PRNU 235 Final Exam (Answered) 141
Questions and Correct Answers.
2025/2026.
. A nursing instructor is teaching about nonverbal communication. Which student statement
indicates a need for further learning?
A. "Nonverbal communication makes up the majority of all effective communication."
B. "Touch is a form of nonverbal communication."
C. "Nonverbal communication needs to be congruent with verbal communication."
D. "Physical appearance is not considered a component of nonverbal communication."
D. "Physical appearance is not considered a component of nonverbal communication."
Which is an example of the communication technique of "focusing"?
A. Client: "I'm just not as sharp as I used to be."
Nurse: "I'm not sure what you mean when you use the word sharp."
B. Client: "When I am faced with failure, I can't seem to be able to experience any emotions."
Nurse: "Feeling nothing makes you feel empty."
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
D. Client: "I can't feel anything."
Nurse: "You can't feel anything?"
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
Which phase of the Nurse-Client relationship would most likely addresses a trust issue?
A. Preinteraction
B. Orientation (Introductory)
C. Working
D. Termination
B. Orientation (Introductory)
A type of behavioral therapy used for clients diagnosed with trauma-related disorders that is
somewhat similar to implosion therapy or flooding is called:
A. Psychoanalytic therapy
B. Eye movement desensitization and reprocessing
C. Prolonged exposure therapy
D. Group therapy
C. Prolonged exposure therapy
A child witnesses a parent being taken away by ambulance after a fatal accident. Now each time the
child hears a siren, the child reacts with uncontrollable anxiety. What type of crisis is the child
experiencing?
,A. Maturational/developmental crisis
B. Dispositional crisis
C. Crisis resulting from traumatic stress
D. Crisis reflecting psychopathology
C. Crisis resulting from traumatic stress
A client is scheduled for electroconvulsive therapy (ECT). Before the client's ECT treatment, what
would the nurse teach the client?
A. General anesthesia and muscle relaxants will be used during treatment.
B. It will take 4 to 5 hours to recover from the procedure.
C. ECT has been used since the 1930's. There is no risk.
D. Permanent memory loss is a major side effect
A. General anesthesia and muscle relaxants will be used during treatment.
Which action would the nurse prioritize when caring for a newly diagnosed client experiencing
bipolar mania?
A. Liquids will be restricted and monitored
B. Finger foods will be provided that are nutritious and easy to handle
C. Sodium intake will be continuously restricted
D. Suicide precautions will be implemented until mood is stabilized
B. Finger foods will be provided that are nutritious and easy to handle
Which medication is classified as an anticonvulsant but used as a mood-stabilizing agent in the
treatment of bipolar disorder?
A. Lamotrigine (Lamictal)
B. Donepezil (Aricept)
C. Risperidone (Risperdal)
D. Imipramine (Tofranil)
A. Lamotrigine (Lamictal)
In writing a plan of care for a child who has been physically abused, the nurse would consider which
intervention a priority?
A. Conduct an in-depth interview with the parent or adult who accompanies the child
B. Perform a complete physical assessment of the child
C. Determine whether the nature of the injuries warrant reporting to the authorities
D. Use games or play therapy to gain the child's trust
B. Perform a complete physical assessment of the child
transference
occurs when a client unconsciously displaces (or "transfers") to the nurse or therapist feelings
formed toward a person from his or her past
countertransference
in psychoanalytic theory, refers to the counselor's behavioral and emotional response to the client.
these responses may be related to unresolved feelings toward significant others from the
counselor's past, or they may be generated in response to the client's behavior toward the counselor
, preinteraction phase of nurse-client relationship
goal: explore self-perception
obtain available information about the patient, examine one's own attitudes, beliefs, feelings, fears
and anxieties (countertransference)
orientation (introductory) phase of nurse-client relationship
goal: establish contract
clarification of purpose of work, role of nurse, and responsibilities of client; address client suffering
directly and offer to work with client towards alleviation; negotiation of therapeutic contract
working phase of nurse-client relationship
goal: behavioral analysis; constructive change in behavior
identify and explore important response patterns; analysis of client's mode of conflict resolution;
address forces that inhibit desired change; create atmosphere of active experimentation to test and
assess new behaviors
termination phase of nurse-client relationship
goal: ending mutually planned implementation
evaluate therapeutic experience; encourage transfer to other support systems participate in explicit
therapeutic good-bye with client
adaptive coping strategies of stress
awareness, relaxation, meditation, interpersonal communication with caring other, meaning,
purpose in life, greater power than self, problem-solving, pets, music
what is mental illness?
disorders, characteristics, behavioral symptoms, nursing interventions
maladaptive responses to stimuli and behaviors that are incongruent with local and cultural norms
person is not in reality
opposite of mental health
varying, not necessarily constant all the time
Peplau's four levels of anxiety
mild - seldom a problem
moderate - perceptual field diminishes
severe - perceptual field is so diminished that concentration centers on one detail only or on many
extraneous details
panic - the most intense state
ego defense mechanism: compensation
covering up a real or perceived weakness by emphasizing a trait one considers more desirable
ex: a physically handicapped boy is unable to participate in football, so he compensates by becoming
a great scholar
ego defense mechanism: denial
Questions and Correct Answers.
2025/2026.
. A nursing instructor is teaching about nonverbal communication. Which student statement
indicates a need for further learning?
A. "Nonverbal communication makes up the majority of all effective communication."
B. "Touch is a form of nonverbal communication."
C. "Nonverbal communication needs to be congruent with verbal communication."
D. "Physical appearance is not considered a component of nonverbal communication."
D. "Physical appearance is not considered a component of nonverbal communication."
Which is an example of the communication technique of "focusing"?
A. Client: "I'm just not as sharp as I used to be."
Nurse: "I'm not sure what you mean when you use the word sharp."
B. Client: "When I am faced with failure, I can't seem to be able to experience any emotions."
Nurse: "Feeling nothing makes you feel empty."
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
D. Client: "I can't feel anything."
Nurse: "You can't feel anything?"
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
Which phase of the Nurse-Client relationship would most likely addresses a trust issue?
A. Preinteraction
B. Orientation (Introductory)
C. Working
D. Termination
B. Orientation (Introductory)
A type of behavioral therapy used for clients diagnosed with trauma-related disorders that is
somewhat similar to implosion therapy or flooding is called:
A. Psychoanalytic therapy
B. Eye movement desensitization and reprocessing
C. Prolonged exposure therapy
D. Group therapy
C. Prolonged exposure therapy
A child witnesses a parent being taken away by ambulance after a fatal accident. Now each time the
child hears a siren, the child reacts with uncontrollable anxiety. What type of crisis is the child
experiencing?
,A. Maturational/developmental crisis
B. Dispositional crisis
C. Crisis resulting from traumatic stress
D. Crisis reflecting psychopathology
C. Crisis resulting from traumatic stress
A client is scheduled for electroconvulsive therapy (ECT). Before the client's ECT treatment, what
would the nurse teach the client?
A. General anesthesia and muscle relaxants will be used during treatment.
B. It will take 4 to 5 hours to recover from the procedure.
C. ECT has been used since the 1930's. There is no risk.
D. Permanent memory loss is a major side effect
A. General anesthesia and muscle relaxants will be used during treatment.
Which action would the nurse prioritize when caring for a newly diagnosed client experiencing
bipolar mania?
A. Liquids will be restricted and monitored
B. Finger foods will be provided that are nutritious and easy to handle
C. Sodium intake will be continuously restricted
D. Suicide precautions will be implemented until mood is stabilized
B. Finger foods will be provided that are nutritious and easy to handle
Which medication is classified as an anticonvulsant but used as a mood-stabilizing agent in the
treatment of bipolar disorder?
A. Lamotrigine (Lamictal)
B. Donepezil (Aricept)
C. Risperidone (Risperdal)
D. Imipramine (Tofranil)
A. Lamotrigine (Lamictal)
In writing a plan of care for a child who has been physically abused, the nurse would consider which
intervention a priority?
A. Conduct an in-depth interview with the parent or adult who accompanies the child
B. Perform a complete physical assessment of the child
C. Determine whether the nature of the injuries warrant reporting to the authorities
D. Use games or play therapy to gain the child's trust
B. Perform a complete physical assessment of the child
transference
occurs when a client unconsciously displaces (or "transfers") to the nurse or therapist feelings
formed toward a person from his or her past
countertransference
in psychoanalytic theory, refers to the counselor's behavioral and emotional response to the client.
these responses may be related to unresolved feelings toward significant others from the
counselor's past, or they may be generated in response to the client's behavior toward the counselor
, preinteraction phase of nurse-client relationship
goal: explore self-perception
obtain available information about the patient, examine one's own attitudes, beliefs, feelings, fears
and anxieties (countertransference)
orientation (introductory) phase of nurse-client relationship
goal: establish contract
clarification of purpose of work, role of nurse, and responsibilities of client; address client suffering
directly and offer to work with client towards alleviation; negotiation of therapeutic contract
working phase of nurse-client relationship
goal: behavioral analysis; constructive change in behavior
identify and explore important response patterns; analysis of client's mode of conflict resolution;
address forces that inhibit desired change; create atmosphere of active experimentation to test and
assess new behaviors
termination phase of nurse-client relationship
goal: ending mutually planned implementation
evaluate therapeutic experience; encourage transfer to other support systems participate in explicit
therapeutic good-bye with client
adaptive coping strategies of stress
awareness, relaxation, meditation, interpersonal communication with caring other, meaning,
purpose in life, greater power than self, problem-solving, pets, music
what is mental illness?
disorders, characteristics, behavioral symptoms, nursing interventions
maladaptive responses to stimuli and behaviors that are incongruent with local and cultural norms
person is not in reality
opposite of mental health
varying, not necessarily constant all the time
Peplau's four levels of anxiety
mild - seldom a problem
moderate - perceptual field diminishes
severe - perceptual field is so diminished that concentration centers on one detail only or on many
extraneous details
panic - the most intense state
ego defense mechanism: compensation
covering up a real or perceived weakness by emphasizing a trait one considers more desirable
ex: a physically handicapped boy is unable to participate in football, so he compensates by becoming
a great scholar
ego defense mechanism: denial
