NUR 448 Exam 2 Practice Question with Complete solutions

Daniel is a nursing student who has been experiencing a great deal of anxiety prior to tests. He tells himself he is going to fail and that he is not worthy of becoming a nurse. When he tries to read the test questions, he has difficulty comprehending the key points. What modality would be the best to use to assist Daniel? A. Recovery B. Psychoanalytic C. Developmental D. Cognitive behavioral - D After Donald had come on the unit, a nurse was assigned to begin his assessment to determine his risk for suicide and need for safety. Which of the following sentences demonstrates an ineffective response? A. "You have a lot to share with others." B. " How are you getting along with your wife?" C. "Tell me more about your angry feelings." D. "Just tell me the reason you are here." - D Mrs. Smith is a 46 year old female who was recently diagnosed with ovarian cancer. Prior to her next appointment, she speaks with two cancer survivors, joins an on-line support group, and searches the internet for 2-3 hours daily reading about treatment protocols. Her actions are an example of: Suppression Denial Intellectualization Rationalization - C Six months after losing her child to a drunk driver, Donna begins to spend 1-2 days a week volunteering for Mothers Against Drunk Drivers (MADD). Her actions are an example of: Suppression Altruism Displacement Rationalization - B Ryan is a 21 year old college student who drinks at least a 12 pack of beer every day. He refuses to believe that his drinking is problematic even though he has lost his job and has a DUI. Ryan is displaying an example of which defense mechanism? Sublimation Rationalization Denial Reaction Formation - denial Mary is the only survivor of car accident that killed her two best friends. As the nurse caring for her, you ask her how she is doing and she responds by "I really don't want to talk about it..... It hurts too much". The best explanation for this is: Undoing Repression Suppression Denial - supression Jake is the only survivor of a terrorist attack at his job. As the nurse caring for Jake, you ask him how he is doing and he replies, "I don't remember a thing about the attack". The best explanation for this is: Repression Denial Undoing Suppression - repression Alphonso, an alcoholic, was asked to participate in the community group meeting on the first day of admission to the inpatient unit. He attended the meeting but did not want to contribute by setting a short-term goal. "I don't need to learn goal setting, I need to be discharged." The nurse responds: A. "Drinking cost you your job. You need to explore that prior to discharge." B. "Can you think about how the hospitalization can help you prior to discharge?" C. "If you are not motivated, why did you come to the hospital in the first place?" D. "This is a place for people to set goals that are achievable in an eight-hour day." - B Alphonso will be discharged at the end of the shift. He denies suicidal thoughts and agrees to follow up. What information should be in the discharge instructions? (You may choose multiple answers.) A. Information on Alcoholics Anonymous B. Information on the suicide hotline C. Appointment time for follow-up in outpatient setting D. List of staff members who provided care during the hospitalization E. List of medications, dosages, and when to take the medications - a, b, c, e Samuel is currently taking olanzapine (Zyprexa) 10 mg each morning. This dosage works well in reducing his psychotic symptoms of auditory hallucinations. He smokes between 10 and 20 cigarettes per day. Samuel is trying to quit cigarette smoking. If he successfully quits smoking, what change would the nurse anticipate in the olanzapine dosage? A. The dose would increase. B. The dose would decrease. C. The dose would stay the same. D. Another medication would be more effective. - B Alice has been depressed mos