Q&A Hero

Q: While reviewing therapeutic communication techniques, a nursing student made a list of "things not to do or say to a client." Which of the following comments should be on the student's list?1. "How do you feel about being discharged today?"2. "What happened when you quit taking your medications?"3. "What are your concerns about your living situation?"4. "Why do you think you will never get well?"

Q: During a nurse"client interaction, the client tells the nurse, "I don"t think I can deal with feeling so sad much longer." The nurse's best response is which of the following?1. "Is there a history of depression in your family?"2. "We all have times of sadness."3. "Are you saying you feel sad?"4. "Tell me about your feelings of sadness."

Q: A client is admitted to the psychiatric unit exhibiting behaviors indicating a high level of anxiety following a personal crisis. Which of the following communication skills should the nurse utilize when interacting with this client?1. Closed-ended questions2. Providing reassurance3. Open-ended questions4. Providing the client with advice

Q: A client asks the nurse about the doctor's comment that he may have problems due to "delayed synaptic transmission" in his brain. The nurse explains that the best way to describe a synaptic transmission is which of the following?1. An electrochemical process called neurotransmission2. Where the axon is released3. When the receptors bind to neurons4. The space where neurotransmitters match up with receptors

Q: Which of the following is not related to the theory of successful versus disturbed communication patterns during an admission assessment?1. The appropriateness of the content of the message.2. The quality of the feedback provided.3. The language level of the assessment nurse.4. How efficiently the client delivers a message.

Q: Which of the following communication theories provides the most appropriate rationale for a nursing intervention to utilize the perceived strengths of the client in promoting effective communication?1. Behavioral Effects and Human Communication Theory2. Neurolinguistic Programming Theory3. Theory of Communication Levels4. Therapeutic Communication Theory

Q: In planning care for a client who is gaining mental stability, the nurse develops measures to confirm the client's view of self. Which of the following responses made by the nurse would be categorized as disturbed communication?1. "I do not understand what you are telling me."2. "You are wrong."3. "How might you go about that differently?"4. "Do you want to try that again?"

Q: Psychiatric"mental health nursing interventions occur at which of the following levels of communication?1. Public2. Intrapersonal3. Interpersonal4. International

Q: A nurse acknowledges feeling anxious about meeting new people. By acknowledging feelings to the client, the nurse is demonstrating:1. Sympathy.2. Genuineness.3. Empathy.4. Superficiality.

Q: The nurse engaged in a therapeutic relationship with a client uses nonverbal communication to:1. Enhance verbal messages.2. Avoid the use of verbal messages.3. Detract from verbal messages.4. Terminate the therapeutic relationship.

Q: During the first interaction with a client, the nurse makes an introduction and identifies the purpose of the interaction. This serves to accomplish which of the following in developing a trusting relationship?1. Setting goals2. Building3. Initiating4. Maintaining

Q: A working goal for the nurse"client relationship is to achieve:1. Facilitative intimacy.2. Self-disclosure.3. Interdependence.4. Social superficiality.

Q: The nurse is working with a teen admitted with a diagnosis of depression. Which of the following interventions demonstrates that the nurse is sensitive to the client's needs?1. Avoiding the use of silence to decrease anxiety2. Asking for details to demonstrate interest in the client3. Using closed-ended questions4. Listening to the client's feelings

Q: The nurse observed that during a teaching session, the overall emotional tone of a client remained unchanged. The nurse documents this as:1. Affect that has range.2. Flat affect.3. Incongruent verbal and nonverbal responses.4. Muted behavior.

Q: During a group session, a client expresses anger at the nurse. The nurse sits tensely with arms and legs crossed while verbally agreeing that the client's point of view is correct. Which of the following messages is being sent by the nurse?1. The nurse is expressing warmth toward the client2. The nurse is being patient3. The nurse is demonstrating empathy4. The nurse is sending a mixed message

Q: During a group session, the clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:1. A form of nonlanguage vocalization.2. A therapeutic use of space.3. An expression of discomfort.4. An excuse to avoid answering the question.

Q: Which of the following interventions are used by the nurse to demonstrate active listening?Standard Text: Select all that apply.1. Using silence2. Covering one's mouth when yawning3. Leaning in toward the client4. Nodding one's head in response to client's verbal comments5. Rocking back and forth in the chair

Q: The student nurse asks why the nurse is documenting the client's nonverbal responses in addition to verbal responses during the initial assessment. Which of the following statements made by the nurse reflects the rationale for documenting both verbal and nonverbal responses?1. "It is the hospital policy to document both."2. "It is important to be thorough when documenting."3. "Documenting both permits the reader to compare the behaviors for congruence."4. "Charting verbal and nonverbal helps me remain objective."

Q: The nurse is developing a plan of care for a client. Which of the following interventions must the nurse be careful to avoid?1. Discussing expectations with the client2. Selecting interventions that conflict with the client's value system3. Identifying the client's perception of the problem4. Addressing issues related to the client's past experiences

Q: Which of the following are included when documenting client education?Standard Text: Select all that apply.1. The educational content discussed with the client2. The client's response3. The purpose for the educational interaction4. The assessment of the client5. The nursing diagnosis

Q: The nurse is validating what was observed before documenting in the progress note. Validation is used as a mechanism to ensure which of the following?1. The client's affect is appropriate to the situation2. The client's perception of the response is communicated3. The client's request is clarified4. The client's need for further intervention is understood

Q: The nurse is documenting observations of client interactions during a group session. The nurse strives to document the behaviors of the client interactions with:1. Objectivity.2. Serendipity.3. Sympathy.4. Empathy.

Q: Clients who experience sexual assault often experience increased rates of mental disorder. Which risk factor would apply to a client who was sexually assaulted?1. Physical environment2. Social environment3. Social class4. Ethnicity

Q: A client with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. The client states, "I can"t eat this stuff. This food isn"t fit for real people." Which factor does the nurse recognize was not incorporated into the plan of care?1. Age2. Social environment3. Marital status4. Lifestyle habits

Q: A 19-year-old Native American client is admitted with a diagnosis of major depression with suicidal ideation. What assessment is made?1. The client is at high risk for suicide.2. The client will benefit from a talking circle.3. The client will need a single room.4. The client will need a medicine man.

Q: A 40-year-old client was brought to the emergency room after a motor vehicle accident. The client had been drinking alcohol and the client's blood alcohol level was 0.12 g/dl. The client reports a family history of alcoholism and tells the nurse, "It is hopeless; I am a drunk just like the rest of my family." The nurse knows that the client's risk for alcohol abuse:1. Will determine the client's response to treatment.2. Can be modified through abstinence and behavior change.3. Is high based on the client's age.4. Is low based on the client's alcohol level.

Q: In the aftermath of Hurricane Katrina, many individuals presented with signs and symptoms of post-traumatic stress disorder. Of what type of risk factor is this an example?1. Ethnicity2. Socioeconomic status3. Social environment4. Gender

Q: A nurse is meeting with a Cuban family in which the wife abuses alcohol. During the family assessment meeting, the nurse observes that the husband speaks for the wife and other family members when the nurse is directing questions towards them. The husband says, "I am responsible for my family." What cultural values should the nurse consider when planning care for this client?1. Health care decisions will involve the entire family.2. Health care decisions may be made by the husband.3. Health care decisions may have to be made when the client's husband is not present.4. Health care decisions will involve the wife only.

Q: Which of the following nurses exhibits cultural sensitivity?1. The nurse who learns a second language and attends cultural events to increase his or her awareness.2. The nurse who feels comfortable allowing the Muslim client to pray only once during the day.3. The nurse who develops a knitting group for clients.4. The nurse who develops a teaching group titled "Antioxidants for Life."

Q: The nurse is taking the history of a psychiatric client who is of Puerto Rican descent. Which assessment question would evaluate for the presence of fatalism?1. When was your last hospitalization?2. How do you manage your health?3. Who accompanied you to the hospital?4. Are you experiencing problems getting to the doctor?

Q: A nurse interviews a Chinese client who has been given a diagnosis of schizophrenia. The family is present during the interview. Which cultural values should the nurse consider as she prepares to interact with the client and family?1. Talking circles2. Medicine men3. Fatalism4. Kinship solidarity

Q: The nurse makes certain that a client who is Catholic is able to attend Mass on Sunday. The nurse has determined the client's religious practices from the assessment. This is an example of:1. Ethnocentrism.2. Cultural blindness.3. Culturally competent care.4. Differential treatment based on spiritual beliefs.

Q: A mental health client is admitted to the psychiatric unit one month after abdominal surgery. During the initial assessment, the nurse asks the client about pain. In order to provide culturally competent care, the nurse should not:1. Acknowledge that each client holds various beliefs about pain.2. Abstain from stereotyping a client's pain responses based on the person's culture.3. Assume that all clients will verbally express their pain and ask for medication.4. Respect the client's right to react to pain in whatever manner desired.

Q: The nurse is caring for a client from a different cultural background. The client has difficulty expressing beliefs about the treatment plan to the physician. Which nursing action would be most appropriate for this client?1. The nurse should act as the cultural broker to bridge the gap between the client and the physician.2. The nurse should encourage the client to speak up when the physician is present.3. The nurse should encourage the client to accept the plan of care as ordered.4. The nurse should encourage the client to discuss concerns with the client's spouse so that the spouse can tell the physician.

Q: When assessing a client from a culture different from that of the nurse, which of the following is an effective approach to meet the goal of cultural sensitivity?1. Ask the client how he or she is alienated from his or her primary cultural group.2. Determine what aspects of the client's life should be preserved as they are.3. Explain to the client that values must be adjusted to reach a healthy state.4. Teach the client how to assimilate into the dominant culture.

Q: A nurse is working at a health care clinic serving the needs of the homosexual community. A neighbor says the nurse must be brave because most of "those" people have AIDS. What would be the nurse's best response?1. "It's okay because I'm not intimate with any of the clients."2. "That's an unfortunate stereotype. Can we talk about the reality?"3. "It's very difficult for me when you discriminate like that."4. "Hey, it's a job like any other job. All jobs have problems."

Q: Serving as a nurse advocate for culturally diverse clients means that the nurse:1. Helps them make substantive changes in their health behavior.2. Supports and defends their right to their medical beliefs and values.3. Makes a decision about which beliefs are wrong and need radical adjustments.4. Explains western medical concepts so they can better adapt.

Q: A nurse is asked to consult with the local domestic violence shelter. The shelter employees state that women of Hispanic descent do not use the services offered. An employee states, "You know with all that Hispanic machismo you can bet that those women are probably being abused." The nurse recognizes that:1. The agency should place flyers in the local schools.2. The agency should advertise their services in the local newspaper.3. The agency needs help to promote culturally competent values, policy, structures, and practices.4. The agency should add a Spanish greeting on the agency's phone message.

Q: A nurse is working with a student on the acute care psychiatric unit. The student asks the nurse why it is important to assess clients' values when there are many other more important issues to attend. Which of the following replies should the nurse emphasize?1. Health behaviors are strongly influenced by personal values.2. Values form the scientific rationale for health behaviors.3. Values regarding health are common across many cultures.4. Ensure that clients' values are congruent with nurses' values.

Q: A nurse is admitting a client who is from Japan. What is the first step the nurse should take?1. Ask all family members to stay with the client during the admission assessment.2. Call for a Japanese interpreter.3. Talk with the client to determine the client's level of fluency.4. Follow the admission assessment paperwork carefully.

Q: A new nurse is oriented to a position in a community health center that serves a diverse client population. The new nurse says, "The first thing I need to do is learn everything possible about the cultures of all the clients." What is the best response staff can give the new nurse?1. "You need to first understand who you are."2. "This will come with time as you get to know clients and then encounter problems."3. "I will give you a great book that describes all of the critical factors."4. "You should always be nonjudgmental."

Q: In trying to understand other cultures, what should the nurse know about how cultural values influence health beliefs? 1. Cultural values will not matter if the nurse is from the dominant culture. 2. Cultural values may shape perceptions of health, disease, prevention, and treatment. 3. Cultural values will not shape perceptions of health, disease, prevention, and treatment. 4. Cultural values and other differences will negatively influence outcomes.

Q: The nursing student knows that in order to avoid conflict with cultural diverse populations:1. Open discussion is necessary to actively address suspicions and distortions.2. Exclude the offending party so communication flows better.3. Take into account most minorities are working people.4. Become a certified transcultural nurse.

Q: The nurse advocating for culturally diverse issues knows that cultural competence and sensitivity is based on:1. Uniformity training.2. Life experiences.3. Client assessment.4. New knowledge.

Q: The nurse who wants to actively and effectively work with culturally diverse clients will:1. Seek out homeless people.2. Avoid global mental health issues.3. Seek out practicing nurses of a particular cultural background and read transcendental awareness journals.

Q: When focusing on developing new theories in nursing, what is most important for nurses to know?1. Recognize that most theories cannot be modified.2. Research helps with behavioral observation in multicultural groups.3. Most people with mental disorders never seek professional treatment.4. Acknowledge vulnerability of the mental health community.

Q: The nurse educator knows that one strategy to integrate cultural diversity in nursing is to:1. Retain students from one cultural background.2. Work within monocultural frameworks.3. Recruit and mentor nursing students from diverse cultures.4. Attract students from other disciplines to nursing.

Q: A nurse reviews the chart of a client seen at the nursing clinic for treatment of tension headache. Which client complaint did the nurse enter into the nursing record?1. "When the music plays so loud, my head starts to pound."2. "My whole cheek hurts, and it feels like I have bruising under my eye."3. "Usually there is just this steady pressure around my entire head."4. "I can tell it's coming on; sometimes I vomit before it hits."

Q: The visiting nurse cares for an older client with rheumatoid arthritis. During a nurse's visit to supervise the home health aide, the client reports a flare-up in symptoms and the pain medication is not helping. To plan continuing care for the client, it would be important to focus on:1. Emotional issues and depression.2. Environmental conditions, temperature, and humidity.3. Medication tolerance and addiction.4. Dietary changes.

Q: A client with Crohn's disease is seen in the nursing clinic following a recent flare-up. The client describes herself as married with no children and a hard-working elementary school teacher. Which questions asked by the nurse are an important part of this client's assessment?Standard Text: Select all that apply.1. "What sort of coping mechanisms do you usually use?"2. "Do you consider yourself to be hard-driving, ambitious, and competitive?"3. "How are things at work for you at present?"4. "What can you tell me about your relationship with your husband?"5. "How do you feel about yourself in general?"

Q: A child with asthma was admitted to the hospital during an attack. The mother says, "This is all my fault, if only I hadn"t smoked when I was pregnant." Which response would be helpful to the mother?1. Tell her not to worry because her smoking did not cause the child's asthma.2. Explain that asthma involves a host of biological factors, of which heredity plays a large role.3. Tell the mother that she should feel guilty, and find out if she's still smoking.4. Ask why she believes that she caused the child's admission.

Q: A client reporting respiratory discomfort, dizziness, and becoming easily fatigued is given a diagnosis of cardiac neurosis. Which interventions would the nurse expect to be used with this client?Standard Text: Select all that apply.1. Psychiatric treatment2. Weight control3. Relaxation training4. Biofeedback5. Stress management

Q: A client has received some bad news about a prognosis from the physician. When the nurse comes in with medications, the client states in an angry tone, "You"re late; I was just about to call the hospital administrator to complain." The nurse is aware that the client received a disappointing prognosis and understands the behavior as displacement. The nurse is silent for a few moments to let the client collect some thoughts and control any feelings. Which response should the nurse make next?1. "You are really angry at your physician; why don"t you tell the physician how you feel."2. "You must be really angry at me."3. "I"m not late if I get this medication to you within thirty minutes of the scheduled time."4. "I know you heard some bad news today. I wonder if that could be bothering you."

Q: A 22-year-old delivers a baby at home and calls the police who bring her to the psychiatric unit for an evaluation. The nurse learns that the mother is unwilling to accept the pregnancy and denies that she ever delivered a baby. The nurse continues to work with the client and establishes a trusting relationship. How should the nurse proceed in order to help the client?1. Avoid talking about babies or deliveries in the client's presence.2. Explore the protective functions of this behavior.3. Discuss adoption proceedings.4. Take the client to the nursery and show her the baby.

Q: A nurse manager is mentoring a junior nurse. The junior nurse models everything after the manager, and even dresses like the manager. How would the manager address the junior nurse's identification?1. "You can just have a copy of my plans."2. "I appreciate you wanting my help, but these plans have to represent your personal desires and goals."3. "You"re becoming too dependent on me. Can"t you just think for yourself?"4. "I"ll be glad to look over your work after you come up with some of your own ideas."

Q: A home care nurse is teaching an older client about colostomy care. The client's wife is taking charge of the irrigations. Both are very anxious. During the procedure, the wife continually watches the nurse, asking "Is this correct?" and waits for approval before continuing. Both the client and his wife express how glad they are that the nurse is coming and that they don"t know what they will do without the help. Knowing that the goal of care is to promote independence, how will the nurse address these behaviors?Standard Text: Select all that apply.1. Remind the couple that there are only a few visits left.2. Tell the husband he has to do the irrigation.3. Reinforce the wife's competency and the strength of coping as a team.4. Gradually encourage them to do the procedure on their own, while continuing to provide support.5. Recognize this passive behavior and take a firm stand against it.

Q: A client who abuses alcohol states that the client drinks because the client's job is so stressful. Recognizing this as rationalization, the nurse makes a response to the client. The nurse would know treatment was effective when the client says which of the following?1. "Maybe my "just needing a little drink to do my job" has gotten way out of hand."2. "If I took a less stressful job, I wouldn"t have to drink."3. "I can quit drinking whenever I want."4. "Listen, I"m not a drunk, and I don"t have a problem with alcohol."

Q: A team meeting is scheduled to teach nurses about communicating with clients who are using defense mechanisms. The instructor understands that more teaching is needed when a nurse says which of the following?1. "Defense mechanisms are not helpful and must be challenged."2. "People use defense mechanisms every day, though they are not aware of it."3. "Defense mechanisms are used when you feel threatened or anxious."4. "Primitive and early-formed defenses would be stronger and more difficult to change."

Q: A client who abuses alcohol was brought to the hospital as a police hold after a fight with his wife. When the client is sober, the nurse recognizes that the client is using a defensive behavior called rationalization. Which statement did the client make?1. "I don"t remember doing any of those things."2. "The police are always out to get me; I bet they were watching my house."3. "I just needed my space. If she had just left me alone, I wouldn"t have hit her."4. "When my wife comes in, tell her to take the money I left in the hospital safe."

Q: A nurse is leading a support group for girls who were sexually abused by their stepfathers. Each girl made a statement to the group about the experience. The nurse recognizes intellectualization in one of the girls' remarks. Which statement did the girl make?1. "If my mother hadn"t married him, it never would have happened."2. "I can"t remember much of the details."3. "Sexual abuse happens all of the time in families with stepfathers."4. "I don"t think my stepfather meant me any harm."

Q: During a peer group support session, a teenager shares that her little sister destroyed a valued collection of glass animals. Another member of the group says, "I would have killed her." The teenager quickly denies angry feelings towards the little sister and states, "She didn't do it on purpose." This is an example of the defense mechanism of:1. Identification.2. Projection.3. Intellectualization.4. Reaction formation.

Q: A client's progress notes read, "states he does not want to sit or talk with others; they "frighten" him; stays in room alone unless strongly encouraged to come out; no group involvement; at times listens to group from a distance but does not engage in conversation; some hypervigilance and scanning noted." The nurse decides that the client's behavior is defensive and plans care accordingly. Which strategy should the nurse employ?1. Help the client gradually accept realistic goals.2. Help the client identify his fears regarding participating in the group.3. Help the client develop motivation and a plan for group involvement.4. Help the client see that there is a possibility for change.

Q: A client with newly diagnosed breast cancer states that her fate is in God's hands and that she will accept whatever the future holds. The nurse is aware that a sense of coherence helps people cope successfully with life's challenges, but the nurse is concerned about the woman's continuation with medical treatment. What might the nurse think is lacking in this client's coping?1. She does not appear to be demonstrating motivation or feeling about investing time and energy in life.2. She does not seem to have a basic trust that things will work out.3. She seems to have lost hope.4. She is expressing that she does not have the resources to meet the demands of her illness.

Q: Knowing that there is a high rate of smoking in the local community, a nurse decides to lead a community health promotion group and seeks the hospital's backing. The nurse decides to organize the curriculum around the Lazarus Model of Stress. How does this model motivate smoking cessation?1. By helping participants understand the nature of stress as a conflict2. By helping participants understand stressors in their own lives3. By encouraging the exploration of the pros and cons of smoking4. By understanding the negative effects of stress on the body

Q: A nurse is caring for a client with a terminal illness. The client asks if the nurse will pray with the client for the remission of the cancer. The nurse does not practice the same religion and does not believe that a remission is possible at this stage of the disease. The nurse should:1. Gently confront the client about unrealistic expectations that the cancer is going to regress.2. Encourage the client to go ahead, but leave the room while the client prays.3. Call the chaplain and set up a referral for the client's spiritual distress.4. Stand silently for a few moments while the client prays.

Q: A female client comes to the nursing clinic for a routine physical. When asked how she has been doing, she reports that she has been feeling very low since her youngest child left to attend dental school. She indicates that she has told herself to "just get over it" and find something to do. She has been telling herself that feeling so low is foolish since she is happy her daughter got into a good school. Which coping methods does the nurse recognize in the client's statements?Standard Text: Select all that apply.1. Talking it out2. Privately thinking it through3. Seeking comfort4. Using symbolic substitutes5. Relying on self-discipline

Q: A client with diabetes checks blood sugar levels daily and carefully administers insulin, but has not been following a diabetic diet. After discussion with the nurse about the importance of diet, the client states intentions to eat regular meals, get sugar substitute and fresh vegetables, throw out potato chips and cookies, and buy a new nonstick frying pan. The client's behavior is an example of:1. Reappraisal.2. Secondary appraisal.3. Coping.4. Primary appraisal.

Q: A community health nurse meets with a 15-year-old single mother to teach a tube-feeding technique to her infant. The teen's mother is present. The nurse notes that the young mother is hesitant to try the feeding technique and does not ask questions. During the feeding, the teen mother almost drops the feeding tube and is scolded by her mother for being clumsy. Based on this initial information, which nursing diagnosis is most appropriate?1. Anxiety related to lack of knowledge and inexperience2. Ineffective Family Coping related to conflicted daughter"parent relationship and dysfunctional communication3. Social Interaction Impaired related to paternal interference4. Self-Esteem (Low) Situational, related to lack of experience, criticism, and role uncertainty

Q: A nurse has been working with a client who witnessed a traumatic event and is now experiencing panic-level anxiety. The desired outcome is:1. Stated improvement of self-esteem.2. Absence of anxiety.3. Hope for the future.4. Anxiety is maintained at a manageable level.

Q: A nurse wants to assess a client's level of anxiety in order to determine how much of an anti-anxiety drug to administer prior to performing a painful dressing change for a deep tissue burn. Which question would give the nurse the most accurate assessment of the client's level of anxiety?1. Are you ready for this change of dressing?2. Did you find the medication helpful that you received before the dressing change yesterday?3. How are you feeling today?4. On a scale of one to five, with one being none and five being panic, can you rate your level of anxiety right now?

Q: A teen comes to the school nurse to get help with anxiety about singing in front of the school. The teen states, "I just know everyone is going to laugh. What if I sing off-key?" What does the nurse recognize as the teen's source of anxiety?1. Unmet expectations important to self-integrity2. Inability to gain or reinforce self-respect from others3. Discrepancies between self-view and actual behavior4. Anticipated disapproval by significant others

Q: A nurse is caring for a client slated for a cardiac procedure in the morning. Which behavior exhibited by the client would indicate the client is experiencing severe anxiety?1. The client thinks the hospital is a prison and says the jailers have taken the client's clothes.2. The client is reading today's newspaper and makes small talk about a current event.3. The client cannot remember what has been taught about post-operative breathing.4. The client keeps asking about blood clots despite the nurses repeated answers.

Q: The client is a homeless veteran who has been staying at a shelter since discharge after serving in Iraq. The client has become increasingly irritable over the last two weeks and might be evicted from the shelter if the client's behavior does not improve. The nurse learns that the client has not had more than a few hours of sleep in the last two days. Which diagnosis would be most appropriate for this client at this time?1. Sleep pattern disturbance related to anticipation of threat to basic needs and security2. Alteration in self-concept related to survivor guilt3. Potential for self-harm related to irritability secondary to sleeplessness4. Posttraumatic stress disorder related to combat experiences

Q: A client requests vanilla pudding after a day of diagnostic tests and talking to doctors. The client remembers the client's mother always made vanilla pudding when the client was sick. Which types of coping mechanism is the client describing?Standard Text: Select all that apply.1. Using symbolic substitutes2. Privately thinking it through3. Seeking comfort4. Engaging in self-healing mind-body practices5. Talking it out

Q: A nurse is talking with the wife of a client who has terminal cancer. The wife is explaining what an ordeal it has been over the last six months. She states her diabetes is out of control and she feels tired and exhausted all the time. What risks does chronic stress present for the wife?Standard Text: Select all that apply.1. Risk for mental illness2. Risk for fracture3. Risk for stroke or heart attack4. Risk for infection5. Risk for an auto accident

Q: A client diagnosed with a brain tumor is considering whether or not to have surgery after the physician explains that possible responses might include stroke, facial paralysis, and other mobility-limiting events. A few hours after signing the consent form, the client anxiously calls the nurse to withdraw consent, and then reverses the decision again a few moments later. This behavior continues over the next several hours. How should the nurse understand what is going on with this client?1. The client is vacillating regarding the decision for surgery.2. The client does not have adequate information to make a decision.3. The client is refusing surgery.4. The client is undergoing stress.

Q: A nurse is responding to a code on the unit which occurs during the nurse's scheduled lunch time. Racing to the code, the nurse cuts her hand on a sharp doorframe but continues quickly down the hall and begins the code. The fight-flight response to stress has allowed the nurse to do which of the following things?Standard Text: Select all that apply.1. Remember what needed to be done.2. Not feel hungry during the code.3. Notice getting cut in the arm in the rush to respond.4. Resist germs that were trying to get into the cut.5. Get to the scene quickly.

Q: A woman calls the nurse at the mental health clinic about her husband who takes phenelzine (Nardil). She states that he took several over-the-counter decongestants and now has a stiff neck, headache, nausea, and vomiting. The nurse bases her response on what information?1. Agranulocytosis is an adverse reaction that occurs due to the interaction of MAOIs and decongestants.2. MAOIs can trigger a hypertensive crisis if taken with sympathomimetics.3. Flu-like symptoms are common when clients begin taking MAOIs.4. Neuroleptic malignant syndrome presents with muscular rigidity following the ingestion of MAOIs.

Q: The client who is recovering from schizophrenia has just seen the psychiatrist and tells the nurse that the Olanzapine (Zyprexa) is being reduced from 20 mg to 15 mg. This client asks the nurse why the Olanzapine is just not discontinued since the client has not had a hallucination for two months. Which nursing response to the client is correct?1. "I will check your serum level to see if it was too high and the reason for the reduction."2. "This medication is gradually reduced and continued to prevent a relapse."3. "I think that you should call your psychiatrist and ask to discontinue the Olanzapine."4. "The 20 mg of Olanzapine is above the recommended dose and was reduced due to the risk of toxicity."

Q: An older client with mild dementia of the Alzheimer's type is started on donepezil (Aricept). The client's daughter asks the nurse how long it will take for her mother to be cured. Which response by the nurse is correct?1. Cure rates vary by individuals and will take about six weeks to determine.2. It takes about two weeks for the neurochemical cure to occur.3. As long as she continues to take the medication, she will be symptom-free but not cured.4. The medication will improve her memory but not cure the dementia.