144 Unit 2 Practice

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Rockland Community College, SUNY *

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144

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Nursing

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Apr 29, 2024

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1. Which therapeutic communication technique involves repeating the client's main idea to encourage further discussion? a) Reflection b) Clarification c) Paraphrasing d) Summarization *4. What is a primary symptom of major depressive disorder? a) Delusions b) Hallucinations c) Persistent sadness or low mood d) Disorganized speech 5. When working with a client who has borderline personality disorder, which nursing intervention is essential? a) Setting strict limits and boundaries b) Allowing the client to manipulate staff to maintain rapport c) Encouraging the client to engage in impulsive behaviors d) Providing consistent and predictable care 6. Which of the following is a potential side effect of antipsychotic medications? a) Increased libido b) Weight loss c) Extrapyramidal symptoms d) Hypertension 7. Which nursing action is essential when caring for a client who is experiencing a panic attack? a) Encouraging the client to breathe rapidly to relieve symptoms b) Providing a quiet, calm environment c) Administering a sedative medication immediately d) Restraining the client to prevent self-harm 8. Which nursing intervention is appropriate for a client experiencing acute mania? a) Allowing the client to make impulsive decisions b) Encouraging the client to engage in group activities c) Providing structured activities to channel energy d) Administering a benzodiazepine to induce sleep 9. A client with obsessive-compulsive disorder (OCD) engages in repeated handwashing rituals. What is the most appropriate nursing intervention? a) Allowing the client to continue the ritual to alleviate anxiety b) Confronting the client about the irrationality of the behavior c) Encouraging the client to gradually decrease the frequency of handwashing d) Instructing the client to stop the ritual immediately

11. A client with bipolar disorder is experiencing a manic episode. Which nursing intervention takes priority? a) Allowing the client to sleep as much as desired b) Limiting physical activity to conserve energy c) Ensuring the client's safety and preventing harm d) Administering antipsychotic medication immediately 14. When assessing a client with anorexia nervosa, which finding requires immediate intervention? a) Preoccupation with food and body image b) Excessive exercise regimen c) Bradycardia and hypotension d) Engaging in binge eating followed by purging 16. A client diagnosed with schizophrenia is prescribed clozapine. Which assessment finding warrants immediate action? a) Increased appetite b) Elevated mood c) Sore throat and fever d) Decreased auditory hallucinations 17. Which cognitive-behavioral technique is commonly used to help clients with generalized anxiety disorder (GAD) manage excessive worry? a) Thought stopping b) Exposure therapy c) Reality testing d) Mindfulness meditation 18. Which nursing intervention is essential when caring for a client with borderline personality disorder (BPD) during a crisis? a) Setting firm limits on behavior b) Avoiding emotional expression c) Allowing the client to make impulsive decisions d) Implementing consistent and predictable routines 19. Which assessment finding is consistent with a diagnosis of antisocial personality disorder (ASPD)? a) Excessive fear of criticism or rejection b) Lack of empathy and disregard for others' rights c) Preoccupation with orderliness and perfectionism d) Intense fear of abandonment and unstable relationships

20. Which nursing action is appropriate when caring for a client experiencing opioid withdrawal? a) Administering naloxone to reverse opioid effects b) Providing a quiet and dimly lit environment c) Encouraging increased opioid use to prevent withdrawal symptoms d) Monitoring vital signs and providing comfort measures 21. A client diagnosed with schizophrenia is prescribed risperidone. Which assessment finding should the nurse monitor closely? a) Elevated blood glucose levels b) Decreased white blood cell count c) Increased urinary output d) Orthostatic hypotension 22. Which nursing intervention is appropriate for a client experiencing acute alcohol withdrawal? a) Administering benzodiazepines to induce sleep b) Allowing unrestricted access to fluids c) Encouraging the client to engage in vigorous exercise d) Implementing seizure precautions and monitoring for signs of delirium tremens 23. A client with bulimia nervosa asks the nurse about the potential complications of frequent purging. Which complication should the nurse prioritize in the response? a) Bradycardia b) Hypokalemia c) Hypertension d) Hypernatremia 24. When working with a client diagnosed with histrionic personality disorder (HPD), which nursing approach is most appropriate? a) Encouraging the client to seek attention-seeking behaviors b) Setting clear and consistent boundaries c) Allowing the client to dominate group therapy sessions d) Confronting the client about manipulative behaviors 26. Which nursing intervention is essential when caring for a client diagnosed with dissociative identity disorder (DID)? a) Encouraging the client to maintain a consistent sense of self b) Exploring past traumas to integrate alters c) Providing education about the disorder to the client's family d) Ensuring safety and monitoring for self-harm or suicide risk 27. A client with borderline personality disorder (BPD) exhibits self-injurious behaviors. Which nursing intervention is the priority? a) Implementing a behavior modification plan

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b) Administering antipsychotic medication c) Providing a safe environment and closely monitoring the client d) Allowing the client to engage in self-injurious behaviors as a coping mechanism 31. Which assessment finding indicates a potential side effect of tricyclic antidepressants (TCAs)? a) Weight loss b) Hypotension c) Photosensitivity d) Dry mouth 32. When caring for a client with a history of self-harm, which nursing intervention takes priority? a) Encouraging the client to explore the underlying emotions behind self-harm behaviors b) Implementing safety measures to prevent self-harm and providing constant supervision c) Allowing the client to engage in self-harm as a coping mechanism d) Confronting the client about the consequences of self-harm 33. Which therapeutic approach is commonly used to help individuals with substance use disorders develop motivation to change? a) Cognitive-behavioral therapy (CBT) b) Dialectical behavior therapy (DBT) c) Motivational interviewing (MI) d) Psychodynamic therapy 34. A client diagnosed with schizophrenia is experiencing extrapyramidal symptoms (EPS). Which medication is most likely responsible for these symptoms? a) Clozapine b) Sertraline c) Haloperidol d) Venlafaxine 35. A client diagnosed with post-traumatic stress disorder (PTSD) experiences intrusive memories and nightmares related to a traumatic event. Which nursing intervention is appropriate? a) Encouraging avoidance of triggers to prevent distress b) Teaching relaxation techniques to manage anxiety c) Providing constant reassurance to alleviate fear d) Administering anxiolytic medication to suppress symptoms 38. When assessing a client with borderline personality disorder (BPD), which symptom should the nurse expect to observe? a) A pervasive distrust and suspiciousness of others b) A pattern of disregard for and violation of the rights of others c) Intense and unstable interpersonal relationships

d) An excessive need to be taken care of 40. A client diagnosed with bipolar disorder is prescribed lithium carbonate. Which electrolyte imbalance should the nurse monitor for during therapy? a) Hypokalemia b) Hypernatremia c) Hyponatremia d) Hyperkalemia 41. A client expresses feelings of worthlessness and hopelessness during a therapy session. Which therapeutic response by the nurse demonstrates empathy? a) "You shouldn't feel that way. You have so much going for you." b) "I understand that you're feeling worthless and hopeless right now." c) "Why do you think you feel this way?" d) "Let's focus on the positive things in your life instead." 42. During a group therapy session, a client begins to express anger toward another group member. Which therapeutic communication technique should the nurse use to facilitate constructive dialogue? a) Reflection b) Silence c) Interpretation d) Active listening 43. A client with anxiety expresses difficulty in controlling racing thoughts. Which therapeutic technique should the nurse use to assist the client in managing anxiety? a) Offering reassurance b) Providing distraction c) Encouraging relaxation techniques d) Using confrontation 44. A client diagnosed with schizophrenia tells the nurse, "I hear voices telling me to hurt myself." Which therapeutic response is most appropriate? a) "You don't really hear voices. It's just your imagination." b) "That must be frightening. Let's talk more about what the voices are saying." c) "You need to stop listening to those voices. They're not real." d) "I don't believe you. You're making this up for attention." 45. A client with depression says, "I'm worthless and I have nothing to live for." Which therapeutic response by the nurse demonstrates empathy and validates the client's feelings? a) "I think you're being too hard on yourself. You have people who care about you." b) "I understand that you're feeling worthless and hopeless right now." c) "Why do you think you're feeling this way?" d) "Let's focus on finding solutions rather than dwelling on negative thoughts."

46. A client with bipolar disorder expresses frustration about medication side effects during a medication education session. Which therapeutic communication technique should the nurse use to address the client's concerns? a) Offering advice b) Providing false reassurance c) Exploring the client's feelings d) Changing the subject 47. A client with borderline personality disorder becomes agitated and starts yelling during a therapy session. Which therapeutic communication technique should the nurse use to de-escalate the situation? a) Reflection b) Active listening c) Providing feedback d) Setting limits 48. A client diagnosed with anorexia nervosa refuses to eat meals as part of the treatment plan. Which therapeutic communication technique should the nurse use to explore the client's reasons for non-compliance? a) Offering advice b) Providing reassurance c) Using silence d) Asking open-ended questions 49. A client diagnosed with substance use disorder expresses guilt and remorse over past actions while under the influence of drugs. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You shouldn't dwell on the past. It's important to focus on the present." b) "Everyone makes mistakes. You need to forgive yourself and move on." c) "I understand that you're feeling guilty about what happened." d) "You shouldn't feel guilty. It's not entirely your fault." 50. A client with schizophrenia experiences delusions of persecution and feels paranoid in social situations. Which therapeutic response by the nurse demonstrates empathy and validation? a) "I don't think anyone is out to get you. You're just overreacting." b) "I understand that you feel paranoid in social situations. Let's explore coping strategies together." c) "Why do you think people are always plotting against you?" d) "You need to realize that your beliefs are irrational. There's nothing to be afraid of."

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51. A client with depression tells the nurse, "I don't see the point in living anymore." Which therapeutic response demonstrates empathy and validation? a) "You're just going through a rough patch. Things will get better soon." b) "You shouldn't say things like that. You have people who care about you." c) "It sounds like you're feeling really hopeless right now." d) "Let's focus on finding solutions to your problems." 52. During a therapy session, a client expresses anger towards their family members for not understanding their struggles. Which therapeutic response by the nurse demonstrates empathy? a) "You need to stop blaming others for your problems." b) "Why do you think your family doesn't understand you?" c) "I understand that you feel frustrated with your family's lack of support." d) "Have you tried talking to your family about how you feel?" 53. A client diagnosed with bipolar disorder experiences mood swings and impulsivity. Which therapeutic communication technique should the nurse use to help the client identify triggers for mood changes? a) Offering advice b) Providing reassurance c) Exploring the client's feelings d) Asking open-ended questions 54. A client with schizophrenia tells the nurse, "I hear voices telling me I'm worthless." Which therapeutic response demonstrates empathy and validation? a) "Those voices aren't real. You need to ignore them." b) "I don't believe you. You're just imagining things." c) "That must be distressing. Let's talk more about what the voices are saying." d) "You shouldn't listen to those voices. They're not telling you the truth." 55. A client diagnosed with generalized anxiety disorder (GAD) expresses worries about an upcoming job interview. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You're overreacting. It's just a job interview." b) "You shouldn't worry so much. Everything will be fine." c) "I understand that you're feeling anxious about the interview." d) "Let's focus on something else to distract you from your worries." 56. A client with borderline personality disorder becomes upset during a therapy session and starts self-harming. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You need to stop hurting yourself. It's not going to solve anything." b) "Why do you always resort to self-harm when you're upset?" c) "I understand that you're feeling overwhelmed right now."

d) "Let's focus on the positive things in your life instead of dwelling on negative feelings." 57. A client diagnosed with PTSD experiences flashbacks and nightmares related to a traumatic event. Which therapeutic communication technique should the nurse use to help the client manage distressing symptoms? a) Offering advice b) Providing reassurance c) Encouraging relaxation techniques d) Using confrontation 58. A client diagnosed with anorexia nervosa expresses fear of gaining weight. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You shouldn't worry about your weight. You look fine." b) "Why are you so afraid of gaining weight?" c) "I understand that gaining weight is a scary thought for you." d) "Let's focus on the importance of maintaining a healthy weight." 59. A client with social anxiety disorder avoids social situations due to fear of embarrassment. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You shouldn't let your fears control your life." b) "Have you tried confronting your fears by attending social events?" c) "I understand that you feel anxious in social situations." d) "Let's focus on building your confidence so you can overcome your fears." 60. A client diagnosed with obsessive-compulsive disorder (OCD) exhibits compulsive handwashing rituals. Which therapeutic response by the nurse demonstrates empathy and validation? a) "You need to stop washing your hands excessively. It's not healthy." b) "Why do you think you feel the need to wash your hands so often?" c) "I understand that you feel anxious and that washing your hands helps relieve your anxiety." d) "Let's focus on finding ways to distract yourself from the urge to wash your hands." *61. Which neurotransmitter imbalance is commonly associated with schizophrenia? a) Serotonin b) Dopamine c) GABA (gamma-aminobutyric acid) d) Acetylcholine *62. Which symptom of schizophrenia involves false beliefs that are firmly held despite evidence to the contrary? a) Hallucinations b) Disorganized speech c) Delusions

d) Catatonia 63. A client with schizophrenia is experiencing auditory hallucinations commanding self-harm. Which type of hallucination is this? a) Visual b) Gustatory c) Olfactory d) Auditory 64. Which subtype of schizophrenia is characterized by prominent delusions or auditory hallucinations but without disorganized speech or catatonic behavior? a) Paranoid schizophrenia b) Disorganized schizophrenia c) Catatonic schizophrenia d) Undifferentiated schizophrenia *65. A client with schizophrenia exhibits disorganized speech patterns that include shifting from one topic to another without a logical connection. This symptom is known as: a) Tangentiality b) Neologism c) Circumstantiality d) Loose associations *66. A client with schizophrenia is prescribed clozapine. Which laboratory parameter should the nurse monitor closely due to the potential side effect of this medication? a) Blood glucose levels b) White blood cell count c) Serum electrolytes d) Liver function tests 67. Which type of schizophrenia symptom involves a decrease in or absence of normal behavior? a) Positive symptoms b) Negative symptoms c) Cognitive symptoms d) Affective symptoms *69. Which medication is commonly used to treat both positive and negative symptoms of schizophrenia? a) Lorazepam b) Risperidone c) Diazepam d) Buspirone

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*70. A client with schizophrenia experiences a sudden onset of catatonia, including stupor and mutism. Which nursing intervention is the priority? a) Administering a sedative medication b) Providing a quiet and calm environment c) Administering an antipsychotic medication d) Initiating physical restraints to ensure safety *71. Which neurotransmitter imbalance is commonly associated with anxiety disorders? a) Serotonin b) Dopamine c) GABA (gamma-aminobutyric acid) d) Acetylcholine 73. Which type of anxiety disorder is characterized by recurrent unexpected panic attacks and persistent concern about having additional attacks? a) Generalized anxiety disorder (GAD) b) Panic disorder c) Social anxiety disorder d) Obsessive-compulsive disorder (OCD) 79. Which assessment finding is consistent with a diagnosis of panic disorder? a) Excessive worry about being embarrassed in social situations b) Fear of specific objects or situations, such as spiders or heights c) Recurrent unexpected panic attacks d) Intrusive thoughts and repetitive behaviors *80. A client with anxiety experiences physical symptoms such as palpitations, sweating, trembling, and shortness of breath. These symptoms are characteristic of a: a) Panic attack b) Phobia c) Obsession d) Compulsion *1. Which nursing intervention is essential for promoting a therapeutic nurse-client relationship in mental health care? a) Administering psychotropic medications b) Providing psychoeducation about the disorder c) Using therapeutic communication techniques d) Implementing physical restraints for safety *2. A client with depression expresses feelings of hopelessness and suicidal ideation. Which nursing intervention takes priority? a) Encouraging the client to engage in social activities

b) Administering anxiolytic medication c) Conducting a comprehensive suicide risk assessment d) Providing relaxation techniques for stress management *3. When caring for a client with schizophrenia who experiences auditory hallucinations, which nursing intervention is most appropriate? a) Encouraging the client to ignore the hallucinations b) Administering antipsychotic medication as prescribed c) Confronting the client about the irrationality of the hallucinations d) Using distraction techniques to divert the client's attention 4. A client with anxiety disorder exhibits hyperventilation and panic attacks. Which nursing intervention is beneficial for managing acute anxiety symptoms? a) Encouraging deep breathing exercises b) Administering benzodiazepines for sedation c) Providing cognitive restructuring therapy d) Implementing exposure therapy for desensitization *5. A client diagnosed with bipolar disorder experiences a manic episode characterized by impulsivity and agitation. Which nursing intervention is appropriate for maintaining safety? a) Allowing the client to engage in risky behaviors to release pent-up energy b) Establishing consistent routines and limits to prevent excessive stimulation c) Administering antipsychotic medication to induce sleep d) Encouraging the client to express feelings through creative activities *6. When caring for a client with dementia who exhibits agitation and aggression, which nursing intervention is effective in de-escalating behavior? a) Using physical restraints to prevent harm to self or others b) Administering antipsychotic medication as a first-line treatment c) Providing a calm and structured environment with familiar routines d) Ignoring the client's behavior until it subsides naturally *8. When caring for a client with anorexia nervosa who refuses to eat meals, which nursing intervention is appropriate? a) Allowing the client to skip meals to maintain control b) Administering tube feedings to ensure adequate nutrition c) Using positive reinforcement to encourage compliance with meal plans d) Implementing strict dietary restrictions to promote weight gain 9. A client with borderline personality disorder engages in self-injurious behaviors as a coping mechanism. Which nursing intervention is essential for promoting safety? a) Encouraging the client to continue self-harming as a means of expression b) Providing a safe environment and close supervision to prevent self-injury c) Administering antipsychotic medication to reduce impulsivity

d) Confronting the client about the negative consequences of self-injury *1. A client with schizophrenia is prescribed risperidone. Which nursing intervention is essential for monitoring the client's response to risperidone therapy? a) Monitoring the client's serum electrolyte levels b) Assessing the client's blood pressure before administration c) Checking the client's serum lithium levels d) Monitoring for extrapyramidal side effects 2. A client with major depressive disorder is prescribed fluoxetine (Prozac). Which nursing intervention is crucial for monitoring the client's response to fluoxetine therapy? a) Assessing the client's liver function tests b) Monitoring the client's serum sodium levels c) Administering the medication with food to enhance absorption d) Monitoring for signs of serotonin syndrome *4. A client with generalized anxiety disorder is prescribed lorazepam (Ativan). Which nursing intervention is crucial for monitoring the client's response to lorazepam therapy? a) Assessing the client's serum cholesterol levels b) Monitoring the client's serum potassium levels c) Administering the medication with food to prevent gastric irritation d) Monitoring for signs of respiratory depression 6. A client with schizophrenia is prescribed clozapine. Which nursing intervention is essential for monitoring the client's response to clozapine therapy? a) Monitoring the client's serum potassium levels b) Assessing the client's fasting blood glucose levels c) Administering the medication with a high-fat meal to enhance absorption d) Monitoring the client's absolute neutrophil count (ANC) 1. Milieu therapy is best defined as: a) Pharmacological treatment of mental illness b) A therapeutic environment that promotes healing and growth c) Individual therapy sessions with a mental health professional d) Family therapy focused on resolving interpersonal conflicts *2. Which of the following is a key principle of milieu therapy? a) Encouraging isolation and withdrawal from the therapeutic community b) Allowing unrestricted access to potentially harmful objects c) Establishing clear boundaries and expectations within the environment d) Limiting client participation in decision-making processes 3. In a therapeutic milieu, staff members aim to: a) Impose strict rules and regulations on clients

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b) Maintain a hierarchical power structure c) Foster a sense of community and mutual support among clients d) Discourage social interaction and collaboration 4. Which nursing intervention is consistent with milieu therapy principles? a) Administering medications as prescribed without client input b) Facilitating group activities and discussions to promote socialization c) Restraining clients who exhibit disruptive behavior d) Limiting client access to recreational activities and leisure time 5. Which statement best describes the role of the nurse in milieu therapy? a) Enforcing strict adherence to hospital policies and procedures b) Providing individual counseling to clients on an as-needed basis c) Serving as a role model for healthy coping and interpersonal skills d) Isolating clients who exhibit challenging behaviors from the therapeutic community *6. Which aspect of the therapeutic milieu is essential for promoting a sense of safety and security? a) Allowing unrestricted access to personal belongings b) Implementing consistent and fair consequences for rule violations c) Encouraging staff members to maintain emotional distance from clients d) Establishing clear boundaries and expectations for behavior 7. In a therapeutic milieu, the physical environment should be: a) Chaotic and disorganized to mirror clients' internal struggles b) Brightly lit with loud music to stimulate sensory experiences c) Calm, structured, and conducive to relaxation and reflection d) Isolated and devoid of social interaction opportunities 8. Which statement best reflects the role of the client in a therapeutic milieu? a) Clients have limited input into decision-making processes. b) Clients are passive recipients of treatment interventions. c) Clients actively participate in their own treatment planning and implementation. d) Clients rely solely on staff members for emotional support and guidance. *9. A client expresses frustration with a fellow group member during a therapy session. Which nursing intervention promotes therapeutic communication and conflict resolution within the milieu? a) Ignoring the client's expression of frustration b) Encouraging the client to confront the group member aggressively c) Facilitating a group discussion to address the conflict constructively d) Isolating the client from the group to prevent further conflict

*10. Which aspect of milieu therapy is essential for promoting client empowerment and autonomy? a) Enforcing rigid rules and restrictions on client behavior b) Providing opportunities for clients to make choices and decisions c) Minimizing client participation in treatment planning and goal-setting d) Discouraging self-expression and assertiveness among clients *A nurse is caring for a client with a neurological disorder affecting the cerebellum. Which assessment finding is characteristic of cerebellar dysfunction? a) Visual disturbances such as blurred vision b) Diﬃculty with fine motor coordination and balance c) Sensory deficits such as numbness or tingling d) Changes in speech production and articulation *1. A client with bipolar disorder is experiencing a manic episode characterized by elevated mood, increased energy, and decreased need for sleep. Which nursing intervention is a priority during the acute phase of mania? a) Encouraging the client to engage in physical activities to expend excess energy b) Providing a quiet, low-stimulation environment to promote rest and relaxation c) Allowing the client to make impulsive decisions to maintain a sense of control d) Administering benzodiazepines to induce sedation and calmness *2. A client with bipolar disorder is prescribed lithium carbonate. Which nursing intervention is essential for monitoring the client's response to lithium therapy? a) Assessing the client's fasting blood glucose levels b) Monitoring the client's serum potassium levels c) Checking the client's serum lithium levels d) Administering calcium supplements with meals *3. A client with bipolar disorder is experiencing a depressive episode characterized by feelings of sadness, hopelessness, and lethargy. Which nursing intervention is appropriate for managing depressive symptoms? a) Encouraging the client to engage in creative activities to distract from negative thoughts b) Allowing the client to isolate themselves to process their emotions independently c) Administering stimulant medications to increase energy levels d) Providing a structured daily routine to promote stability and predictability 1. What does the duty to warn refer to in nursing practice? a) The obligation to provide appropriate care to all patients b) The legal responsibility to disclose confidential information to protect individuals from harm c) The requirement to obtain informed consent before performing any medical procedure d) The ethical duty to maintain professional boundaries with patients

2. In which situation would the duty to warn be applicable for a nurse? a) A client refuses to comply with their medication regimen b) A client discloses intentions to harm themselves during a therapy session c) A client requests to have their medical records released to a family member d) A client expresses dissatisfaction with the quality of care received *4. If a nurse becomes aware that a client has made credible threats of harm to others, what is the appropriate action according to the duty to warn? a) Document the information in the client's medical record and take no further action b) Notify the client's family members to ensure they are aware of the situation c) Report the threat to the appropriate authorities or individuals at risk d) Discuss the matter with the client to explore alternative coping strategies 5. Which statement best describes the primary goal of the duty to warn? a) To punish clients for their thoughts or intentions b) To protect the confidentiality of clients' personal information c) To prevent harm to individuals who may be at risk of harm from a client d) To restrict clients' autonomy and freedom of expression 1. During the working stage of the nurse-patient relationship, the nurse primarily focuses on: a) Building trust and rapport with the patient b) Setting boundaries and establishing goals for therapy c) Providing emotional support and validation to the patient d) Terminating the therapeutic relationship 2. Which action by the nurse is characteristic of the working stage of the nurse-patient relationship? a) Discussing the patient's past experiences and childhood trauma b) Exploring the patient's feelings and perceptions about their current situation c) Establishing rules and guidelines for behavior in the therapeutic setting d) Conducting a comprehensive assessment of the patient's physical health status 3. In the working stage of the nurse-patient relationship, the nurse uses therapeutic communication techniques to: a) Persuade the patient to comply with treatment recommendations b) Educate the patient about their medical condition and treatment options c) Explore the patient's thoughts, feelings, and behaviors in-depth d) Provide reassurance and comfort to alleviate the patient's distress 4. Which statement best describes the role of the nurse during the working stage of the nurse-patient relationship? a) The nurse acts as an authority figure who directs the patient's behavior. b) The nurse provides unconditional positive regard and acceptance to the patient.

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c) The nurse collaborates with the patient to identify and address therapeutic goals. d) The nurse focuses on resolving the patient's immediate crisis or problem. 5. What is the primary goal of the working stage of the nurse-patient relationship? a) To establish a strong emotional bond between the nurse and patient b) To provide the patient with practical solutions to their problems c) To facilitate the patient's self-exploration and personal growth d) To enforce rules and regulations to maintain order in the therapeutic environment *1. A nurse finds themselves feeling excessively angry and frustrated when caring for a patient with a history of substance abuse, as the patient frequently refuses treatment recommendations. This is an example of: a) Transference b) Countertransference c) Empathy d) Compassion fatigue *2. During a therapy session, a patient with a history of childhood trauma expresses strong feelings of attachment and admiration toward the nurse, often seeking their approval and validation. This is an example of: a) Transference b) Countertransference c) Projection d) Displacement 3. A nurse notices they are experiencing feelings of intense guilt and responsibility when caring for a patient who reminds them of a close friend who passed away from a similar illness. This is an example of: a) Transference b) Countertransference c) Rationalization d) Regression 4. A nurse becomes overly protective and nurturing toward a patient who reminds them of their younger sibling, often going above and beyond to meet the patient's needs. This is an example of: a) Transference b) Countertransference c) Sublimation d) Intellectualization 5. A nurse realizes they are feeling anxious and avoiding interactions with a patient who displays aggressive behavior, as the patient's demeanor reminds them of a traumatic experience from their past. This is an example of:

a) Transference b) Countertransference c) Reaction formation d) Denial *1. Akathisia is best described as: a) A state of intense happiness and euphoria b) A movement disorder characterized by restlessness and an inability to sit still c) A cognitive distortion involving beliefs of grandiosity and superiority d) A type of hallucination involving tactile sensations on the skin 2. Which class of psychiatric medications is most commonly associated with the development of akathisia? a) Antipsychotics b) Antidepressants c) Anxiolytics d) Mood stabilizers 4. Which statement best describes the subjective experience of a client experiencing akathisia? a) The client reports feeling sad and tearful for no apparent reason b) The client describes a sense of inner tension and an urge to move constantly c) The client experiences visual or auditory hallucinations d) The client expresses irrational fears and beliefs about being persecuted 1. When considering the use of restraints for a mentally ill patient, the nurse's priority action should be to: a) Obtain informed consent from the patient or their legal guardian. b) Seek approval from the patient's family members before proceeding. c) Conduct a comprehensive assessment to explore alternative interventions. d) Apply the restraints immediately to prevent the patient from causing harm. *2. Which statement regarding the use of physical restraints in mental health care is accurate? a) Restraints are always the first-line intervention for managing aggressive behavior. b) Restraints should be applied as a punishment for noncompliant behavior. c) Restraints should only be used when less restrictive interventions have failed. d) Restraints can be applied without physician orders in emergency situations. 3. The nurse is assessing a patient who has been placed in physical restraints. What is the priority nursing assessment? a) Assessing the patient's level of discomfort and pain. b) Monitoring the patient's vital signs and circulation. c) Documenting the duration and reason for restraint use. d) Evaluating the patient's response to medication administration.

*4. A mentally ill patient is agitated and exhibiting violent behavior toward staff members. The nurse decides to apply physical restraints. What is the nurse's next action? a) Apply the restraints and leave the patient alone to calm down. b) Notify the healthcare provider and obtain an order for restraint use. c) Administer a sedative medication to the patient before applying restraints. d) Call for assistance from other staff members to help with the restraint application. 1. A client prescribed lorazepam PRN for agitation is still exhibiting signs of distress 30 minutes after administration. What should the nurse do first? - a) Offer the client a snack - b) Reassess the client's vital signs - c) Administer another dose of lorazepam - d) Engage the client in deep breathing exercises 2. A client receiving haloperidol for psychosis exhibits involuntary movements of the face and tongue. What is the nurse's initial action? - a) Administer a dose of diphenhydramine - b) Document the findings and continue to monitor - c) Increase the dose of haloperidol - d) Notify the healthcare provider *3. A client on fluoxetine for depression reports feelings of restlessness and an inability to sit still. What intervention should the nurse prioritize? - a) Encourage the client to engage in physical exercise - b) Administer a dose of lorazepam - c) Increase the dose of fluoxetine - d) Assess for signs of serotonin syndrome *5. A client prescribed risperidone for schizophrenia develops a fever, muscle rigidity, and altered mental status. What is the nurse's priority action? - a) Administer acetaminophen for fever reduction - b) Document the findings and continue to monitor - c) Prepare to administer a dose of lorazepam - d) Notify the healthcare provider immediately *1. Somatic symptom disorder is characterized by: a) Persistent physical symptoms with no identifiable medical cause b) Acute onset of severe physical pain c) Frequent episodes of fainting or loss of consciousness d) Exaggerated responses to minor injuries or illnesses 2. The primary nursing intervention for a client with somatic symptom disorder is to: a) Refer the client to a specialist for further diagnostic testing

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b) Validate the client's symptoms and provide empathetic support c) Administer pain medications to alleviate physical discomfort d) Encourage the client to engage in strenuous physical activity to distract from symptoms *3. Which statement best describes the cognitive-behavioral approach to treating somatic symptom disorder? a) Encouraging clients to focus solely on their physical symptoms b) Helping clients identify and challenge maladaptive thoughts and beliefs about their health c) Prescribing medications to suppress physical symptoms d) Using relaxation techniques to alleviate physical tension and discomfort 5. The nurse is caring for a client diagnosed with somatic symptom disorder. Which therapeutic communication technique is most appropriate for addressing the client's concerns? a) Minimizing the significance of the client's symptoms b) Encouraging the client to focus solely on physical explanations for symptoms c) Validating the client's distress and exploring underlying emotions d) Dismissing the client's complaints as attention-seeking behavior 1. A client diagnosed with schizophrenia refuses to take prescribed medication due to paranoid delusions about its harmful effects. What is the nurse's initial action? a) Administer the medication covertly to ensure compliance. b) Respect the client's autonomy and explore their concerns. c) Forcefully restrain the client and administer the medication. d) Convince the client that the medication is necessary for their well-being. 3. A client with a history of substance abuse becomes agitated and aggressive when denied access to drugs or alcohol. What is the nurse's immediate action? a) Administering a sedative medication to calm the client. b) Calling security to restrain the client and prevent harm to others. c) Explaining the consequences of aggressive behavior and setting limits. d) Allowing the client to leave the facility to obtain substances to prevent escalation. 4. A client diagnosed with major depressive disorder expresses suicidal ideation and refuses to engage in therapy or attend group sessions. What is the nurse's priority intervention? a) Initiating one-to-one observation to monitor the client's safety. b) Coercing the client into attending therapy sessions against their will. c) Discharging the client from the facility due to non-compliance. d) Encouraging the client to participate in recreational activities to improve mood. 5. A client diagnosed with anorexia nervosa refuses to eat and continues to lose weight despite nutritional counseling and support. What is the nurse's priority intervention? a) Forcing the client to consume food to prevent further weight loss. b) Encouraging the client to explore underlying emotional issues related to their eating disorder.

c) Administering enteral nutrition to ensure adequate caloric intake. d) Allowing the client to dictate their own meal plan and eating schedule. Feel free to ask for explanations or if you need the answers!

144 Unit 2 Practice

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