answers
13. Which of the following treatment modalities is most effective for
OCD?
A) Behavioral techniques
B) Medication
C) Behavioral techniques and medication
D) Ignoring it Ans✓✓✓ C) Behavioral techniques and medication
A client begins to take stock of his life and look into the future. The
nurse assesses that this client is in which of Erikson's developmental
stages?
A) Identity versus role confusion
B) Industry versus inferiority
C) Integrity versus despair
D) Generativity versus stagnation Ans✓✓✓ C) Integrity versus despair
A client experiences panic attacks when confronted with riding in
elevators. The therapist is teaching the client ways to relax while
incrementally exposing the client to getting on an elevator. This
technique is called
A) systematic desensitization.
B) flooding.
,C) cognitive restructuring.
D) exposure therapy. Ans✓✓✓ A) systematic desensitization.
A client is actively involved in community service activities. The benefit
of involvement in meaningful daily activities will most directly
contribute to which of the following attributes?
A) Self-efficacy
B) Resilience
C) Resourcefulness
D) Hardiness Ans✓✓✓ D) Hardiness
A client is observed pacing the hall with clenched fists and swearing at
others. The nurse intervenes immediately to prevent the client from
moving to which phase of the aggressing cycle?
A) Triggering
B) Escalation
C) Crisis
D) Recovery Ans✓✓✓ B) Escalation
A client is supposed to be ambulating ad lib. Instead, he refuses to get
out of bed, asks for a bed bath, and makes many demands of the
nurses. He also yells that they are lazy and incompetent. The client's
behavior is an example of which of the following defense mechanisms?
A) Introjection
,B) Projection
C) Rationalization
D) Reaction formation Ans✓✓✓ B) Projection
A client made threats to harm his parents if they come too close to him.
The parents called 911, and the client is now held involuntarily for a
psychiatric evaluation. During this time of involuntary admission, the
client retains all client rights except for which of the following?
A) Confidentiality
B) Right to freedom
C) Periodic treatment review
D) Choice of providers Ans✓✓✓ B) Right to freedom
A client says to the nurse, "I just can't talk in front of the group. I feel
like I'm going to pass out." The nurse assesses the client's anxiety to be
at which level?
A) Mild
B) Moderate
C) Severe
D) Panic Ans✓✓✓ C) Severe
A client who had been in a substance abuse treatment program asks
the nurse for a date after the client is discharged. The nurse talks to the
, client about the importance of a therapeutic relationship and its
characteristics. The nurse is using which of the following techniques?
A) Defining boundaries
B) Defining therapy
C) Letting the client down gently
D) Reprimanding the client Ans✓✓✓ A) Defining boundaries
A client who has been grieving the loss of his wife 2 weeks ago says to
the nurse, ìThe best part of my day is when I am back at work. Is that
wrong?î The nurse educates that work and other daily activities serve
which purpose?
A) "You cannot work effectively this soon. You should finish grieving
first."
B) "Working reminds you of your loss. It may be too early to go back."
C) "Working is your way of avoiding grief, which will make it harder for
you to move on."
D) "Working is letting you take an emotional break from grieving.
There's nothing wrong with that." Ans✓✓✓ D) "Working is letting you
take an emotional break from grieving. There's nothing wrong with
that."
A client who has depression is admitted to treatment on a voluntary
basis. While in the hospital, the client makes several comments about
wanting to "end it all." The client decides one day to leave against
medical advice. Which of the following would be the most appropriate
action by the nursing staff?