. PRNU 235 Final Exam Questions With
Correct Answers
A nursing instructor is teaching about nonverbal communication. Which student
statement indicates a need for further learning?
A. "Nonverbal communication makes up the majority of all effective communication."
B. "Touch is a form of nonverbal communication."
C. "Nonverbal communication needs to be congruent with verbal communication."
D. "Physical appearance is not considered a component of nonverbal communication." -
ANSWER D. "Physical appearance is not considered a component of nonverbal
communication."
Which is an example of the communication technique of "focusing"?
A. Client: "I'm just not as sharp as I used to be."
Nurse: "I'm not sure what you mean when you use the word sharp."
B. Client: "When I am faced with failure, I can't seem to be able to experience any
emotions."
Nurse: "Feeling nothing makes you feel empty."
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over
this
situation."
Nurse: "Let's talk about what precipitates your anger."
D. Client: "I can't feel anything."
Nurse: "You can't feel anything?" - ANSWER C. Client: "My anger makes me want to
quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
Which phase of the Nurse-Client relationship would most likely addresses a trust issue?
A. Preinteraction
,B. Orientation (Introductory)
C. Working
D. Termination - ANSWER B. Orientation (Introductory)
A type of behavioral therapy used for clients diagnosed with trauma-related disorders
that is somewhat similar to implosion therapy or flooding is called:
A. Psychoanalytic therapy
B. Eye movement desensitization and reprocessing
C. Prolonged exposure therapy
D. Group therapy - ANSWER C. Prolonged exposure therapy
A child witnesses a parent being taken away by ambulance after a fatal accident. Now
each time the child hears a siren, the child reacts with uncontrollable anxiety. What type
of crisis is the child experiencing?
A. Maturational/developmental crisis
B. Dispositional crisis
C. Crisis resulting from traumatic stress
D. Crisis reflecting psychopathology - ANSWER C. Crisis resulting from traumatic stress
A client is scheduled for electroconvulsive therapy (ECT). Before the client's ECT
treatment, what would the nurse teach the client?
A. General anesthesia and muscle relaxants will be used during treatment.
B. It will take 4 to 5 hours to recover from the procedure.
C. ECT has been used since the 1930's. There is no risk.
D. Permanent memory loss is a major side effect - ANSWER A. General anesthesia and
muscle relaxants will be used during treatment.
Which action would the nurse prioritize when caring for a newly diagnosed client
experiencing bipolar mania?
A. Liquids will be restricted and monitored
B. Finger foods will be provided that are nutritious and easy to handle
C. Sodium intake will be continuously restricted
D. Suicide precautions will be implemented until mood is stabilized - ANSWER B. Finger
foods will be provided that are nutritious and easy to handle
, Which medication is classified as an anticonvulsant but used as a mood-stabilizing
agent in the treatment of bipolar disorder?
A. Lamotrigine (Lamictal)
B. Donepezil (Aricept)
C. Risperidone (Risperdal)
D. Imipramine (Tofranil) - ANSWER A. Lamotrigine (Lamictal)
In writing a plan of care for a child who has been physically abused, the nurse would
consider which intervention a priority?
A. Conduct an in-depth interview with the parent or adult who accompanies the child
B. Perform a complete physical assessment of the child
C. Determine whether the nature of the injuries warrant reporting to the authorities
D. Use games or play therapy to gain the child's trust - ANSWER B. Perform a complete
physical assessment of the child
transference - ANSWER occurs when a client unconsciously displaces (or "transfers")
to the nurse or therapist feelings formed toward a person from his or her past
countertransference - ANSWER in psychoanalytic theory, refers to the counselor's
behavioral and emotional response to the client. these responses may be related to
unresolved feelings toward significant others from the counselor's past, or they may be
generated in response to the client's behavior toward the counselor
preinteraction phase of nurse-client relationship - ANSWER goal: explore
self-perception
obtain available information about the patient, examine one's own attitudes, beliefs,
feelings, fears and anxieties (countertransference)
orientation (introductory) phase of nurse-client relationship - ANSWER goal: establish
contract
clarification of purpose of work, role of nurse, and responsibilities of client; address
client suffering directly and offer to work with client towards alleviation; negotiation of
therapeutic contract
working phase of nurse-client relationship - ANSWER goal: behavioral analysis;
constructive change in behavior
identify and explore important response patterns; analysis of client's mode of conflict
resolution; address forces that inhibit desired change; create atmosphere of active
experimentation to test and assess new behaviors
Correct Answers
A nursing instructor is teaching about nonverbal communication. Which student
statement indicates a need for further learning?
A. "Nonverbal communication makes up the majority of all effective communication."
B. "Touch is a form of nonverbal communication."
C. "Nonverbal communication needs to be congruent with verbal communication."
D. "Physical appearance is not considered a component of nonverbal communication." -
ANSWER D. "Physical appearance is not considered a component of nonverbal
communication."
Which is an example of the communication technique of "focusing"?
A. Client: "I'm just not as sharp as I used to be."
Nurse: "I'm not sure what you mean when you use the word sharp."
B. Client: "When I am faced with failure, I can't seem to be able to experience any
emotions."
Nurse: "Feeling nothing makes you feel empty."
C. Client: "My anger makes me want to quit my job. I need the money. I'm powerless over
this
situation."
Nurse: "Let's talk about what precipitates your anger."
D. Client: "I can't feel anything."
Nurse: "You can't feel anything?" - ANSWER C. Client: "My anger makes me want to
quit my job. I need the money. I'm powerless over this
situation."
Nurse: "Let's talk about what precipitates your anger."
Which phase of the Nurse-Client relationship would most likely addresses a trust issue?
A. Preinteraction
,B. Orientation (Introductory)
C. Working
D. Termination - ANSWER B. Orientation (Introductory)
A type of behavioral therapy used for clients diagnosed with trauma-related disorders
that is somewhat similar to implosion therapy or flooding is called:
A. Psychoanalytic therapy
B. Eye movement desensitization and reprocessing
C. Prolonged exposure therapy
D. Group therapy - ANSWER C. Prolonged exposure therapy
A child witnesses a parent being taken away by ambulance after a fatal accident. Now
each time the child hears a siren, the child reacts with uncontrollable anxiety. What type
of crisis is the child experiencing?
A. Maturational/developmental crisis
B. Dispositional crisis
C. Crisis resulting from traumatic stress
D. Crisis reflecting psychopathology - ANSWER C. Crisis resulting from traumatic stress
A client is scheduled for electroconvulsive therapy (ECT). Before the client's ECT
treatment, what would the nurse teach the client?
A. General anesthesia and muscle relaxants will be used during treatment.
B. It will take 4 to 5 hours to recover from the procedure.
C. ECT has been used since the 1930's. There is no risk.
D. Permanent memory loss is a major side effect - ANSWER A. General anesthesia and
muscle relaxants will be used during treatment.
Which action would the nurse prioritize when caring for a newly diagnosed client
experiencing bipolar mania?
A. Liquids will be restricted and monitored
B. Finger foods will be provided that are nutritious and easy to handle
C. Sodium intake will be continuously restricted
D. Suicide precautions will be implemented until mood is stabilized - ANSWER B. Finger
foods will be provided that are nutritious and easy to handle
, Which medication is classified as an anticonvulsant but used as a mood-stabilizing
agent in the treatment of bipolar disorder?
A. Lamotrigine (Lamictal)
B. Donepezil (Aricept)
C. Risperidone (Risperdal)
D. Imipramine (Tofranil) - ANSWER A. Lamotrigine (Lamictal)
In writing a plan of care for a child who has been physically abused, the nurse would
consider which intervention a priority?
A. Conduct an in-depth interview with the parent or adult who accompanies the child
B. Perform a complete physical assessment of the child
C. Determine whether the nature of the injuries warrant reporting to the authorities
D. Use games or play therapy to gain the child's trust - ANSWER B. Perform a complete
physical assessment of the child
transference - ANSWER occurs when a client unconsciously displaces (or "transfers")
to the nurse or therapist feelings formed toward a person from his or her past
countertransference - ANSWER in psychoanalytic theory, refers to the counselor's
behavioral and emotional response to the client. these responses may be related to
unresolved feelings toward significant others from the counselor's past, or they may be
generated in response to the client's behavior toward the counselor
preinteraction phase of nurse-client relationship - ANSWER goal: explore
self-perception
obtain available information about the patient, examine one's own attitudes, beliefs,
feelings, fears and anxieties (countertransference)
orientation (introductory) phase of nurse-client relationship - ANSWER goal: establish
contract
clarification of purpose of work, role of nurse, and responsibilities of client; address
client suffering directly and offer to work with client towards alleviation; negotiation of
therapeutic contract
working phase of nurse-client relationship - ANSWER goal: behavioral analysis;
constructive change in behavior
identify and explore important response patterns; analysis of client's mode of conflict
resolution; address forces that inhibit desired change; create atmosphere of active
experimentation to test and assess new behaviors
