Exam 1 NUR2755 / NUR 2755 (Latest Spring 2026 / 2027): Multidimensional Care IV / MDC 4 Rasmussen.

NUR2755 / NUR 2755 Exam 1 (Latest Spring 2026 / 2027): Multidimensional Care IV / MDC 4 Rasmussen 1) A nurse is preparing to administer buspirone 15 mg PO every 12 hours. Avallable is buspirone 30 mg/tablet. How many tablets) will the nurse administer per dose? (Write the number only, do not include the label. Record the answer to the nearest tenth or one ---- 0.5— 2) clients are provided opportunities to attend Friday night movie night and tokens for the concession area when they hare achi attending and participating in five focused therapeutic group sessions. The nurse understands this is which form of therapy a) operant conditioning b) modeling c) response prevention d) validation 3) A nurse is speaking to the family of a trauma client. The nurse is blocking out the siren noises and alarms while spealing with the clients family. The family asks, "how can you be so calm and focused with all this noise going on The nurse is practicing which defense mechanism? a) Disassociation - adaptive b) -Denial - adaptive c) -Rationalization - maladaptive d) -Altruism – maladaptive 4) which nursing behavior is consistent with with therapeutic communication? a) Offering opinions b) Active listening c) Begin speaking in periods of silence d) Approving of behavior 5) A nurse is speaking to the family of a trauma client. The nurse is blocking out the siren noises and alarms while speaking with the clients family. The family asks, "how can you be so calm and focused with all this noise going on The nurse is practicing which defense mechanism? a) Disassociation - adaptive b) Denial - adaptive c) Rationalization - maladaptive d) Altruism – maladaptive6) A nurse is assessing a client who graduated from college with a 4.0-grade point average. She is now obsessing about her incompetence in her new job. The nurse understands which therapy challenges the client to evaluate their thought process and how it relates to their feelings? a) Interpersonal b) Milieu c) Cognitive-behavioral d) Psychoanalytical 7) What is the situation in which the Health Insurance Portability and Accountability Act (HIPAA) rule can be breached? A duty to warn a client's potential victim of harm. a) Informing the client's family when the client is threatening self-harm. b) informing the spiritual counselor of the client's desire for self harm. 8) The client states his assigned nurse reminds him of his very stern aunt. This statement is an example of what type of issue that can occur in the nurse-client relationship? a. Transference b. Countertransference c. Making a judgment d. Giving recognition 9) A client is threatening to harm other clients and his visitor. The visitor is removed from the unit. The nurse has instructed staff to stay with him, and prescribed medication for agitation is prepared. He refuses both and tries to hit the nurse. What statement made by the nurse to other staff members is accurate? a) "It is okay to defend yourself when you have been assaulted." b) "Medication can be given, but only after he agrees to take it." c) "We do not have to tolerate this behavior. I will call for the crisis prevention team." d) *For safety, we can first restrain the client, and I will immediately get the order."10) Which statements) most clearly reflect the stigma of mental Illness? (Select all that apply.) a) "Many mental illnesses are hereditary." b) Mental illness can be evidence of a brain disorder' c) People claim mental illness so they can get disability checks." d) *If people with mental illness went to church, they would be fine." e) "Mental illness is a result of the breakdown of the American family" 11) A nurse is caring for a client on a psychiatric unit who has been involuntarily admitted. The nurse understands, even though given this admission status, the client will still maintain which of the following rights? (Select all that apply.) a) The right to refuse daily medication. b) The right to a least restrictive environment. c) The right to informed consent. d) The right to all of their personal belongings. e) The right to leave against medical advice. 12) A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is dozapine 200 mg tablets. How many tablets should the nurse administer? Write the number only, do not include the label. Record the answer to the nearest tenth, or one decimal place. Use a leading zero If it applies. Do not use a trailing zero.) tablet(s) 1.5 13) A client states she is returning to school next semester and has some concerns. Which of the following would be considered the most therapeutic response by the nurse? a) "I think that is a wonderful idea." b) "Your parents will be so proud." c) "Can you afford that?" d) “Tell me more about your plan” 14) Which statement by the nurse demonstrates an understanding of nonverbal communication? a) 'It's always easier to understand nonverbal communication” b) "If a client avoids others, I'm sure he is depressed." c) "Most communication is verbal, not nonverbal." d) "It's important to check for congruence in verbal and nonverbal responses”15) A female client asks about her male nurse's girlfriend and social activities. Which of the following is the best response by the nurse? a) The nurse shares information to be polite. b) The nurse limits information and focuses on a client centered conversation. c) The nurse asks to be assigned to same-gender clients. d) The nurse explains that if she continues, he cannot work with her. 16) The nurse is working with a client with neurocognitive decline secondary to Alzheimer's dementia. The clerk describes how they had the most wonderful breakfast with their grandchildren this morning. The nurse is aware that the local girl scout troupe visited this morning and the client's grandchildren currently reside in another state. The nurse stat es" that must make you happy to enjoy the time with the children at breakfast " What therapy is the nurse is practicing: a) Validation thereby b) Flooding therapy c) Diversion therapy d) Guided therapy 17) While conducting the initial interview with a client in crisis, what does the nurse do? a. Speak in short, concise sentences. b. Convey a sense of urgency to the client. c. Be forthright about the time limits of the interview. d. Let the client know the nurse controls the interview. 18) A nurse is leading a family therapy session for a mother. father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating? a) "She is always bossing me around. Should she do that?" b) "Can you tell me the reason you get so upset when I go to the mall?" c) "Please do not raise your voice at the children. I am the one who left the dishes in the sink." d) "If you keep saying that, I will tell everyone what you did last night."19) The nurse informs the client that smoking is not permitted on the hospital campus and offers the client a nicotine patch. The client becomes frustrated and throws the nicotine patch on the floor, stating, "this is not the same as smoking; I am going to demand a transfer to a facility that allows smoking." What defense mechanism is this client demonstrating? a) Regression - maladaptive b) Reaction formation - adaptive c) Sublimination – maladaptive 20) While working with a client in crisis, the nurse understands which of the following interventions would be a priorit? a) Identifying previous experiences and coping methods used b) Calling client's support systems for additional support. c) Decreasing the client's anxiety. d) Ensuring the client's safety. 21) Which of the following is example of emotional tort? a) The primary nurse does not complete the plan of care for a client within 24 hours of the client's admission b) The advanced practice nurse recommends that a client who is a danger to self and others be voluntarily admitted to the psychiatric unit. c) The treatment team changes a client's admission status from involuntary to voluntary after medication alleviates the client's hallucinations. d) The nurse decides to give a PRN dose of a neuroleptic drug to a client to prevent violent acting out because the unit is short staffed. 22) A nurse caring for a client is preparing to access the client's implanted medication port (Medi port. The client states. "Every time have to have my port accessed. I get extremely anxious, and I have heart palpitations.: Which response by the nurse would be most appropriate for the assessment stage of crisis intervention? a) "Let's talk to the doctor about getting something ordered for before the procedure." b) "That must be overwhelming considering how often we access the port." c) Do vou think you will be able to control your anxiety in the future? d) "What have you done in the past to relieve or reduce your anxiety during the procedure?23) A nurse is working with a client with a history of panic attacks. During group therapy. the nurse notes the client begins to tap their foot becomes mildly anxious, and is pushing away, preparing to leave the group. The nurse instructs the client to remain sealed and asks if they would like to use their journal to write down some thoughts while the group resumes. What phase of crisis care is the nurse implementing? a) Phase One - Assessment b) Phase Two - Planning c) Phase Three-Intervention d) Phase Four – Evaluation 24) Which of the following actions by the nurse is an example of a breach of a client's constitutional right to privacy? a) Telling the oncoming nurse that the client is positive for VRE (vancomycin-resistant enterococcus) b) Releasing information to the client's automobile insurance provider. c) Documenting the client's daily behaviors during their hospitalization stay. d) Asking the client if the family can share information about pre- hospitalization behavior. 25) What situation would qualify for an involuntary mental health admission? a) The client reports past suicidal attempts. b) The client is unable to provide for basic needs. c) The client is homeless and doesn't feel safe. d) The client refuses admission. 26) A client becomes agitated and shouts at the nurse, *If you come any closer. I Will hit you.? What is the best response by the nurse? a) "You need to stay calm. You are responsible for your behavior." b) " I am not planning to come any closer. What is happening now?" c) "I am going to get your medication. Try to relax while I am gone." d) ) * am calling for assistance. You have until then to get it together. 27) The nurse places a client in the seclusion room until he admits responsibility for the fight in the day room. The nurse's action could be viewed as which of the following? a) Assault b) Battery c) False imprisonment d) Malpractice28) A nurse is caring for a client admitted to a mental health facility who asks, "Can I refuse the electroconvulsive therapy (ECT) treatment scheduled for tomorrow? Which of the following responses by the nurse would be most appropriate? a) "You have given signed consent for the treatments after they were explained to you" b) "You will feel better after the course of treatments." c) "You can refuse them, but the provider believes they are necessary." d) “You have the right to refuse even though the consent form has been signed" 29) To address the client's cultural needs, which of the following nursing actions would be most appropriate? a) Provide the same care to all clients to prevent misunderstanding. b) Read literature on the culture of the client. c) Ask the other nurses regarding the specific cultural needs. d) Ask the client what cultural needs are important to him. 30) The nurse is concerned that the staff has violated an ethical principle. One client was engaging in self mutilating behavior and was placed in restraints. Another client was also self-mutilating and was placed on one-to-one supervision. What ethical principle governs this situation? a) Beneficence b) Autonomy c) Veracity d) Justice 31) A client has a fear of spiders and is receiving behavioral therapy. As part of the therapy, the client was placed in a small area with several dozen spiders released into the same area. This method would be an example of which behavioral therapy? a) Flooding b) Positive reinforcement c) Modeling d) Systematic desensitization 32) What is the most significant trigger for the development of a nurse-focused countertransference situation? a) The degree of authority the nurse has. b) The nature of the client's diagnosis. c) The similar histories of the nurse and client.33) Which statement by the nurse reflects empathy for the client? a) "It may be overwhelming, but things will get better." b) "I'm not sure how you feel, but I hear what you are saying." c) "I am sure things will be better. We are here to help." d) "I have experienced the same thing in the past." 34) The nurse is preparing the client for electroconvulsive therapy (ECT) the following day. The teaching will include what. Information regarding side effects? a) "You may have memory loss and disorientation immediately after the treatment." b) "Agitation and confusion are side effects of ECT." c) "Tachycardia and dyspnea often occur, but you are constantly monitored. d) "There are no side effects that should concern you." 35) Which nursing action demonstrates the ethical principle of autonomy? a) Refusing to administer a placebo. b) Staying with a client is very anxious. c) Taking a course to increase knowledge regarding client rights. d) Respecting the client's decision not to have treatments. 36) A client asks the nurse “what should I do about my wife’s drinking problem ?” Which response by the nurse shows the use of reflecting? a) What do you think is the best thing to do?" b) "You need more time to make a plan." c) "It seems like you need marriage counseling. d) Why don't you ask your doctor?" 37) A victim of violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on which of the following? a) Supporting emotional security b) Offering long-term resolution of issues c) Promoting growth of the individual. d) Providing legal assistance.38) A client tries to embarrass a nurse by making a sexually explicit comment. Which of the following would be the best response to the client?” a) "I am going to leave now." b) "I am no longer going to continue this conversation." c) "That comment is inappropriate." d) "Let's talk about the weather." 39) A nurse is caring for a client who is having an adverse medication reaction. The client states. "The nurse told me not to drink when taking the medication, but she didn't tell me having just one drink could cause a problem.: The nurse should recognize the client is exhibiting which of the following defense mechanisms? 40) Denial 41) Displacement 42) Rationalization 43) Reaction formation 40) The client tells the nurse. You are the best nurse here; you are the only nurse who listens and understands me? The next day the client requests to be reassigned to a different nurse stating "That nurse doesn't understand how to care for people like me. That nurse is the worst nurse here." The client is using which defense mechanism? a) Splitting - maladaptive b) Denial - adaptive c) Rationalization - adaptive d) Undoing – maladaptive 41) A client receiving cognitive behavior therapy (CBT) is introduced the concepts guiding the therapy. Which statement best explain automatic thoughts? a) automatic thoughts are typically positive and based on fact b) Automatic thoughts are often influenced by our childhood. c) -Automatic thoughts occur rapidly in a situation and without rational analysis d) *Automatic thoughts are an example of psychiatric disorders." 42) The nurse uses the term "labile" in describing a client's mood and behavior. What does this term indicate? a) The client is angry and showing signs of hostility. b) The client is overactive and euphoric. c) The client is sad and withdrawn. d) The client has mood swings and is unpredictable44) During the orientation phase of the nurse client relationship which of the following will occur? a) Rapport is established b) Information regarding the client is obtained from the chart. c) Ones feelings are examined. d) Problem-solving skills are identified. 45) An adult client is grieving the loss of his spouse. Which statement by the client would warrant immediate nursing intervention? a) "I often feel a tightness throughout my body." b) *I would be better off dead." c) "I feel so guilty about her death." d) "What causes my constant headache?" 46) What is the priority nursing intervention for the period immediately after electroconvulsive therapy treatment.? a) Establishing random eye movement latency. b) Supporting physiological stability. c) Reducing disorientation and confusion. d) Assisting the client in identifying and testing negative cognitions. 47) The nurse demonstrates "active listening" by what action? a) Paying close attention and remaining silent during the entire conversation. b) Listening attentively and providing sympathetic responses. c) Concentrating on what the client says and responding d) Using interpretation as a communication technique. 48) What is the priority nursing intervention for the period immediately after electroconvulsive therapy treatment? a) Establishing random eye movement latency b) Supporting physiological stability. c) Reducing disorientation and confusion. d) Assisting the client in identifying and testing negative cognitions.49) The nurse demonstrates "active listening" by what action? a) Paying close attention and remaining silent during the entire conversation. b) Listening attentively and providing sympathetic responses. c) Concentrating on what the client says and responding. d) Using interpretation as a communication technique. 50) The nurse states, "I will stay with you until you go for your electroconvulsive therapy (ECT) treatment." Which of the following therapeutic communication techniques is being demonstrated? a) Accepting b) Giving recognition c) offering self d) Formulating a plan 51) Which of the following behaviors suggest a breach of professional boundaries? (Select all that apply) a) The nurse shares the details about her family problems. b) The nurse makes plans to have lunch with the client after discharge. c) The nurse agrees to keep a secret with the client. d) The nurse allows a client to hold her hand before chemotherapy. e) The nurse reads a "get-well" card to the client. 52) A nurse is caring for a devout Catholic on the psychiatric unit. The client has been unable to attend mass and receive communion. Which nursing diagnosis would be most relevant to this situation? a) Risk for impaired self-esteem b) Risk for ineffective coping c) Risk for spiritual distress d) Risk for impaired family coping 53) A nurse is working with a client who is currently experiencing a crisis. Which of the following interventions will the nurse include in the plan of care? a) Remain calm and allow the client to explore their current feelings. b) Sit with the client during meals to prevent loneliness c) Ask the client, what thoughts bring you calm and peace d) Recommend starting medication to help manage anxiety. e) Discuss how yoga and meditation support relaxation.54) The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship? a) "Have you thought about ways to locate other lonely people?" b) "You need to get involved in community activities." c) *Loneliness can be a painful and difficult emotion. d) Let's see if we have any common interests." 55) A family has been using behavior modification in dealing with their child's behavior. The child has been refusing to complete the assigned daily household chore. When the child does complete the chore, which of the following actions by the parents would be an example of positive reinforcement? a) The parents do not scold the child. b) The parents award a prize. c) The parents tell the child the task was done incorrectly. d) The parents do not acknowledge the task as this was the expectation. 56) A nurse is discussing stress management techniques with a group of clients. Which of the following actions discussed by a client should the nurse recognize as the least effective? a) "I journal when I find it difficult to talk." b) "I pray when I begin to breathe fast." c) “I exercise when my neck gets tense." d) “I make myself a pot of coffee when I get anxious” 57) A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? a) Sell destructive behavior despite alternative interventions b) Coercion for medication compliance c) Discipline for verbally attacking staff d- Punishment for throwing an object in the dayroom 58) Which of the following terms could be used to describe and document a client's motor activity on a mental health assessment? (select all) a) Tics b) Restless c) Flat d) Echopraxia e) Guilty59) A client has a phobia of horses and has been receiving behavioral therapy. During her sessions over the last few months, she has progressed from looking at a photo of the animal and through other small steps resulting in petting the real animal. This progression is an example of which behavioral therapy? a) Flooding b) Positive reinforcement c) Modeling d) Systematic desensitization 60) The primary reason the client should be included in their treatment plan, If possible, would be for which of the following purposes? a) To be involved in the objectives/ goal planning for care. b) To hear what each team member says about the prognosis. c) To read the medical record. d) It provides an opportunity to discuss staff roles. 61) During a nurse-client interaction, the nurse becomes uncomfortable. Which of the following would represent the use of a non-therapeutic response? (Select all that apply.) a) The nurse uses probing. b) The nurse changes the subject. c) The nurse uses silence to allow the client to gather thoughts. d) The nurse uses exploring to understand the clients feelings e) The nurse falsely reassures the client 62) The nurse is working with a client who is afraid of dogs and experienced a recent dog bite by the neighbor's poodle. when the client is asked to join counseling therapy, the client states, "I must finish my admission paperwork and get organized before I can think about counseling. " The nurse understands the client is using which defense mechanism? a) Suppression - maladaptive b) Altruism - maladaptive c) Reaction formation – adaptive d) Displacement- adapt63) The nurse is asked to explain informed consent." Which statement by the nurse ls accurate? a) It is the right of all voluntary clients to be explained the treatment process." b) All clients have the right to understand the treatment process before consenting to treatment * c) "It is the process by which consent is obtained for a procedure to be carried out for an incompetent client. d) It is solely the nurse's responsibility to determine if the client is competent to sign the consent for treatment” 64) During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms.Which SMART goal is most appropriate? a) The client will make statements that he feels less depressed by the end of the first day of admission. b) The client will express and demonstrate increases in energy by the third day of admission. c) The client will reduce self-rating on depression scale by 10% by the second day of admission. d) The client will demonstrate increased interaction with other clients by discharge. 65) A client was involuntarily admitted to a behavioral health facility after thing to harm himself. Which statement by the client would indicate further education is required regarding his rights? a) "You can't tell my boss that I attempted suicide." b) *I can understand why you restrained me when I threatened you." c) I can leave anytime I tell you I'm not going to hurt myself." D)) I may be here, but I still have the right to vote.” 66) A psychiatric physician treating clients withholds certain treatment options for those who do not have insurance. This practice would be violating which ethical principle? a) Autonomy b) Veracity c) Beneficence d) Justice 67) A client is concerned that information given to the nurse remains confidential. Which is the nurse's best response regarding confidentiality?a) "All your information is confidential and will be kept just between us. b) "I will share information with staff members only with your approval." c) Some things, like suicidal thinking, must be reported to the treatment team: d) You may select who I can discuss your care with." 68) Which statement regarding informed consent is correct? a) Informed consent is mandated by federal but not state law. b) Informed consent must reveal expected benefits. c) formed consent requires concealing any known risks. d) Informed consent allows the Registered Nurse to discuss information needed 69) A nurse is admitting a client to the psychiatric unit after attacking a neighbor. The nurse should know that the dent can be kept in the hospital after the 72-hour hold is over when which of the following conditions is met? a) The client is unwilling to accept the treatment being offered. b) The client states that they will never attack the neighbor again. c) The client plans to move out of state immediately upon discharge from the hospital. d) The client is a threat to themself or others. 70) Which nursing intervention constitutes false imprisonment? a) A client is confused and combative. The nurse restrains him then immediately seeks a physician's order. b) A client has been seeking the attention of the nurses at the nurses' station much of the day. The nurse escorts him to his room and tells him to stay there, or he will be put into seclusion. c) A psychotic client admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in talking the client into returning to the unit. d) A client, hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acting on established protocol; they prevent him from leaving, 71) Which of the following nursing actions would be performed to ensure client safety? (Select all that apply.) a) Place the client in a private room. b) Observe the client every 15 minutes c) Explain the safety rules to the client. d) Search the client's belongings for safety hazards. e) Allow all personal belongings on the unit with the client.72) A nurse is admitting a client to the unit who does not fluently speak English and is becoming visibly frustrated. Which of the following nursing actions is most appropriate? a) Medicate the client to help reduce anxiety. b) Ask a staff member who is fluent in the client's native language to translate. c) Provide the questions in a written format. d) Contact an interpreter before conducting the admission assessment. 73) The client states, "Who is he? I don't understand. What is the meaning of all this?' Which statement would be best to clarify the client’s questions? a) "Did he tell you what he meant?" b) "Who is he?" c) "I don't understand; explain what you mean. d) “ How do you feel about him?" 74) Which tasks are included during the working phase of the nurse-client relationship? (Select all that apply) a) Provide education about the disorder. b) Promote symptom management. c) Identify goals and objectives. d) Gather more data/ information. e) Review personal feelings before nurse-client interaction. 75) Therapeutic communication is the foundation of a client-centered interaction. Which of the following could negatively impact communication? a) Advising b) Restating c) Seeking clarification d) Exploring