NS 305 EXAM WITH COMPLETE
SOLUTION
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was
achieved? A patient:
A.sees self as capable of achieving ideals and meeting demands.
B.behaves without considering the consequences of personal actions.
C.aggressively meets own needs without considering the rights of others.
D.seeks help from others when assuming responsibility for major areas of own life. -
ANSWER A. Sees self as capable of achieving ideals and meeting demands.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission
form. Which resource should the nurse consult to determine criteria used to establish
this diagnosis?
A.International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
B.Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
C.A behavioral health reference manual
D.Wikipedia - ANSWER B. Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)
Which individual is demonstrating the highest level of resilience? One who:
A.is able to repress stressors.
B.becomes depressed after the death of a spouse.
C.lives in a shelter for two years after the home is destroyed by fire.
D.takes a temporary job to maintain financial stability after loss of a permanent job. -
ANSWER D.takes a temporary job to maintain financial stability after loss of a
permanent job.
A 25-year-old male barely avoids a motor vehicle accident. His heart is pounding, his
palms are sweaty, and his respirations are increased. This is an example of which stage
of the general adaptation syndrome?
A) Alarm reaction stage
B) Stage of resistance
,C) Stage of exhaustion
D) Stage of biological stress - ANSWER A) Alarm reaction stage
A student with an "A" average is to take an exam. The student is relaxed and says the
exam is not of concern because a failing grade would not affect successful completion
of the course. What has contributed to this student's adaptation response to stress?
A) The student judges the event as irrelevant
B) The actual precipitating event
C) The student's cognitive appraisal of the situation
D) The event is appraised as challenging - ANSWER C) The student's cognitive appraisal
of the situation
A client hates her mother because of childhood neglect. The nurse determines which
client statement represents the use of the defense mechanism of reaction formation?
A) "I don't like to talk about my relationship with my mother."
B) "My mother hates me."
C) "I have a very wonderful mother whom I love very much."
D) "My mom always loved my sister more than she loved me." - ANSWER C) "I have a
very wonderful mother whom I love very much."
A widow of 23 years has not removed any of her husband's possessions including his
slippers beside their bed. Which pathological grief response is being exhibited by this
client?
A.Inhibited grief response
B.Prolonged grief response
C.Delayed grief response
D.Distorted grief response - ANSWER B.Prolonged grief response
When an individual's stress response is sustained over a long period of time, which
physiological effect of the endocrine system should a nurse anticipate?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response - ANSWER A. Decreased resistance to disease
, Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between
the effects of life change and illness. This research led to the development of the Recent
Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this
tool?
A. Specific illnesses are not identified.
B. Individual coping abilities are not assessed.
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded. - ANSWER D. Personal perception of
the event is excluded.
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
A."You must have been very upset when you tried to hurt yourself."
B."It makes me sad to see you going through such a difficult experience."
C."If you tell me what is troubling you, I can help you solve your problems."
D."Suicide is a drastic solution to a problem that may not be such a serious matter." -
ANSWER A."You must have been very upset when you tried to hurt yourself."
After several therapeutic encounters with a patient who recently attempted suicide,
which occurrence should cause the nurse to consider the possibility of
countertransference?
A.The patient's reactions toward the nurse seem realistic and appropriate.
B.The patient states, "Talking to you feels like talking to my parents."
C.The nurse feels unusually happy when the patient's mood begins to lift.
D.The nurse develops a trusting relationship with the patient. - ANSWER C.The nurse
feels unusually happy when the patient's mood begins to lift.
What is the desirable outcome for the orientation stage of a nurse-patient relationship?
The patient will demonstrate behaviors that indicate:
A.self-responsibility and autonomy.
B.a greater sense of independence.
C.rapport and trust with the nurse.
D.resolved transference. - ANSWER C. rapport and trust with the nurse.
A community mental health nurse has worked with a patient for 3 years but is moving
out of the city and terminates the relationship. When a novice nurse begins work with
SOLUTION
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was
achieved? A patient:
A.sees self as capable of achieving ideals and meeting demands.
B.behaves without considering the consequences of personal actions.
C.aggressively meets own needs without considering the rights of others.
D.seeks help from others when assuming responsibility for major areas of own life. -
ANSWER A. Sees self as capable of achieving ideals and meeting demands.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission
form. Which resource should the nurse consult to determine criteria used to establish
this diagnosis?
A.International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
B.Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
C.A behavioral health reference manual
D.Wikipedia - ANSWER B. Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)
Which individual is demonstrating the highest level of resilience? One who:
A.is able to repress stressors.
B.becomes depressed after the death of a spouse.
C.lives in a shelter for two years after the home is destroyed by fire.
D.takes a temporary job to maintain financial stability after loss of a permanent job. -
ANSWER D.takes a temporary job to maintain financial stability after loss of a
permanent job.
A 25-year-old male barely avoids a motor vehicle accident. His heart is pounding, his
palms are sweaty, and his respirations are increased. This is an example of which stage
of the general adaptation syndrome?
A) Alarm reaction stage
B) Stage of resistance
,C) Stage of exhaustion
D) Stage of biological stress - ANSWER A) Alarm reaction stage
A student with an "A" average is to take an exam. The student is relaxed and says the
exam is not of concern because a failing grade would not affect successful completion
of the course. What has contributed to this student's adaptation response to stress?
A) The student judges the event as irrelevant
B) The actual precipitating event
C) The student's cognitive appraisal of the situation
D) The event is appraised as challenging - ANSWER C) The student's cognitive appraisal
of the situation
A client hates her mother because of childhood neglect. The nurse determines which
client statement represents the use of the defense mechanism of reaction formation?
A) "I don't like to talk about my relationship with my mother."
B) "My mother hates me."
C) "I have a very wonderful mother whom I love very much."
D) "My mom always loved my sister more than she loved me." - ANSWER C) "I have a
very wonderful mother whom I love very much."
A widow of 23 years has not removed any of her husband's possessions including his
slippers beside their bed. Which pathological grief response is being exhibited by this
client?
A.Inhibited grief response
B.Prolonged grief response
C.Delayed grief response
D.Distorted grief response - ANSWER B.Prolonged grief response
When an individual's stress response is sustained over a long period of time, which
physiological effect of the endocrine system should a nurse anticipate?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response - ANSWER A. Decreased resistance to disease
, Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between
the effects of life change and illness. This research led to the development of the Recent
Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this
tool?
A. Specific illnesses are not identified.
B. Individual coping abilities are not assessed.
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded. - ANSWER D. Personal perception of
the event is excluded.
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
A."You must have been very upset when you tried to hurt yourself."
B."It makes me sad to see you going through such a difficult experience."
C."If you tell me what is troubling you, I can help you solve your problems."
D."Suicide is a drastic solution to a problem that may not be such a serious matter." -
ANSWER A."You must have been very upset when you tried to hurt yourself."
After several therapeutic encounters with a patient who recently attempted suicide,
which occurrence should cause the nurse to consider the possibility of
countertransference?
A.The patient's reactions toward the nurse seem realistic and appropriate.
B.The patient states, "Talking to you feels like talking to my parents."
C.The nurse feels unusually happy when the patient's mood begins to lift.
D.The nurse develops a trusting relationship with the patient. - ANSWER C.The nurse
feels unusually happy when the patient's mood begins to lift.
What is the desirable outcome for the orientation stage of a nurse-patient relationship?
The patient will demonstrate behaviors that indicate:
A.self-responsibility and autonomy.
B.a greater sense of independence.
C.rapport and trust with the nurse.
D.resolved transference. - ANSWER C. rapport and trust with the nurse.
A community mental health nurse has worked with a patient for 3 years but is moving
out of the city and terminates the relationship. When a novice nurse begins work with
