NSG 526(EXAM 1) 2024 EXAM WITH COMPLETE SOLUTION AND CORRECT VERIFIED
ANSWERS
1. A nurse practitioner (NP) is discussing #$%^
their role and responsibilities with a colleague. The colleague asks, "What
determines the scope of practice for nurse practitioners?" What is the best response?
a. National guidelines set by the American Association of Nurse Practitioners (AANP)
b. The medical board's regulations
c. The scope of practice is uniform across all states
d. The scope of practice is determined by the laws and regulations of the state in which the NP
practices(ANSWER) D) The scope of practice is determined by the laws and regulations of the state in which
the NP practices
2. A patient reports experiencing auditory hallucinations. The nurse prac- titioner understands that these symptoms
are most likely associated with dysfunction in which part of the brain?
a. Frontal lobe
b. Parietal lobe
c. Temporal lobe
d. Occipital lobe(ANSWER) C) Temporal lobe
3. A client becomes agitated during a therapy session after recounting an argument with their sibling at dinner. While
discussing the incident, the client suddenly raises their voice and begins yelling at the therapist.
What defense mechanism is the client most likely demonstrating?
a. Projection
b. Countertransference
c. Displacement
d. Transference(ANSWER) D) Transference
4. A patient consistently engages in behaviors that are problematic but ex- presses no awareness or concern about
changing these behaviors. According to the stages of change model, which stage is this patient most likely in?
a. Precontemplation
b. Contemplation
c. Action
, d. Maintenance(ANSWER) A) Precontemplation
5. Which nursing theorist developed the Interpersonal Relations Theory, which emphasizes the nurse-patient relationship as a
foundation for nursing practice and identifies phases such as orientation, working, and termination?
, 6.
a. Jean Watson
b. Hildegard Peplau
c. Florence Nightingale
d. Dorothea Orem(ANSWER) B) Hildegard Peplau
7. A patient becomes visibly upset during a session. Which of the following therapeutic communication techniques
would be most appropriate for the nurse practitioner to use?
a. "Tell me what it is that is upsetting you so I can understand you more."
b. "Calm down, everything will be okay."
c. "You shouldn't be so upset; it isn't that serious."
d. "Let's move on to another topic for now."(ANSWER) A) "Tell me what it is that is upsetting you so I can
understand you more."
8. During a therapy session, a patient acts seductively and asks the nurse practitioner out for dinner. As a professional
response, the nurse practitioner should(ANSWER)
a. Accept the invitation to maintain rapport with the patient
b. Confront the patient about their inappropriate behavior
c. Explore the meaning of their own countertransference in this situation
d. Ignore the behavior and proceed with the session as planned(ANSWER) C) Explore the meaning of their
own countertransference in this situation
9. A schizophrenic patient is under the care of both a psychiatrist and a gener- al practitioner. Which condition is the
general practitioner likely monitoring?
a. Schizophrenia
b. Diabetes
c. Parkinson's disease
d. Cardiovascular disease(ANSWER) B) Diabetes
10. A toddler consistently responds with "NO" when asked about toilet training. This behavior is indicative of which of
Freud's psychosexual stages of devel- opment?
ANSWERS
1. A nurse practitioner (NP) is discussing #$%^
their role and responsibilities with a colleague. The colleague asks, "What
determines the scope of practice for nurse practitioners?" What is the best response?
a. National guidelines set by the American Association of Nurse Practitioners (AANP)
b. The medical board's regulations
c. The scope of practice is uniform across all states
d. The scope of practice is determined by the laws and regulations of the state in which the NP
practices(ANSWER) D) The scope of practice is determined by the laws and regulations of the state in which
the NP practices
2. A patient reports experiencing auditory hallucinations. The nurse prac- titioner understands that these symptoms
are most likely associated with dysfunction in which part of the brain?
a. Frontal lobe
b. Parietal lobe
c. Temporal lobe
d. Occipital lobe(ANSWER) C) Temporal lobe
3. A client becomes agitated during a therapy session after recounting an argument with their sibling at dinner. While
discussing the incident, the client suddenly raises their voice and begins yelling at the therapist.
What defense mechanism is the client most likely demonstrating?
a. Projection
b. Countertransference
c. Displacement
d. Transference(ANSWER) D) Transference
4. A patient consistently engages in behaviors that are problematic but ex- presses no awareness or concern about
changing these behaviors. According to the stages of change model, which stage is this patient most likely in?
a. Precontemplation
b. Contemplation
c. Action
, d. Maintenance(ANSWER) A) Precontemplation
5. Which nursing theorist developed the Interpersonal Relations Theory, which emphasizes the nurse-patient relationship as a
foundation for nursing practice and identifies phases such as orientation, working, and termination?
, 6.
a. Jean Watson
b. Hildegard Peplau
c. Florence Nightingale
d. Dorothea Orem(ANSWER) B) Hildegard Peplau
7. A patient becomes visibly upset during a session. Which of the following therapeutic communication techniques
would be most appropriate for the nurse practitioner to use?
a. "Tell me what it is that is upsetting you so I can understand you more."
b. "Calm down, everything will be okay."
c. "You shouldn't be so upset; it isn't that serious."
d. "Let's move on to another topic for now."(ANSWER) A) "Tell me what it is that is upsetting you so I can
understand you more."
8. During a therapy session, a patient acts seductively and asks the nurse practitioner out for dinner. As a professional
response, the nurse practitioner should(ANSWER)
a. Accept the invitation to maintain rapport with the patient
b. Confront the patient about their inappropriate behavior
c. Explore the meaning of their own countertransference in this situation
d. Ignore the behavior and proceed with the session as planned(ANSWER) C) Explore the meaning of their
own countertransference in this situation
9. A schizophrenic patient is under the care of both a psychiatrist and a gener- al practitioner. Which condition is the
general practitioner likely monitoring?
a. Schizophrenia
b. Diabetes
c. Parkinson's disease
d. Cardiovascular disease(ANSWER) B) Diabetes
10. A toddler consistently responds with "NO" when asked about toilet training. This behavior is indicative of which of
Freud's psychosexual stages of devel- opment?
