CASE SCENARIOS
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EXAM 5
Exam 5 typically serves as a comprehensive
review of Fundamentals of Nursing with
emphasis on:
Approximate
Topic Area Percentage
Questions
Therapeutic
Communication & 15% 30
Mental Health
, Approximate
Topic Area Percentage
Questions
Legal & Ethical
15% 30
Principles in Nursing
Safety, Mobility &
15% 30
Infection Control
Fluid, Electrolyte &
10% 20
Acid-Base Balance
Pharmacology &
Medication 10% 20
Administration
Perioperative &
10% 20
Wound Care
Comprehensive Case
15% 30
Scenarios
NCLEX-Style
Prioritization & 10% 20
Delegation
, SECTION 1: THERAPEUTIC COMMUNICATION k k k
& MENTAL HEALTH (Questions 1–30)
k k k k k
1. A client with a diagnosis of depression who has
k k k k k k k k k
attempted suicide says to the nurse, "I should have
k k k k k k k k k
died. I've always been a failure. Nothing ever goes
k k k k k k k k k
right for me." Which therapeutic response would
k k k k k k k
the nurse make?
k k k
A) "You have everything to live for."
k k k k k k
B) "Why do you see yourself as a failure?"
k k k k k k k k
C) "Feeling like this is all part of being depressed."
k k k k k k k k k
D) "It sounds as if you've been feeling like a failure
k k k k k k k k k k
for a while."
k k k
Answer: D k
Rationale: Responding to the feelings expressed k k k k k
by a client is an effective therapeutic
k k k k k k k
communication technique. This option is an
k k k k k k
example of restating, which reflects the client's
k k k k k k k