SCRIPTED QUESTIONS AND ANSWERS SURE A+
✔✔A nurse hears a newly licensed nurse discussing a client's hallucinations in the
hallway with another nurse. Which of the following actions should the nurse take first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete an incident report - ✔✔B
✔✔A nurse is caring for the parents of a child who has demonstrated changes in
behavior and mood. When the mother of the child asks the nurse for reassurance about
her son's condition, which of the following responses should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your concerns?
D) I understand you're concerned. Let's discuss what concerns you specifically - ✔✔D
✔✔A nurse is caring for a client who smokes and has lung cancer. The client reports,
"I'm coughing because I have that cold that everyone has been getting." The nurse
should identify that the client is using which of the following defense mechanisms?
A) Reaction formation
B) Denial
, C) Displacement
D) Sublimation - ✔✔B
✔✔A nurse is providing preoperative teaching for a client who was just informed that
she requires emergency surgery. The client has a respiratory rate 30/min and says,
"This is difficult to comprehend. I feel shaky and nervous." The nurse should identify
that the client is experiencing which of the following levels of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic - ✔✔B
✔✔A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse trying to give necessary information to the client?
(Select all that apply)
A) Reassure the client that everything will be okay
B) Discuss prior use of coping mechanisms with the client
C) Ignore the client's anxiety so that she will not be embarrassed
D) Demonstrate a calm manner while using simple and clear directions
E) Gather information from the client using closed-ended questions - ✔✔B, D
✔✔A nurse is talking with a client who is at risk for suicide following the death of his
spouse. Which of the following statements should the nurse make?
A) I feel very feel very sorry for the loneliness you must be experiencing
B) Suicide is not the appropriate way to cope with loss
C) Losing someone close to you must be very upsetting
D) I know how difficult it is to lose a love one - ✔✔C
✔✔A nurse is talking with a client who is at risk for suicide following the death of his
spouse. Which of the following statements should the nurse make?
A) I feel very sorry for the loneliness you must be experiencing
B) Suicide is not the appropriate way to cope with loss
C) Losing someone close to you must be very upsetting
D) I know how difficult it is to lose a love one - ✔✔C
✔✔A nurse is talking with a client who is at risk for suicide following the death of his
spouse. Which of the following statements should the nurse make?
A) I feel very sorry for the loneliness you must be experiencing
B) Suicide is not the appropriate way to cope with loss
C) Losing someone close to you must be very upsetting
D) I know how difficult it is to lose a loved one - ✔✔C
✔✔A charge nurse is discussing the characteristics of a nurse-client relationship with a
newly licensed nurse. Which of the following characteristics should the nurse include in
the discussion? (Select all that apply)