NURSfb1210fbCh9fbExamfb1
14.fbAfbnovicefbnursefbsays,fb"Ifbhavefbmorefbimportantfbthingsfbtofbdofbthanfbpl
ayfbgamesfbwithfbpatients.fbThesefbactivitiesfbarefbnotfbafbworthwhilefbusefboffb
myfbtime."fbWhatfbisfbthefbnursefbmanager'sfbmostfbhelpfulfbresponse?
a.fb"Gamesfbarefbpartfboffbthefbtherapeuticfbmilieu."
b.fb"Patientsfbneedfbafbbreakfbfromfbintensivefbindividualfbtherapy."
c.fb"Informalfbactivitiesfbhelpfbpatientsfbdevelopfbsocialfbskillsfbandfbtakefbrisk
s."
d.fb"Pleasefbreviewfbmaterialfbonfbthefbpsychotherapeuticfbmanagementfbmod
el."fb-fbcorrectfbanswer✔ ✔ ANS:fbC
Nursesfbwhofbengagefbinfbtherapeuticfbactivitiesfbwithfbpatientsfbrecognizefbth
atfbeachfbencounterfbwithfbpatientsfbisfbpartfboffbanfboverallfbtherapeuticfbpictur
e.fbPatientsfbdiscussfbrealfbproblemsfbandfbsolutionsfbandfbpracticefbskillsfbnee
dedfbinfbreal-
lifefbsituations.fbThesefbencountersfbofferfbopportunitiesfbforfbassessment,fbfo
rfbpatientsfbtofbprocessfbfeelings,fbandfbforfbvalidationfbandfbfeedback,fbasfbwell
fbasfbforfbtensionfbrelief.fbThefbcorrectfbanswerfbisfbthefb mostfbglobalfbresponse.fb
Thefbdistractersfbdofbnotfbeducatefbthefbnewfbnursefbaboutfbthefbpurposefboffbinf
ormalfbactivities.
1.fbAfbpsychiatricfbaidefbasks,fb"Canfbyoufbgivefbmefbsomefbexamplesfboffbhowfb
wefbprovidefbstructurefbforfbpatients?"fbThefbnursefbshouldfbofferfbwhichfbsugg
estions?fb(Selectfballfbthatfbapply.)
a.fbSetfblimitsfbonfbdestructivefbbehavior.
,b.fbDirectfbafbpatientfbtofbgofbtofbafbquietfbplace.
c.fbSitfbwithfbafbwithdrawn,fbisolatedfbpatient.
d.fbDistractfbafbpatientfbwhofbisfbhallucinating.
e.fbHelpfbafbpatientfbcontemplatefbneededfbchange.fb-fbcorrectfbanswer✔ ✔
ANS:fbA,fbB,fbC,fbD
Providingfbstructurefbmeansfbthatfbstafffbmembersfbmeetfbpatientfbneedsfbforfbo
rganizingfbelementsfbinfbthefbenvironmentfbtofbproducefbspecificfboutcomes.fb
Contemplatingfbchangefbisfbthefbonlyfboptionfbthatfbwouldfbnotfbbefbconsidered
fbanfbexamplefboffbstructuring.
2.fbAfbpatientfbtellsfbthefbnurse,fb"Ifbwantfbtofbhavefbsexfbwithfbyou."fbWhichfbnur
singfbresponsesfbarefbappropriate?fb(Selectfballfbthatfbapply.)
a.fb"Ifbwillfbforgetfbyoufbsaidfbthat."
b.fb"Yourfbsuggestionfbfrightensfbme."
c.fb"Youfbmustfbkeepfbyourfbdistance."
d.fb"Sexfbisfbnotfbpartfboffbourfbrelationship."
e.fb"Wefbarefbherefbtofbworkfbonfbyourfbproblems."fb-fbcorrectfbanswer✔ ✔
ANS:fbD,fbE
Thefbcorrectfbresponsesfbprovidefbinformationfbtofbthefbpatientfbaboutfbthefbpur
posefboffbthefbrelationshipfbandfbrecognizefbthefbunderlyingfbneed.fbThefbotherfb
optionsfbarefbineffective.
, 3.fbAfbnursefbplansfbtofbteachfbafbgroupfboffbpatientsfbthefbbasicsfboffbthefbchangef
bprocess.fbHowfbshouldfbthefbelementsfbbefbsequenced fbforfbthefbpresentation? f
b(Selectfballfbthatfbapply.)
a.fbAssessfbthefbsuccessfboffbnewfbbehaviors.
b.fbObservefbtofbgainfbawareness.
c.fbDrawfbconclusionsfbaboutfbthefbproblem.
d.fbTestfbnewfbbehaviors.
e.fbAssumefbthatfbchangefbisfbnecessary.fb-fbcorrectfbanswer✔ ✔
ANS:fbA,fbB,fbC,fbD
Thisfbsequencefbproceedsfblogicallyfbfromfbassessmentfboffbthefbproblemfbtofba
nalysisfboffbthefbproblemfbtofbdeterminingfbthatfbchangefbisfbnecessaryfbtofbtesti
ngfbnewfbbehaviorsfbandfbevaluatingfbtheirfbefficacy.fbItfbisfbinappropriatefbtofb
assumefbthatfbchangefbisfbnecessary.
1.fbAfbpatientfbisfbhospitalizedfbforfbseverefbdepression.fbKnowingfbthatfbthefbp
atientfbwillfbbefbdischargedfbafterfbafbshortfbstay,fbwhatfbisfbthefbnurse'sfbfirstfbpri
ority?
a.fbMaximizefbthefbbenefitsfboffbmilieufbmanagement.
b.fbImmediatelyfbbeginfbtofbexplorefbacutefbpatientfbissues.
c.fbDevelopfbafbgoal-directed,fbproblem-centeredfbrelationship.
d.fbChoosefbafbspecificfbtheoreticalfbmodelfbasfbthefbbasisfbforfbcare.fb-
fbcorrectfbanswer✔ ✔ ANS:fbC
Therapeuticfbrelationshipsfbarefbplanned,fbpatient-centered,fbandfbgoal-
directed.fbThisfbisfboffbparticularfbimportancefbiffbprogressfbisfbtofbbefbmadefbwh
14.fbAfbnovicefbnursefbsays,fb"Ifbhavefbmorefbimportantfbthingsfbtofbdofbthanfbpl
ayfbgamesfbwithfbpatients.fbThesefbactivitiesfbarefbnotfbafbworthwhilefbusefboffb
myfbtime."fbWhatfbisfbthefbnursefbmanager'sfbmostfbhelpfulfbresponse?
a.fb"Gamesfbarefbpartfboffbthefbtherapeuticfbmilieu."
b.fb"Patientsfbneedfbafbbreakfbfromfbintensivefbindividualfbtherapy."
c.fb"Informalfbactivitiesfbhelpfbpatientsfbdevelopfbsocialfbskillsfbandfbtakefbrisk
s."
d.fb"Pleasefbreviewfbmaterialfbonfbthefbpsychotherapeuticfbmanagementfbmod
el."fb-fbcorrectfbanswer✔ ✔ ANS:fbC
Nursesfbwhofbengagefbinfbtherapeuticfbactivitiesfbwithfbpatientsfbrecognizefbth
atfbeachfbencounterfbwithfbpatientsfbisfbpartfboffbanfboverallfbtherapeuticfbpictur
e.fbPatientsfbdiscussfbrealfbproblemsfbandfbsolutionsfbandfbpracticefbskillsfbnee
dedfbinfbreal-
lifefbsituations.fbThesefbencountersfbofferfbopportunitiesfbforfbassessment,fbfo
rfbpatientsfbtofbprocessfbfeelings,fbandfbforfbvalidationfbandfbfeedback,fbasfbwell
fbasfbforfbtensionfbrelief.fbThefbcorrectfbanswerfbisfbthefb mostfbglobalfbresponse.fb
Thefbdistractersfbdofbnotfbeducatefbthefbnewfbnursefbaboutfbthefbpurposefboffbinf
ormalfbactivities.
1.fbAfbpsychiatricfbaidefbasks,fb"Canfbyoufbgivefbmefbsomefbexamplesfboffbhowfb
wefbprovidefbstructurefbforfbpatients?"fbThefbnursefbshouldfbofferfbwhichfbsugg
estions?fb(Selectfballfbthatfbapply.)
a.fbSetfblimitsfbonfbdestructivefbbehavior.
,b.fbDirectfbafbpatientfbtofbgofbtofbafbquietfbplace.
c.fbSitfbwithfbafbwithdrawn,fbisolatedfbpatient.
d.fbDistractfbafbpatientfbwhofbisfbhallucinating.
e.fbHelpfbafbpatientfbcontemplatefbneededfbchange.fb-fbcorrectfbanswer✔ ✔
ANS:fbA,fbB,fbC,fbD
Providingfbstructurefbmeansfbthatfbstafffbmembersfbmeetfbpatientfbneedsfbforfbo
rganizingfbelementsfbinfbthefbenvironmentfbtofbproducefbspecificfboutcomes.fb
Contemplatingfbchangefbisfbthefbonlyfboptionfbthatfbwouldfbnotfbbefbconsidered
fbanfbexamplefboffbstructuring.
2.fbAfbpatientfbtellsfbthefbnurse,fb"Ifbwantfbtofbhavefbsexfbwithfbyou."fbWhichfbnur
singfbresponsesfbarefbappropriate?fb(Selectfballfbthatfbapply.)
a.fb"Ifbwillfbforgetfbyoufbsaidfbthat."
b.fb"Yourfbsuggestionfbfrightensfbme."
c.fb"Youfbmustfbkeepfbyourfbdistance."
d.fb"Sexfbisfbnotfbpartfboffbourfbrelationship."
e.fb"Wefbarefbherefbtofbworkfbonfbyourfbproblems."fb-fbcorrectfbanswer✔ ✔
ANS:fbD,fbE
Thefbcorrectfbresponsesfbprovidefbinformationfbtofbthefbpatientfbaboutfbthefbpur
posefboffbthefbrelationshipfbandfbrecognizefbthefbunderlyingfbneed.fbThefbotherfb
optionsfbarefbineffective.
, 3.fbAfbnursefbplansfbtofbteachfbafbgroupfboffbpatientsfbthefbbasicsfboffbthefbchangef
bprocess.fbHowfbshouldfbthefbelementsfbbefbsequenced fbforfbthefbpresentation? f
b(Selectfballfbthatfbapply.)
a.fbAssessfbthefbsuccessfboffbnewfbbehaviors.
b.fbObservefbtofbgainfbawareness.
c.fbDrawfbconclusionsfbaboutfbthefbproblem.
d.fbTestfbnewfbbehaviors.
e.fbAssumefbthatfbchangefbisfbnecessary.fb-fbcorrectfbanswer✔ ✔
ANS:fbA,fbB,fbC,fbD
Thisfbsequencefbproceedsfblogicallyfbfromfbassessmentfboffbthefbproblemfbtofba
nalysisfboffbthefbproblemfbtofbdeterminingfbthatfbchangefbisfbnecessaryfbtofbtesti
ngfbnewfbbehaviorsfbandfbevaluatingfbtheirfbefficacy.fbItfbisfbinappropriatefbtofb
assumefbthatfbchangefbisfbnecessary.
1.fbAfbpatientfbisfbhospitalizedfbforfbseverefbdepression.fbKnowingfbthatfbthefbp
atientfbwillfbbefbdischargedfbafterfbafbshortfbstay,fbwhatfbisfbthefbnurse'sfbfirstfbpri
ority?
a.fbMaximizefbthefbbenefitsfboffbmilieufbmanagement.
b.fbImmediatelyfbbeginfbtofbexplorefbacutefbpatientfbissues.
c.fbDevelopfbafbgoal-directed,fbproblem-centeredfbrelationship.
d.fbChoosefbafbspecificfbtheoreticalfbmodelfbasfbthefbbasisfbforfbcare.fb-
fbcorrectfbanswer✔ ✔ ANS:fbC
Therapeuticfbrelationshipsfbarefbplanned,fbpatient-centered,fbandfbgoal-
directed.fbThisfbisfboffbparticularfbimportancefbiffbprogressfbisfbtofbbefbmadefbwh
