PSYCHIATRIC NURSING EXAM 1 STUDY QUIZ

PSYCHIATRIC NURSING EXAM 1 STUDY QUIZ 1.zWhichzskillziszmostzimportantzforzaznursezpreparingztozworkzinzthezpsychiatriczsetting? a.zHelpfulztransference b.zSympatheticzlistening c.zSupportivezconfrontation d.zTherapeuticzcommunicationz-zCORRECTzANSWER-D 2.zWhenzobservingzandzinterpretingzazpatient'sznonverbalzcommunication,zwhichznursingzconsiderationziszimportant? a.zPatientszarezusuallyzawarezofztheirznonverbalzcues b.zVerbalzresponseszarezmorezimportantzthanznonverbalzcues c.zNonverbalzcueszhavezobviouszmeaningzandzarezeasilyzinterpreted d.zNonverbalzcueszprovidezsignificantzinformationzbutzmustzbezvalidatedz-zCORRECTzANSWER-D 3.zAzpatientzdiagnosedzwithzschizophrenia,zparanoidztype,zfrequentlyzgetszupzandzwalkszawayzduringzinteractionszwithzaznurse.zTheznursezcanzbestzincreasezthezpatient'szcomfortzlevelzby: ngingzthezchairszsidezbyzside,zaboutz2zfeetzapart ingzatzeyezlevelzacrossztheztablezfromzthezpatient dingzazfewzfeetzawayzfromzwherezthezpatientzsits ingzinzthezpatient'szroomzwithzthezdoorzclosedz-zCORRECTzANSWER-B 4.zDuringzazone-on-onezinteractionzwithztheznurse,zazpatientzfrequentlyzlooksznervouslyzatzthezdoor.zSelectzthezbestzcommentzbyztheznurseztozthisznonverbalzcue. a.z"Iznoticezyouzkeepzlookingztowardzthezdoor." b.z"Thisziszourztimeztogether.zNozoneziszgoingztozinterruptzus." c.z"Itzlookszaszifzyouzarezeagerztozendzourzdiscussionzforztoday." d.z"Ifzyouzarezuncomfortablezinzthiszroom,zwezcanzmovezsomeplacezelse."z-zCORRECTzANSWER-A 5.zEffectivezusezofztheznursingzprocessziszdependentzonzcommunicationzthat: tructuredzandzgoal-directed szthezneedszofzbothzpatientzandznurse pontaneouszandzaffordszmutualzself-disclosure erszemotionalzdistancezbetweenzpatientzandznursez-zCORRECTzANSWER-A 6.zAzpatientziszwithdrawn,zsuspicious,zandzmaintainszphysicalzdistancezfromzstaffzandzotherzpatients.zWhichzinterventionzdemonstrateszappropriatezusezofztouchzwithzthiszpatient? a.zRefrainingzfromztouch b.zPattingzthezpatient'szarmzwhenzfearziszexpressed c.zReachingzoutztozshakezthezpatient'szhandzaszanzinitialzgreeting d.zPlacingzanzarmzaroundzthezpatient'szshoulderszwhilezwalkingzdownzthezhallz-zCORRECTzANSWER-A 7.zWhenzassessingzazpatient'szsocialzskills,zwhichzremarkzwouldzserveztheznursezbest? a.z"Itzsoundszaszifzyouzneedztozdevelopzsomezassertivenesszskills." b.z"Describezanzexamplezofzaztimezwhenzyouzfeltzuncomfortablezinzazsocialzsituation." c.z"Itzisznotzeasyztozbezassertive.zWezcanzrole-playzsomezsituationsztozgivezyouzpractice." d.z"Whatzdozyouzplanztozdoztheznextztimezyouzfindzyourselfzinzanzuncomfortablezsocialzsituation?"z-zCORRECTzANSWER-B 8.zAzpatient'szplanzofzcarezincludeszthisznursingzdiagnosis:zImpairedzverbalzcommunicationzrelatedztozlackzofzassertivenesszskills.zTozincludezthezpatientzinzprioritizingzthiszproblem,ztheznursezshouldzsay: a.z"Whozarezthezpeoplezwithzwhomzyouzarezmostzpassive?" b.z"Howzimportantziszitzforzyouztozbecomezmorezassertive?" c.z"Let'szlookzatzhowzwezcanzaddresszthiszproblemztogether." d.z"Arezyouzinterestedzinzattendingzthezassertivenesszclass?"z-zCORRECTzANSWER-B 9.zAzpatientzhaszdifficultyzexpressingzangerzappropriately.zTheznursezencourageszthezpatientztozsetzrealisticzgoalszbyzstating: a.z"Youzseemztozhavezproblemszexpressingzangerzinzaznonaggressivezway." b.z"IzthoughtzyouzsoundedzangryzwhenzIztoldzyouzitzwasztimezforzgroup." c.z"Whatzdozyouzthinkzneedsztozchangezaboutzhowzyouzexpresszanger?" d.z"Whatzbotherszyouzaboutzyourzactionszwhenzyouzgetzangry?"z-zCORRECTzANSWER-C 10.zAznursezwantsztozprovidezopportunitieszforzazpatientztoztryzoutznew,zmorezassertivezbehaviors.zWhichztechniquezshouldztheznursezuse? a.zClarifying b.zRole-playing c.zGivingzfeedback d.zEncouragingzevaluationz-zCORRECTzANSWER-B 11.zTheznurseztellszazpatient,z"Iznoticedzthatzyouzfrownedzwhenzwezdiscussedzyourzrelationshipzwithzyourzfamily."zWhichzcommunicationztechniquezisztheznursezusing? a.zClarifying b.zInterpreting c.zGivingzinformation d.zMakingzobservationsz-zCORRECTzANSWER-D 12.zAznursezrealizeszthatzthezcommentzjustzmadeztozazpatientzwaszinconsiderate.zSelectztheznurse'szmostztherapeuticzstatementzinzthiszsituation. a.z"HowzdozyouzfeelzaboutzwhatzIzjustzsaid?" b.z"See,zevenznurseszsayzstupidzthingszsometimes." c.z"Sorryzaboutzthat.zLet'szcontinuezwherezwezleftzoff." d.z"Thatzwaszanzinsensitivezremark.zI'mzsorryzifzitzhurtzyou."z-zCORRECTzANSWER-D 13.zAzcommonzmistakeznurseszmakezwhenzdevelopingztherapeuticzcommunicationztechniqueszis: gztoozmanyzdifferentztechniqueszduringzanzinteraction wingzpatientsztozbecomeztoozanxiouszbeforezresponding ngzadvicezratherzthanzencouragingzpatientsztozsolvezproblems singzonzwhatzpatientszsayzratherzthanzonzcommunicationztechniquesz-zCORRECTzANSWER-C 14.zAzpatientzsaysztoztheznurse,z"Myzfamilyzwaszmeanztozmezwhenztheyzvisitedztoday.zTheyzhaveznozrightztoztreatzmezlikezthat."zSelectztheznurse'szbestzinitialzresponse. a.z"Whyzdozyouzthinkztheyzwerezmean?" b.z"Perhapszyouzoverreactedztozwhatztheyzsaid." c.z"Howzdozyouzfeelzaboutzyourzfamilyztreatingzyouzthatzway?" d.z"Describezwhatzhappenedzwhenzyourzfamilyzvisitedzyouztoday."z-zCORRECTzANSWER-D 15.zAzpatientzscheduledztozattendzvariouszgroupzsessionszcomplains,z"I'mzreallyzmadzaboutzhavingztozattendzallzthosezgroups.zNozonezelsezspendszallzdayzinzazcirclezinzazlittlezroom."zSelectztheznurse'szbestzresponse. a.z"Whyzarezyouzupset?" b.z"Izcanzhearzthatzyouzarezupset.zLet'sztalkzaboutzit." c.z"Justzgozalongzwithzthezplan,zevenzifzyouzdoznotzagree." d.z"Thezgroupszarezcarefullyzplannedzbyzstaffztozbenefitzpatients."z-zCORRECTzANSWER-B