N161 Midterm
1.A nursing instructor is teaching about trauma and stressor-related disor-
ders. Which statement by one of the students indicates that further
instruction is needed?
1. "The trauma that women experience is more likely to be sexual assault
and child sexual abuse."
2. "The trauma that men experience is more likely to be accidents,
physical assaults, combat, or viewing death or injury."
3. "After exposure to a traumatic event, only 10 percent of victims
develop posttraumatic stress disorder (PTSD)."
4. "Research shows that PTSD is more common in men than in women.":
ANS: 4
Research shows that PTSD is more common in women than in men. This
student statement indicates a need for further instruction.
2.A 52-year-old client states, "My husband is upset because I don't enjoy
sex as much as I used to." Which priority client data should a nurse
initially collect?
1. History of hysterectomy
2. Date of last menstrual cycle
3. Use of birth control methods
4. History of thought disorder: ANS: 2
The nurse should assess the client's last menstrual cycle to determine if
the client is experiencing the onset of menopause. Menopause usually
occurs around the age of
50. The decrease in estrogen can result in multiple symptoms, including
a decrease in biological drives and sexual activity.
3.A nursing instructor is teaching about recovery as it applies to mental
illness. Which student statement indicates that further teaching is
needed?
1. "The goal of recovery is improved health and wellness."
2. "The goal of recovery is expedient, comprehensive behavioral change."
3. "The goal of recovery is the ability to live a self-directed life."
4. "The goal of recovery is the ability to reach full potential.": ANS: 2
Change in recovery is not an expedient process. It occurs incrementally
over time.
4.In response to a student's question regarding choosing a psychiatric spe-
cialty, a charge nurse states, "Mentally ill clients need special care. If I were
in that position, I'd want a caring nurse also." From which ethical framework
is the charge nurse operating?
1. Kantianism
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, N161 Midterm
2. Christian ethics
3. Ethical egoism
4. Utilitarianism: ANS: 2
2/
133
, N161 Midterm
The charge nurse is operating from a Christian ethics framework. The
imperative demand of Christian ethics is that all decisions about right
and wrong should be centered in love for God and in treating others
with the same respect and dignity with which we would expect to be
treated.
5.What is the most essential task for a nurse to accomplish prior to
forming a therapeutic relationship with a client?
1. Clarify personal attitudes, values, and beliefs.
2. Obtain thorough assessment data.
3. Determine the client's length of stay.
4. Establish personal goals for the interaction.: ANS: 1
The most essential task for a nurse to accomplish prior to forming a
therapeutic relationship with a client is to clarify personal attitudes,
values, and beliefs. Under- standing one's own attitudes, values, and
beliefs is called self-awareness.
6.When used in combination with anxiolytic medication, alcohol leads to
effects, and caffeine leads to effects.
1. increased; increased
2. increased; decreased
3. decreased; decreased
4. decreased; increased: ANS: 2
Anxiolytic medications work through depression of certain central nervous
system (CNS) functions. Alcohol, which is a CNS depressant, would
increase/potentiate their effects. Caffeine, which is a CNS stimulant,
would decrease/inhibit their effects.
7.A nurse is assessing a client who is experiencing occasional feelings of
sadness because of the recent death of a beloved pet. The client's
appetite, sleep patterns, and daily routine have not changed. How should
the nurse interpret the client's behaviors?
1. The client's behaviors demonstrate mental illness in the form of
depres- sion.
2. The client's behaviors are extensive, which indicates the presence of
mental illness.
3. The client's behaviors are not congruent with cultural norms.
4. The client's behaviors demonstrate no functional impairment, indicating
no mental illness.: ANS: 4
The nurse should assess that the client's daily functioning is not impaired.
The client who experiences feelings of sadness after the loss of a pet is
responding within normal expectations.
3/
133
, N161 Midterm
8.A nurse discovers a client's suicide note that details the time, place,
and means to commit suicide. What should be the priority nursing
intervention and the rationale for this action?
4/
133
1.A nursing instructor is teaching about trauma and stressor-related disor-
ders. Which statement by one of the students indicates that further
instruction is needed?
1. "The trauma that women experience is more likely to be sexual assault
and child sexual abuse."
2. "The trauma that men experience is more likely to be accidents,
physical assaults, combat, or viewing death or injury."
3. "After exposure to a traumatic event, only 10 percent of victims
develop posttraumatic stress disorder (PTSD)."
4. "Research shows that PTSD is more common in men than in women.":
ANS: 4
Research shows that PTSD is more common in women than in men. This
student statement indicates a need for further instruction.
2.A 52-year-old client states, "My husband is upset because I don't enjoy
sex as much as I used to." Which priority client data should a nurse
initially collect?
1. History of hysterectomy
2. Date of last menstrual cycle
3. Use of birth control methods
4. History of thought disorder: ANS: 2
The nurse should assess the client's last menstrual cycle to determine if
the client is experiencing the onset of menopause. Menopause usually
occurs around the age of
50. The decrease in estrogen can result in multiple symptoms, including
a decrease in biological drives and sexual activity.
3.A nursing instructor is teaching about recovery as it applies to mental
illness. Which student statement indicates that further teaching is
needed?
1. "The goal of recovery is improved health and wellness."
2. "The goal of recovery is expedient, comprehensive behavioral change."
3. "The goal of recovery is the ability to live a self-directed life."
4. "The goal of recovery is the ability to reach full potential.": ANS: 2
Change in recovery is not an expedient process. It occurs incrementally
over time.
4.In response to a student's question regarding choosing a psychiatric spe-
cialty, a charge nurse states, "Mentally ill clients need special care. If I were
in that position, I'd want a caring nurse also." From which ethical framework
is the charge nurse operating?
1. Kantianism
1/
133
, N161 Midterm
2. Christian ethics
3. Ethical egoism
4. Utilitarianism: ANS: 2
2/
133
, N161 Midterm
The charge nurse is operating from a Christian ethics framework. The
imperative demand of Christian ethics is that all decisions about right
and wrong should be centered in love for God and in treating others
with the same respect and dignity with which we would expect to be
treated.
5.What is the most essential task for a nurse to accomplish prior to
forming a therapeutic relationship with a client?
1. Clarify personal attitudes, values, and beliefs.
2. Obtain thorough assessment data.
3. Determine the client's length of stay.
4. Establish personal goals for the interaction.: ANS: 1
The most essential task for a nurse to accomplish prior to forming a
therapeutic relationship with a client is to clarify personal attitudes,
values, and beliefs. Under- standing one's own attitudes, values, and
beliefs is called self-awareness.
6.When used in combination with anxiolytic medication, alcohol leads to
effects, and caffeine leads to effects.
1. increased; increased
2. increased; decreased
3. decreased; decreased
4. decreased; increased: ANS: 2
Anxiolytic medications work through depression of certain central nervous
system (CNS) functions. Alcohol, which is a CNS depressant, would
increase/potentiate their effects. Caffeine, which is a CNS stimulant,
would decrease/inhibit their effects.
7.A nurse is assessing a client who is experiencing occasional feelings of
sadness because of the recent death of a beloved pet. The client's
appetite, sleep patterns, and daily routine have not changed. How should
the nurse interpret the client's behaviors?
1. The client's behaviors demonstrate mental illness in the form of
depres- sion.
2. The client's behaviors are extensive, which indicates the presence of
mental illness.
3. The client's behaviors are not congruent with cultural norms.
4. The client's behaviors demonstrate no functional impairment, indicating
no mental illness.: ANS: 4
The nurse should assess that the client's daily functioning is not impaired.
The client who experiences feelings of sadness after the loss of a pet is
responding within normal expectations.
3/
133
, N161 Midterm
8.A nurse discovers a client's suicide note that details the time, place,
and means to commit suicide. What should be the priority nursing
intervention and the rationale for this action?
4/
133
