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1. The psychiatric nurse is providing care for a newly admitted client who is
homeless and has not been able to bathe or change clothes for 2 weeks. Which
of the following theorists would the nurse apply, using a needs approach to
guide the nursing interventions for this client situation?
a. Leininger
b. Orem
c. Peplau
d. Roy
2. The nurse refers a client with a nursing diagnosis of Dysfunctional Grieving
related to the death of a spouse to a grief support group. The nurse's
recommendation emphasizes coping mechanisms in adaptation, illustrating
which of the following nursing theories?
a. Levine
b. Henderson
c. Peplau
d. Roy
3. The psychiatric nurse focuses on the use of self as a therapeutic tool and
evaluates nursing actions according to client response. Which of the following
best describes this nurse's practice?
a. Interaction oriented
b. Eclectic
c. Needs oriented
d. Outcome oriented
4. Nursing theorists concur in viewing humans as beings who are primarily which
of the following?
a. Biologic
b. Holistic
c. Psychological
d. Sociological
5. A client is admitted to a mental health unit. The client backed out when the
nurse approached him and shouts let me out, theres nothing wrong with me, I
dont belong here. This behavior is an example of:
a. intellectualization
b. denial
c. rationalization
d. regression
6. A supervisor reprimands a nurse for failing to come on time. Later that day, the
reprimanded nurse accuses the nursing aid for wasting hospital supplies. This
behavior is:
a. suppression
b. denial
c. displacement
d. repression
7. A female client who has reported rape and brought to the emergency room for
examination appears very calm and quiet. The nurse analyzes this behavior as:
a. projection
b. denial
c. rationalization
d. intellectualization
8. Signs of child abuse that appears only during adulthood can best be explained
by the ego defense mechanism of:
a. rationalization
b. repression
c. regression
d. reaction formation
9. When security is threatened, the individual protects the personality by:
a. affective reactions
b. defense mechanisms
c. ritualistic behaviors
d. withdrawal patterns
10.A male college student who fails to be accepted in the basketball team
because of his height becomes the president of his class. The defense
mechanism used is:
a. introjection
b. sublimation
c. compensation
d. reaction formation
11.An 18 year old girl with anorexia nervosa is able to discuss in great detail the
nutritional values of the menu she elaborately prepared for her family is using
what defense mechanism:
a. projection
b. intellectualization
c. dissociation
d. displacement
12.Sublimation is a defense mechanism that helps the individual:
a. act out the opposite of ones true feeling
b. engage in earlier mode of behavior
c. exclude from the conscious thoughts that causes anxiety
d. express unacceptable thoughts and wishes into socially
approved behavior
13.The nurse is aware that Freuds phallic stage of psychosocial phase of initiative
vs. guilt, is best seen at:
a. adolescence
b. 6 to 12 years
c. birth to 1 year
d. 3 to 5 years
14.The most important relationship in the development of personality is that of:
a. parent-child
b. sibling
c. heterosexual
d. peer
15.Which is true of personality development:
a. personality development occurs from birth to death
b. the personality can only develop until adulthood, after which, mental
illness will develop if it is not completely developed
c. personality characteristics are firmly fixed at birth because of heredity
d. by the end of the first 6 years, the personality has reached its adult
parameters
16.According to psychosexual theory, the primary emergence of the personality is
demonstrated around the age of:
a. 6 months
b. 9 months
c. 24 months
d. 48 months
17.Independence is developed during the period of:
a. infancy
b. toddler
c. pre school
d. school age
18.During pre school period, the child:
a. develops ambivalence to the mother
b. has strong affections towards the parent of the same sex
c. is strongly attached to the parent of the opposite sex
d. turns towards peers for acceptance and security
46.A patient tells the nurse, The group therapist doesnt like me. which of the
following interventions should a nurse give priority?
a. Why do you say that?
b. I wouldnt take it personally
c. would you like me to talk to the therapist for you
d. You need to discuss that concern with the therapist.
47.A patient has been acting out most of the day. To which of the following
interventions should a nurse give priority?
a. inform the patient if rules and regulations must be followed
b. tell the patient to control the feelings motivating the behavior
c. isolate the patient until the patient gains self control
d. try to elicit the feelings behind the patients behavior
48.When assessing the psychiatric patent, a nurse should recognize which of the
following strengths as essential to successful living?
a. knowledge about medications
b. ability to work
c. ability to drive
d. social skills
49.A patient has an obsessive compulsive disorder is admitted for major surgery.
The patient counts to 95 at each step of procedure. Which of the following
actions by the nurse would demonstrate a correct understanding of the
patients needs?
a. explaining the necessity of maintaining the operating room schedule
b. assisting the patient with other ways of decreasing anxiety
c. making a contract with the patient to eliminate the rituals
d. proceeding with the preparation for the surgery
50.The adult child of a patient who has dementia of Alzheimers type tearfully tells
a nurse I cant take it another day. Now Im being accused of stealing my
mothers underwear. Which of the following responses by the nurse would be
most therapeutic?
62.Ricky a 25 y/o medical student has exhibited inappropriate affect and apathy. A
diagnosis of acute schizophrenia is made. Considering the diagnosis, a
symptom that a nurse would expect to observe in the clients communication
or behavior is:
a. Suicidal preoccupation
b. Absence of self criticism
c. Autistic magical thinking
70.A client with moderate dementia often assaults the nursing staff, and the staff
decides to develop a plan that will make this clients personal care less of a
problem. The plan should include:
a. Limiting the staff and client spend together
b. An outline of the consequences for uncooperative behavior
c. Identification nursing staff members whom the client prefers
d. The clients likes and dislikes for use as a reward punishment
71.A nurse should first discuss terminating the nurse-client relationship with a
client during the:
a. Working phase when the client brings it up
b. Orientation phase when a contract is established
c. Working phase when the client shows some progress
d. Termination phase when discharge plans are being made
72.on a home visit to an older adult who has chronic heart failure, the nurse
observes that a 6 month old grandchild lies quietly in a crib, rarely smiles or
babbles, and barely has basic needs attended. The client is the primary
caregiver for the infant. The nurse should:
a. advise purchasing appropriate toys designed for this age level
b. inform the client that the child will be retarded if not stimulated
c. explain the need for the family to hire a mothers helper for the home
d. initiate a referral to an appropriate agency to assess the need
for a home health aide
73.When planning nursing care for a client with severe agoraphobia, the nurse
should first:
a. Determine the clients degree of impairment
b. Support the clients self esteem through verbal interaction
c. Teach the client biofeedback techniques for reducing anxiety provoking
situations
d. Expose the client gradually to anxiety provoking situations
74.When a nurse revises a clients nursing care plan based on the clients
responses that show evidence that goals were not attained, the phase of the
nursing process being applied is:
a. Planning
b. Evaluation
c. Assessment
d. Implementation
75.After speaking with the parents of a child dying from leukemia, the physician
gives a verbal DNR order but refuses to put it in writing. The nurse should:
a. Follow the order as given by the physician
b. Refuse to follow the order, unless the nursing supervisor approves it
c. Ask the physician to write the order in pencil on the clients chart
before leaving
d. Determine whether the family is in accord with the physician
while following hospital policy
76.The nurse manager of an emergency department who is helping a nurse with
burnout should facilitate confrontation of the problem by urging the nurse to:
a. Work on a primary nursing care unit
b. Choose a nursing position on a low stress unit
c. Attend educational programs as often as possible
d. Identify personal responses to daily work stresses
77.One afternoon the nurse on the unit overhears a young female client having an
argument with her boyfriend. A while later, the client complains to the nurse
that dinner is always late and the meals are terrible. The nurse recognizes that
the defense mechanism the client is using is:
a. Projection
b. Dissociation
c. Displacement
d. Intellectualization