NURS 420 Final Exam Practice -
Questions, Answers and
Rationales
1. Hildegard Peplau - ANS ✔Therapeutic nurse-client relationship
*Four phases: orientation, identification, exploitation, resolution
Nurse's roles to meet client's needs: stranger, resource person, teacher, leader,
surrogate, counselor
2. is a nursing theorist whose theories formed much of the foundation of
modern nursing practice, including the therapeutic nurse-patient
relationship, the role of the nurse in the relationship, and the four anxiety
levels? - ANS ✔Hildegard Peplau
3. Orientation phase - ANS ✔The orientation phase is directed by the nurse
and involves engaging the client in treatment, providing explanations and
information, and answering questions.
Patient's problems and needs are clarified.
Patient asks questions.
,Hospital routines and expectations are explained. Patient harnesses energy
toward meeting problems. Patient's full participation is elicited.
4. Identification phase - ANS ✔The identification phase begins when the
client works interdependently with the nurse, expresses feelings, and
begins to feel stronger.
Patient expresses feelings.
Interdependent work with the nurse occurs.
Roles of both patient and nurse are clarified.
5. Exploitation phase - ANS ✔In the exploitation phase, the client makes full
use of the services offered.
Patient makes full use of available services.
Goals such as going home and returning to work emerge.
Patient's behaviors fluctuate between dependence and independence
6. Resolution phase - ANS ✔In the resolution phase, the client no longer
needs professional services and gives up dependent behavior. The
relationship ends.
, Patient gives up dependent behavior.
Services are no longer needed by patient.
Patient assumes power to meet own needs, set new goals, and so forth
7. Stranger - ANS ✔offering the client the same acceptance and courtesy that
the nurse would to any stranger
8. Resource person - ANS ✔providing specific answers to questions within a
larger context
9. Teacher - ANS ✔helping the client learn either formally or informally
10.Leader - ANS ✔offering direction to the client or group
11.Surrogate - ANS ✔serving as a substitute for another, such as a parent or
sibling
12.Counselor - ANS ✔promoting experiences leading to health for the client,
such as expression of feelings
, 13.When and how should a nurse confront a patient? - ANS ✔
14.Cerebrum has 4 lobes - ANS ✔frontal, parietal, occipital, temporal
15.Frontal lobe - ANS ✔-The frontal lobes control the organization of thought,
body movement, memories, emotions, and moral behavior.
-The integration of all this information regulates arousal, focuses attention, and
enables problem-solving and decision-making.
-Abnormalities in the frontal lobes are associated with schizophrenia, attention-
deficit/hyperactivity disorder (ADHD), and dementia.
-Brain injury in this area: trouble with emotions, fairly impulsive, difficulty with
right and wrong
16.Parietal lobe - ANS ✔The parietal lobes interpret sensations of taste and
touch and assist in spatial orientation.
17.Temporal lobe - ANS ✔The temporal lobes are centers for the senses of
smell and hearing and for memory and emotional expression.
Questions, Answers and
Rationales
1. Hildegard Peplau - ANS ✔Therapeutic nurse-client relationship
*Four phases: orientation, identification, exploitation, resolution
Nurse's roles to meet client's needs: stranger, resource person, teacher, leader,
surrogate, counselor
2. is a nursing theorist whose theories formed much of the foundation of
modern nursing practice, including the therapeutic nurse-patient
relationship, the role of the nurse in the relationship, and the four anxiety
levels? - ANS ✔Hildegard Peplau
3. Orientation phase - ANS ✔The orientation phase is directed by the nurse
and involves engaging the client in treatment, providing explanations and
information, and answering questions.
Patient's problems and needs are clarified.
Patient asks questions.
,Hospital routines and expectations are explained. Patient harnesses energy
toward meeting problems. Patient's full participation is elicited.
4. Identification phase - ANS ✔The identification phase begins when the
client works interdependently with the nurse, expresses feelings, and
begins to feel stronger.
Patient expresses feelings.
Interdependent work with the nurse occurs.
Roles of both patient and nurse are clarified.
5. Exploitation phase - ANS ✔In the exploitation phase, the client makes full
use of the services offered.
Patient makes full use of available services.
Goals such as going home and returning to work emerge.
Patient's behaviors fluctuate between dependence and independence
6. Resolution phase - ANS ✔In the resolution phase, the client no longer
needs professional services and gives up dependent behavior. The
relationship ends.
, Patient gives up dependent behavior.
Services are no longer needed by patient.
Patient assumes power to meet own needs, set new goals, and so forth
7. Stranger - ANS ✔offering the client the same acceptance and courtesy that
the nurse would to any stranger
8. Resource person - ANS ✔providing specific answers to questions within a
larger context
9. Teacher - ANS ✔helping the client learn either formally or informally
10.Leader - ANS ✔offering direction to the client or group
11.Surrogate - ANS ✔serving as a substitute for another, such as a parent or
sibling
12.Counselor - ANS ✔promoting experiences leading to health for the client,
such as expression of feelings
, 13.When and how should a nurse confront a patient? - ANS ✔
14.Cerebrum has 4 lobes - ANS ✔frontal, parietal, occipital, temporal
15.Frontal lobe - ANS ✔-The frontal lobes control the organization of thought,
body movement, memories, emotions, and moral behavior.
-The integration of all this information regulates arousal, focuses attention, and
enables problem-solving and decision-making.
-Abnormalities in the frontal lobes are associated with schizophrenia, attention-
deficit/hyperactivity disorder (ADHD), and dementia.
-Brain injury in this area: trouble with emotions, fairly impulsive, difficulty with
right and wrong
16.Parietal lobe - ANS ✔The parietal lobes interpret sensations of taste and
touch and assist in spatial orientation.
17.Temporal lobe - ANS ✔The temporal lobes are centers for the senses of
smell and hearing and for memory and emotional expression.
