NURS 326 EXAM 2 QUESTIONS WITH VERIFIED ACCURATE
ANSWERS
The nurse is encouraging a child, diagnosed with autism, to verbalize needs. Which
nursing intervention reflects the behavior therapy of shaping?
a)The nurse provides no rewards to the child to encourage independence.
b)The nurse rewards the child regardless of speech improvement.
c)The nurse rewards the child at the conclusion of the therapy.
d)The nurse rewards the child incrementally as improvement in speech occurs. -
Answers -d)The nurse rewards the child incrementally as improvement in speech
occurs.
A client diagnosed with alcoholism has recently been prescribed disulfiram (Antabuse).
The nurse recognizes this as which type of behavior therapy?
a)Overt sensitization
b)Flooding
c)Reciprocal inhibition
d)Systematic desensitization - Answers -a)Overt sensitization
3.A nurse is using covert sensitization to help a client control compulsive overeating.
Which nursing intervention reflects this behavior therapy?
a)Asking the client to visualize and imagine smelling a rotting potato
b)Encouraging the client to practice relaxation exercises when tempted to eat
c)Introducing the client to a peer who has overcome obesity
d)Providing small rewards for periodic weight loss - Answers -a)Asking the client to
visualize and imagine smelling a rotting potato
A client diagnosed with severe depression states, "When I wasn't invited to my niece's
wedding, it was obvious that the in-laws did not think I was good enough to be
included." The nurse understands that this automatic thought is an example of which
common cognitive error?
a)Arbitrary inference
b)Overgeneralization (absolute thinking)
c)Dichotomous thinking
d)Personalization - Answers -a)Arbitrary inference
2.A client states, "I just failed my college English course. I've never failed a class before
so when my parents find out they are going to disown me. They'll hate me and never
forgive me for this." The nurse recognizes this client's statement as which type of
automatic thought?
a)Arbitrary influence
b)Minimization
c)Catastrophic thinking
d)Personalization - Answers -c)Catastrophic thinking
, 3.A nurse is using decatastrophizing techniques to help a client modify automatic
thoughts and schemas. Which nursing statement could be used in this process?
a)"First you must decide if this negative thought is valid."
b)"Let's really look at that thought pattern. What evidence made you come to that
conclusion?"
c)"When you start to have a negative thought, start visualizing a pleasant experience."
d)"Let's explore some other possibilities related to this thinking." - Answers -a)"First you
must decide if this negative thought is valid."
A client, experiencing lower extremity paralysis, is admitted to a medical unit. Extensive
tests confirm disability but rule out any underlying organic pathology. The nurse
concludes that this is most suggestive of which disorder?
a)Conversion disorder
b)Illness anxiety disorder
c)Malingering
d)Somatic symptom disorder - Answers -a)Conversion disorder
A client is experiencing pain that has no organic etiology. This pain allows the client to
avoid going to work at a job that he hates. What best describes what this client is
experiencing?
a)Altered social interaction
b)Disturbed thought processes
c)Primary gain
d)Secondary gain - Answers -c)Primary gain
According to psychodynamic theory, which primary defense mechanism would the
nurse expect to find in a client with dissociative amnesia?
a)Suppression
b)Sublimation
c)Displacement
d)Repression - Answers -d)Repression
When working with a client diagnosed with a somatic symptom disorder, which is the
most appropriate nursing action?
a)Avoid discussing social and personal problems.
b)Focus on the physical symptoms.
c)Always meet the client's dependency needs.
d)Gradually minimize time focusing on physical symptoms. - Answers -d)Gradually
minimize time focusing on physical symptoms.
. A client's husband died 1 year ago. She has recently started dating a gentleman from
her grief support group. This behavior is indicative of which of the grief tasks described
by Worden?
a)Task I: Accepting the reality of the loss
b)Task II: Processing the pain of grief
ANSWERS
The nurse is encouraging a child, diagnosed with autism, to verbalize needs. Which
nursing intervention reflects the behavior therapy of shaping?
a)The nurse provides no rewards to the child to encourage independence.
b)The nurse rewards the child regardless of speech improvement.
c)The nurse rewards the child at the conclusion of the therapy.
d)The nurse rewards the child incrementally as improvement in speech occurs. -
Answers -d)The nurse rewards the child incrementally as improvement in speech
occurs.
A client diagnosed with alcoholism has recently been prescribed disulfiram (Antabuse).
The nurse recognizes this as which type of behavior therapy?
a)Overt sensitization
b)Flooding
c)Reciprocal inhibition
d)Systematic desensitization - Answers -a)Overt sensitization
3.A nurse is using covert sensitization to help a client control compulsive overeating.
Which nursing intervention reflects this behavior therapy?
a)Asking the client to visualize and imagine smelling a rotting potato
b)Encouraging the client to practice relaxation exercises when tempted to eat
c)Introducing the client to a peer who has overcome obesity
d)Providing small rewards for periodic weight loss - Answers -a)Asking the client to
visualize and imagine smelling a rotting potato
A client diagnosed with severe depression states, "When I wasn't invited to my niece's
wedding, it was obvious that the in-laws did not think I was good enough to be
included." The nurse understands that this automatic thought is an example of which
common cognitive error?
a)Arbitrary inference
b)Overgeneralization (absolute thinking)
c)Dichotomous thinking
d)Personalization - Answers -a)Arbitrary inference
2.A client states, "I just failed my college English course. I've never failed a class before
so when my parents find out they are going to disown me. They'll hate me and never
forgive me for this." The nurse recognizes this client's statement as which type of
automatic thought?
a)Arbitrary influence
b)Minimization
c)Catastrophic thinking
d)Personalization - Answers -c)Catastrophic thinking
, 3.A nurse is using decatastrophizing techniques to help a client modify automatic
thoughts and schemas. Which nursing statement could be used in this process?
a)"First you must decide if this negative thought is valid."
b)"Let's really look at that thought pattern. What evidence made you come to that
conclusion?"
c)"When you start to have a negative thought, start visualizing a pleasant experience."
d)"Let's explore some other possibilities related to this thinking." - Answers -a)"First you
must decide if this negative thought is valid."
A client, experiencing lower extremity paralysis, is admitted to a medical unit. Extensive
tests confirm disability but rule out any underlying organic pathology. The nurse
concludes that this is most suggestive of which disorder?
a)Conversion disorder
b)Illness anxiety disorder
c)Malingering
d)Somatic symptom disorder - Answers -a)Conversion disorder
A client is experiencing pain that has no organic etiology. This pain allows the client to
avoid going to work at a job that he hates. What best describes what this client is
experiencing?
a)Altered social interaction
b)Disturbed thought processes
c)Primary gain
d)Secondary gain - Answers -c)Primary gain
According to psychodynamic theory, which primary defense mechanism would the
nurse expect to find in a client with dissociative amnesia?
a)Suppression
b)Sublimation
c)Displacement
d)Repression - Answers -d)Repression
When working with a client diagnosed with a somatic symptom disorder, which is the
most appropriate nursing action?
a)Avoid discussing social and personal problems.
b)Focus on the physical symptoms.
c)Always meet the client's dependency needs.
d)Gradually minimize time focusing on physical symptoms. - Answers -d)Gradually
minimize time focusing on physical symptoms.
. A client's husband died 1 year ago. She has recently started dating a gentleman from
her grief support group. This behavior is indicative of which of the grief tasks described
by Worden?
a)Task I: Accepting the reality of the loss
b)Task II: Processing the pain of grief
