NUR 340 Exam 3 Practice Questions With Complete
Solutions
Which statement best illustrates support in giving care to a
patient who has just been sexually assaulted?
A. "I'm so sorry for what you have been through."
B. "Don't worry. It's hard now, but everything will be alright."
C. "I will stay with you if it makes you feel safe. We can talk as
long as you want to."
D. "Let's talk about new coping skills you can use."
C
A patient's behavior has continued to escalate despite nursing
interventions designed to achieve de-escalation. The patient
begins to kick and strike at staff. This behavior evidences which
phase of the assault cycle?
A. Triggering
B. Depression
C. Escalation
D. Crisis
D
Which nursing intervention for an angry, hostile patient would
best contribute to prevention and management of aggression?
A. Loudly calling the patient by name
,B. Conveying personal interest in the patient and the cause of
their anger
C. Positioning oneself directly in front of the patient
D. Firmly directing the patient to discontinue the behavior with
an ultimatum
B
A patient sat in silence for 20 minutes after a therapy
appointment, appearing tense and vigilant. The patient abruptly
stood, paced back and forth, clenched and unclenched fists, and
then stopped and stared in the face of a staff member. The nurse
knows that the patient is:
A. Demonstrating withdrawal
B. Working through angry feelings
C. Attempting to use relaxation strategies
D. Exhibiting clues to potential aggression
D
A patient experiencing acute mania is dancing atop a pool table
in the recreation room.The patient waves a cue in one hand and
says, "I'll throw the pool balls if anyone comes near me." To
best assure safety, what is the nurse's first intervention?
A. Tell the patient, "you need to be secluded".
B. Clear the room of all other patients
C. Help the patient down from the table.
D. Assemble a show of force.
B
, A nurse directs the intervention team who places an aggressive
patient in seclusion.Before approaching the patient, which
actions will the nurse direct team members to take? Select all
that apply.
A. Appoint a person to clear a path and open, close, or lock
doors
.B. Quickly approach the patient and take the closest extremity.
C. Select the person who will communicate with the patient.
D. Move behind the patient when the patient is not looking.
E. Remove jewelry, glasses, and harmful items
A, C, E
The staff development coordinator plans to teach use of physical
management techniques for use when patients become
assaultive. Which topic should the coordinator emphasize?
A. Spontaneity and surprise
B. Practice and teamwork
C. Caution and superior size
D. Diversion and physical outlets
B
A nurse working in a community clinic assesses many patients
each day. Which patient does the nurse assess to be (is) most
likely to present with evidence of being abused?
A. A 9-year old Hispanic male with an ear infection.
B. A 21-year old Caucasian female who is nine months pregnant
Solutions
Which statement best illustrates support in giving care to a
patient who has just been sexually assaulted?
A. "I'm so sorry for what you have been through."
B. "Don't worry. It's hard now, but everything will be alright."
C. "I will stay with you if it makes you feel safe. We can talk as
long as you want to."
D. "Let's talk about new coping skills you can use."
C
A patient's behavior has continued to escalate despite nursing
interventions designed to achieve de-escalation. The patient
begins to kick and strike at staff. This behavior evidences which
phase of the assault cycle?
A. Triggering
B. Depression
C. Escalation
D. Crisis
D
Which nursing intervention for an angry, hostile patient would
best contribute to prevention and management of aggression?
A. Loudly calling the patient by name
,B. Conveying personal interest in the patient and the cause of
their anger
C. Positioning oneself directly in front of the patient
D. Firmly directing the patient to discontinue the behavior with
an ultimatum
B
A patient sat in silence for 20 minutes after a therapy
appointment, appearing tense and vigilant. The patient abruptly
stood, paced back and forth, clenched and unclenched fists, and
then stopped and stared in the face of a staff member. The nurse
knows that the patient is:
A. Demonstrating withdrawal
B. Working through angry feelings
C. Attempting to use relaxation strategies
D. Exhibiting clues to potential aggression
D
A patient experiencing acute mania is dancing atop a pool table
in the recreation room.The patient waves a cue in one hand and
says, "I'll throw the pool balls if anyone comes near me." To
best assure safety, what is the nurse's first intervention?
A. Tell the patient, "you need to be secluded".
B. Clear the room of all other patients
C. Help the patient down from the table.
D. Assemble a show of force.
B
, A nurse directs the intervention team who places an aggressive
patient in seclusion.Before approaching the patient, which
actions will the nurse direct team members to take? Select all
that apply.
A. Appoint a person to clear a path and open, close, or lock
doors
.B. Quickly approach the patient and take the closest extremity.
C. Select the person who will communicate with the patient.
D. Move behind the patient when the patient is not looking.
E. Remove jewelry, glasses, and harmful items
A, C, E
The staff development coordinator plans to teach use of physical
management techniques for use when patients become
assaultive. Which topic should the coordinator emphasize?
A. Spontaneity and surprise
B. Practice and teamwork
C. Caution and superior size
D. Diversion and physical outlets
B
A nurse working in a community clinic assesses many patients
each day. Which patient does the nurse assess to be (is) most
likely to present with evidence of being abused?
A. A 9-year old Hispanic male with an ear infection.
B. A 21-year old Caucasian female who is nine months pregnant
