3. 01
A DEPRESSED CLIENT IN AN
INPATIENT UNIT SAYS TO THE
NURSE, “MY FAMILY WOULD
BE BETTER OFF WITHOUT
ME.” WHICH IS THE NURSE’S
BEST RESPONSE?
4. A. “HAVE YOU TALKED
TO YOUR FAMILY
ABOUT THIS?”
B. “EVERYONE FEELS
THIS WAY WHEN THEY
ARE DEPRESSED.”
C. “YOU WILL FEEL BETTER
ONCE YOUR MEDICATION
BEGINS TO WORK.”
D. “YOU SOUND VERY
UPSET. ARE YOU THINKING
OF HURTING YOURSELF?”
CHOICES
6. 02
STAN IS A NEW NURSE. HE IS VERY
CONCERNED ABOUT GETTING HIS TASKS
DONE. HE WALKS IN ON HIS PT, WHO IS
LOOKING OUT THE WINDOW. STAN ASKS,
"WHAT'S WRONG?" THE PT ANSWERS,
"I'M OLD, AND MY BODY IS WEARING
OUT." STAN REPLIES, "OH COME ON, YOU
AREN'T THAT OLD, AND YOU JUST HAVE A
KIDNEY INFECTION." WHAT HAS STAN
DONE?
9. 03
THE PATIENT STATES, “I DON'T
BELIEVE I HAVE CANCER, IT'S JUST
SOMETHING THE DOCTOR MADE UP
SO HE CAN EARN MONEY FROM ME”
What kind of defense mechanism does
the patient exhibit?
12. 04
THIS TYPE OF
COMMUNICATION REQUIRES
THE NURSE TO SELECT WORDS
AND PHRASES CAREFULLY IN
ORDER TO ESTABLISH A
DIALOGUE AND TRUST WITH
THE PATIENT.
15. 05
A PATIENT WITH DISTURBED
THOUGHT PROCESSES SUSPECTS
THAT HIS FOOD HAS BEEN
POISONED. WHICH
COMMUNICATION TECHNIQUE
SHOULD THE NURSE USE to
encourage the patient to eat?
16. A. USING OPEN-
ENDED
QUESTIONS AND
SILENCE
B. SHARING PERSONAL
PREFERENCES
REGARDING FOOD
CHOICES
C. DOCUMENTING
REASONS WHY THE
PATIENT DOES NOT WANT
TO EAT
D. OFFERING OPINIONS
ABOUT THE NECESSITY OF
ADEQUATE NUTRITION
CHOICES
19. A. "DON'T WORRY.
EVERYTHING WILL
BE ALRIGHT."
B. "YOU APPEAR
UPTIGHT."
C. "I NOTICE YOU HAVE
BITTEN YOUR NAILS TO
THE QUICK."
D. "YOU ARE
JUMPING TO
CONCLUSIONS."
CHOICES
21. 07
CLIENT: "WHEN I AM ANXIOUS,
THE ONLY THING THAT CALMS ME
DOWN IS ALCOHOL."
NURSE: "OTHER THAN DRINKING,
WHAT ALTERNATIVES HAVE YOU
EXPLORED TO DECREASE
ANXIETY?"
27. 09
A NEWLY ADMITTED CLIENT
DIAGNOSED WITH OBSESSIVE-
COMPULSIVE DISORDER (OCD)
WASHES HANDS CONTINUALLY. THIS
BEHAVIOR PREVENTS UNIT ACTIVITY
ATTENDANCE. WHICH NURSING
STATEMENT BEST ADDRESSES THIS
SITUATION?
28. A. “EVERYONE
DIAGNOSED WITH OCD
NEEDS TO CONTROL
THEIR RITUALISTIC
BEHAVIORS.”
B. “IT IS IMPORTANT
FOR YOU TO
DISCONTINUE THESE
RITUALISTIC
BEHAVIORS.”
C. “WHY ARE YOU ASKING
FOR HELP IF YOU WON’T
PARTICIPATE IN UNIT
THERAPY?”
D. “LET’S FIGURE OUT A
WAY FOR YOU TO ATTEND
UNIT ACTIVITIES AND STILL
WASH YOUR HANDS.”
CHOICES