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NURS 6675 FINAL EXAM 1 Questions and
Revised Correct Answers 100% Guarantee
Pass GRADED A+
A child has been hospitalized repeatedly for illnesses of unknown origin. Finally the health
care provider makes the diagnosis of Munchausen syndrome by proxy. What is the most
therapeutic approach by the nurse to the involved parent?
1. Confrontation
2. Open communication
3. Health teaching about child-rearing
4. Validation of the child's physical status –
Correct Answer :2. Open communication
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Maintaining open communication is important for any therapeutic nurse-client relationship.
Confrontation will put the parent on the defensive and close off communication. Health
teaching at this time is premature; the parent is not ready for this approach. Validation of the
child's physical status focuses on the physical symptoms, which will reinforce the parent's
behavior.
What should the nurse do to achieve a primary objective of providing a therapeutic daycare
environment for a client who is withdrawn and reclusive?
1. Foster a trusting relationship
2. Administer medications on time
3. Involve the client in a group with peers
4. Remove the client from the family home –
Correct Answer :1. Foster a trusting relationship
An interpersonal relationship based on trust must be established before a client can be
helped. Administering medications on time is an important part of the treatment and care,
but it is of lesser importance than a trusting relationship. Socialization comes at a later point
in therapy. There is nothing to indicate a need to remove the client from the home.
A client who has a history of a conversion reaction that involves weakness in the right arm
that periodically progresses to paralysis is hospitalized on the mental health unit of the local
community hospital. While listening to instructions for a group project, the client experiences
a feeling of weakness and is unable to move the right arm. After evaluating the client, what
should the nurse ask?
1. "Exactly when did the weakness begin?"
2. "Is this similar to what you usually experience?"
3. "Would you like to leave the group for a while?"
4. "What emotion were you feeling before you felt the weakness?" –
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Correct Answer :4. "What emotion were you feeling before you felt the weakness?"
Asking what emotion the client was feeling before he felt the weakness focuses the client on
the relationship between emotion and physical symptoms in a nonthreatening, accepting
manner. The nurse knows when the weakness began, so it is unnecessary to ask. Asking
whether this experience is similar what the client usually experiences does not identify what
the person was feeling when the weakness happened. Asking the client whether he would
you like to leave the group for a while will provide a secondary gain; it implies sympathy and
allows the client to avoid an undesired activity.
One evening a nurse finds a client who has been experiencing persecutory delusions trying to
get out the door. The client begs, "Please let me go. I trust you. The Mafia is going to kill me
tonight." Which response is most therapeutic?
1. "You're frightened. Come with me to your room, and we can talk about it."
2. "Come with me to your room. I'll lock the door and no one will get in to harm you."
3. "Nobody here wants to harm you, and you know that. I'll come with you to your room."
4. "Thank you for trusting me. Maybe you can trust me when I tell you that no one will kill you
here." –
Correct Answer :1. "You're frightened. Come with me to your room, and we can talk about
it."
Acknowledging that the client is frightened and offering a chance to talk acknowledges the
client's feelings and provides assurance that the staff member will be present. Locking the
client in a room will only increase the fear and worsen the delusion. The client does not know
that no one wants to harm him; if the client did, the delusion would not be present. The client
is not ready to accept that no one wants to kill him or her and really believes that danger is
imminent.
What should a nurse consider when planning care for a client who is using ritualistic behavior?
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1. The nurse must try to limit the ritualistic behavior.
2. Clients need to realize that ritualistic behavior serves no purpose.
3. The nurse should try to stop the ritual immediately after it is started.
4. Clients do not want to repeat their rituals but feel compelled to do so. –
Correct Answer :4. Clients do not want to repeat their rituals but feel compelled to do so.
The repeated thought or act defends the client against even higher, more severe levels of
anxiety. To deny the client the ritual may precipitate a panic level of anxiety. Usually clients
who engage in ritualistic behavior recognize that the ritual serves little purpose.
What is the best nursing intervention during the working phase of the therapeutic relationship
with which to meet the needs of individuals who demonstrate obsessive-compulsive
behavior?
1. Restricting their movements
2. Calling attention to the behavior
3. Keeping them busy to distract them
4. Supporting rituals while setting realistic limits –
Correct Answer :4. Supporting rituals while setting realistic limits
Accepting obsessive-compulsive clients and their symptomatic behavior sets the foundation
for the nurse-client relationship. Setting limits provides external controls and helps reduce
anxiety. Supporting rituals while setting realistic limits is appropriate during the working
phase, not the initial phase, of a therapeutic relationship. Restricting movements will have no
effect other than to increase anxiety. Calling attention to the behavior will increase the
client's anxiety and increase use of the behavior. Keeping the client busy in an effort to
distract him or her is unrealistic.
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NURS 6675 FINAL EXAM 1 Questions and
Revised Correct Answers 100% Guarantee
Pass GRADED A+
A child has been hospitalized repeatedly for illnesses of unknown origin. Finally the health
care provider makes the diagnosis of Munchausen syndrome by proxy. What is the most
therapeutic approach by the nurse to the involved parent?
1. Confrontation
2. Open communication
3. Health teaching about child-rearing
4. Validation of the child's physical status –
Correct Answer :2. Open communication
P a g e 1 | 143
, Page |2
Maintaining open communication is important for any therapeutic nurse-client relationship.
Confrontation will put the parent on the defensive and close off communication. Health
teaching at this time is premature; the parent is not ready for this approach. Validation of the
child's physical status focuses on the physical symptoms, which will reinforce the parent's
behavior.
What should the nurse do to achieve a primary objective of providing a therapeutic daycare
environment for a client who is withdrawn and reclusive?
1. Foster a trusting relationship
2. Administer medications on time
3. Involve the client in a group with peers
4. Remove the client from the family home –
Correct Answer :1. Foster a trusting relationship
An interpersonal relationship based on trust must be established before a client can be
helped. Administering medications on time is an important part of the treatment and care,
but it is of lesser importance than a trusting relationship. Socialization comes at a later point
in therapy. There is nothing to indicate a need to remove the client from the home.
A client who has a history of a conversion reaction that involves weakness in the right arm
that periodically progresses to paralysis is hospitalized on the mental health unit of the local
community hospital. While listening to instructions for a group project, the client experiences
a feeling of weakness and is unable to move the right arm. After evaluating the client, what
should the nurse ask?
1. "Exactly when did the weakness begin?"
2. "Is this similar to what you usually experience?"
3. "Would you like to leave the group for a while?"
4. "What emotion were you feeling before you felt the weakness?" –
P a g e 2 | 143
, Page |3
Correct Answer :4. "What emotion were you feeling before you felt the weakness?"
Asking what emotion the client was feeling before he felt the weakness focuses the client on
the relationship between emotion and physical symptoms in a nonthreatening, accepting
manner. The nurse knows when the weakness began, so it is unnecessary to ask. Asking
whether this experience is similar what the client usually experiences does not identify what
the person was feeling when the weakness happened. Asking the client whether he would
you like to leave the group for a while will provide a secondary gain; it implies sympathy and
allows the client to avoid an undesired activity.
One evening a nurse finds a client who has been experiencing persecutory delusions trying to
get out the door. The client begs, "Please let me go. I trust you. The Mafia is going to kill me
tonight." Which response is most therapeutic?
1. "You're frightened. Come with me to your room, and we can talk about it."
2. "Come with me to your room. I'll lock the door and no one will get in to harm you."
3. "Nobody here wants to harm you, and you know that. I'll come with you to your room."
4. "Thank you for trusting me. Maybe you can trust me when I tell you that no one will kill you
here." –
Correct Answer :1. "You're frightened. Come with me to your room, and we can talk about
it."
Acknowledging that the client is frightened and offering a chance to talk acknowledges the
client's feelings and provides assurance that the staff member will be present. Locking the
client in a room will only increase the fear and worsen the delusion. The client does not know
that no one wants to harm him; if the client did, the delusion would not be present. The client
is not ready to accept that no one wants to kill him or her and really believes that danger is
imminent.
What should a nurse consider when planning care for a client who is using ritualistic behavior?
P a g e 3 | 143
, Page |4
1. The nurse must try to limit the ritualistic behavior.
2. Clients need to realize that ritualistic behavior serves no purpose.
3. The nurse should try to stop the ritual immediately after it is started.
4. Clients do not want to repeat their rituals but feel compelled to do so. –
Correct Answer :4. Clients do not want to repeat their rituals but feel compelled to do so.
The repeated thought or act defends the client against even higher, more severe levels of
anxiety. To deny the client the ritual may precipitate a panic level of anxiety. Usually clients
who engage in ritualistic behavior recognize that the ritual serves little purpose.
What is the best nursing intervention during the working phase of the therapeutic relationship
with which to meet the needs of individuals who demonstrate obsessive-compulsive
behavior?
1. Restricting their movements
2. Calling attention to the behavior
3. Keeping them busy to distract them
4. Supporting rituals while setting realistic limits –
Correct Answer :4. Supporting rituals while setting realistic limits
Accepting obsessive-compulsive clients and their symptomatic behavior sets the foundation
for the nurse-client relationship. Setting limits provides external controls and helps reduce
anxiety. Supporting rituals while setting realistic limits is appropriate during the working
phase, not the initial phase, of a therapeutic relationship. Restricting movements will have no
effect other than to increase anxiety. Calling attention to the behavior will increase the
client's anxiety and increase use of the behavior. Keeping the client busy in an effort to
distract him or her is unrealistic.
P a g e 4 | 143
