NUR 272 Psych Exam 1 Practice Questions and Correct Answers

NUR 272 Psych Exam 1 Practice Questions and Cor rect A nswers A woman is diagnosed with a highly disseminated metastatic breast cancer. What will the nurse expect that her initial reaction to be at the time the physician gave her the prognosis? A. Denial B. Confrontation C. Anger D. Acceptance ✅A What should the nurse do when a client becomes agitated during an admission assessment? A. Contact hospital security. B. Use confrontation and tell the client to relax. C. Leave the client alone to calm down. D. Communicate in an aggressive tone to intimidate the client. ✅A A nurse in a psychiatric unit observes a client kicking the furniture and walls while yelling that no one visits her. What would be the priority nursing intervention? A. Call the physician for a medication to sedate the client. B. Try to comfort the client with soothing tones and music. C. Ask the client to describe how she can better handle her anger. D. Firmly tell the client in a calm and clear tone of voice to stop kicking the furniture. ✅D A client who has recently been diagnosed with end -stage lung cancer states, "I feel like I am going to die very soon." What is the nurse's best response? A. "Can you tell me what the oncologist has told you about your treatment plan? " B. "Let me have the hospital chaplain talk to you about how you are feeling? " C. "Would you like me to check with your oncologist about taking an antidepressant medication? ". D. "what makes you think you will die so soon?" ✅D After a meeting with his wife and the nurse, a client expresses that his wife's nagging gets on his nerves. After the session, he asks the nurse if she will talk with his wife about her nagging. Which of the following would be the most therapeutic response to the client?" A. "Let's talk about how you might bring up this issue to your wife." B. "Please tell me what she specifically nags about." C. "What do you think you do that makes her nag you so much?" D. "I'm sorry, but I don't feel it is my responsibility to intervene for you with this issue." ✅A An anxious client is crying and tells the nurse that her husband has recently asked her for a divorce. Which is the best response for the nurse to make? A. "Now, now, stop crying, so that we can discuss your feelings about the divorce." B. "How long were you married to your husband?" C. "I can see how upset you are. Let's talk about what happened." D. "Let's discuss how we can secure social services and a lawyer to help you look out for your interests." ✅C The nurse notices the client wringing his hands after a visit from his psychiatrist. What is the nurse's best initial response? A. "You're doing just fine; don't worry." B. "Would you please stop wringing your hands?" C. "I've noticed that you are wringing your hands." D. "I see you wringing your hands; are you afraid?" ✅C Which is the overall priority goal of inpatient psychiatric treatment? A. Maintenance of stability in the community. B. Medication adherence. C. Stabilization and return to the community. D. Better communication skills. ✅C Which is a nursing intervention that would promote the development of trust in the nurse -client relationship? A. Simply and clearly providing reasons for policies and procedures. B. Calling the client by name and title such as "Mr. Hawkins." C. Striving to understand the motivations behind the client's behavior. D. Taking the client's ideas into consideration when planning care. ✅A A nurse is caring for a client in the orientation phase of the nurse -client relationship. Which of the following communication techniques should the nurse use during this phase? A. Elicit info from the patient. B. Encourage the client to use self -exploration. C. Review the client's progress toward personal objectives. D. Talk with others who have info about the patient. ✅A