NU 345 chapter exams UPDATED ACTUAL
Exam Questions and CORRECT Answers
A client reports that her mother-in-law is very intrusive. The nurse responds, I know how you
feel. My mother-in-law is nosy, too. What is the nurse is demonstrating? - CORRECT
ANSWER - countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of empathy toward
the client? - CORRECT ANSWER - decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the nurse's
behavior be understood? - CORRECT ANSWER - The nurse does not seem genuine to the
client.
The nurse is finding it difficult to provide structure and set limits for a client. What should the
nurse should self-evaluate for? - CORRECT ANSWER - boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? - CORRECT ANSWER - self-analysis of strengths, limitations, and feelings.
A client tells the nurse "I really feel close to you. You are like the friend I never had." How will
the nurse assess this statement? - CORRECT ANSWER - positive transference.
What is the focus of the orientation phase of the nurse-client relationship? - CORRECT
ANSWER - the nurse and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? - CORRECT
ANSWER - type of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin? -
CORRECT ANSWER - orientation stage.
,What is the term used to describe client reactions of intense hostility or feelings of strong
affection toward the nurse? - CORRECT ANSWER - transference.
What is the most helpful nursing response to a client who reports thinking of dropping out of
college because it is too stressful? - CORRECT ANSWER - "School is stressful. What do
you find most stressful?"
When there is not a need to do so for an infection control issue, the client chooses to sit at the
other side of the room 12 feet away from the nurse during the assessment interview, What would
be the assesment of the client's perception of the nurse? - CORRECT ANSWER - stranger.
During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when
you spoke of your father. Tell me about that." What communication techniques is the nurse
using? - CORRECT ANSWER - Reflecting and exploring
During a therapeutic encounter, the nurse makes an effort to observe whether verbal and
nonverbal messages are congruent. What is the rationale for this? - CORRECT
ANSWER - Content of verbal messages may be contradicted by nonverbal
communication.
With which client should the nurse make the assessment that not using touch would probably be
in the client's best interests? - CORRECT ANSWER - A Chinese American client
After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm correct
that you feel dominated and controlled by him?" What is the nurse's purpose in asking this
question? - CORRECT ANSWER - clarify message.
When discussing her husband, a client shares that "I would be better off alone. At least I would
be able to come and go as I please and not have to be interrogated all the time." What therapeutic
communication technique is the nurse using when responding, "Are you saying that things would
be better if you left your husband?" - CORRECT ANSWER - clarification
,Which statement by the nurse reflects the process occurring in the clinical interview? -
CORRECT ANSWER - You are frowning. What are you feeling?"
Recent immigrants to the United States from which country would find direct eye contact a
positive therapeutic technique? - CORRECT ANSWER - Germany
During a clinical interview the client falls silent after disclosing that she was sexually abused as a
child. What is the best first action of the nurse? - CORRECT ANSWER - allow the client
to break the silence.
When a toddler's mother is hospitalized for several months, the nursing diagnosis Risk for
impaired parent/child attachment related to: prolonged separation has been included into a child's
plan of care. What would be the most appropriate outcome of care? - CORRECT
ANSWER - mother and child show signs of healthy bonding.
The nurse is caring for a child who has recently experienced a severe trauma. What nursing
diagnosis would be most appropriate? - CORRECT ANSWER - Risk for delayed
development.
The nurse is caring for a child who had a recent traumatic event. The child was able to regain
mental stability after brief supportive therapy. How would the nurse best describe this
characteristic in the child? - CORRECT ANSWER - resilient.
Which child is at greatest risk for developing attachment problems as a result of a an adverse
event? - CORRECT ANSWER - 4 year old female
The nurse receives report on a new patient who has a diagnosis of Depersonalization Disorder.
What symptom will the nurse expect to find while assessing this patient? - CORRECT
ANSWER - a feeling of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing the plan
of care which intervention will be most appropriate to include? - CORRECT ANSWER -
Grounding Techniques
, Which statement about Dissociative Identity Disorder is true? - CORRECT ANSWER -
This disorder results in a split in the personality causing a lack of integration.
The nurse is assessing a patient who has a diagnosis of an adjustment disorder. What symptoms
will the nurse expect to observe? (Select all that that apply.) - CORRECT ANSWER -
guilt, social with-drawl, anger, depression
The nurse is caring for a patient who experienced a serious trauma several months ago. The
patient has been having difficulty functioning due to flashbacks, nightmares, hyperarrousal.
What is the priority nursing diagnosis? - CORRECT ANSWER - post trauma syndrome
Parents express concern when their 5-year-old child, who is receiving treatment for cancer, keeps
referring to an imaginary friend, Candy. What is the most therapeutic explanation that the nurse
can provide? - CORRECT ANSWER - the imaginary friend is a coping mechanism the
child is using.
What is most important for the nurse to assess when caring for a cleint in a crisis? - CORRECT
ANSWER - unrealistic report of a crisis-precipitating event.
A client comes to the crisis intervention clinic and tearfully tells the nurse, "It is so painful! I
have thought about it, and I cannot see how I can go on without my partner." The nurse states,
"You have resilience and will look back on this as a crisis you were able to manage." How would
the nurse's interaction be assessed? - CORRECT ANSWER - has not followed up on the
client's verbal clues to suicidal thoughts.
What question will the nurse ask to assess the client's perception of the event precipitating a
crisis? - CORRECT ANSWER - "What was happening just before you began feeling this
way?"
A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs
in the home and often assaults her. What is the nurse's most therapeutic response? - CORRECT
ANSWER - "Together we will be able to work on this problem."
Exam Questions and CORRECT Answers
A client reports that her mother-in-law is very intrusive. The nurse responds, I know how you
feel. My mother-in-law is nosy, too. What is the nurse is demonstrating? - CORRECT
ANSWER - countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of empathy toward
the client? - CORRECT ANSWER - decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the nurse's
behavior be understood? - CORRECT ANSWER - The nurse does not seem genuine to the
client.
The nurse is finding it difficult to provide structure and set limits for a client. What should the
nurse should self-evaluate for? - CORRECT ANSWER - boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? - CORRECT ANSWER - self-analysis of strengths, limitations, and feelings.
A client tells the nurse "I really feel close to you. You are like the friend I never had." How will
the nurse assess this statement? - CORRECT ANSWER - positive transference.
What is the focus of the orientation phase of the nurse-client relationship? - CORRECT
ANSWER - the nurse and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? - CORRECT
ANSWER - type of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin? -
CORRECT ANSWER - orientation stage.
,What is the term used to describe client reactions of intense hostility or feelings of strong
affection toward the nurse? - CORRECT ANSWER - transference.
What is the most helpful nursing response to a client who reports thinking of dropping out of
college because it is too stressful? - CORRECT ANSWER - "School is stressful. What do
you find most stressful?"
When there is not a need to do so for an infection control issue, the client chooses to sit at the
other side of the room 12 feet away from the nurse during the assessment interview, What would
be the assesment of the client's perception of the nurse? - CORRECT ANSWER - stranger.
During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when
you spoke of your father. Tell me about that." What communication techniques is the nurse
using? - CORRECT ANSWER - Reflecting and exploring
During a therapeutic encounter, the nurse makes an effort to observe whether verbal and
nonverbal messages are congruent. What is the rationale for this? - CORRECT
ANSWER - Content of verbal messages may be contradicted by nonverbal
communication.
With which client should the nurse make the assessment that not using touch would probably be
in the client's best interests? - CORRECT ANSWER - A Chinese American client
After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm correct
that you feel dominated and controlled by him?" What is the nurse's purpose in asking this
question? - CORRECT ANSWER - clarify message.
When discussing her husband, a client shares that "I would be better off alone. At least I would
be able to come and go as I please and not have to be interrogated all the time." What therapeutic
communication technique is the nurse using when responding, "Are you saying that things would
be better if you left your husband?" - CORRECT ANSWER - clarification
,Which statement by the nurse reflects the process occurring in the clinical interview? -
CORRECT ANSWER - You are frowning. What are you feeling?"
Recent immigrants to the United States from which country would find direct eye contact a
positive therapeutic technique? - CORRECT ANSWER - Germany
During a clinical interview the client falls silent after disclosing that she was sexually abused as a
child. What is the best first action of the nurse? - CORRECT ANSWER - allow the client
to break the silence.
When a toddler's mother is hospitalized for several months, the nursing diagnosis Risk for
impaired parent/child attachment related to: prolonged separation has been included into a child's
plan of care. What would be the most appropriate outcome of care? - CORRECT
ANSWER - mother and child show signs of healthy bonding.
The nurse is caring for a child who has recently experienced a severe trauma. What nursing
diagnosis would be most appropriate? - CORRECT ANSWER - Risk for delayed
development.
The nurse is caring for a child who had a recent traumatic event. The child was able to regain
mental stability after brief supportive therapy. How would the nurse best describe this
characteristic in the child? - CORRECT ANSWER - resilient.
Which child is at greatest risk for developing attachment problems as a result of a an adverse
event? - CORRECT ANSWER - 4 year old female
The nurse receives report on a new patient who has a diagnosis of Depersonalization Disorder.
What symptom will the nurse expect to find while assessing this patient? - CORRECT
ANSWER - a feeling of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing the plan
of care which intervention will be most appropriate to include? - CORRECT ANSWER -
Grounding Techniques
, Which statement about Dissociative Identity Disorder is true? - CORRECT ANSWER -
This disorder results in a split in the personality causing a lack of integration.
The nurse is assessing a patient who has a diagnosis of an adjustment disorder. What symptoms
will the nurse expect to observe? (Select all that that apply.) - CORRECT ANSWER -
guilt, social with-drawl, anger, depression
The nurse is caring for a patient who experienced a serious trauma several months ago. The
patient has been having difficulty functioning due to flashbacks, nightmares, hyperarrousal.
What is the priority nursing diagnosis? - CORRECT ANSWER - post trauma syndrome
Parents express concern when their 5-year-old child, who is receiving treatment for cancer, keeps
referring to an imaginary friend, Candy. What is the most therapeutic explanation that the nurse
can provide? - CORRECT ANSWER - the imaginary friend is a coping mechanism the
child is using.
What is most important for the nurse to assess when caring for a cleint in a crisis? - CORRECT
ANSWER - unrealistic report of a crisis-precipitating event.
A client comes to the crisis intervention clinic and tearfully tells the nurse, "It is so painful! I
have thought about it, and I cannot see how I can go on without my partner." The nurse states,
"You have resilience and will look back on this as a crisis you were able to manage." How would
the nurse's interaction be assessed? - CORRECT ANSWER - has not followed up on the
client's verbal clues to suicidal thoughts.
What question will the nurse ask to assess the client's perception of the event precipitating a
crisis? - CORRECT ANSWER - "What was happening just before you began feeling this
way?"
A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs
in the home and often assaults her. What is the nurse's most therapeutic response? - CORRECT
ANSWER - "Together we will be able to work on this problem."
