1 WITH 100% CORRECT ANSWERS
2025/2026
Which client-focused scenario best demonstrates an example of eustress?
A) the client receives notification that their employer is experiencing financial
problems and some workers will be terminated
B) The client receives a bank notice that there were insufficient funds in their
account for a recent payment
C) the client loses a beloved family pet
D) The client prepares to take a vacation to a tropical island with a group of close
friends - correct answers -D) The client prepares to take a vacation to a tropical
island with a group of close friends
A client undergoing diagnostic tests says, "Nothing is wrong with me except a
stubborn chest cold." The spouse reports the client smokes, coughs daily, lost 15
pounds, and is easily fatigued. which defense mechanism is the client using?
A) Displacement
B) Regression
C) Denial
D) Projection - correct answers -C) Denial
A client nervously says, "financial problems are stressing my marriage. I've heard
rumors about cutbacks at work and I am afraid I might get laid off." The client's
,pulse is 112 beats/minute; respirations are 26 breaths/minute ; and blood
pressure is 166/88. Which nursing intervention will the nurse implement?
A) Direct the client in slow and deep breathing using abdominal muscles
B) Advise the client, "go to sleep to 30 to 60 minutes earlier each night to increase
rest
C) Tell the client, "Relax by spending more time playing with your pet."
D) Suggest the client consider that a new job might be better than the present one
- correct answers -A) direct the client in slow and deep breathing using abdominal
muscles
A nurse driving home after work comes upon a serious automobile accident. The
drive gets out of the car with no apparent physical injuries. Which assessment
findings would the nurse expect from the driver immediately after this event?
Select all that apply
A) Rapid speech
B) Fecal incontinence
C) Long-term memory losses
D) Trembling
E) Difficulty using a cell phone - correct answers -A) rapid speech
D) Trembling
E) Difficulty using a cell phone
Which situation demonstrates the use of primary intervention related to crisis?
A) teaching stress-reduction techniques to a first-year college student
B) Assessing coping strategies used by a client who attempted suicide
,C) Implementation of suicide precautions for a depressed client
D) Referring a client diagnosed with schizophrenia to a partial hospitalization
program - correct answers -A) Teaching stress-reduction techniques to a first-year
college student
A nurse enters a client's room and observes that the client is agitated and pacing
rapidly. The client looks at the nurse and says, "Back off. Leave me alone!" Which
of the following statements should the nurse make?
A) "I demand that you calm down now. Your behavior is unacceptable"
B) "I will close the door to provide privacy, and you can tell me what is bothering
you"
C) "I will give you space if you calm down. Tell me what is causing you to feel so
tense"
D) I will leave you alone for a few minutes while you try to control yourself" -
correct answers -C) "I will give you space if you calm down. Tell me what is causing
you to feel so tense"
"Tell me" = therapeutic
Never close the door or leave the patient alone
A nurse is caring for a client who reminds her of a negative person in her past.
These memories cause the nurse to unconsciously displace negative feelings
towards the client. The nurse should recognize that she is demonstrating which of
the following behaviors?
A) Suppression
B) Countertransference
C) Transference
, D) Inter-transference - correct answers -B) Countertransference
Countertransference: the nurse is treating the patient like someone they know
Transference: The patient is treating the nurse like someone they know
A nurse is establishing a therapeutic relationship with a client who hallucinates.
Which of the following actions should the nurse take during the orientation
phase?
A) Identify the client's perception of the reason for therapy
B) Ask the client to provide a detailed description of the hallucinations
C) Assist the client with the development of problem-solving skills
D) Explore the client's relationship with family members - correct answers -A)
Identify the client's perception of the reason for therapy
All other options are apart of the working phase!
Talk about the termination phase throughout all 3 beginning phases
A nurse is planning care for a client who has thoughts of suicide. Which of the
following goals should the nurse include in the client's plan of care
A) The client will identify positive aspects of others
B) The client agrees to notify a staff member of thoughts of self-harm
C) The client will engage in an independent diversional activity
D) The client will not verbalize thoughts or feelings related to suicide - correct
answers -B) The client agrees to notify a staff member of thoughts of self-harm