RNPedia: PNLE NP5 Test 2
Study online at https://quizlet.com/_i2erlp
1. 1. A 17-year-old client has a record of being absent in the class without
permission, and "borrowing" other people's things without asking permission.
The client denies stealing; rationalizing instead that as long as no one was using
the items, there is no problem to use it by other people. It is important for the
nurse to understand that psychodynamically, the behavior of the client may be
largely attributed to a development defect related to the:
A. Oedipal complex
B. Superego
C. Id
D. Ego: B.
This shows a weak sense of moral consciousness. According to Freudian theory, personality disorders stem from a weak
superego.
2. 2. A client tells the nurse, "Yesterday, I was planning to kill myself." What is
the best nursing response to this cient?
A. "What are you going to do this time?"
B. Say nothing. Wait for the client's next comment
C. "You seem upset. I am going to be here with you; perhaps you will want to
talk about it"
D. "Have you felt this way before?": C.
The client needs to have his or her feelings acknowledged, with encouragement to discuss feelings, and be reassured
about the nurse's presence.
3. 3. In crisis intervention therapy, which of the following principle that the nurse
will use to plan her/his goals?
A. Crises are related to deep, underlying problems
B. Crises seldom occur in normal people's lives
C. Crises may go on indefinitely.
D. Crises usually resolved in 4-6 weeks.: D.
Part of the definition of a crisis is a time span of 4-6 weeks.
, RNPedia: PNLE NP5 Test 2
Study online at https://quizlet.com/_i2erlp
4. 4. The nurse enters the room of the male client and found out that the client
urinates on the floor. The client hides when the nurse is about to talk to him.
Which of the following is the best nursing intervention?
A. Place restriction on the client's activities when his behavior occurs.
B. Ask the client to clean the soiled floor.
C. Take the client to the bathroom at regular intervals.
D. Limit fluid intake.: C.
The client is most likely confused, rather than exhibiting acting-out, hostile behavior. Frequent toileting will allow
urination in an appropriate place.
5. 5. A young lady with a diagnosis of schizophrenic reaction is admitted to
the psychiatric unit. In the past two months, the client has poor appetite,
experienced difficulty in sleeping, was mute for long periods of time, just
stayed in her room, grinning and pointing at things. What would be the initial
nursing action on admitting the client to the unit?
A. Assure the client that " You will be well cared for."
B. Introduce the client to some of the other clients.
C. Ask "Do you know where you are?"
D. Take the client to the assigned room.: D.
The client needs basic, simple orientation that directly relates to the here-and-now and does not require verbal
interaction.
6. 6. A 16-year-old girl was diagnosed with anorexia. What would be the first
assessment of the nurse?
A. What food she likes.
B. Her desired weight.
C. Her body image.
D. What causes her behavior.: A.
Although all options may appear correct. A is the best because it focuses on a range of possible positive reinforcers, a
basis for an effective behavior modification program. It can lead to concrete, specific nursing interventions right away
and provides a therapeutic use of "control" for the 16-year-old.
, RNPedia: PNLE NP5 Test 2
Study online at https://quizlet.com/_i2erlp
7. 7. On an adolescent unit, a nurse caring to a client was informed that her
client's closest roommate dies at night. What would be the most appropriate
nursing action?
A. Do not bring it up unless the client asks.
B. Tell the client that her roommate went home.
C. Tell the client, if asked, "You should ask the doctor."
D. Tell the client that her closest roommate died.: A.
The nurse needs to wait and see. Do not "jump the gun" or do not assume that the client wants to know now.
8. 8. A woman gave birth to an unhealthy infant, and with some body defects.
The nurse should expect the woman's initial reactions to include:
A. Depression
B. Withdrawal
C. Apathy
D. Anger: D.
The woman is experiencing an actual loss and will probably exhibit many of the same symptoms as a person who has
lost someone to death.
9. 9. A client in the psychiatric unit is shouting out loud and tells the nurse,
"Please, help me. They are coming to get me." What would be the appropriate
nursing response?
A. "I won't let anyone get you."
B. "Who are they?"
C. "I don't see anyone coming."
D. "You look frightened.": C.
This option is an example of pointing out reality - the nurse's perception.
10. 10. A client who is severely obese tells the nurse, "My therapist told me that
I eat a lot because I didn't get any attention and love from my mother. What
does the therapist mean?" What is the best nursing response?
A. "What do you think is the connection between you're not getting enough
Study online at https://quizlet.com/_i2erlp
1. 1. A 17-year-old client has a record of being absent in the class without
permission, and "borrowing" other people's things without asking permission.
The client denies stealing; rationalizing instead that as long as no one was using
the items, there is no problem to use it by other people. It is important for the
nurse to understand that psychodynamically, the behavior of the client may be
largely attributed to a development defect related to the:
A. Oedipal complex
B. Superego
C. Id
D. Ego: B.
This shows a weak sense of moral consciousness. According to Freudian theory, personality disorders stem from a weak
superego.
2. 2. A client tells the nurse, "Yesterday, I was planning to kill myself." What is
the best nursing response to this cient?
A. "What are you going to do this time?"
B. Say nothing. Wait for the client's next comment
C. "You seem upset. I am going to be here with you; perhaps you will want to
talk about it"
D. "Have you felt this way before?": C.
The client needs to have his or her feelings acknowledged, with encouragement to discuss feelings, and be reassured
about the nurse's presence.
3. 3. In crisis intervention therapy, which of the following principle that the nurse
will use to plan her/his goals?
A. Crises are related to deep, underlying problems
B. Crises seldom occur in normal people's lives
C. Crises may go on indefinitely.
D. Crises usually resolved in 4-6 weeks.: D.
Part of the definition of a crisis is a time span of 4-6 weeks.
, RNPedia: PNLE NP5 Test 2
Study online at https://quizlet.com/_i2erlp
4. 4. The nurse enters the room of the male client and found out that the client
urinates on the floor. The client hides when the nurse is about to talk to him.
Which of the following is the best nursing intervention?
A. Place restriction on the client's activities when his behavior occurs.
B. Ask the client to clean the soiled floor.
C. Take the client to the bathroom at regular intervals.
D. Limit fluid intake.: C.
The client is most likely confused, rather than exhibiting acting-out, hostile behavior. Frequent toileting will allow
urination in an appropriate place.
5. 5. A young lady with a diagnosis of schizophrenic reaction is admitted to
the psychiatric unit. In the past two months, the client has poor appetite,
experienced difficulty in sleeping, was mute for long periods of time, just
stayed in her room, grinning and pointing at things. What would be the initial
nursing action on admitting the client to the unit?
A. Assure the client that " You will be well cared for."
B. Introduce the client to some of the other clients.
C. Ask "Do you know where you are?"
D. Take the client to the assigned room.: D.
The client needs basic, simple orientation that directly relates to the here-and-now and does not require verbal
interaction.
6. 6. A 16-year-old girl was diagnosed with anorexia. What would be the first
assessment of the nurse?
A. What food she likes.
B. Her desired weight.
C. Her body image.
D. What causes her behavior.: A.
Although all options may appear correct. A is the best because it focuses on a range of possible positive reinforcers, a
basis for an effective behavior modification program. It can lead to concrete, specific nursing interventions right away
and provides a therapeutic use of "control" for the 16-year-old.
, RNPedia: PNLE NP5 Test 2
Study online at https://quizlet.com/_i2erlp
7. 7. On an adolescent unit, a nurse caring to a client was informed that her
client's closest roommate dies at night. What would be the most appropriate
nursing action?
A. Do not bring it up unless the client asks.
B. Tell the client that her roommate went home.
C. Tell the client, if asked, "You should ask the doctor."
D. Tell the client that her closest roommate died.: A.
The nurse needs to wait and see. Do not "jump the gun" or do not assume that the client wants to know now.
8. 8. A woman gave birth to an unhealthy infant, and with some body defects.
The nurse should expect the woman's initial reactions to include:
A. Depression
B. Withdrawal
C. Apathy
D. Anger: D.
The woman is experiencing an actual loss and will probably exhibit many of the same symptoms as a person who has
lost someone to death.
9. 9. A client in the psychiatric unit is shouting out loud and tells the nurse,
"Please, help me. They are coming to get me." What would be the appropriate
nursing response?
A. "I won't let anyone get you."
B. "Who are they?"
C. "I don't see anyone coming."
D. "You look frightened.": C.
This option is an example of pointing out reality - the nurse's perception.
10. 10. A client who is severely obese tells the nurse, "My therapist told me that
I eat a lot because I didn't get any attention and love from my mother. What
does the therapist mean?" What is the best nursing response?
A. "What do you think is the connection between you're not getting enough
