Final Exam Spring:

Final Exam Spring: 1. A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care? RIGHT ANSWER: Teaching a client to cook meals, make a grocery list, and establish a budget 2. A client is brought to an emergency department after being violently raped. Which nursing action should require further intervention by the nurse supervisor? RIGHT ANSWER: discouraging the client from discussing the event, as this may lead to further trauma 3. A patient on sexual precautions impulsively kisses a nurse on the unit. Later the patient accused the nurse of making homosexual advances towards her. The defense mechanism utilized is called: RIGHT ANSWER: Projection 4. A nurse is working with a client diagnosed with SSD. What criteria would differentiate this diagnosis from illness anxiety disorder (IAD)? RIGHT ANSWER: The client diagnosed with SSD experiences physical symptoms in various body systems, and the client diagnosed with IAD does not. 5. How should a nurse and the U.S. census bureau classify an 88-year-old man? ANSWER: “very old” RIGHT 6. _______ is a technique of restricting anxiety based on the rationale that relaxation is opposite to anxiety? RIGHT ANSWER: Reciprocal Inhibition 7. Which is the best intervention for a client experiencing a panic level of anxiety? RIGHT ANSWER: use brief and direct statements while communicating 8. Which of the following statements would indicate that teaching about naltrexone (Revia) has been effective? RIGHT ANSWER: “naltrexone could lower the amount of drinks per drinking day.” 9. The nurse has been working in the emergency room with an elderly woman who was raped on her way home from the movies. The nurse is aware that the psychosocial outcome of a patient suffering from trauma related disorder is not usually depended on: ANSWER: None of the above RIGHT 10. A patient’s hand become cracked and bleed due to her repeated hand washing and scrubbing routine. During the early phase of hospitalization, the most beneficial and therapeutic action by the nurse is initially to: RIGHT ANSWER: allowing plenty of time to complete rituals This study source was downloaded by from CourseH on :45:54 GMT -06:00 11. A client diagnosed with an obsessive-compulsive disorder spend hours in watching internet pornography. When confronted by his spouse, he responded in a soft emotionless tone “I don’t remember what happened.” Which defense mechanism should the nurse identify in this context as associated with OCD? RIGHT ANSWER: Isolation 12. During a family session, the family therapist notices that the client is boasting about his accomplishments to get the attention on him rather than focus on the task of the group. The leader should continue the therapy session based on the concept in which: ANSWER: the problematic relationship patterns need change within the system. RIGHT 13. A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric and mental health nurse instruct the family to: RIGHT ANSWER: inform the pt that she is expected to join in routine family meal, even if she does not feel hungry 14. A client’s wife has been making excuses for her alcoholic husband’s work absences. In family therapy, she states, “his problems at work are my fault.” Which is the least appropriate nursing response? RIGHT ANSWER: “you pretend to be very compassionate. Please be conscientious.” 15. A nursing instructor is teaching about the DSM-5 diagnosis of depersonalizationderealization disorder (D-DD). Which student statement indicates a need for further instruction? RIGHT ANSWER: "During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning." 16. Participation in Gamblers Anonymous (GA) is possibly the least effective treatment of pathological gambling. RIGHT ANSWER: False 17. A nurse would recognize which of these as a goal of behavior therapy for a client diagnosed with adjustment disorder (AD)? RIGHT *Question might say A nurse would recognize which of there as a focal of behavioral therapy ANSWER: to replace ineffective response patterns with more adaptive ones. 18. A nurse has been caring for a client diagnosed with ASD (acute stress disorder). Which realistic goal should be included in this client’s plan of care? RIGHT ANSWER: the client will not require sleep medication to obtain adequate sleep by discharge. This study source was downloaded by from CourseH on :45:54 GMT -06:00 19. A client diagnosed with panic disorder states, “when an attack happens, I feel like I am going to die.” Which is the most appropriate nurse response? RIGHT ANSWER: "I know it's frightening but try to remind yourself that this will only last a short time." 20. A very anxious client does not understand why she is feeling anxious after a family session. She is utilizing the defense mechanism of: RIGHT ANSWER: Repression: The involuntary blocking of unpleasant feelings & experiences from one’s awareness. 21. A patient diagnosed with functiona