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 closed-
ended 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%
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 closed-
ended 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.
