Psychotherapy Exam P a g e | 1
Test Bank for Theory and Practice of
Counseling and Psychotherapy 1, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of
the nurses, "You fat tub of lard! Get something done around here!" What is the best initial
action for the nurse to take?
A) Have the orderly escort the client to his room.
B) Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C) Redirect the client's energy by asking him to tidy the recreation room.
D) Call the healthcare provider to obtain a prescription for a sedative.
Distracting the client, or redirecting his energy (C), prevents further escalation of the
inappropriate behavior. (A) could result in escalating the abuse and unnecessarily involve
another staff member in the abusive situation. (B) is a threat and is using a health team
member (healthcare provider) as the threat. (D) may be indicated if the behavior escalates,
but, at this time, the best initial action is (C).
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, Psychotherapy Exam P a g e | 2
Correct Answer(s): C
72.
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so
bad that no one can help me." Which response is best for the nurse to make?
A) How can I help?
B) Things probably aren't as bad as they seem right now.
C) Let's talk about what is right with your life.
D) I hear how miserable you are, but things will get better soon.
Offering self shows empathy and caring (A), and is the best of the choices provided.
Combining the first part of (D) with (A) would be the best response, but this is not a fill-in-the-
blank or an essay test! Choose the best of those choices provided and move on. (B) dismisses
the client, things are bad as far as this client is concerned. (C) avoids the client's problems and
promotes denial. "I hear how miserable you are" is an example of reflective dialogue and
would be the best choice if it were not for the rest of the sentence--"but things will get
better" which is offering false reassurance.
Correct Answer(s): A
73.
A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no
significant change and the nurse formulates the diagnosis, "Confusion related to ICU
psychosis." Which intervention is best to implement?
A) Move all machines away from the client's immediate area.
B) Attempt to allay the client's fears by explaining the etiology of his condition.
C) Cluster care so that brief periods of rest can be scheduled during the day.
D) Extend visitation times for family and friends.
P a g e 2 | 87
, Psychotherapy Exam P a g e | 3
The critical care environment confronts clients with an environment which provides stressors
heightened by treatment modalities that may prove to be lifesaving. These stressors can
result in isolation and confusion. The best intervention is to provide the client with rest
periods (C). (A) is not practical--the machinery is often lifesaving. The client is not ready for
(B). Although family and friends (D) can provide a support system to the client, visits should
be limited because of the critical care that must be provided.
Correct Answer(s): C
74.
A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse assesses
the client's mental status. Which assessment finding is most characteristic of a client with
schizophrenia?
A) Mood swings.
B) Extreme sadness.
C) Manipulative behavior.
D) Flat affect.
Disinterest, and diminished or lack of facial expression is characteristic of schizophrenia and is
referred to as a flat affect (D). (A) is associated with bipolar disorder. (B) is associated with
depression. (C) is usually associated with personality disorders and is often seen in clients who
abuse substances.
Correct Answer(s): D
75.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband
states that she has been reluctant to leave home for the last six months. The client has not
gone to work for a month and has been terminated from her job. She has not left the house
since that time. This client is displaying symptoms of what condition?
A) Claustrophobia.
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, Psychotherapy Exam P a g e | 4
B) Acrophobia.
C) Agoraphobia.
D) Post-traumatic stress disorder.
Agoraphobia (C) is the fear of crowds or being in an open place. (A) is the fear of being in
closed places. (B) is the fear of high places. Remember, a phobia is an unrealistic fear which is
associated with severe anxiety. (D) consists of the development of anxiety symptoms
following a life event that is particularly serious and stressful (war, witnessing a child killed,
etc.) and is experienced with terror, fear, and helplessness--a phobia is different.
Correct Answer(s): C
A nurse is conducting a therapy group whose objectives are to assist the members to gain
insight and to change behavior so they are able to participate in life in a more satisfying
manner. What leadership style will best help the nurse achieve these objectives?
1
Democratic, guiding
2
Hierarchal, directing
3
Autocratic, controlling
4
Laissez-faire, observing
1
A client who has been taking the prescribed dose of zolpidem (Ambien) for 5 days returns to
the clinic for a follow-up visit. When interviewing the client, the nurse identifies that the
medication has been effective when the client says:
1
"I have less pain."
P a g e 4 | 87
Test Bank for Theory and Practice of
Counseling and Psychotherapy 1, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of
the nurses, "You fat tub of lard! Get something done around here!" What is the best initial
action for the nurse to take?
A) Have the orderly escort the client to his room.
B) Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C) Redirect the client's energy by asking him to tidy the recreation room.
D) Call the healthcare provider to obtain a prescription for a sedative.
Distracting the client, or redirecting his energy (C), prevents further escalation of the
inappropriate behavior. (A) could result in escalating the abuse and unnecessarily involve
another staff member in the abusive situation. (B) is a threat and is using a health team
member (healthcare provider) as the threat. (D) may be indicated if the behavior escalates,
but, at this time, the best initial action is (C).
P a g e 1 | 87
, Psychotherapy Exam P a g e | 2
Correct Answer(s): C
72.
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so
bad that no one can help me." Which response is best for the nurse to make?
A) How can I help?
B) Things probably aren't as bad as they seem right now.
C) Let's talk about what is right with your life.
D) I hear how miserable you are, but things will get better soon.
Offering self shows empathy and caring (A), and is the best of the choices provided.
Combining the first part of (D) with (A) would be the best response, but this is not a fill-in-the-
blank or an essay test! Choose the best of those choices provided and move on. (B) dismisses
the client, things are bad as far as this client is concerned. (C) avoids the client's problems and
promotes denial. "I hear how miserable you are" is an example of reflective dialogue and
would be the best choice if it were not for the rest of the sentence--"but things will get
better" which is offering false reassurance.
Correct Answer(s): A
73.
A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no
significant change and the nurse formulates the diagnosis, "Confusion related to ICU
psychosis." Which intervention is best to implement?
A) Move all machines away from the client's immediate area.
B) Attempt to allay the client's fears by explaining the etiology of his condition.
C) Cluster care so that brief periods of rest can be scheduled during the day.
D) Extend visitation times for family and friends.
P a g e 2 | 87
, Psychotherapy Exam P a g e | 3
The critical care environment confronts clients with an environment which provides stressors
heightened by treatment modalities that may prove to be lifesaving. These stressors can
result in isolation and confusion. The best intervention is to provide the client with rest
periods (C). (A) is not practical--the machinery is often lifesaving. The client is not ready for
(B). Although family and friends (D) can provide a support system to the client, visits should
be limited because of the critical care that must be provided.
Correct Answer(s): C
74.
A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse assesses
the client's mental status. Which assessment finding is most characteristic of a client with
schizophrenia?
A) Mood swings.
B) Extreme sadness.
C) Manipulative behavior.
D) Flat affect.
Disinterest, and diminished or lack of facial expression is characteristic of schizophrenia and is
referred to as a flat affect (D). (A) is associated with bipolar disorder. (B) is associated with
depression. (C) is usually associated with personality disorders and is often seen in clients who
abuse substances.
Correct Answer(s): D
75.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband
states that she has been reluctant to leave home for the last six months. The client has not
gone to work for a month and has been terminated from her job. She has not left the house
since that time. This client is displaying symptoms of what condition?
A) Claustrophobia.
P a g e 3 | 87
, Psychotherapy Exam P a g e | 4
B) Acrophobia.
C) Agoraphobia.
D) Post-traumatic stress disorder.
Agoraphobia (C) is the fear of crowds or being in an open place. (A) is the fear of being in
closed places. (B) is the fear of high places. Remember, a phobia is an unrealistic fear which is
associated with severe anxiety. (D) consists of the development of anxiety symptoms
following a life event that is particularly serious and stressful (war, witnessing a child killed,
etc.) and is experienced with terror, fear, and helplessness--a phobia is different.
Correct Answer(s): C
A nurse is conducting a therapy group whose objectives are to assist the members to gain
insight and to change behavior so they are able to participate in life in a more satisfying
manner. What leadership style will best help the nurse achieve these objectives?
1
Democratic, guiding
2
Hierarchal, directing
3
Autocratic, controlling
4
Laissez-faire, observing
1
A client who has been taking the prescribed dose of zolpidem (Ambien) for 5 days returns to
the clinic for a follow-up visit. When interviewing the client, the nurse identifies that the
medication has been effective when the client says:
1
"I have less pain."
P a g e 4 | 87
