Apnursepispadmittingpapclientpinpthepemergencypdepartmentpforpanpintentionalpoverdosepofpopioids.p
Thepclientpstate,p"Ipfeelpsopalone.pNoponepcanphelppme."pWhichpofpthepfollowingpresponsespbypthepn
ursepisptherapeutic?
A.p"Let'spfinishpyourpadmissionpandpthenptalkpaboutpyourpfeelings."
B.p"Howpcomepyoupfeelpthatpnoponepcanphelppyoupwhenpyouparepreceivingphelppnow?"
C.p"Whypdopyoupfeelpthatpnoponepcanphelppyou?"
D.p"Ipwouldplikeptopsitpandptalkpwithpyou."p-pANSWERpD
Apnursepispcaringpforpapclientpwhosepadolescentpchildpdiedpinpapmotor-
vehiclepcrash.pThepclientpispcryingpinconsolably.pWhichpofpthepfollowingpactionspshouldpthepnurseptak
e?
A.pSuggestpthatpthepclientpcallpthepfacility'spchaplain.
B.pProvidepapquietpplacepforpthepclientptopbepalone.
C.pStaypwithpthepclientpandpallowpthepclientptopcry.
D.pExpresspsympathypforpthepclient'sploss.p-pANSWERpC
Apnursepispcaringpforpapclientpwhophaspapnewpdiagnosispofpcolonpcancer.pShortlypafterpthepclientprece
ivespthepdiagnosis,pthepnursepenterspthepclient'sproompandpthepclientpbeginspyelling,p"Iphavepreceived
pterriblepcarepherepandpnoponepcarespaboutpme."pThepnursepshouldprecognizepthatpthepclientpispdem
onstratingpwhichpofpthepfollowingpdefensepmechanisms?
A.pDenial
B.pDisplacement
,C.pReactionpformation
D.pProjectionp-pANSWERpB
Apnursepispcaringpforpapclientpwhophaspschizophrenia.pThepclientpstates,p"Mypinternalporgansphaveptu
rnedptopstone."pThepnursepshouldpdocumentpthispfindingpaspwhichpofpthepfollowingptypespofpdelusion
s?
A.pSomatic
B.pReference
C.pPersecutory
D.pGrandiosep-pANSWERpA
Apnursepispcaringpforpapclientpwhopispbroughtptopthepclinicpbypherpadultpsonpwhopstatespthatphispfath
erprecentlypdied.pThepclientprepeatedlypyellspatpherpsonpstating,p"Quitplyingpaboutpyourpfather!"pThep
nursepshouldprecognizepthatpthepclientpispdemonstratingpwhichpofpthepfollowingpdefensepmechanisms
?
A.pDenial
B.pIdentification
C.pIntrojection
D.pSublimationp-pANSWERpA
Apnursepispcaringpforpapclientpwhophaspmajorpdepressivepdisorderpandprecentlypstartedptakingpanpanti
depressant.pThepnursepshouldpidentifypwhichpofpthepfollowingpclientpstatementspasptheppriority?
A.p"Iphatepbeingpsophelpless.pIpcan'tpevenpmanagepmypownpfinancespanymore."
B.p"AtpgroupptherapyptodaypIpwantedptopleave.pIpdidn'tpfeelingplikepbeingpwithpotherppeople."
C.p"Iphavepitpallpfiguredpout.pEverythingpispgoingptopbepokaypnow."
, D.p"Ipdon'tpfeelplikepshowering.pI'dpratherpjustpstaypinpbedptoday."p-pANSWERpC
Apnursepispadministeringpanporalpsedativeptopapclientpwhopispreceivingpcarepfollowingpanpinvoluntaryp
admission.pThepclientpstates,p"I'mpnotptakingpanypmorepmedication."pWhichpofpthepfollowingpactionsp
shouldpthepnurseptake?
A.pAdministerpthepmedicationpbypanotherproute.
B.pReferpthepclient'sprefusalptopthepfacility'spethicspcommittee.
C.pInformpthepclientpthat,pdueptopherpinvoluntarypadmission,pshepcannotprefusepapsedative.
D.pDocumentpthepclient'sprefusalpofpthepmedicationpinpthepmedicalprecord.p-pANSWERpD
Apnursepenterspapclient'sproompandpobservespthatpthepclientpispagitatedpandppacingprapidly.pThepclien
tplookspatpthepnursepandpsays,p"Backpoff.pLeavepmepalone."pWhichpofpthepfollowingpstatementspshoul
dpthepnursepmake?
A.p"Ipdemandpthatpyoupcalmpdownpnow.pYourpbehaviorpispunacceptable."
B.p"Ipwillpclosepthepdoorptopprovidepprivacy,pandpyoupcanptellpmepwhatpispbotheringpyou."
C.p"Ipwillpgivepyoupspacepifpyoupcalmpdown.pTellpmepwhatpispcausingpyouptopfeelpsoptense."
D.p"Ipwillpleavepyoupalonepforpapfewpminutespwhilepyouptryptopcontrolpyourself."p-pANSWERpC
Apnursepispprovidingpsupportpforpthepparentspofpapchildpwhophaspapnewpdiagnosispofpapterminalpbrai
nptumor.pThepnursepshouldpexpectpthepparentsptopexperiencepwhichpofpthepfollowingpstagespofpgriefp
first?
A.pDenial
B.pBargaining
C.pAnger
D.pDepressionp-pANSWERpA