
4 .
A nursing instructor is teaching a group of nursing students about the role that collaboration plays in the nurse-client relationship. One of the students raises their hand to ask a question. What is one question a student might ask that demonstrates understanding of the concept?
  1. “If I am talking with my client, it is a good idea to ask what they want from the treatment, right?”
  2. “When my client’s family wants to share information with me, I should tell them that I can only listen to the client.”
  3. “If my client doesn’t want to try the intervention I am providing, I should tell them they have to do it.”
  4. “So, to promote the most trust, I should tell my client that all questions should only be directed to me?”
5 .
An adult son whose mother is having an exacerbation of her mental health condition immediately does whatever his mother suggests, without asking questions or saying that he is busy with other things in his own life. According to Bowen's family systems theory, what is the son experiencing?
  1. self-differentiation
  2. autonomy
  3. fusion
  4. justification
6 .
A community mental health nurse is caring for a client who smokes a pack a day. The nurse is reviewing healthy living choices with the client and suggests that the client attend a smoking cessation group facilitated by a peer specialist who used to smoke. What is the best reason the nurse would make this referral?
  1. The nurse is not a smoker and has no knowledge of what it is like to quit.
  2. Peer specialists are people with lived experience who can offer support.
  3. Smoking is unhealthy.
  4. The nurse needs to fill openings within this group.
7 .

Tom has just been discharged from the inpatient behavioral health unit after a two-week stay for depression. Part of his follow-up care plan is to attend a peer support aftercare program at the local community mental health center. How might peer support help Tom? Select all that apply.

  1. improves individuals’ social skills
  2. decreases the possibility of readmission
  3. decreases loneliness
  4. increases the possibility of self-stigma
8 .
A client in a recovery center is learning how to be more engaged in their treatment journey. How would the nurse describe the benefit of being engaged?
  1. “Being engaged means that you can make all your treatment decisions.”
  2. “Being engaged means that you will never miss another therapy appointment.”
  3. “Being engaged means you will collaborate with your health-care team.”
  4. “Being engaged means that once you are done with treatment, you will be cured.”
9 .
Recovery is a journey that will include ups and downs for the client. The nurse taking care of clients in recovery realizes that client engagement can improve client outcomes. As the nurse introduces topics during a sobriety discussion group, she prioritizes addressing what two important client factors to help increase engagement?
  1. age and culture
  2. income and education
  3. wealth and occupation
  4. diagnosis and insurance coverage
10 .
Nurse Mary is caring for six-year-old Sally who lives with her single mother. As Nurse Mary asks Sally what she likes to eat for breakfast, Sally states that she rarely eats breakfast because her mother cannot afford a lot of food. What is an important intervention for this child?
  1. providing a snack while the child waits to see the doctor
  2. educating the child’s mother about community resources for obtaining free food
  3. calling the Department of Children and Youth Services to report neglect
  4. informing the doctor that this child may be undernourished
11 .
You work in a pediatric office and have just begun talking to an adolescent client who is being seen for increased anxiety related to recent physical abuse from a family member. What is the most important aspect of TIC that you can use in this situation?
  1. Tell the client to undress and sit on the examination table.
  2. Ask the client several questions in a row and wait for his response.
  3. Explain to the client that you need to touch his arm to take his blood pressure.
  4. Invite the client’s mother into the room without asking his permission.
12 .
A student nurse is learning about TIC. What is an example of a statement that demonstrates the student’s learning?
  1. “Trauma-informed care occurs only when the provider suspects that trauma has happened.”
  2. “Trauma-informed care begins in the pediatric office.”
  3. “Trauma-informed care involves primary prevention.”
  4. “Trauma-informed care involves both the physical environment and social-emotional environment.”

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