Submission Details
Submission Date: 4/29/2016
Submission Time: 12:57 AM
Points Awarded: 68
Points Missed: 32
Number of Attempts Allowed: 1
Not Scored: 0
Percentage: 68%
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Questions
1.ID: 283624726
The client is the wife of a former workaholic who now has not worked in years, refusing to get a job
or help with chores around the house. The man watches television and snacks all day. The client
tells the nurse that her husband now weighs more than 300 lb and expects her to support him. The
client states, “I keep saying everything will be fine. It will be if he keeps up these bad health habits,
because they’ll kill him, and then I would be free and wouldn’t have to deal with his obnoxious
behavior.” Which negative stress response does the nurse recognize in the client’s behavior?
Blaming Incorrect
, Daydreaming
Problem solving
Wishful thinking Correct
Rationale: Wishful thinking, a negative stress response, involves the belief that everything will work
out and resolve itself. Blaming involves placing the reason for a particular occurrence on another
person or object. Daydreaming is thinking but not necessarily verbalizing. Problemsolving involves
the use of a systematic plan to work through problems.
TestTaking Strategy: Use the process of elimination and focus on the information in the question.
Noting the words “and then I would be free and wouldn’t have to deal with his obnoxious behavior”
will direct you to the correct option. Review the stress responses if you had difficulty with this
question.
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A
communication approach to evidencebased care (p. 282). St. Louis: Saunders.
Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Awarded 0.0 points out of 1.0 possible points.
2.ID: 283625216
A 35yearold client says to the nurse, “I got divorced less than a year after getting married. I left the
Navy SEALs shortly after I joined. Now I teach in the air marshal program to avoid being recalled for
war, but I’d really like to quit. I start something, am great at it, then get bored and move on. I date,
but I’m still living at home. I never seem to be on my own like other guys my age.” Which response
by the nurse is most appropriate?
, “You made the Navy SEALs but can’t live on your own like an adult and can’t stick with
anything.”
“Can you tell me more about your marriage and relationships? If you leave home, what do
you fear will happen?” Correct
“You have many years to find a new relationship, but moving out of your parents’ home is
a first step to growing up.”
“When will your mother let you go? Seems to me that jobs have come easy to you but that
you can’t grow up and separate from your parents.”
Rationale: The client in the question admits his inability to maintain personal and work relationships
and seems unable to leave home. The correct option focuses on the client’s concerns. In stating,
“You made the Navy SEALs but can’t live on your own like an adult and can’t stick with anything,”
the nurse starts by recognizing the client’s achievement but then diminishes it by nontherapeutically
and sarcastically accusing the client of not being able to stick with anything and being unable to
grow up. In stating, “You have many years to find a new relationship, but moving out of your parents’
home is a first step to growing up,” the nurse uses labeling. In asking, “When will your mother let you
go? Seems to me that jobs have come easy to you but that you can’t grow up and separate from
your parents,” the nurse is premature in judging what is happening to this client. It is nontherapeutic
to label the client’s struggles as not growing up. The client may interpret this as ridicule.
TestTaking Strategy: Use the process of elimination and your knowledge of therapeutic
communication techniques. Eliminate the options that are comparable or alike and indicate that the
client is “not growing up.” Review therapeutic communication techniques if you had difficulty with this
question.
References: Fortinash, K. & HolodayWorret, P. (2008). Psychiatric mental health nursing (4th ed., p.
14). St. Louis: Mosby.
Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp. 2731). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
, Content Area: Mental Health
Awarded 1.0 points out of 1.0 possible points.
3.ID: 283623498
The parents of a 20yearold who was killed while driving drunk say to the nurse, “We’re so
devastated, but we are also angry that she would drink and drive when we told her over and over not
to.” Which statement by the nurse would be therapeutic?
“Young people don’t always obey their parents.”
“Everyone feels guilt or anger when they lose a loved one.”
“Does anyone in the family have a drinking or drug problem?” Incorrect
“Your sadness over losing your daughter is mixed with anger at her driving while
intoxicated.” Correct
Rationale: Anger, a component of the bereavement phenomenon, is a common emotion. In saying,
“Young people don’t always obey their parents,” the nurse makes a closedended statement that is
lecturing in tone. In stating, “Everyone feels guilt or anger when they lose a loved one,” the nurse
makes a preachy and nontherapeutic intellectualization statement. In stating, “Does anyone in the
family have a drinking or drug problem?” the nurse changes the subject and takes the focus away
from facilitation of the expression of feelings with an insensitive statement that may intensify the
parents’ anger.
TestTaking Strategy: Use the process of elimination. Note the relationship between the data in the
question and the correct option. Also note that the correct option is the only option that focuses on
the clients’ feelings. Review therapeutic communication techniques if you had difficulty with this
question.
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp. 2731). St.
Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication
approach to evidencebased care (p. 338). St. Louis: Saunders.
Submission Date: 4/29/2016
Submission Time: 12:57 AM
Points Awarded: 68
Points Missed: 32
Number of Attempts Allowed: 1
Not Scored: 0
Percentage: 68%
Send Results by Email
Top of Form
Send Results by Email
Email Address:
Send
Bottom of Form
Questions
1.ID: 283624726
The client is the wife of a former workaholic who now has not worked in years, refusing to get a job
or help with chores around the house. The man watches television and snacks all day. The client
tells the nurse that her husband now weighs more than 300 lb and expects her to support him. The
client states, “I keep saying everything will be fine. It will be if he keeps up these bad health habits,
because they’ll kill him, and then I would be free and wouldn’t have to deal with his obnoxious
behavior.” Which negative stress response does the nurse recognize in the client’s behavior?
Blaming Incorrect
, Daydreaming
Problem solving
Wishful thinking Correct
Rationale: Wishful thinking, a negative stress response, involves the belief that everything will work
out and resolve itself. Blaming involves placing the reason for a particular occurrence on another
person or object. Daydreaming is thinking but not necessarily verbalizing. Problemsolving involves
the use of a systematic plan to work through problems.
TestTaking Strategy: Use the process of elimination and focus on the information in the question.
Noting the words “and then I would be free and wouldn’t have to deal with his obnoxious behavior”
will direct you to the correct option. Review the stress responses if you had difficulty with this
question.
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A
communication approach to evidencebased care (p. 282). St. Louis: Saunders.
Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Awarded 0.0 points out of 1.0 possible points.
2.ID: 283625216
A 35yearold client says to the nurse, “I got divorced less than a year after getting married. I left the
Navy SEALs shortly after I joined. Now I teach in the air marshal program to avoid being recalled for
war, but I’d really like to quit. I start something, am great at it, then get bored and move on. I date,
but I’m still living at home. I never seem to be on my own like other guys my age.” Which response
by the nurse is most appropriate?
, “You made the Navy SEALs but can’t live on your own like an adult and can’t stick with
anything.”
“Can you tell me more about your marriage and relationships? If you leave home, what do
you fear will happen?” Correct
“You have many years to find a new relationship, but moving out of your parents’ home is
a first step to growing up.”
“When will your mother let you go? Seems to me that jobs have come easy to you but that
you can’t grow up and separate from your parents.”
Rationale: The client in the question admits his inability to maintain personal and work relationships
and seems unable to leave home. The correct option focuses on the client’s concerns. In stating,
“You made the Navy SEALs but can’t live on your own like an adult and can’t stick with anything,”
the nurse starts by recognizing the client’s achievement but then diminishes it by nontherapeutically
and sarcastically accusing the client of not being able to stick with anything and being unable to
grow up. In stating, “You have many years to find a new relationship, but moving out of your parents’
home is a first step to growing up,” the nurse uses labeling. In asking, “When will your mother let you
go? Seems to me that jobs have come easy to you but that you can’t grow up and separate from
your parents,” the nurse is premature in judging what is happening to this client. It is nontherapeutic
to label the client’s struggles as not growing up. The client may interpret this as ridicule.
TestTaking Strategy: Use the process of elimination and your knowledge of therapeutic
communication techniques. Eliminate the options that are comparable or alike and indicate that the
client is “not growing up.” Review therapeutic communication techniques if you had difficulty with this
question.
References: Fortinash, K. & HolodayWorret, P. (2008). Psychiatric mental health nursing (4th ed., p.
14). St. Louis: Mosby.
Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp. 2731). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
, Content Area: Mental Health
Awarded 1.0 points out of 1.0 possible points.
3.ID: 283623498
The parents of a 20yearold who was killed while driving drunk say to the nurse, “We’re so
devastated, but we are also angry that she would drink and drive when we told her over and over not
to.” Which statement by the nurse would be therapeutic?
“Young people don’t always obey their parents.”
“Everyone feels guilt or anger when they lose a loved one.”
“Does anyone in the family have a drinking or drug problem?” Incorrect
“Your sadness over losing your daughter is mixed with anger at her driving while
intoxicated.” Correct
Rationale: Anger, a component of the bereavement phenomenon, is a common emotion. In saying,
“Young people don’t always obey their parents,” the nurse makes a closedended statement that is
lecturing in tone. In stating, “Everyone feels guilt or anger when they lose a loved one,” the nurse
makes a preachy and nontherapeutic intellectualization statement. In stating, “Does anyone in the
family have a drinking or drug problem?” the nurse changes the subject and takes the focus away
from facilitation of the expression of feelings with an insensitive statement that may intensify the
parents’ anger.
TestTaking Strategy: Use the process of elimination. Note the relationship between the data in the
question and the correct option. Also note that the correct option is the only option that focuses on
the clients’ feelings. Review therapeutic communication techniques if you had difficulty with this
question.
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp. 2731). St.
Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication
approach to evidencebased care (p. 338). St. Louis: Saunders.
