NUR2459 Mental and Behavioral Health Nursing Exam
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A nurse is talking with a patient, and 5 minutes remain in
the session. The patient has been silent most of the
session. Another patient comes to the door of the room,
interrupts, and says to the nurse, I really need to talk to
you. The nurse should:
a.invite the interrupting patient to join in the session with
the current patient.
b.say to the interrupting patient, I am not available to talk
with you at the present time.
c.end the unproductive session with the current patient
and spend time with the interrupting patient.
d.tell the interrupting patient, This session is 5 more
minutes; then I will talk with you. - Answer-d.tell the
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interrupting patient, This session is 5 more minutes; then I
will talk with you.
Termination of a therapeutic nurse-patient relationship has
been successful when the nurse:
a.avoids upsetting the patient by shifting focus to other
patients before the discharge.
b.gives the patient a personal telephone number and
permission to call after discharge.
c.discusses with the patient changes that happened during
the relationship and evaluates outcomes.
d.offers to meet the patient for coffee and conversation
three times a week after discharge. - Answer-c.discusses
with the patient changes that happened during the
relationship and evaluates outcomes.
What is the desirable outcome for the orientation stage of
a nurse-patient relationship? The patient will demonstrate
behaviors that indicate:
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a.self-responsibility and autonomy.
c.rapport and trust with the nurse.
b.a greater sense of independence.
d.resolved transference. - Answer-c.rapport and trust with
the nurse.
During which phase of the nurse-patient relationship can
the nurse anticipate that identified patient issues will be
explored and resolved?
a.Preorientation
c.Working
b.Orientation
d.Termination - Answer-c.Working
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At what point in the nurse-patient relationship should a
nurse plan to first address termination?
a.During the orientation phase
b.At the end of the working phase
c.Near the beginning of the termination phase
d.When the patient initially brings up the topic - Answer-
a.During the orientation phase
A nurse introduces the matter of a contract during the first
session with a new patient because contracts:
a.specify what the nurse will do for the patient.
b.spell out the participation and responsibilities of each
party.