NURSING: Final Exam Mental Health [NUR234]
QUESTIONS WITH COMPLETE SOLUTIONS
1. Which of the following losses are likely to result is
disenfranchised grief? SATA
a. The gay lover of a man who just died from AIDS
b. A family whose long-time pet snake had just died
c. A nurse who had just witnessed the death of a pt
d. A couple who experienced pregnancy loss
1. Which of the following are common reasons why abused
women remain with the abusive partner? SATA
a. The abused person believes that she is unable to function
without her husband
b. The abused person is personally & financially dependent on
the abuser
c. The abused person has low self-esteem & defines her success
as a person by the ability to make the relationship work
d. The abused person is afraid that the abuser will kill her if she
tries to leave
1. When questioned about bruises, a woman states "it was an
accident. My husband just had a bad day at work. He's being so
gentle now and even brought me flowers." The client is in which
phase of the cycle of battering?
a. Phase III: the honeymoon phase
1. The pediatric nurse is caring for a 15-month-old child recently
admitted to the hospital for a fractured femur. Which of the
,following data obtained during this assessment would the
nurse....suffered physical abuse?
a. The injury occurring several days before the parents sought
treatment
1. After an angry outburst, a client quickly appears calmer and
more rational. The nurse approaches the client. Which of the
following is the most helpful response to the client currently?
a. "What happened that got you so upset?"
1. A patient sat in silence for 20 min after a therapy
appointment, appearing tense & vigilant. The patient abruptly
stood, paced back n forth, clenched and unclenched fists......the
patient is?
a. Exhibiting clues to potential aggression
1. A nurse is working with a client who has frequent angry
outburst. Which of the following statements is most helpful
when working with this client?
a. "Anger is a normal feeling, and you can use it to solve
problems"
1. A new patient acts out so aggressively that seclusion is
required before the admission assessment is completed or orders
written.
a. Notify the HCP to obtain a seclusion order
1. A client who has been physically aggressive arrives at the
emergency room for a psychiatric assessment. Which would be
the best approach for the nurse to use?
,a. Use brief statements & questions to obtain information
1. A client lost control of his behavior broke a window and
make verbal threats to the staff and other clients.
a. "This is a means of keeping you and others safe"
1. A client if observed pacing the hall with clenched fists &
swearing at others. The nurse intervenes immediately.
a. Crisis
1. A client is clenching his fists & yelling at another client on
the unit. He appears to be close to losing control of his anger.
a. Clear others out of the immediate area
1. Which aspects of assessment have priority when a nurse
interviews a rape victim in an acute setting? SATA
a. Adequacy & availability of the pts support system
b. Coping mechanisms, the patient is using
c. S/S of emotional & physical trauma
1. Before a victim of sexual assault is discharged from the ED,
the nurse should
a. Provide referral information verbally & in writing
1. An emergency department nurse prepares to assist with
evidence collection for sexual assault victim. Prior to
photographs....
a. Consent signed by the patient
1. A victim of a violent rape was treated in the emergency
department. As discharge prep begins, the victim says softly, "I
, will never be the same again. I cant face my friends." Select the
most appropriate response.
a. "are you thinking of harming yourself?"
1. A rape victim tells the nurse, "I should not have been out on
the street alone." Select the most therapeutic response.
a. "blaming yourself increases your anxiety & discomfort"
1. A rape victim tells the emergency nurse, "I feel so dirty. Help
me take a shower before I get examined." The nurse should
(SATA).
a. Explain that bathing destroys evidence
b. Off the victim a shower after evidence is collected
1. A nurse interviews a patient abducted and raped at gunpoint
by an unknown assailant. The patient says, "I shouldn't have
been there, I knew it was a dangerous area."
a. Self-blame
1. A patient has been diagnosed with post-traumatic stress
disorder. Which of the following symptoms are related to
PTSD?
a. Hypervigilance
b. Avoiding stimuli associated with the trauma that trigger
memories
c. Flashback or re-experiencing
QUESTIONS WITH COMPLETE SOLUTIONS
1. Which of the following losses are likely to result is
disenfranchised grief? SATA
a. The gay lover of a man who just died from AIDS
b. A family whose long-time pet snake had just died
c. A nurse who had just witnessed the death of a pt
d. A couple who experienced pregnancy loss
1. Which of the following are common reasons why abused
women remain with the abusive partner? SATA
a. The abused person believes that she is unable to function
without her husband
b. The abused person is personally & financially dependent on
the abuser
c. The abused person has low self-esteem & defines her success
as a person by the ability to make the relationship work
d. The abused person is afraid that the abuser will kill her if she
tries to leave
1. When questioned about bruises, a woman states "it was an
accident. My husband just had a bad day at work. He's being so
gentle now and even brought me flowers." The client is in which
phase of the cycle of battering?
a. Phase III: the honeymoon phase
1. The pediatric nurse is caring for a 15-month-old child recently
admitted to the hospital for a fractured femur. Which of the
,following data obtained during this assessment would the
nurse....suffered physical abuse?
a. The injury occurring several days before the parents sought
treatment
1. After an angry outburst, a client quickly appears calmer and
more rational. The nurse approaches the client. Which of the
following is the most helpful response to the client currently?
a. "What happened that got you so upset?"
1. A patient sat in silence for 20 min after a therapy
appointment, appearing tense & vigilant. The patient abruptly
stood, paced back n forth, clenched and unclenched fists......the
patient is?
a. Exhibiting clues to potential aggression
1. A nurse is working with a client who has frequent angry
outburst. Which of the following statements is most helpful
when working with this client?
a. "Anger is a normal feeling, and you can use it to solve
problems"
1. A new patient acts out so aggressively that seclusion is
required before the admission assessment is completed or orders
written.
a. Notify the HCP to obtain a seclusion order
1. A client who has been physically aggressive arrives at the
emergency room for a psychiatric assessment. Which would be
the best approach for the nurse to use?
,a. Use brief statements & questions to obtain information
1. A client lost control of his behavior broke a window and
make verbal threats to the staff and other clients.
a. "This is a means of keeping you and others safe"
1. A client if observed pacing the hall with clenched fists &
swearing at others. The nurse intervenes immediately.
a. Crisis
1. A client is clenching his fists & yelling at another client on
the unit. He appears to be close to losing control of his anger.
a. Clear others out of the immediate area
1. Which aspects of assessment have priority when a nurse
interviews a rape victim in an acute setting? SATA
a. Adequacy & availability of the pts support system
b. Coping mechanisms, the patient is using
c. S/S of emotional & physical trauma
1. Before a victim of sexual assault is discharged from the ED,
the nurse should
a. Provide referral information verbally & in writing
1. An emergency department nurse prepares to assist with
evidence collection for sexual assault victim. Prior to
photographs....
a. Consent signed by the patient
1. A victim of a violent rape was treated in the emergency
department. As discharge prep begins, the victim says softly, "I
, will never be the same again. I cant face my friends." Select the
most appropriate response.
a. "are you thinking of harming yourself?"
1. A rape victim tells the nurse, "I should not have been out on
the street alone." Select the most therapeutic response.
a. "blaming yourself increases your anxiety & discomfort"
1. A rape victim tells the emergency nurse, "I feel so dirty. Help
me take a shower before I get examined." The nurse should
(SATA).
a. Explain that bathing destroys evidence
b. Off the victim a shower after evidence is collected
1. A nurse interviews a patient abducted and raped at gunpoint
by an unknown assailant. The patient says, "I shouldn't have
been there, I knew it was a dangerous area."
a. Self-blame
1. A patient has been diagnosed with post-traumatic stress
disorder. Which of the following symptoms are related to
PTSD?
a. Hypervigilance
b. Avoiding stimuli associated with the trauma that trigger
memories
c. Flashback or re-experiencing
