1
NR
NR 326/ NR326 EXAM 1: (NEW 2025/ 2026 UPDAT
NK NK NK NK NKNK NK NK NK
E) MENTAL HEALTH NURSING REVIEW | QUESTIONS & A
NK NK NK NK NK NK NK NK
NSWERS| GRADE A| 100% CORRECT (VERIFIED SOLUTIO NK NK NK NK NK NK
NS)- CHAMBERLAIN NK
The nurse decides to go against family wishes and tell the client of his terminal statu
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
s because that is what she would want if she were the client. Which of the following
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ethical theories is considered in this decision?
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a. Kantianism
nk
b. Christian ethics
nk nk
c. Natural law theories
nk nk nk
d. Ethical egoism - ANS ✓b. Christian ethics
nk nk nk nk nk nk nk
The nurse decides to respect family wishes and not tell the client of his terminal stat
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
us because that would bring the most happiness to the most people. Which of the fol
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
lowing ethical theories is considered in this decision?
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a. Utilitarianism
nk
b. Kantianism
nk
c. Christian ethics
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d. Ethical egoism - ANS ✓a. Utilitarianism
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The nurse decides to tell the client of his terminal status because she believes it is he
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r duty to do so. Which of the following ethical theories is considered in this decision
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?
a. Natural law theories
nk nk nk
b. Ethical egoism
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c. Kantianism
nk
d. Utilitarianism - ANS ✓c. Kantianism
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The nurse assists the physician with electroconvulsive therapy on a client who has re
nk nk nk nk nk nk nk nk nk nk nk nk nk
fused to give consent. With which of the following legal actions might the nurse be c
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
harged because of this nursing action?
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a. Assault
nk
b. Battery
nk
c. False imprisonment
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d. Breach of confidentiality - ANS ✓b. Battery
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A competent, voluntary client has stated he wants to leave the hospital. The nurse hi
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des his clothes to keep him from leaving. With which of the following legal actions
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
might the nurse be charged because of this nursing action?
nk nk nk nk nk nk nk nk nk
NR 326nk
, 2
a. Assault
nk
b. Batterynk
c. False imprisonment
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d. Breach of confidentiality - ANS ✓c. False imprisonment
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Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
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down in the chair and be still, I'm going to put you in restraints!" With which of th
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
e following legal actions might the nurse be charged because of this nursing action?
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a. Defamation of character
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b. Batterynk
c. Breach of confidentiality
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d. Assault - ANS ✓d. Assault
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A nurse reports to the supervisor that a depressed client is refusing medication to tr
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eat his heart condition and states he "would rather just die." The nurse is not sure
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
how to intervene because, although clients have a right to refuse medication, this clie
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nt may be so depressed that his behavior represents risk for suicide. Which of these
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actions by the supervisor is a priority?
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a. Tell the nurse that medication will have to be given forcibly if the client continues
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to refuse medication.
nk nk nk
b. Instruct the nurse that, because the client is elderly, he is unable to make this dec
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
ision and medication will need to be secretly mixed in his food.
nk nk nk nk nk nk nk nk nk nk nk
c. Educate the nurse that the physician has the final say so the nurse should ask the
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kphysician what to do. nk nk nk
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
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can be explored further. -
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ANS ✓d. Activate appropriate hospital resources, such as an ethics committee, so this iss
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
ue can be explored further.
nk nk nk nk
A client on the psychiatric unit begins yelling out loud that no one is listening to hi
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
m and that he is going to "blow up" soon. The orderly asks the nurse if he should g
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
o ahead and put the client in restraints for the safety of others. Which of these resp
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
onses by the nurse is most appropriate?
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a. Educate the orderly that restraints may never be initiated without a physician's o
nk nk nk nk nk nk nk nk nk nk nk nk nk
rder.
b. Instruct the orderly that it would be best to see if the client can be assisted to cal
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
m down by listening to his concerns.
nk nk nk nk nk nk
c. Instruct the orderly to put the client in restraints but make sure to assess the clie
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
nt every 15 minutes for issues regarding circulation, nutrition, respiration, hydration
nk nk nk nk nk nk nk nk nk nk
, and elimination.
nk nk
d. Instruct the orderly to get others to assist him in restraining the client but be aw
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
are restraints should be discontinued at the earliest possible time regardless of when
nk nk nk nk nk nk nk nk nk nk nk nk n
ka physician's order is scheduled to expire. -
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ANS ✓b. Instruct the orderly that it would be best to see if the client can be assisted to c
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
alm down by listening to his concerns.
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, 3
The nurse collects the following information during the admission assessment. For w
nk nk nk nk nk nk nk nk nk nk nk
hich of these pieces of data should the nurse take additional action to ensure that "d
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
uty to warn" laws are followed?
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a. The client threatens violence toward another individual.
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b. The client states he wants to kill everyone that has demons.
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c. The client is having command hallucinations.
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d. The client reveals paranoid delusions about another individual. -
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ANS ✓a. The client threatens violence toward another individual.
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Which of these actions by the nurse demonstrates an application of the QSEN comp
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etency related to informatics?
nk nk nk
a. Learns how to effectively communicate information using electronic health records
nk nk nk nk nk nk nk nk nk nk
b. Provides a verbal report of client behavioral issues at shift change
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c. Asks the supervisor for guidelines on how to prevent lawsuits
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d. Reads journals to learn information about new treatments and approaches to nur
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sing care - nk nk
ANS ✓a. Learns how to effectively communicate information using electronic health reco
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rds
Which of the following behaviors suggest a possible breach of professional boundarie
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s? (Select all that apply.)
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a. The nurse repeatedly requests to be assigned to a specific patient.
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b. The nurse shares the details of her divorce with the patient.
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c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
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ronment.
d. The nurse shares how she dealt with a similar difficult situation. -
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ANS ✓a. The nurse repeatedly requests to be assigned to a specific patient.
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b. The nurse shares the details of her divorce with the patient.
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c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
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ronment.
. Which of the following tasks are associated with the orientation phase of relationsh
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ip development? (Select all that apply.)
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a. Promoting the patient's insight and perception of reality
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b. Creating an environment for the establishment of trust and rapport
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c. Using the problem-solving model toward goal fulfillment
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d. Obtaining available information about the patient from various sources
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e. Formulating nursing diagnoses and setting goals -
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ANS ✓b. Creating an environment for the establishment of trust and rapport
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e. Formulating nursing diagnoses and setting goals
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The nurse, who is an adult child of an alcoholic, is working with a client who abuses
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alcohol. The client has experienced a successful detoxification process and is beginni
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ng a rehabilitation program. He says to the nurse, "I'm not going to go to those stu
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pid AA meetings. They don't help anything." The nurse, whose father died of compli
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, 4
cations from alcoholism, responds with anger: "Don't you even care what happens t
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o your children?" The nurse's response is an example of which of the following?
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a. Transference
nk
b. Countertransference
nk
c. Self-disclosure
nk
d. A breach of professional boundaries - ANS ✓b. Countertransference
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The nurse is working with a client in the anger-
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management program. Which of the following identifies actions associated with the
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working phase of the therapeutic relationship?
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a. The nurse and the client work together to identify goals for developing more adap
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tive ways to handle anger.
nk nk nk nk
b. The client expresses a desire to continue in the anger management program after
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the goals have been met.
nk nk nk nk
c. The nurse reviews the client's medical record and assesses his or her personal feel
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ing about working with a client who abused their spouse.
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d. The nurse assists the client in practicing various techniques to effectively manage
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anger and provides positive feedback when the client attempts to improve maladapti
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ve behaviors. -
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ANS ✓d. The nurse assists the client in practicing various techniques to effectively mana
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ge anger and provides positive feedback when the client attempts to improve maladaptive
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behaviors.
When there is congruence between what is felt and what is expressed, the nurse is e
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xhibiting which of the following characteristics?
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a. Trust
nk
b. Respect
nk
c. Genuineness
nk
d. Empathy - ANS ✓c. Genuineness
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When the nurse shows unconditional acceptance of an individual as a worthwhile an
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d unique human being, he or she is exhibiting which of the following characteristics?
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a. Trust
nk
b. Respect
nk
c. Genuineness
nk
d. Empathy - ANS ✓b. Respect
nk nk nk nk nk
A client who is being discharged from an inpatient hospital stay has his wife bring a
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box of chocolates and a bouquet of flowers for his primary nurse. He presents these
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gifts to the nurse, saying, "Thank you for taking care of me." What is the most ap
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propriate response by the nurse? nk nk nk nk
a. "I don't accept gifts from patients."
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b. "Thank you so much! It is so nice to be appreciated."
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c. "Thank you. I will share these with the rest of the staff."
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d. "Hospital policy forbids me to accept gifts from patients." -
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ANS ✓c. "Thank you. I will share these with the rest of the staff."
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
NR
NR 326/ NR326 EXAM 1: (NEW 2025/ 2026 UPDAT
NK NK NK NK NKNK NK NK NK
E) MENTAL HEALTH NURSING REVIEW | QUESTIONS & A
NK NK NK NK NK NK NK NK
NSWERS| GRADE A| 100% CORRECT (VERIFIED SOLUTIO NK NK NK NK NK NK
NS)- CHAMBERLAIN NK
The nurse decides to go against family wishes and tell the client of his terminal statu
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
s because that is what she would want if she were the client. Which of the following
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
ethical theories is considered in this decision?
nk nk nk nk nk nk
a. Kantianism
nk
b. Christian ethics
nk nk
c. Natural law theories
nk nk nk
d. Ethical egoism - ANS ✓b. Christian ethics
nk nk nk nk nk nk nk
The nurse decides to respect family wishes and not tell the client of his terminal stat
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
us because that would bring the most happiness to the most people. Which of the fol
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
lowing ethical theories is considered in this decision?
nk nk nk nk nk nk nk
a. Utilitarianism
nk
b. Kantianism
nk
c. Christian ethics
nk nk
d. Ethical egoism - ANS ✓a. Utilitarianism
nk nk nk nk nk nk
The nurse decides to tell the client of his terminal status because she believes it is he
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
r duty to do so. Which of the following ethical theories is considered in this decision
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
?
a. Natural law theories
nk nk nk
b. Ethical egoism
nk nk
c. Kantianism
nk
d. Utilitarianism - ANS ✓c. Kantianism
nk nk nk nk nk
The nurse assists the physician with electroconvulsive therapy on a client who has re
nk nk nk nk nk nk nk nk nk nk nk nk nk
fused to give consent. With which of the following legal actions might the nurse be c
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
harged because of this nursing action?
nk nk nk nk nk
a. Assault
nk
b. Battery
nk
c. False imprisonment
nk nk
d. Breach of confidentiality - ANS ✓b. Battery
nk nk nk nk nk nk nk
A competent, voluntary client has stated he wants to leave the hospital. The nurse hi
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
des his clothes to keep him from leaving. With which of the following legal actions
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
might the nurse be charged because of this nursing action?
nk nk nk nk nk nk nk nk nk
NR 326nk
, 2
a. Assault
nk
b. Batterynk
c. False imprisonment
nk nk
d. Breach of confidentiality - ANS ✓c. False imprisonment
nk nk nk nk nk nk nk nk
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
down in the chair and be still, I'm going to put you in restraints!" With which of th
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
e following legal actions might the nurse be charged because of this nursing action?
nk nk nk nk nk nk nk nk nk nk nk nk nk
a. Defamation of character
nk nk nk
b. Batterynk
c. Breach of confidentiality
nk nk nk
d. Assault - ANS ✓d. Assault
nk nk nk nk nk
A nurse reports to the supervisor that a depressed client is refusing medication to tr
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
eat his heart condition and states he "would rather just die." The nurse is not sure
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
how to intervene because, although clients have a right to refuse medication, this clie
nk nk nk nk nk nk nk nk nk nk nk nk nk
nt may be so depressed that his behavior represents risk for suicide. Which of these
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
actions by the supervisor is a priority?
nk nk nk nk nk nk
a. Tell the nurse that medication will have to be given forcibly if the client continues
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
to refuse medication.
nk nk nk
b. Instruct the nurse that, because the client is elderly, he is unable to make this dec
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
ision and medication will need to be secretly mixed in his food.
nk nk nk nk nk nk nk nk nk nk nk
c. Educate the nurse that the physician has the final say so the nurse should ask the
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk n
kphysician what to do. nk nk nk
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
nk nk nk nk nk nk nk nk nk nk nk nk nk
can be explored further. -
nk nk nk nk
ANS ✓d. Activate appropriate hospital resources, such as an ethics committee, so this iss
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
ue can be explored further.
nk nk nk nk
A client on the psychiatric unit begins yelling out loud that no one is listening to hi
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
m and that he is going to "blow up" soon. The orderly asks the nurse if he should g
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
o ahead and put the client in restraints for the safety of others. Which of these resp
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
onses by the nurse is most appropriate?
nk nk nk nk nk nk
a. Educate the orderly that restraints may never be initiated without a physician's o
nk nk nk nk nk nk nk nk nk nk nk nk nk
rder.
b. Instruct the orderly that it would be best to see if the client can be assisted to cal
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
m down by listening to his concerns.
nk nk nk nk nk nk
c. Instruct the orderly to put the client in restraints but make sure to assess the clie
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
nt every 15 minutes for issues regarding circulation, nutrition, respiration, hydration
nk nk nk nk nk nk nk nk nk nk
, and elimination.
nk nk
d. Instruct the orderly to get others to assist him in restraining the client but be aw
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
are restraints should be discontinued at the earliest possible time regardless of when
nk nk nk nk nk nk nk nk nk nk nk nk n
ka physician's order is scheduled to expire. -
nk nk nk nk nk nk nk
ANS ✓b. Instruct the orderly that it would be best to see if the client can be assisted to c
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
alm down by listening to his concerns.
nk nk nk nk nk nk
, 3
The nurse collects the following information during the admission assessment. For w
nk nk nk nk nk nk nk nk nk nk nk
hich of these pieces of data should the nurse take additional action to ensure that "d
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
uty to warn" laws are followed?
nk nk nk nk nk
a. The client threatens violence toward another individual.
nk nk nk nk nk nk nk
b. The client states he wants to kill everyone that has demons.
nk nk nk nk nk nk nk nk nk nk nk
c. The client is having command hallucinations.
nk nk nk nk nk nk
d. The client reveals paranoid delusions about another individual. -
nk nk nk nk nk nk nk nk nk
ANS ✓a. The client threatens violence toward another individual.
nk nk nk nk nk nk nk nk nk
Which of these actions by the nurse demonstrates an application of the QSEN comp
nk nk nk nk nk nk nk nk nk nk nk nk nk
etency related to informatics?
nk nk nk
a. Learns how to effectively communicate information using electronic health records
nk nk nk nk nk nk nk nk nk nk
b. Provides a verbal report of client behavioral issues at shift change
nk nk nk nk nk nk nk nk nk nk nk
c. Asks the supervisor for guidelines on how to prevent lawsuits
nk nk nk nk nk nk nk nk nk nk
d. Reads journals to learn information about new treatments and approaches to nur
nk nk nk nk nk nk nk nk nk nk nk nk
sing care - nk nk
ANS ✓a. Learns how to effectively communicate information using electronic health reco
nk nk nk nk nk nk nk nk nk nk nk nk
rds
Which of the following behaviors suggest a possible breach of professional boundarie
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s? (Select all that apply.)
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a. The nurse repeatedly requests to be assigned to a specific patient.
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b. The nurse shares the details of her divorce with the patient.
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c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
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ronment.
d. The nurse shares how she dealt with a similar difficult situation. -
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ANS ✓a. The nurse repeatedly requests to be assigned to a specific patient.
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b. The nurse shares the details of her divorce with the patient.
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c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
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ronment.
. Which of the following tasks are associated with the orientation phase of relationsh
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ip development? (Select all that apply.)
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a. Promoting the patient's insight and perception of reality
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b. Creating an environment for the establishment of trust and rapport
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c. Using the problem-solving model toward goal fulfillment
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d. Obtaining available information about the patient from various sources
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e. Formulating nursing diagnoses and setting goals -
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ANS ✓b. Creating an environment for the establishment of trust and rapport
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e. Formulating nursing diagnoses and setting goals
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The nurse, who is an adult child of an alcoholic, is working with a client who abuses
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alcohol. The client has experienced a successful detoxification process and is beginni
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ng a rehabilitation program. He says to the nurse, "I'm not going to go to those stu
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pid AA meetings. They don't help anything." The nurse, whose father died of compli
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, 4
cations from alcoholism, responds with anger: "Don't you even care what happens t
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o your children?" The nurse's response is an example of which of the following?
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a. Transference
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b. Countertransference
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c. Self-disclosure
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d. A breach of professional boundaries - ANS ✓b. Countertransference
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The nurse is working with a client in the anger-
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management program. Which of the following identifies actions associated with the
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working phase of the therapeutic relationship?
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a. The nurse and the client work together to identify goals for developing more adap
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tive ways to handle anger.
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b. The client expresses a desire to continue in the anger management program after
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the goals have been met.
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c. The nurse reviews the client's medical record and assesses his or her personal feel
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ing about working with a client who abused their spouse.
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d. The nurse assists the client in practicing various techniques to effectively manage
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anger and provides positive feedback when the client attempts to improve maladapti
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ve behaviors. -
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ANS ✓d. The nurse assists the client in practicing various techniques to effectively mana
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ge anger and provides positive feedback when the client attempts to improve maladaptive
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behaviors.
When there is congruence between what is felt and what is expressed, the nurse is e
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xhibiting which of the following characteristics?
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a. Trust
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b. Respect
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c. Genuineness
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d. Empathy - ANS ✓c. Genuineness
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When the nurse shows unconditional acceptance of an individual as a worthwhile an
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d unique human being, he or she is exhibiting which of the following characteristics?
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a. Trust
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b. Respect
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c. Genuineness
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d. Empathy - ANS ✓b. Respect
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A client who is being discharged from an inpatient hospital stay has his wife bring a
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box of chocolates and a bouquet of flowers for his primary nurse. He presents these
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gifts to the nurse, saying, "Thank you for taking care of me." What is the most ap
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propriate response by the nurse? nk nk nk nk
a. "I don't accept gifts from patients."
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b. "Thank you so much! It is so nice to be appreciated."
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c. "Thank you. I will share these with the rest of the staff."
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d. "Hospital policy forbids me to accept gifts from patients." -
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ANS ✓c. "Thank you. I will share these with the rest of the staff."
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