Exam (elaborations)
NUR 310 Exam One Questions With Complete Solutions.
- Course
- NUR 310
- Institution
- University Of Alabama - Birmingham
NUR 310 Exam One Questions With Complete Solutions.
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NUR 310 Exam One Questions With Complete SolutionsA client hates her father because of childhood emotional abuse.
The nurse determines which client statement represents the use
of the defense mechanism of reaction formation?
a. "I don't like to talk about my relationship with my father."
b. "My father hates me."
c. "I have a very wonderful father whom I love very much."
d. "My dad always loved my brother more than he loved me."
Correct Answer c. "I have a very wonderful father whom I love
very much."
A client threatens to harm himself, his wife, and their children if
the wife follows through with divorce proceedings. During the
pre-interaction phase of the nurse-client relationship, which
intervention should the nurse employ?
a. Acknowledging the client's actions and encouraging
alternative behaviors
b. Establishing rapport and developing treatment goals
c. Providing community resources on aggression management
d. Exploring personal thoughts and feelings that may adversely
impact the provision of care Correct Answer d. Exploring
personal thoughts and feelings that may adversely impact the
provision of care
Accepting (therapeutic) Correct Answer conveys positive
regard
ex. "yes I understand what you said" eye contact; nodding
adolescent depression Correct Answer Anger, aggressiveness
,Running away
Delinquency
Social withdrawal
Sexual acting out
Substance abuse
Restlessness, apathy
agreeing or disagreeing (nontherapeutic) Correct Answer
Implies that nurse has right to pass judgement on whether
client's ideas or opinions are "right" or "wrong"
ex. pt: "I think my doctor doesn't care about me"
nurse: "I disagree. You shouldn't think that way." or "I can't
believe that's true."
approving or disapproving (nontherapeutic) Correct Answer
Implies that the nurse has the right to pass judgment on the
"goodness" or "wrongness" of client's behavior
ex. "It's good that you confronted your wife about her behavior."
"You shouldn't yell at your wife."
As a last resort, an agitated, physically aggressive client is
placed in four-point restraints. The client yells, "I'll sue you for
assault and battery." The unit manager determines that the
nurses are protected under which condition?
a. The client is voluntarily committed and poses a danger to
others on the unit.
b. The client is voluntarily committed and has a history of being
a danger to others.
, c. The client is involuntarily committed because of a history of
violent behavior.
d. The client is involuntarily committed and is refusing
treatment. Correct Answer a. The client is voluntarily
committed and poses a danger to others on the unit.
As the move-out date to leave the shelter gets closer, a battered
wife states, "I'm afraid to leave here. I'm afraid for my safety
and the safety of my children." Which nursing statement is most
supportive?
a. "This is a difficult transition. Let's formulate a plan to keep
you all safe in the community."
b. "It's the policy that clients can only live here for 30 days.
Maybe we can ask for more time."
c. "You've had a month to come up with a plan for keeping you
and your family safe."
d. "Hopefully, your husband has been in counseling. I'm sure
this will work out fine." Correct Answer a. "This is a difficult
transition. Let's formulate a plan to keep you all safe in the
community."
assessment for depression (SIGECAPS) Correct Answer Sleep
disorder
Interest deficit (anhedonia)
Guilt
Energy deficit
Concentration deficit
Appetite disorder, weight change
Psychomotor retardation or agitation
Suicidality
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