1
NR
NR 326/ NR326 EXAM 1: (NEW 2025/ 2026 UPDAT
ML ML ML ML ML ML ML ML ML
E) MENTAL HEALTH NURSING REVIEW | QUESTIONS & A
ML ML ML ML ML ML ML ML
NSWERS| GRADE A| 100% CORRECT (VERIFIED SOLUTIO ML ML ML ML ML ML
NS)- CHAMBERLAIN ML
The nurse decides to go against family wishes and tell the client of his terminal statu
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
s because that is what she would want if she were the client. Which of the following
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ethical theories is considered in this decision?
ml ml ml ml ml ml
a. Kantianism
ml
b. Christian ethics
ml ml
c. Natural law theories
ml ml ml
d. Ethical egoism - ANS ✓b. Christian ethics
ml ml ml ml ml ml ml
The nurse decides to respect family wishes and not tell the client of his terminal stat
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
us because that would bring the most happiness to the most people. Which of the fol
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
lowing ethical theories is considered in this decision?
ml ml ml ml ml ml ml
a. Utilitarianism
ml
b. Kantianism
ml
c. Christian ethics
ml ml
d. Ethical egoism - ANS ✓a. Utilitarianism
ml ml ml ml ml ml
The nurse decides to tell the client of his terminal status because she believes it is he
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
r duty to do so. Which of the following ethical theories is considered in this decision
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
?
a. Natural law theories
ml ml ml
b. Ethical egoism
ml ml
c. Kantianism
ml
d. Utilitarianism - ANS ✓c. Kantianism
ml ml ml ml ml
The nurse assists the physician with electroconvulsive therapy on a client who has re
ml ml ml ml ml ml ml ml ml ml ml ml ml
fused to give consent. With which of the following legal actions might the nurse be c
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
harged because of this nursing action?
ml ml ml ml ml
a. Assault
ml
b. Battery
ml
c. False imprisonment
ml ml
d. Breach of confidentiality - ANS ✓b. Battery
ml ml ml ml ml ml ml
A competent, voluntary client has stated he wants to leave the hospital. The nurse hi
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
des his clothes to keep him from leaving. With which of the following legal actions
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
might the nurse be charged because of this nursing action?
ml ml ml ml ml ml ml ml ml
NR 326ml
, 2
a. Assault
ml
b. Battery
ml
c. False imprisonment
ml ml
d. Breach of confidentiality - ANS ✓c. False imprisonment
ml ml ml ml ml ml ml ml
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
down in the chair and be still, I'm going to put you in restraints!" With which of th
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
e following legal actions might the nurse be charged because of this nursing action?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Defamation of character
ml ml ml
b. Battery
ml
c. Breach of confidentiality
ml ml ml
d. Assault - ANS ✓d. Assault
ml ml ml ml ml
A nurse reports to the supervisor that a depressed client is refusing medication to tr
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
eat his heart condition and states he "would rather just die." The nurse is not sure
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
how to intervene because, although clients have a right to refuse medication, this clie
ml ml ml ml ml ml ml ml ml ml ml ml ml
nt may be so depressed that his behavior represents risk for suicide. Which of these
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
actions by the supervisor is a priority?
ml ml ml ml ml ml
a. Tell the nurse that medication will have to be given forcibly if the client continues
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
to refuse medication.
ml ml ml
b. Instruct the nurse that, because the client is elderly, he is unable to make this dec
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ision and medication will need to be secretly mixed in his food.
ml ml ml ml ml ml ml ml ml ml ml
c. Educate the nurse that the physician has the final say so the nurse should ask the
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml m
physician what to do.
l ml ml ml
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
ml ml ml ml ml ml ml ml ml ml ml ml ml
can be explored further. -
ml ml ml ml
ANS ✓d. Activate appropriate hospital resources, such as an ethics committee, so this iss
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ue can be explored further.
ml ml ml ml
A client on the psychiatric unit begins yelling out loud that no one is listening to hi
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
m and that he is going to "blow up" soon. The orderly asks the nurse if he should g
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
o ahead and put the client in restraints for the safety of others. Which of these resp
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
onses by the nurse is most appropriate?
ml ml ml ml ml ml
a. Educate the orderly that restraints may never be initiated without a physician's o
ml ml ml ml ml ml ml ml ml ml ml ml ml
rder.
b. Instruct the orderly that it would be best to see if the client can be assisted to cal
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
m down by listening to his concerns.
ml ml ml ml ml ml
c. Instruct the orderly to put the client in restraints but make sure to assess the clie
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
nt every 15 minutes for issues regarding circulation, nutrition, respiration, hydration
ml ml ml ml ml ml ml ml ml ml
, and elimination.
ml ml
d. Instruct the orderly to get others to assist him in restraining the client but be aw
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
are restraints should be discontinued at the earliest possible time regardless of when
ml ml ml ml ml ml ml ml ml ml ml ml m
a physician's order is scheduled to expire. -
l ml ml ml ml ml ml ml
ANS ✓b. Instruct the orderly that it would be best to see if the client can be assisted to c
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
alm down by listening to his concerns.
ml ml ml ml ml ml
, 3
The nurse collects the following information during the admission assessment. For w
ml ml ml ml ml ml ml ml ml ml ml
hich of these pieces of data should the nurse take additional action to ensure that "d
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
uty to warn" laws are followed?
ml ml ml ml ml
a. The client threatens violence toward another individual.
ml ml ml ml ml ml ml
b. The client states he wants to kill everyone that has demons.
ml ml ml ml ml ml ml ml ml ml ml
c. The client is having command hallucinations.
ml ml ml ml ml ml
d. The client reveals paranoid delusions about another individual. -
ml ml ml ml ml ml ml ml ml
ANS ✓a. The client threatens violence toward another individual.
ml ml ml ml ml ml ml ml ml
Which of these actions by the nurse demonstrates an application of the QSEN comp
ml ml ml ml ml ml ml ml ml ml ml ml ml
etency related to informatics?
ml ml ml
a. Learns how to effectively communicate information using electronic health records
ml ml ml ml ml ml ml ml ml ml
b. Provides a verbal report of client behavioral issues at shift change
ml ml ml ml ml ml ml ml ml ml ml
c. Asks the supervisor for guidelines on how to prevent lawsuits
ml ml ml ml ml ml ml ml ml ml
d. Reads journals to learn information about new treatments and approaches to nur
ml ml ml ml ml ml ml ml ml ml ml ml
sing care - ml ml
ANS ✓a. Learns how to effectively communicate information using electronic health reco
ml ml ml ml ml ml ml ml ml ml ml ml
rds
Which of the following behaviors suggest a possible breach of professional boundarie
ml ml ml ml ml ml ml ml ml ml ml
s? (Select all that apply.)
ml ml ml ml
a. The nurse repeatedly requests to be assigned to a specific patient.
ml ml ml ml ml ml ml ml ml ml ml
b. The nurse shares the details of her divorce with the patient.
ml ml ml ml ml ml ml ml ml ml ml
c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
ml ml ml ml ml ml ml ml ml ml ml ml ml
ronment.
d. The nurse shares how she dealt with a similar difficult situation. -
ml ml ml ml ml ml ml ml ml ml ml ml
ANS ✓a. The nurse repeatedly requests to be assigned to a specific patient.
ml ml ml ml ml ml ml ml ml ml ml ml ml
b. The nurse shares the details of her divorce with the patient.
ml ml ml ml ml ml ml ml ml ml ml
c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
ml ml ml ml ml ml ml ml ml ml ml ml ml
ronment.
. Which of the following tasks are associated with the orientation phase of relationsh
ml ml ml ml ml ml ml ml ml ml ml ml ml
ip development? (Select all that apply.)
ml ml ml ml ml
a. Promoting the patient's insight and perception of reality
ml ml ml ml ml ml ml ml
b. Creating an environment for the establishment of trust and rapport
ml ml ml ml ml ml ml ml ml ml
c. Using the problem-solving model toward goal fulfillment
ml ml ml ml ml ml ml
d. Obtaining available information about the patient from various sources
ml ml ml ml ml ml ml ml ml
e. Formulating nursing diagnoses and setting goals -
ml ml ml ml ml ml ml
ANS ✓b. Creating an environment for the establishment of trust and rapport
ml ml ml ml ml ml ml ml ml ml ml ml
e. Formulating nursing diagnoses and setting goals
ml ml ml ml ml ml
The nurse, who is an adult child of an alcoholic, is working with a client who abuses
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
alcohol. The client has experienced a successful detoxification process and is beginni
ml ml ml ml ml ml ml ml ml ml ml ml
ng a rehabilitation program. He says to the nurse, "I'm not going to go to those stu
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
pid AA meetings. They don't help anything." The nurse, whose father died of compli
ml ml ml ml ml ml ml ml ml ml ml ml ml
, 4
cations from alcoholism, responds with anger: "Don't you even care what happens t
ml ml ml ml ml ml ml ml ml ml ml ml
o your children?" The nurse's response is an example of which of the following?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Transference
ml
b. Countertransference
ml
c. Self-disclosure
ml
d. A breach of professional boundaries - ANS ✓b. Countertransference
ml ml ml ml ml ml ml ml ml
The nurse is working with a client in the anger-
ml ml ml ml ml ml ml ml ml
management program. Which of the following identifies actions associated with the
ml ml ml ml ml ml ml ml ml ml ml
working phase of the therapeutic relationship?
ml ml ml ml ml
a. The nurse and the client work together to identify goals for developing more adap
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
tive ways to handle anger.
ml ml ml ml
b. The client expresses a desire to continue in the anger management program after
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
the goals have been met.
ml ml ml ml
c. The nurse reviews the client's medical record and assesses his or her personal feel
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ing about working with a client who abused their spouse.
ml ml ml ml ml ml ml ml ml
d. The nurse assists the client in practicing various techniques to effectively manage
ml ml ml ml ml ml ml ml ml ml ml ml ml
anger and provides positive feedback when the client attempts to improve maladapti
ml ml ml ml ml ml ml ml ml ml ml
ve behaviors. -
ml ml
ANS ✓d. The nurse assists the client in practicing various techniques to effectively mana
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ge anger and provides positive feedback when the client attempts to improve maladaptive
ml ml ml ml ml ml ml ml ml ml ml ml ml
behaviors.
When there is congruence between what is felt and what is expressed, the nurse is e
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
xhibiting which of the following characteristics?
ml ml ml ml ml
a. Trust
ml
b. Respect
ml
c. Genuineness
ml
d. Empathy - ANS ✓c. Genuineness
ml ml ml ml ml
When the nurse shows unconditional acceptance of an individual as a worthwhile an
ml ml ml ml ml ml ml ml ml ml ml ml
d unique human being, he or she is exhibiting which of the following characteristics?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Trust
ml
b. Respect
ml
c. Genuineness
ml
d. Empathy - ANS ✓b. Respect
ml ml ml ml ml
A client who is being discharged from an inpatient hospital stay has his wife bring a
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
box of chocolates and a bouquet of flowers for his primary nurse. He presents these
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
gifts to the nurse, saying, "Thank you for taking care of me." What is the most ap
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
propriate response by the nurse? ml ml ml ml
a. "I don't accept gifts from patients."
ml ml ml ml ml ml
b. "Thank you so much! It is so nice to be appreciated."
ml ml ml ml ml ml ml ml ml ml ml
c. "Thank you. I will share these with the rest of the staff."
ml ml ml ml ml ml ml ml ml ml ml ml
d. "Hospital policy forbids me to accept gifts from patients." -
ml ml ml ml ml ml ml ml ml ml
ANS ✓c. "Thank you. I will share these with the rest of the staff."
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
NR
NR 326/ NR326 EXAM 1: (NEW 2025/ 2026 UPDAT
ML ML ML ML ML ML ML ML ML
E) MENTAL HEALTH NURSING REVIEW | QUESTIONS & A
ML ML ML ML ML ML ML ML
NSWERS| GRADE A| 100% CORRECT (VERIFIED SOLUTIO ML ML ML ML ML ML
NS)- CHAMBERLAIN ML
The nurse decides to go against family wishes and tell the client of his terminal statu
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
s because that is what she would want if she were the client. Which of the following
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ethical theories is considered in this decision?
ml ml ml ml ml ml
a. Kantianism
ml
b. Christian ethics
ml ml
c. Natural law theories
ml ml ml
d. Ethical egoism - ANS ✓b. Christian ethics
ml ml ml ml ml ml ml
The nurse decides to respect family wishes and not tell the client of his terminal stat
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
us because that would bring the most happiness to the most people. Which of the fol
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
lowing ethical theories is considered in this decision?
ml ml ml ml ml ml ml
a. Utilitarianism
ml
b. Kantianism
ml
c. Christian ethics
ml ml
d. Ethical egoism - ANS ✓a. Utilitarianism
ml ml ml ml ml ml
The nurse decides to tell the client of his terminal status because she believes it is he
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
r duty to do so. Which of the following ethical theories is considered in this decision
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
?
a. Natural law theories
ml ml ml
b. Ethical egoism
ml ml
c. Kantianism
ml
d. Utilitarianism - ANS ✓c. Kantianism
ml ml ml ml ml
The nurse assists the physician with electroconvulsive therapy on a client who has re
ml ml ml ml ml ml ml ml ml ml ml ml ml
fused to give consent. With which of the following legal actions might the nurse be c
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
harged because of this nursing action?
ml ml ml ml ml
a. Assault
ml
b. Battery
ml
c. False imprisonment
ml ml
d. Breach of confidentiality - ANS ✓b. Battery
ml ml ml ml ml ml ml
A competent, voluntary client has stated he wants to leave the hospital. The nurse hi
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
des his clothes to keep him from leaving. With which of the following legal actions
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
might the nurse be charged because of this nursing action?
ml ml ml ml ml ml ml ml ml
NR 326ml
, 2
a. Assault
ml
b. Battery
ml
c. False imprisonment
ml ml
d. Breach of confidentiality - ANS ✓c. False imprisonment
ml ml ml ml ml ml ml ml
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
down in the chair and be still, I'm going to put you in restraints!" With which of th
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
e following legal actions might the nurse be charged because of this nursing action?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Defamation of character
ml ml ml
b. Battery
ml
c. Breach of confidentiality
ml ml ml
d. Assault - ANS ✓d. Assault
ml ml ml ml ml
A nurse reports to the supervisor that a depressed client is refusing medication to tr
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
eat his heart condition and states he "would rather just die." The nurse is not sure
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
how to intervene because, although clients have a right to refuse medication, this clie
ml ml ml ml ml ml ml ml ml ml ml ml ml
nt may be so depressed that his behavior represents risk for suicide. Which of these
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
actions by the supervisor is a priority?
ml ml ml ml ml ml
a. Tell the nurse that medication will have to be given forcibly if the client continues
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
to refuse medication.
ml ml ml
b. Instruct the nurse that, because the client is elderly, he is unable to make this dec
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ision and medication will need to be secretly mixed in his food.
ml ml ml ml ml ml ml ml ml ml ml
c. Educate the nurse that the physician has the final say so the nurse should ask the
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml m
physician what to do.
l ml ml ml
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
ml ml ml ml ml ml ml ml ml ml ml ml ml
can be explored further. -
ml ml ml ml
ANS ✓d. Activate appropriate hospital resources, such as an ethics committee, so this iss
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ue can be explored further.
ml ml ml ml
A client on the psychiatric unit begins yelling out loud that no one is listening to hi
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
m and that he is going to "blow up" soon. The orderly asks the nurse if he should g
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
o ahead and put the client in restraints for the safety of others. Which of these resp
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
onses by the nurse is most appropriate?
ml ml ml ml ml ml
a. Educate the orderly that restraints may never be initiated without a physician's o
ml ml ml ml ml ml ml ml ml ml ml ml ml
rder.
b. Instruct the orderly that it would be best to see if the client can be assisted to cal
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
m down by listening to his concerns.
ml ml ml ml ml ml
c. Instruct the orderly to put the client in restraints but make sure to assess the clie
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
nt every 15 minutes for issues regarding circulation, nutrition, respiration, hydration
ml ml ml ml ml ml ml ml ml ml
, and elimination.
ml ml
d. Instruct the orderly to get others to assist him in restraining the client but be aw
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
are restraints should be discontinued at the earliest possible time regardless of when
ml ml ml ml ml ml ml ml ml ml ml ml m
a physician's order is scheduled to expire. -
l ml ml ml ml ml ml ml
ANS ✓b. Instruct the orderly that it would be best to see if the client can be assisted to c
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
alm down by listening to his concerns.
ml ml ml ml ml ml
, 3
The nurse collects the following information during the admission assessment. For w
ml ml ml ml ml ml ml ml ml ml ml
hich of these pieces of data should the nurse take additional action to ensure that "d
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
uty to warn" laws are followed?
ml ml ml ml ml
a. The client threatens violence toward another individual.
ml ml ml ml ml ml ml
b. The client states he wants to kill everyone that has demons.
ml ml ml ml ml ml ml ml ml ml ml
c. The client is having command hallucinations.
ml ml ml ml ml ml
d. The client reveals paranoid delusions about another individual. -
ml ml ml ml ml ml ml ml ml
ANS ✓a. The client threatens violence toward another individual.
ml ml ml ml ml ml ml ml ml
Which of these actions by the nurse demonstrates an application of the QSEN comp
ml ml ml ml ml ml ml ml ml ml ml ml ml
etency related to informatics?
ml ml ml
a. Learns how to effectively communicate information using electronic health records
ml ml ml ml ml ml ml ml ml ml
b. Provides a verbal report of client behavioral issues at shift change
ml ml ml ml ml ml ml ml ml ml ml
c. Asks the supervisor for guidelines on how to prevent lawsuits
ml ml ml ml ml ml ml ml ml ml
d. Reads journals to learn information about new treatments and approaches to nur
ml ml ml ml ml ml ml ml ml ml ml ml
sing care - ml ml
ANS ✓a. Learns how to effectively communicate information using electronic health reco
ml ml ml ml ml ml ml ml ml ml ml ml
rds
Which of the following behaviors suggest a possible breach of professional boundarie
ml ml ml ml ml ml ml ml ml ml ml
s? (Select all that apply.)
ml ml ml ml
a. The nurse repeatedly requests to be assigned to a specific patient.
ml ml ml ml ml ml ml ml ml ml ml
b. The nurse shares the details of her divorce with the patient.
ml ml ml ml ml ml ml ml ml ml ml
c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
ml ml ml ml ml ml ml ml ml ml ml ml ml
ronment.
d. The nurse shares how she dealt with a similar difficult situation. -
ml ml ml ml ml ml ml ml ml ml ml ml
ANS ✓a. The nurse repeatedly requests to be assigned to a specific patient.
ml ml ml ml ml ml ml ml ml ml ml ml ml
b. The nurse shares the details of her divorce with the patient.
ml ml ml ml ml ml ml ml ml ml ml
c. The nurse makes arrangements to meet the patient outside of the therapeutic envi
ml ml ml ml ml ml ml ml ml ml ml ml ml
ronment.
. Which of the following tasks are associated with the orientation phase of relationsh
ml ml ml ml ml ml ml ml ml ml ml ml ml
ip development? (Select all that apply.)
ml ml ml ml ml
a. Promoting the patient's insight and perception of reality
ml ml ml ml ml ml ml ml
b. Creating an environment for the establishment of trust and rapport
ml ml ml ml ml ml ml ml ml ml
c. Using the problem-solving model toward goal fulfillment
ml ml ml ml ml ml ml
d. Obtaining available information about the patient from various sources
ml ml ml ml ml ml ml ml ml
e. Formulating nursing diagnoses and setting goals -
ml ml ml ml ml ml ml
ANS ✓b. Creating an environment for the establishment of trust and rapport
ml ml ml ml ml ml ml ml ml ml ml ml
e. Formulating nursing diagnoses and setting goals
ml ml ml ml ml ml
The nurse, who is an adult child of an alcoholic, is working with a client who abuses
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
alcohol. The client has experienced a successful detoxification process and is beginni
ml ml ml ml ml ml ml ml ml ml ml ml
ng a rehabilitation program. He says to the nurse, "I'm not going to go to those stu
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
pid AA meetings. They don't help anything." The nurse, whose father died of compli
ml ml ml ml ml ml ml ml ml ml ml ml ml
, 4
cations from alcoholism, responds with anger: "Don't you even care what happens t
ml ml ml ml ml ml ml ml ml ml ml ml
o your children?" The nurse's response is an example of which of the following?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Transference
ml
b. Countertransference
ml
c. Self-disclosure
ml
d. A breach of professional boundaries - ANS ✓b. Countertransference
ml ml ml ml ml ml ml ml ml
The nurse is working with a client in the anger-
ml ml ml ml ml ml ml ml ml
management program. Which of the following identifies actions associated with the
ml ml ml ml ml ml ml ml ml ml ml
working phase of the therapeutic relationship?
ml ml ml ml ml
a. The nurse and the client work together to identify goals for developing more adap
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
tive ways to handle anger.
ml ml ml ml
b. The client expresses a desire to continue in the anger management program after
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
the goals have been met.
ml ml ml ml
c. The nurse reviews the client's medical record and assesses his or her personal feel
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ing about working with a client who abused their spouse.
ml ml ml ml ml ml ml ml ml
d. The nurse assists the client in practicing various techniques to effectively manage
ml ml ml ml ml ml ml ml ml ml ml ml ml
anger and provides positive feedback when the client attempts to improve maladapti
ml ml ml ml ml ml ml ml ml ml ml
ve behaviors. -
ml ml
ANS ✓d. The nurse assists the client in practicing various techniques to effectively mana
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
ge anger and provides positive feedback when the client attempts to improve maladaptive
ml ml ml ml ml ml ml ml ml ml ml ml ml
behaviors.
When there is congruence between what is felt and what is expressed, the nurse is e
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
xhibiting which of the following characteristics?
ml ml ml ml ml
a. Trust
ml
b. Respect
ml
c. Genuineness
ml
d. Empathy - ANS ✓c. Genuineness
ml ml ml ml ml
When the nurse shows unconditional acceptance of an individual as a worthwhile an
ml ml ml ml ml ml ml ml ml ml ml ml
d unique human being, he or she is exhibiting which of the following characteristics?
ml ml ml ml ml ml ml ml ml ml ml ml ml
a. Trust
ml
b. Respect
ml
c. Genuineness
ml
d. Empathy - ANS ✓b. Respect
ml ml ml ml ml
A client who is being discharged from an inpatient hospital stay has his wife bring a
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
box of chocolates and a bouquet of flowers for his primary nurse. He presents these
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
gifts to the nurse, saying, "Thank you for taking care of me." What is the most ap
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml
propriate response by the nurse? ml ml ml ml
a. "I don't accept gifts from patients."
ml ml ml ml ml ml
b. "Thank you so much! It is so nice to be appreciated."
ml ml ml ml ml ml ml ml ml ml ml
c. "Thank you. I will share these with the rest of the staff."
ml ml ml ml ml ml ml ml ml ml ml ml
d. "Hospital policy forbids me to accept gifts from patients." -
ml ml ml ml ml ml ml ml ml ml
ANS ✓c. "Thank you. I will share these with the rest of the staff."
ml ml ml ml ml ml ml ml ml ml ml ml ml ml
