EXAM 1 -NURSE 160 QUESTIONS WITH ACCURATE
ANSWERS
A 23-year-old man has identified the need for better anger management. He tells
the nurse he is afraid that someday he might "explode." The best strategy for
reducing a patient's fear of losing control over his or her feelings is to:
Select one:
discuss feelings in general without reference to the patient.
avoid talking about the feelings until the patient feels comfortable.
reassure the patient that he or she will feel better if feelings are expressed.
talk about feelings openly and directly. correct answer talk about feelings openly
and directlv.
A 27-year-old patient with schizophrenia says to the nurse, "I feel really close to
you. You're the only true friend I have." The most therapeutic response for the
nurse to make is:
,Select one:
"Because ours is a professional relationship, let's explore other opportunities for
friendship in vour life."
"I feel good that you trust me. Trust is important for the work we are doing
together."
"I'm sure that there are others in vour life who are vour friends."
"We're really not friends. Our relationship is professional." correct answer
"Because ours is a professional relationship, let's explore other opportunities for
friendship in vour life."
A 30-year-old male client has been admitted for substance abuse detoxification.
The nurse receives a call from a person who says he is the client's co-worker and
is inquiring about the client's condition. The nurse's response should:
Select one:
Suggest that the co-worker call the client directly on the client's phone
Invite the caller to contact the client's phvsician for information
Not acknowledge that the client has been admitted to the unit
,Give only the information that the client's condition is stable correct answer Not
acknowledge that the client has been admitted to the unit
A 52-year-old woman is admitted involuntarily with a diagnosis of bipolar
disorder. Lithium 300 mg PO tid is prescribed. The patient refuses to take her
morning dose. The nurse should:
Select one:
assemble adequate help to force the patient to take the medication by the oral
route.
contact the physician to get the order changed to the IM route.
allow the patient to refuse the medication; document and notify the physician.
inform the patient that unit privileges are contingent on taking prescribed
medication. correct answer allow the patient to refuse the medication; document
and notify the physician.
, A client admitted on an involuntary basis is being treated for an acute
exacerbation of paranoid schizophrenia. He refuses his morning dose of
fluphenazine (Prolixin). The most appropriate initial nursing response would be:
Select one:
"If you do not take your medication, you will be placed in seclusion."
"If you do not take your medication, I must give you an injection."
"Let's discuss why you do not want to take vour medication."
"Involuntarily committed clients cannot refuse medications." correct answer
"Let's discuss why you do not want to take your medication."
A client hospitalized under emergency commitment is being treated for chronic
depression with suicidal ideation. After 3 days, the client demands to be released.
The nurse should intervene by:
Select one:
Restricting the client to her room
Allowing the client to leave the unit
ANSWERS
A 23-year-old man has identified the need for better anger management. He tells
the nurse he is afraid that someday he might "explode." The best strategy for
reducing a patient's fear of losing control over his or her feelings is to:
Select one:
discuss feelings in general without reference to the patient.
avoid talking about the feelings until the patient feels comfortable.
reassure the patient that he or she will feel better if feelings are expressed.
talk about feelings openly and directly. correct answer talk about feelings openly
and directlv.
A 27-year-old patient with schizophrenia says to the nurse, "I feel really close to
you. You're the only true friend I have." The most therapeutic response for the
nurse to make is:
,Select one:
"Because ours is a professional relationship, let's explore other opportunities for
friendship in vour life."
"I feel good that you trust me. Trust is important for the work we are doing
together."
"I'm sure that there are others in vour life who are vour friends."
"We're really not friends. Our relationship is professional." correct answer
"Because ours is a professional relationship, let's explore other opportunities for
friendship in vour life."
A 30-year-old male client has been admitted for substance abuse detoxification.
The nurse receives a call from a person who says he is the client's co-worker and
is inquiring about the client's condition. The nurse's response should:
Select one:
Suggest that the co-worker call the client directly on the client's phone
Invite the caller to contact the client's phvsician for information
Not acknowledge that the client has been admitted to the unit
,Give only the information that the client's condition is stable correct answer Not
acknowledge that the client has been admitted to the unit
A 52-year-old woman is admitted involuntarily with a diagnosis of bipolar
disorder. Lithium 300 mg PO tid is prescribed. The patient refuses to take her
morning dose. The nurse should:
Select one:
assemble adequate help to force the patient to take the medication by the oral
route.
contact the physician to get the order changed to the IM route.
allow the patient to refuse the medication; document and notify the physician.
inform the patient that unit privileges are contingent on taking prescribed
medication. correct answer allow the patient to refuse the medication; document
and notify the physician.
, A client admitted on an involuntary basis is being treated for an acute
exacerbation of paranoid schizophrenia. He refuses his morning dose of
fluphenazine (Prolixin). The most appropriate initial nursing response would be:
Select one:
"If you do not take your medication, you will be placed in seclusion."
"If you do not take your medication, I must give you an injection."
"Let's discuss why you do not want to take vour medication."
"Involuntarily committed clients cannot refuse medications." correct answer
"Let's discuss why you do not want to take your medication."
A client hospitalized under emergency commitment is being treated for chronic
depression with suicidal ideation. After 3 days, the client demands to be released.
The nurse should intervene by:
Select one:
Restricting the client to her room
Allowing the client to leave the unit
