A patient with a diagnosis of major depression who has attempted suicide says to the
nurse, "I should have died! I've always been a failure. Nothing ever goes right for me."
Which response demonstrates therapeutic communication?
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"you've been feeling like a failure for a while?"Responding to the feelings
expressed by a patient (by restating them back to them) is an effective
therapeutic communication technique. "why"- non therapeutic.
A 7 year old child was diagnosed with pica. Which assessment finding would the nurse
expect associated with this diagnosis?
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, the child frequently eats newspapers & magazines
1. A child who has witnessed the murder of his classmate while at school would
experience which kind of loss?
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a. Safety loss
A client is admitted for major depression. the client has stated that nothing seems to
bring him pleasure anymore. What should the nurse expect to find during
assessment?
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anhedonia, feelings of worthlessness & difficulty focusing
An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the
first and second appointments, the patient gained 8 pounds. The nurse should:
a. assess lung sounds and extremities.
b. suggest use of an aerobic exercise program.
c. positively reinforce the patient for the weight gain.
d. establish a higher goal for weight gain the next week.
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, a. assess lung sounds and extremities.
A client is seen in the primary care clinic reporting headaches. The client appears
extremely distressed & insists that she must have a brain tumor. which mental health
diagnosis is most appropriate?
a. illness anxiety disorder
b. brain cancer
c. conversion disorder
d. pain disorder
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a. illness anxiety disorder
A patient admitted to a mental health unit for treatment of psychotic behavior spends
hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I
don't belong here." What defense mechanism is the patient implementing?
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Denial
1. A patient tells the nurse, "I know that I should reduce the stress in my life, but I have
no idea where to start." What would be the best initial nursing response?
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, a. "lets talk about what is going on in your life and then look at possible
options."
A patient diagnosed with terminal cancer says to the nurse "I'm going to die, and I
wish my family would stop hoping for a cure! I get so angry when they carry on like
this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?
Give this one a try later!
"You are feeling angry that your family continues to hope for you be
cured?"
A patient is preoccupied after receiving distressing news. She is wringing her hands
and repeatedly stating, "I'm so tense and worried!" Which intervention should the
nurse implement first?
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Guide the patient through slow abdominal breathing.
1. A client if observed pacing the hall with clenched fists & swearing at others. The
nurse intervenes immediately.
Give this one a try later!
a. Crisis
nurse, "I should have died! I've always been a failure. Nothing ever goes right for me."
Which response demonstrates therapeutic communication?
Give this one a try later!
"you've been feeling like a failure for a while?"Responding to the feelings
expressed by a patient (by restating them back to them) is an effective
therapeutic communication technique. "why"- non therapeutic.
A 7 year old child was diagnosed with pica. Which assessment finding would the nurse
expect associated with this diagnosis?
Give this one a try later!
, the child frequently eats newspapers & magazines
1. A child who has witnessed the murder of his classmate while at school would
experience which kind of loss?
Give this one a try later!
a. Safety loss
A client is admitted for major depression. the client has stated that nothing seems to
bring him pleasure anymore. What should the nurse expect to find during
assessment?
Give this one a try later!
anhedonia, feelings of worthlessness & difficulty focusing
An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the
first and second appointments, the patient gained 8 pounds. The nurse should:
a. assess lung sounds and extremities.
b. suggest use of an aerobic exercise program.
c. positively reinforce the patient for the weight gain.
d. establish a higher goal for weight gain the next week.
Give this one a try later!
, a. assess lung sounds and extremities.
A client is seen in the primary care clinic reporting headaches. The client appears
extremely distressed & insists that she must have a brain tumor. which mental health
diagnosis is most appropriate?
a. illness anxiety disorder
b. brain cancer
c. conversion disorder
d. pain disorder
Give this one a try later!
a. illness anxiety disorder
A patient admitted to a mental health unit for treatment of psychotic behavior spends
hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I
don't belong here." What defense mechanism is the patient implementing?
Give this one a try later!
Denial
1. A patient tells the nurse, "I know that I should reduce the stress in my life, but I have
no idea where to start." What would be the best initial nursing response?
Give this one a try later!
, a. "lets talk about what is going on in your life and then look at possible
options."
A patient diagnosed with terminal cancer says to the nurse "I'm going to die, and I
wish my family would stop hoping for a cure! I get so angry when they carry on like
this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?
Give this one a try later!
"You are feeling angry that your family continues to hope for you be
cured?"
A patient is preoccupied after receiving distressing news. She is wringing her hands
and repeatedly stating, "I'm so tense and worried!" Which intervention should the
nurse implement first?
Give this one a try later!
Guide the patient through slow abdominal breathing.
1. A client if observed pacing the hall with clenched fists & swearing at others. The
nurse intervenes immediately.
Give this one a try later!
a. Crisis
