d.
Resist any change in behavior
Wednesday, September 26, 2007
Nursing Practice Test V
Situation: The nurse is interviewing a
handsome man. He is intelligent and very
charming. When asked about his family, he
states he has been married four times. He
says three of those marriages were
"shotgun" weddings. He states he never
really loved any of his wives. He doesn't
know much about his three children. "I've
lost track," he states.
1. If a patient is very resistant in taking
responsibility of his action and asks,
"Can you just give me some
medication?" the best response is:
a. "The medication has too many side
effects."
b. You don't want to take medication, do
you?"
c. Medication is given only as a East resort."
d. "There is no medication specific for your
condition."
2. The patient asks the nurse, "What is
this therapy for anyway. I just don't
understand it." the best reply is:
a. "It keeps you from being put on
medications."
b. "It helps you to change others in the
family."
c. "The purpose of therapy is to help you
change."
d. "No one but professionals can really
understand
3. For patient in group therapy, the goal
is:
a. Exchanging information and ideas
b. Developing insight by relating to others
c. Learning that everyone has problems
d. All of the above
4. In planning care for the patient with a
personality disorder, the nurse realizes
that this patient will most likely:
a. Not need long-term therapy
b. Not require medication
c. Require anti-anxiety medication
5. The person with an antisocial
personality is participating in therapy
while a patient at a psychiatric hospital.
The nurse’s expectations are that he will:
a. Make a complete recovery
b. Make significant changes
c. Begin the slow process of change
d. Make few changes, if any
6. One of the reasons that persons with
antisocial personalities may marry
repeatedly or get into trouble with legal
authorities is:
a. They usually just don't care
b. They are borderline mentally retarded
c. They are too psychotic to see what’s
going on
d. They do not learn from past mistakes
7. The nurse recognizes that these are
traits of:
a. Bipolar disorder
b. Alcoholic personality
c. Antisocial personality
d. Borderline personality
Situation: The patient with bipolar disorder is
pacing continuously and is skipping meals.
8. Blood levels are drawn on the patient
who has been taking Lithium for about
six months. The present level is 2.1
meq/L. The nurse evaluates this level as:
a. Therapeutic
b. Below therapeutic
c. Potentially dangerous
d. Fatally toxic
9. The priority in working with patient a
thought disorder is:
a. Get him to understand what you're saying
b. Get him to do his ADLs
c. Reorient him to reality
d. Administer antipsychotic medications
10. The most recent Lithium level on
bipolar patient indicates a drop non-
therapeutic level. What associated
behavior does the nurse assess?

a. Ataxia
b. Confusion
c. Hyperactivity
d. Lethargy
11. Adequate fluid intake for a patient on
Lithium is:
a. 1,000 ml per day
b. 1,500 ml per day
c. 2,000 ml per day
d. 3,600 ml per day
12. The physician orders Lithium
carbonate for the bipolar patient. The
nurse is aware that:
a. The patient should be put on a special
diet
b. The medication should be given only at
night
c. A salt-free should be provided for the
patient
d. The drug level should be monitored
regularly
13. The nursing plan should emphasize:
a. Offering him finger foods
b. Telling him he must sit down and eat
c. Serving food in his room and staying with
him
d. Telling him to order fast food of he wants
to eat
Situation: Anna, 25 years old was raped six
months ago states, "I just can't seem to get
over this. My husband and I don't even have
sex anymore. What can I do?"
14. Supportive therapy to the rape victim
is directed at overwhelming feeling that
the victim experiences just after the rape
has occurred?
a. Guilt
b. Rage
c. Damaged
d. Despair
15. Anna asks, "Why do I need to have
pelvic exam?" The nurse explains:
a. "To make sure you're not pregnant."
b. "To see if you got an infection."
c. "To make sure you were really raped."
d. "To gather legal evidence that is
required."
16. In providing support therapy, the
nurse explains that rape has nothing to
do with sexual desires or heeds. The two
most common elements in rape are:
a. Guilt and shame
b. Shame and jealousy
c. Embarrassment and envy
d. Power and anger
17. The rape victim will not talk, is
withdrawn and depressed. The defensive
mechanism being used is:
a. Rationalization
b. Denial
c. Repression
d. Regression
18. The composite picture of rape victim
reveals that most victimized women are:
a. Secretaries
b. Elderly
c. Students
d. Professionals
19. The best intervention is:
a. Tell her it just takes a long time
b. Ask her if her husband is angry
c. Refer her and her husband to sex therapy
d. Tell her she is suffering PTSD
Situation: Obsessions are recurring thoughts
that become prevalent in the consciousness
and may be considered as senseless or
repulsive white compulsion are the repetitive
acts that follow obsessive thoughts.
20. To understand the meaning of the
cleaning rituals, the nurse must realize:
a. The patient cannot help herself
b. The patient cannot change
c. Rituals relieve intense anxiety
d. Medications cannot help
21. Upon admission to the hospital the
patient increases the ritual behavior at
bedtime. She cannot sleep. The treatment
plan should include:

a. Recommending a sedative medication
b. Modifying the routine to diminish her
bedtime anxiety
c. Reminding her to perform rituals early in
the evening
d. Limit the amount of time she spends
washing her hands
22. A patient has been diagnosed with a
personality disorder with .compulsive
traits. Of the following behavior's, which
one would you expect the patient to
exhibit?
a. Inability to make decisions
b. Spontaneous playfulness
c. Inability to alter plans
d. Insistence that things be done his way
23. The patient will not be able to stop
her compulsive washing routines until
she:
a. Acquires more superego
b. Recognizes the behavior is unrealistic
c. No longer needs them to manage her
feelings of anxiety
d. Regains contact with reality
24. A 48-year-old female patient is
brought to the hospital by her husband
because her behavior is blocking her
ability to meet her family's needs. She
has uncontrollable and constant desire
to scrub her hands, the walls, floors and
sofa. She keeps repeating," Everything is
dirty." This is an example of:
a. Compulsion
b. Obsession
c. Delusion
d. Hallucination
25. The female patient is preoccupied
with rules and regulations. She becomes
upset if others do not follow her lead and
adhere to the rules exactly. This is a
characteristic of which of the following
personality?
a. Compulsive
b. Borderline
c. Antisocial
d. Schizoid
26. In planning care focused on
decreasing the patient's anxiety, what
plan should the nurse have in regards to
the rituals?
a. Encourage the routines
b. Ignore rituals
c. Work with her to develop limits of
behavior
d. Restrain her from the rituals
27. After the patient entered the hospital
she began to increase her ritualistic hand
washing at bedtime and could; not sleep.
The nurse plans care around the fact that
this patient needs:
a. A substitute activity to relieve anxiety
b. Medication for sleeping
c. Anti-anxiety medication such as Xanax
d. More scheduled activities during the day
28. The patient states, "I know all this
scrubbing is silly but I can’t help it:'', this
statement indicates that the patient does
not recognize:
a. What she is doing
b. Why she is cleaning
c. Her level of anxiety
d. Need for medication
Situation: Substance, abuse is a common,
growing health problem in this country.
29. The nurse is monitoring a drug
abuser who states he was given cocaine
and heroine that war cut with cornstarch
or some other kind of powder. He states,
"It was really bad stuff." Which
complication is most threatening to this
patient?
a. Endocarditis
b. Gangrene
c. Pulmonary abscess
d. Pulmonary embolism
30. The chronic drug abuser is suffering
lymphedema in all extremities, but
particularly in the arm where the drug
was obviously injected. There is severe
obstruction of veins and lymphatics. The
nurse suspects the patient used:
a. A dull, contaminated needle
b. A needle contaminated with AIDS b. Instillation of values
c. Contaminated drugs c. Helpful and advisory
d. Cocaine mixed with uncut heroin d Subjective and non-judgmental

31. The nurse is assessing a heroin user
who injected the drug into an artery
instead of a vein. Which complication is
the nurse most likely to expect?
a. Infection
b. Cardiac dysrhythmias
c. Gangrene
d. Thrombophlebitis
32. The nurse is assessing a 16-year-old
patient for drug abuse. The patient is
incoherent. Because she notes irritation
of eyes, nose and mouth, she suspects
inhalants. Which sign is most indicative
of inhalant abuse?
36. An adolescent patient has bloodshot
eyes, a voracious appetite (especially for
junk foods), and a dry mouth. Which drug
of abuse would the nurse most likely
suspect?
a. Marijuana
b. Amphetamines
c. Barbiturates
d. Anxiolytics
Situation: Defense mechanisms are
unconscious intrapsychic process
implemented to cope with anxiety. The use
of some of these mechanisms is healthy,
while she use of others is unhealthy.

a. Vomiting 37. A patient cries and curls in a fetal

b. Bad breath position refusing to move or talk. This is
c. Bad trip an example of:
d. Sudden fear
a. Regression
33. An impaired nurse has been admitted b. Suppression
for treatment of Demerol addiction. She c. Conversion
asks, "When will the withdrawal begin?" d. Sublimation
the best response is:
38. A person who expands sexual energy
a. "It varies, with each individual." in a nonsexual, socially accepted way is
b. "There is no way to tell." using the coping mechanism of.
c. "Withdrawal begins soon after the last
dose." a. Projection
d. "It depends upon how well the Demerol b. Conversion
works." c. Sublimation
d. Compensation
34. The patient has a blood pressure of
180/100, heart rate of 120, associated 39. "The reason I did not do well on the
with extreme restlessness. He is very exam is that I was tired." This is an
suspicious of the hospital environment example of:
and actions of healthcare workers. The
nurse should confront this patient on a. Rationalization
abuse of; b. Projection
c. Compensation
a. Marijuana d. Substitution
b. Cocaine
c. Barbiturates 40. An unattractive girl becomes a very
d. Tranquilizers good student. This is an example of:

35. The nursing interventions most a. displacement

effective in working with substance b. Regression
dependent patients are: c. Compensation
d. Projection
a. Firm and directive
41. A patient has been sharing a painful
experience of sexual abuse during his
childhood. Suddenly he stops and says,
“l can't remember any more." The nurse
assesses his behavior as:
a. Stubbornness
b. Forgetfulness
c. Blocking
d. Transference
42. The patient has a phobia about
walking down in dark halls. The nurse
recognizes that the coping mechanism
usually associated with phobia is:
a. Compensation
b. Denial
c. Conversion
d. Displacement
43. The patient is denying that he is an
alcoholic He states that his wife is an
alcoholic. The defense mechanism he is
utilizing is: v
a. Sublimation
b. Projection
c. Suppression
d. Displacement
Situation: Ms. Dwane, 17 years old, is
admitted with anorexia nervosa. You have
been assigned to sit with her while she eats
her dinner. Ms. Dwane says "My primary
nurse trusts me. I don't see why you don't."
44. Which observation of the client with
anorexia nervosa indicates the client is
improving?
a. The client eats meats in the dining room
b. The client gains one pound per week
c. The client attends group therapy sessions
d. The client has a more realistic self-
concept
45. The nurse is caring for a client with
anorexia nervosa who is to be placed on
behavioral modification. Which is
appropriate to include in (he nursing care
plan?
a. Remind the client frequently to eat all the
food served on the tray
b. Increased phone calls allowed for client
by one per day for each pound gained
c. Include the family of the client in therapy
sessions two times per week
d. Weigh the client each day at 6:00 am in
hospital gown and slippers after she voids
46. A nursing intervention based on the
behavior modification model of treatment
for anorexia nervosa would be:
a. Role playing the client's interaction with
her parents
b. Encouraging the client to vent her feelings
through exercise
c. Providing a high-calorie, high protein diet
with between meals snacks
d. Restricting the client's privileges until she
gains three pounds
47. While admitting Ms. Dwane, the nurse
discovers a bottle of pills that Ms. Dwane
calls antacids. She takes them because
her stomach hurts. The nurse's best
initial response is:
a. Tell me more about your stomach pain
b. These do not look like antacids. I need to
get an order for you to have them
c. Tell me more about you drug use
d. Some girls take pills to help them lose
weight
48. The primary objective in the treatment
of the hospitalized anorexic client is to:
a. Decrease the client's anxiety
b. Increase the insight into the disorder
c. Help the mother to gain control
d. Get the client to ea and gain weight
49. Your best response for Ms. Dwane is:
a. I do trust you, but I was assigned to be
with you
b. It sounds as if you are manipulating me
c. Ok, when I return, you should have eaten
everything
d. Who is your primary nurse?
Situation: The nurse suspects a client is
denying his feelings of anxiety
50. The nurse is monitoring a patient who
is experiencing increasing anxiety
related to recent accident. She notes an
increase in vital signs from 130/70 to
160/30, pulse rate of 120, respiration 36.
He is having difficulty communicating.
His level of anxiety is:
a. Mild
b. Moderate
c. Severe
d. Panic
51. The patient who suffers panic attacks
is prescribed a medication for short-term
therapy. The nurse prepares to
administer.
a. Elavil
b. Librium
c. Xanax
d. Mellaril
52. In attempting to control a patient who
is suffering panic attack, the nursing
priority is:
a. Provide safely
b. Hold the patient
c. Describe crisis in detail
d. Demonstrate ADLs frequently
53. Which assessment would the nurse
most likely find in a person who is
suffering increased anxiety?
a. Increasing BP, increasing heart rate and
respirations
b. Decreasing BP, heart rate and
respirations
c. Increased BP and decreased respirations
d. Increased respirations and decreased
heart rate
54. A patient who suffers an acute
anxiety disorder approaches the nurse
and while clutching at his shirt states "I
think I'm having a heart attack." The
priority nursing action is:
a. Reassure him he is OK
b. Take vital signs stat
c. Administer Valium IM
d. Administer Xanax PO
55. In teaching stress management, the
goal of therapy is to:
a. Get rid of the major stressor
b. Change lifestyle completely
c. Modify responses to stress
d. Learn new ways of thinking
56. Another client walks in to the mental
health outpatient center and States, "I've
had it. I can't go on any longer. You've
got to help me. "The nurse asks the
client to be seated in a private interview
room. Which action should the nurse
take next?
a. Reassure the client that someone will
help him soon
b. Assess the client's insurance coverage
c. Find out more about what is happening to
the client
d. Call the client's family to come and
provide support
57. Mr. Juan is admitted for panic attack.
He frequently experiences shortness of
breath, palpitations, nausea, diaphoresis,
and terror. What should the nurse include
in the care plan for Mr. Juan? When he is
shaving a panic attack?
a. Calm reassurance, deep breathing and
medications as ordered
b. Teach Mr. Juan problem solving in relation
to his anxiety
c. Explain the physiologic responses of
anxiety
d. Explore alternate methods for dealing with
the cause of his anxiety
58. Ms. Wendy is pacing about the unit
and wringing his hands. She is breathing
rapidly and complains of palpitations and
nausea, and she has difficulty focusing
on what the nurse is saying. She says
she is having a heart attack but refuses
to rest. The nurse would interpret her
level of anxiety as:
a. Mild
b. Moderate
c. Severe
d. Panic
59. When assessing this client, the nurse
must be particularly alert to:
a. Restlessness
b. Tapping of the feet
c. Wringing of the hands
d. His or her own anxiety level

Situation: Raul aged 70 was recently
admitted to a nursing home because of
confusion, disorientation, and negativistic
behavior. Her family states that Raul is in
good health. Raul asks you, "Where am I?"
60. Another patient, Mr. Pat, has been
brought to the psychiatric unit and is
pacing up and down the hall. The nurse
is to admit him to the hospital. To
establish a nurse-client relationship,
which approach should the nurse try
first?
a. Assign someone to watch Mr. Pat until he
is calm
b. Ask Mr. Pat to sit down and orient him to
the nurse's name and the need for
information
c. Check Mr. Pat's vital signs, ask him about
allergies, and call the physician for sedation
d. Explain the importance of accurate
assessment data to Mr. Pat .
61. If Raul will say "I'm so afraid! Where I
am? Where is my family'?" How should
the nurse respond?
a. "You are in the hospital and you're safe
here. Your family will return at 10 o'clock,
which is one hour from now"
b. "You know were you are. You were
admitted here 2 weeks ago. Don’t worry
your family will be back soon."
c. "I just told you that you're in the hospital
and your family will be here soon."
d. "The name of the hospital is on the sigh
over the door. Let's go read it again."
62. Raul has had difficulty sleeping since
admission. Which of the following would
be the best intervention?
a. Provide him with glass of warm milk
b. Ask the physician for a mild sedative
c. Do not allow Raul to take naps during the
day
d. Ask him family what they prefer
63. Which activity would you engage in
Raul at the nursing home?
a. Reminiscence groups
b. Sing-along
d. Discussion groups
c. Exercise class
64. Which of the following would be an
appropriate strategy in reorienting a
confused client to where her room is?
a. Place pictures of her family on the
bedside stand
b. Put her name in large letters on her
forehead
c. Remind the client where her room is
d. Let the other residents know where the
client’s room is
65. The best response for the nurse to
make is:
a. Don't worry, Raul. You're safe here
b. Where do you think you are?
c. What did your family tell you?
d. You're at the community nursing home
Situation: The police bring a patient to the
emergency department. He has been locked
in his apartment for the past 3 days, making
frequent calls to the police and emergency
services and stating that people are trying to
kill him.
66. A client on an inpatient psychiatric
unit refuses to eat and states that the
staff is poisoning her food. Which action
should the nurse include in the client's
care plan?
a. Explain to the client that the staff can be
trusted
b. Show the client that others eat the food
without harm
c. Offer the client factory-sealed foods and
beverages
d. Institute behavioral modification with
privileges dependent on intake
67. The client tells the nurse that he can't
eat because his food has been poisoned.
This statement is an indication of which
of the following?
a. Paranoia
b. Delusion of persecution
c. Hallucination
d. Illusion
68. The client on antipsychotic drugs
begins to exhibit signs and symptoms of
which disorder?
a. Akinesia
b. Pseudoparkinsonism
c. Tardive dyskinesia
d. Oculogyric crisis
69. During a patient history, a patient
state that she used to believe she was
God. But she knows this isn't true. Which
of the following would be your best
response?"
a. "Does it bother you that you used to
believe that about yourself?"
b. "Your thoughts are now more
appropriate"
c. "Many people have these delusions."
d. "What caused you to think you were
God?"
70. The nurse is caring for a client who is
experiencing auditory hallucination.
What would be most crucial for the nurse
to assess?
a. Possible hearing impairment
b. Family history of psychosis
c. Content of the hallucination
d. Otitis media
71. A patient with schizophrenia reports
that the newscaster on the radio has a
divine message especially for her. You
would interpret this as indicating.
a. Loose of associations
b. Delusion of reference
c. Paranoid speech
d. Flight of ideas
72. What type of delusions is the patient
experiencing?
a. Persecutory
b. Grandiose
c. Jealous
d. Somatic
Situation: Helen, with a diagnosis of
disorganized schizophrenia is creating a
disturbance in the day room. She is yelling
and pointing at another patient, accusing
him to stealing her purse. Several patients
are in the day room when this incident
starts.
73. The nurse is preparing to care for a
client diagnosed with catatonic
schizophrenia. In anticipation of this
client's arrival, what should the nurse
do?
a. Notify security
b. Prepare a magnesium sulfate drip
c. Place a specialty mattress overlay on the
bed
d. Communicable the client's nothing-by-
mouth status to the dietary department
74. The nurse is caring for a client whom
she suspects is paranoid. How would the
nurse confirm this assessment?
a. indirect questioning
b. Direct questioning
c. Les-ad-in-sentences
d. Open-ended sentences
75. Which of the following is an example
of a negative symptom of schizophrenia?
a. Delusions
b. Disorganized speech
c. Flat affect
d. Catatonic behavior
76. The patient tells you that a "voice"
keeps laughing at him and tells him he
must crawl on his hands and knees like a
dog. Which of the following would be the
most appropriate response?
a. "They are imaginary voices and we're
here to make them go, away."
b. "If it makes you feel better, do what the
voices tell you."
c. "The voices can't hurt you here in the
hospital"
d. "Even though I don't hear the voices, I
understand that you do."
77. A 23-year-old patient is receiving
antipsychotic medication to treat his
schizophrenia. He's experiencing some
motor abnormalities called
extrapyramidal effects. Which of the
following extrapyramidal effects occurs
most frequently in younger make
patients?
a. Akathisia
b. Akinesia
c. Dystonia
d. Pseudoparkinsonism
78. Which of the following should you do
next?
a. Firmly redirect the patient to her room to
discuss the incident
b. Call the assistance and place the patient
in locked seclusion
c. Help the patient look for her purse
d. Don't intervene - the patients need a little
bit of room in which to work out differences
Situation: John is admitted with a diagnosis
of paranoid schizophrenia.
79. You're reaching a community group
about schizophrenia disorders. You
explain the different types of
schizophrenia and delusional disorders.
You also explain that, unlike
schizophrenia, delusional disorders:
a. Tend to begin in early childhood
b. Affect more men than women
c. Affect more women than men
d. May be related to certain medical
conditionsa
80. A patient with schizophrenia
(catatonic type) is mute and can't
perform activities of daily living. The
patient stares out the window for hours.
What is your first priority in this
situation?
a. Assist the patient with feeding
b. Assist the patient with showering and
tasks for hygiene
c. Reassure the patient about safely, and try
to orient him to his surroundings
d. Encourage, socialization with peers, and
provide a stimulating environment
81. Which of the following would you
suspect in a patient receiving
Chlorpromazine (Thorazine) who
complains of a sore throat and has a
fever?
a. An allergic reaction
b. Jaundice
c. Dyskinesia
d. Agranulocytosis
82. While providing information for the
family of a patient with schizophrenia,
you should be sure to inform them about
which of the following characteristics of
the disorder?
a. Relapse can be prevented if the patient
takes medication
b. Support is available to help family
members meet their own needs
c. Improvement should occur if the patient's
environment is carefully maintained
d. Stressful situations in the family in the
family can precipitate a relapse in the patient
83. While caring for John, the nurse
knows that John may have trouble with:
a. Staff who are cheerful
b. Simple direct sentences
c. Multiple commands
d. Violent behaviors
84 Which nursing diagnosis is most
likely to be associated with a person who
has a medical diagnosis of
schizophrenia, paranoid type?
a. Fear of being along
b. Perceptual disturbance related to delusion
of persecution
c. Social isolation related to impaired ability
to trust
d. Impaired social skills related to
inadequate developed superego
85. Which of the following behaviors can
the nurse anticipate with this client?
a. Negative cognitive distortions
b. Impaired psychomotor development
c. Delusions of grandeur and hyperactivity
d. Alteration of appetite and sleep pattern
Situation: A client is admitted to the hospital.
During the assessment the nurse notes that
the client has not slept for a week. The client
is talking rapidly, and throwing his arms
around randomly.
86. When writing an assessment of a
client with mood disorder, the nurse
should specify:
a. How flat the client's affect
b. How suicidal the client is
c. How grandiose the client is
d. How the client is behaving
87. It is an apprehensive anticipation of
an unknown danger:
a. Fear
b. Anxiety
c. Antisocial
d. Schizoid
88. It is an, emotional response to a
consciously recognized threat.
a. Fear
b. Anxiety
c. Antisocial
d. Schizoid
89. All but one is an example of
situational crisis:
a. Menstruation
b. Role changes
c. Rape
d. Divorce
90. What would be the highest priority in
formulating a nursing care plan for this
client?
a. Isolate the client until he or she adjusts to
'the hospital
b. Provide nutritious food and a quite place
to rest
c. Protect the client and others from harm
d. Create a structured environment
Situation: Wendell, 24 year-old student with
a primary sleep disorder, is unable to initiate
maintenance of sleep. Primary sleep
disorders may be categorized as
dyssomnias or parasomnias.
91. The nurse is caring for a client who
complains; of fat?gue, inability to
concentrate, and palpitations. The client
stales that she has been experiencing
these symptoms for the past 6 months.
Which factor in the client’s history has
most likely contributed to.these
symptoms?
a. History of recent fever
b. Shift work
c. Hyperthyroidism
d. Fear
92. If Wendell complains of experiencing
an overwhelming urge to sleep and
states that he's been falling asleep while
studying and reports that these episodes
occur about 5 times daily Wendell is
most likely experiencing which sleep
disorder?
a. Breathing-related sleep disorder
b. Narcolepsy
c. Primary hypersomnia
d. Circadian rhythm disorder
93. The nurse is preparing a teaching
plan for a client diagnosed with primary
insomnia. Which of the following
teaching topics should be included in the
plan?
a. Eating unlimited spicy foods, and limiting
caffeine and alcohol
b. Exercising 1 hour before bedtime to
promote sleep
c. Importance of steeping whenever the
client tires
d. Drinking warm milk before bed to induce
sleep
94. Examples of dyssomnia includes:
a. Insomnia, hypersomnia, narcolepsy
b. Sleepwalking, nightmare
c. Snoring while sleeping
d. Non-rapid eye movement
Situation: The following questions refer to
therapeutic communication.
95. When preparing to conduct group
therapy, the nurse keeps in mind that the
optimal number of clients in a group
would be:
a. 6 to 8
b. 10 to 12
c. 3 to 5
d. Unlimited
96. What occurs during the working
phase of the-nurse-client relationship?
a. The nurse assesses the client's needs
and develops a plan of care
b. The nurse and client together evaluate
and modify the goals of the relationship
c. The nurse and client discuss their feelings
about terminating the relationship
d. The nurse and client explore each other's
expectations of-the relationship
100. A 35 year-old client tells the nurse
that he never disagrees with anyone and
that he has loved everyone he's ever
known. What would be the nurse's best
response to this client?

97. A 42 year-old homemaker arrives at a. "How do you manage to do that?"

the emergency department with
uncomfortable crying and anxiety. Her
husband of 17 years has recently asked
her for a divorce. The patient is sitting in
a chair, rocking back and forth. Which is
the best response for the nurse to make?
b. "That's hard to believe. Most people
couldn't to that."
c. "What do you do with your feelings of
dissatisfaction or anger?"
d. "How did you come to adopt such a way
of life?"

a. "You must stop crying so that we can

discuss your feelings about the divorce."
b. "Once you find a job, you will feel much
better and more secure."
c. "I can see how upset you are. Let's sit in
the office so that we can talk about how
you're feeling."
d. "Once you have a lawyer looking out for
your interests, you will feel better."

98. A client on the unit tells the nurse that

his wife's nagging really gets on his
nerves. He asks the nurse if she will talk
with his wife about nagging during their
family session tomorrow afternoon.
Which of the following would be most
therapeutic response to client?

a. "Tell me more specifically about her

complaints"
b. "Can you think why she might nag you so
much?"
c. "I'll help you think about how to bring this
up yourself tomorrow."
d. "Why do you want me to initiate this
discussion in tomorrow's session rather than
you?"

99. The nurse is working with a client

who has just stimulated her anger by
using a condescending tone of voice.
Which of the following responses by the
nurse would be the most therapeutic?

a. "I feel angry when I hear that tone of

voice"
b. "You make me so angry when you talked
to me that way."
c. "Are you trying to make me angry?"
d. "Why do you use that condescending
tone of voice with me?"