NUR 3450 EVALUATION ANSWERS AND QUESTIONS
SET A+
✔✔A client says, "I always feel good when I wear a size 2 petite." Which type of
cognitive distortion is evident?
a. Disqualifying the positive
b. Overgeneralization
c. Catastrophizing
d. Personalization - ✔✔b. Overgeneralization
✔✔Which comment best indicates a client is self-actualized?
a. "I have succeeded despite a world filled with evil."
b. "I have a plan for my life. If I follow it, everything will be fine."
c. "I'm successful because I work hard. No one has ever given me anything."
d. "My favorite leisure is walking on the beach, hearing soft sounds of rolling
waves." - ✔✔d. "My favorite leisure is walking on the beach, hearing soft sounds of
rolling
waves."
✔✔A nurse presents a community education program about mental illness. Which
comment by a participant best demonstrates a correct understanding of mental illness
from a biological perspective?
a. "Some people experience life events so traumatic that they cannot be overcome."
b. "Disturbed and conflicted family relationships are usually a starting place for mental
illness."
c. "My friend has had bipolar disorder for years and many problems have resulted.
It's not her fault."
d. "Mental illness is the result of developmental complications that cause a person not to
grow to their full potential." - ✔✔c. "My friend has had bipolar disorder for years and
many problems have resulted.
It's not her fault."
,✔✔Which client is the best candidate for brief psychodynamic therapy?
a. An accountant with a loving family and successful career who was involved in a short
extramarital affair
b. An adult with a long history of major depression who was charged with driving under
the influence
c. A woman with a history of borderline personality disorder who recently cut both
wrists
d. An adult male recently diagnosed with anorexia nervosa - ✔✔a. An accountant with a
loving family and successful career who was involved in a short extramarital affair
✔✔A client states, "I'm starting cognitive-behavioral therapy. What can I expect from the
sessions?" Which responses by the nurse would be appropriate? (Select all that apply.)
a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at your ideas and beliefs about yourself."
e. "The goal is to increase subjectivity about thoughts that govern your behavior." -
✔✔a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
d. "The therapist will help you look at your ideas and beliefs about yourself."
✔✔Which comments by an elderly person best indicate successful completion of the
individual's psychosocial developmental task? (Select all that apply.)
a. "I am proud of my children's successes in life."
b. "I should have given to community charities more often."
c. "My relationship with my father made life more difficult for me."
d. "My experiences in the war helped me appreciate the meaning of life."
e. "I often wonder what would have happened if I had chosen a different career." - ✔✔a.
"I am proud of my children's successes in life."
d. "My experiences in the war helped me appreciate the meaning of life."
✔✔Which comments by an adult best indicate self-actualization? (Select all that apply.)
a. "I am content with a good book."
b. "I often wonder if I chose the right career."
c. "Sometimes I think about how my parents would have handled problems."
d. "It's important for our country to provide basic health care services for everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is important." -
✔✔a. "I am content with a good book."
d. "It's important for our country to provide basic health care services for everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is important."
✔✔Which activities represent the caring foundation of nursing? (Select all that apply.)
, a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client - ✔✔b. Listening to a new widow grieve her
husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
✔✔Which therapies involve electrical brain stimulation for treatment of mental illness?
(Select all that apply.)
a. Aversion therapy
b. Operant conditioning
c. Systematic desensitization
d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS) - ✔✔d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS)
✔✔In-client hospitalization for persons with mental illness is generally reserved for
clients who demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ✔✔a. present a clear
danger to self or others.
✔✔A client was hospitalized for 24 hours after a reaction to a psychotropic medication.
While planning discharge, the case manager learned that the client received a notice of
eviction immediately prior to admission. What is the case manager's most appropriate
action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was genuine because the client
had
nowhere to live. - ✔✔c. Arrange a temporary place for the client to stay until new
housing can be arranged.
✔✔What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
SET A+
✔✔A client says, "I always feel good when I wear a size 2 petite." Which type of
cognitive distortion is evident?
a. Disqualifying the positive
b. Overgeneralization
c. Catastrophizing
d. Personalization - ✔✔b. Overgeneralization
✔✔Which comment best indicates a client is self-actualized?
a. "I have succeeded despite a world filled with evil."
b. "I have a plan for my life. If I follow it, everything will be fine."
c. "I'm successful because I work hard. No one has ever given me anything."
d. "My favorite leisure is walking on the beach, hearing soft sounds of rolling
waves." - ✔✔d. "My favorite leisure is walking on the beach, hearing soft sounds of
rolling
waves."
✔✔A nurse presents a community education program about mental illness. Which
comment by a participant best demonstrates a correct understanding of mental illness
from a biological perspective?
a. "Some people experience life events so traumatic that they cannot be overcome."
b. "Disturbed and conflicted family relationships are usually a starting place for mental
illness."
c. "My friend has had bipolar disorder for years and many problems have resulted.
It's not her fault."
d. "Mental illness is the result of developmental complications that cause a person not to
grow to their full potential." - ✔✔c. "My friend has had bipolar disorder for years and
many problems have resulted.
It's not her fault."
,✔✔Which client is the best candidate for brief psychodynamic therapy?
a. An accountant with a loving family and successful career who was involved in a short
extramarital affair
b. An adult with a long history of major depression who was charged with driving under
the influence
c. A woman with a history of borderline personality disorder who recently cut both
wrists
d. An adult male recently diagnosed with anorexia nervosa - ✔✔a. An accountant with a
loving family and successful career who was involved in a short extramarital affair
✔✔A client states, "I'm starting cognitive-behavioral therapy. What can I expect from the
sessions?" Which responses by the nurse would be appropriate? (Select all that apply.)
a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at your ideas and beliefs about yourself."
e. "The goal is to increase subjectivity about thoughts that govern your behavior." -
✔✔a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
d. "The therapist will help you look at your ideas and beliefs about yourself."
✔✔Which comments by an elderly person best indicate successful completion of the
individual's psychosocial developmental task? (Select all that apply.)
a. "I am proud of my children's successes in life."
b. "I should have given to community charities more often."
c. "My relationship with my father made life more difficult for me."
d. "My experiences in the war helped me appreciate the meaning of life."
e. "I often wonder what would have happened if I had chosen a different career." - ✔✔a.
"I am proud of my children's successes in life."
d. "My experiences in the war helped me appreciate the meaning of life."
✔✔Which comments by an adult best indicate self-actualization? (Select all that apply.)
a. "I am content with a good book."
b. "I often wonder if I chose the right career."
c. "Sometimes I think about how my parents would have handled problems."
d. "It's important for our country to provide basic health care services for everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is important." -
✔✔a. "I am content with a good book."
d. "It's important for our country to provide basic health care services for everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is important."
✔✔Which activities represent the caring foundation of nursing? (Select all that apply.)
, a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client - ✔✔b. Listening to a new widow grieve her
husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
✔✔Which therapies involve electrical brain stimulation for treatment of mental illness?
(Select all that apply.)
a. Aversion therapy
b. Operant conditioning
c. Systematic desensitization
d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS) - ✔✔d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS)
✔✔In-client hospitalization for persons with mental illness is generally reserved for
clients who demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ✔✔a. present a clear
danger to self or others.
✔✔A client was hospitalized for 24 hours after a reaction to a psychotropic medication.
While planning discharge, the case manager learned that the client received a notice of
eviction immediately prior to admission. What is the case manager's most appropriate
action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was genuine because the client
had
nowhere to live. - ✔✔c. Arrange a temporary place for the client to stay until new
housing can be arranged.
✔✔What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
