PSYCHOSOCIAL EXAM 3 END OF BOOK QUESTIONS| TOP SCORES MADE
SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Which patient statement indicates the helpfulness of the nurse-patient relationship?
a. "I appreciate the time you spent with me. I have a better understanding of what I can
do to manage my problem."
b. "I really need to talk with you. You always give me good advice about how to address
my anger issues."
c. "If it wasn't for you and the hours we've spent talking, I don't think I would be on my
way to getting my anxiety under control."
d. "You always showed me sympathy when I was at my lowest point after the sexual
assault. Knowing you had been there too was such a help." Answer: A
A female nurse had been sexually assaulted as a teenager. She finds it difficult to work
with patients who have undergone the same trauma. What is the most helpful
response?
a. Discussing these feelings with the nurse supervisor.
b. Requesting that these patients not be a part of her patient assignment.
c. Discussing these feelings with a mental health professional.
d. Accepting her role in providing unbiased, respectful, and professional care to all
patients. Answer: c
A patient whose history includes experiences with abusive partners is being treated for
major depressive disorder. The patient's care plan includes rape-trauma syndrome
among its nursing diagnoses. What goal is directly associated with this diagnosis?
a. Remains free from self-harm
b. Wears appropriate clothing
c. Reports feeling stronger and having a sense of hopefulness
d. Demonstrates appropriate affect for both positive and negative emotions Answer: C
The nurse is engaged in crisis intervention with a female patient who states, "I have no
reason to keep on living." What is the nurse's initial intervention?
a. Advise the patient about the services available to help her.
b. Ask the patient, "Have you ever been this depressed before?"
c. Ask the patient, "Do you have any plan to hurt yourself or anyone else?"
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,d. Assure the patient that she is in a safe place and will be well cared for. Answer: C
Which statement concerning a crisis experience is true and should be used as a
guideline for crisis management care? Select all that apply.
a. A crisis is self-limiting and usually resolves within 4 to 6 weeks.
b. The earlier the interventions are implemented, the better the expected prognosis.
c. The nurse should maintain a nondirective role.
d. The patient in crisis is assumed to be mentally unhealthy and in an extreme state of
disequilibrium.
e. The goal of crisis management is to return the patient to at least the pre-crisis level of
functioning. Answer: A,B,E
Which statement about crisis theory will provide a basis for nursing intervention?
a. A crisis is an acute time-limited phenomenon experienced as an overwhelming
emotional reaction to a problem perceived as unsolvable.
b. A person in crisis has always had adjustment problems and has coped inadequately
in the usual life situations.
c. Crisis is precipitated by an event that enhances a person's self-concept and self-
esteem.
d. Nursing intervention in crisis situations rarely has the effect of stopping the crisis.
Answer: A
Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all
the houses within a one-block area were wiped out. All of Lilly's household goods and
clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance
have been disorganized, and she is still without shelter. She is distraught and confused.
You assess the situation as:
a. A maturational crisis.
b. An adventitious crisis.
c. A crisis of confidence.
d. An existential crisis. Answer: B
When responding to the patient in question 7, the intervention that takes priority is to:
a. Reduce anxiety.
b. Arrange shelter.
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, c. Contact out-of-area family.
d. Hospitalize and place the patient on suicide precautions. Answer: A
Which belief would be least helpful for a nurse working in crisis intervention?
a. A person in crisis is incapable of responding to instruction.
b. The crisis counseling relationship is one between partners.
c. Crisis counseling helps the patient refocus to gain new perspectives on the situation.
d. Anxiety-reduction techniques are used so the patient's inner resources can be
accessed. Answer: A
The highest-priority goal of crisis intervention is:
a. Anxiety reduction.
b. Identification of situational supports.
c. Teaching specific coping skills that are lacking.
d. Patient safety. Answer: D
Which individuals are most at risk for displaying aggressive behavior? Select all that
apply.
a. An adolescent embarrassed in front of friends.
b. A young male who feels rejected by the social group.
c. A young adult depressed after the death of a friend.
d. A middle-aged adult who feels that concerns are going unheard.
e. A patient who was discovered telling a lie. Answer: A,B,D,E
A newly admitted male patient has a long history of aggressive behavior toward staff.
Which statement by the nurse demonstrates the need for more information about the
use of restraint?
a. "If his behavior warrants restraints, someone will stay with him the entire time he's
restrained."
b. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint order."
c. "If he is restrained, be sure he is offered food and fluids regularly."
d. "Remember that physical restraints are our last resort." Answer: B
Which intervention(s) should the nurse implement when helping a patient who
expresses anger in an inappropriate manner? Select all that apply.
a. Approach the patient in a calm, reassuring manner.
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Which patient statement indicates the helpfulness of the nurse-patient relationship?
a. "I appreciate the time you spent with me. I have a better understanding of what I can
do to manage my problem."
b. "I really need to talk with you. You always give me good advice about how to address
my anger issues."
c. "If it wasn't for you and the hours we've spent talking, I don't think I would be on my
way to getting my anxiety under control."
d. "You always showed me sympathy when I was at my lowest point after the sexual
assault. Knowing you had been there too was such a help." Answer: A
A female nurse had been sexually assaulted as a teenager. She finds it difficult to work
with patients who have undergone the same trauma. What is the most helpful
response?
a. Discussing these feelings with the nurse supervisor.
b. Requesting that these patients not be a part of her patient assignment.
c. Discussing these feelings with a mental health professional.
d. Accepting her role in providing unbiased, respectful, and professional care to all
patients. Answer: c
A patient whose history includes experiences with abusive partners is being treated for
major depressive disorder. The patient's care plan includes rape-trauma syndrome
among its nursing diagnoses. What goal is directly associated with this diagnosis?
a. Remains free from self-harm
b. Wears appropriate clothing
c. Reports feeling stronger and having a sense of hopefulness
d. Demonstrates appropriate affect for both positive and negative emotions Answer: C
The nurse is engaged in crisis intervention with a female patient who states, "I have no
reason to keep on living." What is the nurse's initial intervention?
a. Advise the patient about the services available to help her.
b. Ask the patient, "Have you ever been this depressed before?"
c. Ask the patient, "Do you have any plan to hurt yourself or anyone else?"
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,d. Assure the patient that she is in a safe place and will be well cared for. Answer: C
Which statement concerning a crisis experience is true and should be used as a
guideline for crisis management care? Select all that apply.
a. A crisis is self-limiting and usually resolves within 4 to 6 weeks.
b. The earlier the interventions are implemented, the better the expected prognosis.
c. The nurse should maintain a nondirective role.
d. The patient in crisis is assumed to be mentally unhealthy and in an extreme state of
disequilibrium.
e. The goal of crisis management is to return the patient to at least the pre-crisis level of
functioning. Answer: A,B,E
Which statement about crisis theory will provide a basis for nursing intervention?
a. A crisis is an acute time-limited phenomenon experienced as an overwhelming
emotional reaction to a problem perceived as unsolvable.
b. A person in crisis has always had adjustment problems and has coped inadequately
in the usual life situations.
c. Crisis is precipitated by an event that enhances a person's self-concept and self-
esteem.
d. Nursing intervention in crisis situations rarely has the effect of stopping the crisis.
Answer: A
Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all
the houses within a one-block area were wiped out. All of Lilly's household goods and
clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance
have been disorganized, and she is still without shelter. She is distraught and confused.
You assess the situation as:
a. A maturational crisis.
b. An adventitious crisis.
c. A crisis of confidence.
d. An existential crisis. Answer: B
When responding to the patient in question 7, the intervention that takes priority is to:
a. Reduce anxiety.
b. Arrange shelter.
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, c. Contact out-of-area family.
d. Hospitalize and place the patient on suicide precautions. Answer: A
Which belief would be least helpful for a nurse working in crisis intervention?
a. A person in crisis is incapable of responding to instruction.
b. The crisis counseling relationship is one between partners.
c. Crisis counseling helps the patient refocus to gain new perspectives on the situation.
d. Anxiety-reduction techniques are used so the patient's inner resources can be
accessed. Answer: A
The highest-priority goal of crisis intervention is:
a. Anxiety reduction.
b. Identification of situational supports.
c. Teaching specific coping skills that are lacking.
d. Patient safety. Answer: D
Which individuals are most at risk for displaying aggressive behavior? Select all that
apply.
a. An adolescent embarrassed in front of friends.
b. A young male who feels rejected by the social group.
c. A young adult depressed after the death of a friend.
d. A middle-aged adult who feels that concerns are going unheard.
e. A patient who was discovered telling a lie. Answer: A,B,D,E
A newly admitted male patient has a long history of aggressive behavior toward staff.
Which statement by the nurse demonstrates the need for more information about the
use of restraint?
a. "If his behavior warrants restraints, someone will stay with him the entire time he's
restrained."
b. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint order."
c. "If he is restrained, be sure he is offered food and fluids regularly."
d. "Remember that physical restraints are our last resort." Answer: B
Which intervention(s) should the nurse implement when helping a patient who
expresses anger in an inappropriate manner? Select all that apply.
a. Approach the patient in a calm, reassuring manner.
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
