NSG 526 Exam 1 Study Guide 2026 | Wilkes University
Complete Review | Graded A+
1. As a very anxious female patient is talking to the nurse, she starts crying. She
appears to be upset that she cannot control her crying. What would be the
most appropriate response by the RN?
"Is talking about your problem upsetting you."
"Sometimes it helps to get it out of your system."
"You look upset, let's talk about why you are crying."
"It is OK to cry; I will just stay with you for now."
2. Describe why 'treatment' is not considered a factor in monitoring a patient's
progress for a chronic condition.
'Treatment' does not influence patient outcomes.
'Treatment' is the only factor that can be quantified.
'Treatment' is the primary focus of monitoring.
'Treatment' refers to the overall approach and is not a specific
measurable factor like efficacy, side effects, or adherence.
3. In a clinical setting, if a 10-year-old patient begins to wet the bed after their
family moves to a new city, which defense mechanism might this behavior
indicate?
Displacement
Regression
Reaction Formation
Sublimation
,4. Describe the significance of the AIMS in the context of patients on
antipsychotic medications.
The AIMS is used to evaluate the effectiveness of antidepressants.
The AIMS is primarily for assessing cognitive decline in elderly
patients.
The AIMS is significant as it helps identify and monitor
extrapyramidal symptoms that may arise from antipsychotic
treatment.
The AIMS measures the severity of anxiety disorders in patients.
5. If a client begins to exhibit transference by treating the therapist as a parental
figure, what might be an appropriate therapeutic response?
Confront the client about their inappropriate feelings.
Acknowledge the feelings and explore their origins in a safe
manner.
Ignore the behavior to avoid reinforcing it.
Redirect the conversation to unrelated topics.
6. A nurse is explaining the need to obtain laboratory tests on a client who has
an infection and is of a cultural group different from the nurse's. During the
interview, the client avoids eye contact and refrains from answering questions
for long periods of time. What does this behavior indicate to the nurse?
Leave the room and come back after having learned more about this
particular culture.
In this client's culture, direct eye contact may show disrespect.
The nurse should come back at a different time when the client is
feeling more communicative.
, The nurse should have another nurse finish the interview who might be
more culturally aware of this group's customs.
7. If a nurse observes a patient exhibiting defense mechanisms such as denial
and repression, which Freudian concept might they consider when assessing
the patient's mental health?
The role of medication in managing symptoms.
The impact of environmental stressors on mental health.
The influence of the unconscious mind on behavior.
The importance of the nurse-client relationship.
8. If a nurse wanted to use therapeutic communication in a similar situation,
what would be an appropriate response to the patient's expression of
sadness and frustration?
It sounds like you're feeling really overwhelmed; can you tell me
more about what's been bothering you?
I understand how you feel; many people experience these emotions.
Have you considered talking to someone else about your feelings?
You should try to think positively about your situation.
9. Lesions within the frontal lobe produce which of the following symptoms?
All choices are correct
Paresis
Broca's aphasia
Impulsivity, apathy
Loss of working memory
, 10. The purpose of the Abnormal Involuntary Movement Scale (AIMS)
assessment on a persistently mentally ill client who has been diagnosed with
schizophrenia is early detection of
acute dystonia
tardive dyskinesia
psuedoparkinsonism
cholestastic jaundice
11. Describe how Peplau's Interpersonal Theory contributes to the
understanding of mental health in nursing practice.
Peplau's theory focuses solely on the biological aspects of mental
health.
Peplau's theory does not address interpersonal relationships.
Peplau's Interpersonal Theory highlights the significance of nurse-
patient relationships in promoting mental health and personal
growth.
Peplau's work is primarily concerned with the historical context of
nursing.
12. What is the term for the defense mechanism where an individual reverts to
behaviors characteristic of an earlier stage of development?
Sublimation
Displacement
Reaction Formation
Regression
Complete Review | Graded A+
1. As a very anxious female patient is talking to the nurse, she starts crying. She
appears to be upset that she cannot control her crying. What would be the
most appropriate response by the RN?
"Is talking about your problem upsetting you."
"Sometimes it helps to get it out of your system."
"You look upset, let's talk about why you are crying."
"It is OK to cry; I will just stay with you for now."
2. Describe why 'treatment' is not considered a factor in monitoring a patient's
progress for a chronic condition.
'Treatment' does not influence patient outcomes.
'Treatment' is the only factor that can be quantified.
'Treatment' is the primary focus of monitoring.
'Treatment' refers to the overall approach and is not a specific
measurable factor like efficacy, side effects, or adherence.
3. In a clinical setting, if a 10-year-old patient begins to wet the bed after their
family moves to a new city, which defense mechanism might this behavior
indicate?
Displacement
Regression
Reaction Formation
Sublimation
,4. Describe the significance of the AIMS in the context of patients on
antipsychotic medications.
The AIMS is used to evaluate the effectiveness of antidepressants.
The AIMS is primarily for assessing cognitive decline in elderly
patients.
The AIMS is significant as it helps identify and monitor
extrapyramidal symptoms that may arise from antipsychotic
treatment.
The AIMS measures the severity of anxiety disorders in patients.
5. If a client begins to exhibit transference by treating the therapist as a parental
figure, what might be an appropriate therapeutic response?
Confront the client about their inappropriate feelings.
Acknowledge the feelings and explore their origins in a safe
manner.
Ignore the behavior to avoid reinforcing it.
Redirect the conversation to unrelated topics.
6. A nurse is explaining the need to obtain laboratory tests on a client who has
an infection and is of a cultural group different from the nurse's. During the
interview, the client avoids eye contact and refrains from answering questions
for long periods of time. What does this behavior indicate to the nurse?
Leave the room and come back after having learned more about this
particular culture.
In this client's culture, direct eye contact may show disrespect.
The nurse should come back at a different time when the client is
feeling more communicative.
, The nurse should have another nurse finish the interview who might be
more culturally aware of this group's customs.
7. If a nurse observes a patient exhibiting defense mechanisms such as denial
and repression, which Freudian concept might they consider when assessing
the patient's mental health?
The role of medication in managing symptoms.
The impact of environmental stressors on mental health.
The influence of the unconscious mind on behavior.
The importance of the nurse-client relationship.
8. If a nurse wanted to use therapeutic communication in a similar situation,
what would be an appropriate response to the patient's expression of
sadness and frustration?
It sounds like you're feeling really overwhelmed; can you tell me
more about what's been bothering you?
I understand how you feel; many people experience these emotions.
Have you considered talking to someone else about your feelings?
You should try to think positively about your situation.
9. Lesions within the frontal lobe produce which of the following symptoms?
All choices are correct
Paresis
Broca's aphasia
Impulsivity, apathy
Loss of working memory
, 10. The purpose of the Abnormal Involuntary Movement Scale (AIMS)
assessment on a persistently mentally ill client who has been diagnosed with
schizophrenia is early detection of
acute dystonia
tardive dyskinesia
psuedoparkinsonism
cholestastic jaundice
11. Describe how Peplau's Interpersonal Theory contributes to the
understanding of mental health in nursing practice.
Peplau's theory focuses solely on the biological aspects of mental
health.
Peplau's theory does not address interpersonal relationships.
Peplau's Interpersonal Theory highlights the significance of nurse-
patient relationships in promoting mental health and personal
growth.
Peplau's work is primarily concerned with the historical context of
nursing.
12. What is the term for the defense mechanism where an individual reverts to
behaviors characteristic of an earlier stage of development?
Sublimation
Displacement
Reaction Formation
Regression
