NUR3678 Exam #1 Questions With Complete Solutions
A husband attending family therapy tells his wife, "I'm listening.
I want to support you in this," but he glares out the window and
taps his foot when she starts to cry and explain her feelings.
Which is the best description of his response?
A) Active listening
B) Reflective listening
C) Use of a patient filter
D) Double-bind message Correct Answers D) Double-bind
message (He is sending a mixed message, which creates
confusion by being a mix of content—what is said—and process
—what is transmitted nonverbally—usually a hurtful or negative
message)
A patient has committed suicide while under team care in your
facility. A coworker says, "Why are we being called to a
'postmortem' meeting? We didn't do anything wrong." Which is
your best explanation?
A) There is almost always litigation after an inhouse suicide,
and it only makes sense that someone must be held responsible.
B) Staff are at high-risk for hurting themselves after a suicide.
C) It's important that the entire team collaborate to make
documentation say the right things.
,D) A postmortem assessment can help the team determine any
changes that might be made in agency protocol to improve
safety. Correct Answers D) A postmortem assessment can help
the team determine any changes that might be made in agency
protocol to improve safety.
A patient is admitted to your psychiatric unit after being found
by a friend in his apartment. The patient has not left his
apartment for 2 weeks. You are completing the admission
assessment and search his small brown suitcase. You observe
that the patient, using black ink and precise lettering, has etched
his first name, Klim, on the side.
The suitcase contains three T-shirts, three pajama bottoms, and a
toothbrush wrapped in several layers of plastic wrap. You return
the suitcase to him. Klim begins to unfold and refold his
clothing slowly and repetitively.
What is your best nursing action in response to Klim?
A) Immediately stop Klim, and tell him his behavior is
inappropriate.
B) Continue the interview and allow Klim to continue as long as
he is not harming himself or others.
C) Explain that his behavior is a part of his illness and that you
can help him work toward change.
D) Leave the room and come ba Correct Answers B) Continue
the interview and allow Klim to continue as long as he is not
, harming himself or others. (During the initial hours of Klim's
hospitalization, he needs to be allowed to continue his ritual as
long as it does not pose harm to himself or others. You will need
to begin to set appropriate behavior limits later.)
EXPLANATIONS FOR WRONG ANSWERS:
A) Klim's compulsive behavior is likely triggered or worsened
by anxiety as a result of his admission to the psychiatric unit.
Telling him that his behavior is inappropriate (he already knows
that) will only serve to increase his anxiety.
C) An explanation during the admission process will probably
result in increased anxiety. When Klim is feeling more
comfortable and trusting, he may be able to invest in behavior
changes.
D) It would not be safe at this time to leave Klim alone.
Although his current behavior is benign, his compulsive
behavior indicates that his anxiety is increasing.
A suicidal client with a history of manic behavior is admitted to
the emergency department. The client's diagnosis is documented
as "bipolar I disorder: current episode depression". What is the
rationale for this diagnosis instead of a diagnosis of major
depressive disorder?
A) The physician does not believe that the client is suffering
from major depression.
B) The client has experienced a manic episode in the past.
A husband attending family therapy tells his wife, "I'm listening.
I want to support you in this," but he glares out the window and
taps his foot when she starts to cry and explain her feelings.
Which is the best description of his response?
A) Active listening
B) Reflective listening
C) Use of a patient filter
D) Double-bind message Correct Answers D) Double-bind
message (He is sending a mixed message, which creates
confusion by being a mix of content—what is said—and process
—what is transmitted nonverbally—usually a hurtful or negative
message)
A patient has committed suicide while under team care in your
facility. A coworker says, "Why are we being called to a
'postmortem' meeting? We didn't do anything wrong." Which is
your best explanation?
A) There is almost always litigation after an inhouse suicide,
and it only makes sense that someone must be held responsible.
B) Staff are at high-risk for hurting themselves after a suicide.
C) It's important that the entire team collaborate to make
documentation say the right things.
,D) A postmortem assessment can help the team determine any
changes that might be made in agency protocol to improve
safety. Correct Answers D) A postmortem assessment can help
the team determine any changes that might be made in agency
protocol to improve safety.
A patient is admitted to your psychiatric unit after being found
by a friend in his apartment. The patient has not left his
apartment for 2 weeks. You are completing the admission
assessment and search his small brown suitcase. You observe
that the patient, using black ink and precise lettering, has etched
his first name, Klim, on the side.
The suitcase contains three T-shirts, three pajama bottoms, and a
toothbrush wrapped in several layers of plastic wrap. You return
the suitcase to him. Klim begins to unfold and refold his
clothing slowly and repetitively.
What is your best nursing action in response to Klim?
A) Immediately stop Klim, and tell him his behavior is
inappropriate.
B) Continue the interview and allow Klim to continue as long as
he is not harming himself or others.
C) Explain that his behavior is a part of his illness and that you
can help him work toward change.
D) Leave the room and come ba Correct Answers B) Continue
the interview and allow Klim to continue as long as he is not
, harming himself or others. (During the initial hours of Klim's
hospitalization, he needs to be allowed to continue his ritual as
long as it does not pose harm to himself or others. You will need
to begin to set appropriate behavior limits later.)
EXPLANATIONS FOR WRONG ANSWERS:
A) Klim's compulsive behavior is likely triggered or worsened
by anxiety as a result of his admission to the psychiatric unit.
Telling him that his behavior is inappropriate (he already knows
that) will only serve to increase his anxiety.
C) An explanation during the admission process will probably
result in increased anxiety. When Klim is feeling more
comfortable and trusting, he may be able to invest in behavior
changes.
D) It would not be safe at this time to leave Klim alone.
Although his current behavior is benign, his compulsive
behavior indicates that his anxiety is increasing.
A suicidal client with a history of manic behavior is admitted to
the emergency department. The client's diagnosis is documented
as "bipolar I disorder: current episode depression". What is the
rationale for this diagnosis instead of a diagnosis of major
depressive disorder?
A) The physician does not believe that the client is suffering
from major depression.
B) The client has experienced a manic episode in the past.
