CNUR 201 QUESTIONS WITH ACCURATE ANSWERS
"eliciting" approach correct answer This means to work to draw the desire for
change from the client.
3 types of reflective responses that will help you avoid getting into a "tug of war"
with the patient correct answer 1. Simple/Straight Reflection
2. Amplified Reflection
3. Double-Sided Reflection
4 types of resistance correct answer -rebelliousness
-reluctance
-rationalizes
-resignation
A 10-year-old child is being assessed by the school nurse. The child indicates that
they were being "touched" by a relative who came to stay with the child's family
over the weekend. The nurse knows that they need to determine if the child:
Select one:
a. reported the abuse.
b. told their parents or another adult.
c. can describe what happened.
d. is safe when they go home. correct answer d. is safe when they go home.
A client is starting a new program to help her with anxiety. The client is aware
that the counsellor uses the CBT approach. The nurse explains to the client that
CBT focuses on which of the following elements? Select all that apply.
,Select all that apply:
a. Feelings
b. Thoughts
c. Mindfulness
d. Deep breathing
e. Behaviours correct answer a. Feelings
b. Thoughts
e. Behaviours
A client says, "I'm really unsure about trying to quit smoking. I know it would be
good for me but it's hard. I should really try though..." The nurse recognizes the
client is most likely in the ___________ stage of change? correct answer
contemplation
A client says, "My life feels overwhelming without having a bit to drink. I have no
idea how to manage my anxiety." Which of the following options is the nurse's
best initial response to this client?
Select one:
a. "Let's talk about what is going on in your life and then come up with solutions."
b. "Some people find that learning new coping skills is helpful in calming their
feelings."
c. "Since you want to manage stress, it is often a good idea to start with reading
about it."
,d. "Would you like me to tell you that having a drink is ok? Because it isn't."
correct answer a. "Let's talk about what is going on in your life and then come up
with solutions."
A client with anxiety asks the nurse what cognitive behavioural therapy is and
how it works. Which of the following responses does the nurse respond with?
Select one:
a. "CBT is a treatment to help you relax and develop new coping skills."
b. "This type of treatment helps you to examine how your thoughts and feelings
contribute to your difficulties."
c. "This type of treatment helps you to confront your fears gradually."
d. "CBT is a good treatment for depression, but we won't be using with you
because your issues are related to stress and fear." correct answer b. "This type of
treatment helps you to examine how your thoughts and feelings contribute to
your difficulties."
A motivational interviewing-focused therapeutic group would be centered around
the group leader.
Select one:
True
False correct answer false
A nurse is speaking with an indigenous client about their change agenda and
notices the client is avoiding eye contact during their session. The nurse
understands that this lack of eye contact:
, Select one:
a. can convey respect in indigenous cultures.
b. is due to the indigenous norm that looking at the nurse's neck is most polite.
c. is displayed as a universal sign of disrespect.
d. is typically demonstrative of guilt for lack of change. correct answer a. can
convey respect in indigenous cultures.
A patient has been advised by their doctor to improve their heart health by
following the recommended guidelines for physical exercise. The patient
expresses to the nurse, "I know this change will be helpful, but I am unsure how I
can fit this into my life." What does the nurse understand their focus should be at
this time?
Select one:
a. Create ambivalence in the patient by discussing the health benefits related to
cardiac health.
b. Explore the patient's ambivalence and elicit their motivation for change.
c. Provide support to the patient by offering information pamphlets about diet
and exercise.
d. Follow up on the patient's action plan.
e. Establish specific strategies to move the patient's plan into action. correct
answer b. Explore the patient's ambivalence and elicit their motivation for
change.
A patient is having difficulty making a decision. The nurse has mixed feelings
about whether or not to provide advice. Which principle of giving uninvited
advice usually applies in these types of situations?
"eliciting" approach correct answer This means to work to draw the desire for
change from the client.
3 types of reflective responses that will help you avoid getting into a "tug of war"
with the patient correct answer 1. Simple/Straight Reflection
2. Amplified Reflection
3. Double-Sided Reflection
4 types of resistance correct answer -rebelliousness
-reluctance
-rationalizes
-resignation
A 10-year-old child is being assessed by the school nurse. The child indicates that
they were being "touched" by a relative who came to stay with the child's family
over the weekend. The nurse knows that they need to determine if the child:
Select one:
a. reported the abuse.
b. told their parents or another adult.
c. can describe what happened.
d. is safe when they go home. correct answer d. is safe when they go home.
A client is starting a new program to help her with anxiety. The client is aware
that the counsellor uses the CBT approach. The nurse explains to the client that
CBT focuses on which of the following elements? Select all that apply.
,Select all that apply:
a. Feelings
b. Thoughts
c. Mindfulness
d. Deep breathing
e. Behaviours correct answer a. Feelings
b. Thoughts
e. Behaviours
A client says, "I'm really unsure about trying to quit smoking. I know it would be
good for me but it's hard. I should really try though..." The nurse recognizes the
client is most likely in the ___________ stage of change? correct answer
contemplation
A client says, "My life feels overwhelming without having a bit to drink. I have no
idea how to manage my anxiety." Which of the following options is the nurse's
best initial response to this client?
Select one:
a. "Let's talk about what is going on in your life and then come up with solutions."
b. "Some people find that learning new coping skills is helpful in calming their
feelings."
c. "Since you want to manage stress, it is often a good idea to start with reading
about it."
,d. "Would you like me to tell you that having a drink is ok? Because it isn't."
correct answer a. "Let's talk about what is going on in your life and then come up
with solutions."
A client with anxiety asks the nurse what cognitive behavioural therapy is and
how it works. Which of the following responses does the nurse respond with?
Select one:
a. "CBT is a treatment to help you relax and develop new coping skills."
b. "This type of treatment helps you to examine how your thoughts and feelings
contribute to your difficulties."
c. "This type of treatment helps you to confront your fears gradually."
d. "CBT is a good treatment for depression, but we won't be using with you
because your issues are related to stress and fear." correct answer b. "This type of
treatment helps you to examine how your thoughts and feelings contribute to
your difficulties."
A motivational interviewing-focused therapeutic group would be centered around
the group leader.
Select one:
True
False correct answer false
A nurse is speaking with an indigenous client about their change agenda and
notices the client is avoiding eye contact during their session. The nurse
understands that this lack of eye contact:
, Select one:
a. can convey respect in indigenous cultures.
b. is due to the indigenous norm that looking at the nurse's neck is most polite.
c. is displayed as a universal sign of disrespect.
d. is typically demonstrative of guilt for lack of change. correct answer a. can
convey respect in indigenous cultures.
A patient has been advised by their doctor to improve their heart health by
following the recommended guidelines for physical exercise. The patient
expresses to the nurse, "I know this change will be helpful, but I am unsure how I
can fit this into my life." What does the nurse understand their focus should be at
this time?
Select one:
a. Create ambivalence in the patient by discussing the health benefits related to
cardiac health.
b. Explore the patient's ambivalence and elicit their motivation for change.
c. Provide support to the patient by offering information pamphlets about diet
and exercise.
d. Follow up on the patient's action plan.
e. Establish specific strategies to move the patient's plan into action. correct
answer b. Explore the patient's ambivalence and elicit their motivation for
change.
A patient is having difficulty making a decision. The nurse has mixed feelings
about whether or not to provide advice. Which principle of giving uninvited
advice usually applies in these types of situations?
