Accurate Real Exam 100 Questions and
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A community health nurse visits a family with four children. The father behaves angrily, finds fault
with the oldest child, and asks twice, Why are you such a stupid kid? The wife says, I have
difficulty disciplining the children. Its so frustrating. Which comments by the nurse will facilitate
an interview with these parents? Select all that apply.
a. Tell me how you discipline your children.
b. How do you stop your baby from crying?
c. Caring for four small children must be difficult.
d. Do you or your husband ever spank your children?
e. Calling children stupid injures their self-esteem. - answer>>>a. tell me how you discipline your
child
b. how do you stop your baby from crying?
c. caring for four small children must be difficult
A patient diagnosed with serious mental illness was living successfully in a group home but
wanted an apartment. The prospective landlord said, People like you have trouble getting along
and paying their rent. The patient and nurse meet for a problem-solving session. Which options
should the nurse endorse? Select all that apply.
a. Encourage the patient to remain in the group home until the illness is less obvious.
b.Have the case manager meet with the landlord to provide education about mental illness.
c. Threaten the landlord with legal action because of the discriminatory actions.
d. Seek out landlords less affected by the stigma associated with mental illness.
e. Coach the patient in ways to control symptoms effectively. - answer>>>b, d, e
Which service would be expected to provide resources 24 hours a day, 7 days a week if needed
for persons with serious mental illness?
a. Clubhouse model
b. cognitive behavioral therapy (CBT)
c. Assertive community treatment (ACT)
d. Cognitive enhancement therapy - answer>>>c. assertive community treatment
An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent told
both parents about the uncles behavior, but the parents did not believe the adolescent. What
type of crisis exists?
,a. Maturational
b. Adventitious
c. situational
d. Organic - answer>>>b. adventitious
A 10-year-old cares for siblings while the parents work because the family cannot afford a
babysitter. This child says, My father doesnt like me. He calls me stupid all the time. The mother
says the father is easily frustrated and has trouble disciplining the children. The community health
nurse should consider which resources as priorities to stabilize the home situation? Select all that
apply.
a. Parental sessions to teach childrearing practices
b. Anger management counseling for the father
c. Continuing home visits to give support
d. A safety plan for the wife and children
e. Placing the children in foster care - answer>>>a,b,c
A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing
interventions are appropriate while caring for the patient in the emergency department? Select all
that apply
a. Allow the patient to talk at a comfortable pace.
b. Place the patient in a private room with a caregiver.
c. Pose questions in nonjudgmental, empathetic ways.
d. Invite the patients family members to the examination room.
e. Put an arm around the patient to demonstrate support and compassion. - answer>>>a, b, c
An outpatient diagnosed with schizophrenia attends programming at a community mental health
center. The patient says, I threw away the pills because they keep me from hearing God. Which
response by the nurse would most likely to benefit this patient?
a. You need your medicine. Your schizophrenia will get worse without it.
b. Do you want to be hospitalized again? You must take your medication.
c. I would like you to come to the medication education group every Thursday.
d. I noticed that when you take the medicine, you have been able to hold a job you wanted. -
answer>>>d.
An emergency department nurse prepares to assist with examination of a sexual assault victim.
What equipment will be needed to collect and document forensic evidence? Select all that apply.
a. Sphygmomanometer
b. pulse oximeter
, c. camera
d. body map
e. DNA swabs - answer>>>c,d,e
An adult diagnosed with a serious mental illness says, I do not need help with money
management. I have excellent ideas about investments. This patient usually does not have money
to buy groceries by the middle of the month. The nurse assesses the patient as demonstrating:
a. rationalization.
b.identification
c. anosognosia
d. projection. - answer>>>c
After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the
community. This patient now requires persistent direction to accomplish activities of daily living
and expects others to provide meals and do laundry. The nurse assesses this behavior as the
probable result of:
a. side effects of antipsychotic medications
b. dependency caused by institutionalization.
c. cognitive deterioration from schizophrenia
d. stress associated with acclimation to the community. - answer>>>b
An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was
never born. Which type of abuse is likely?
a.Sexual
b. physical
c. Emotional
d. Economic - answer>>>c
What feelings are most commonly experienced by nurses working with abusive families?
a. Outrage toward the victim and discouragement regarding the abuser
b. Helplessness regarding the victim and anger toward the abuser
c. Unconcern for the victim and dislike for the abuser
d. Vulnerability for self and empathy with the abuser - answer>>>b
A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder. Care
planning is facilitated by understanding that the patient will probably
a. readily seek psychiatric counseling.
b. be resistant to accepting psychiatric help