During a therapeutic encounter, the nurse remarks to a pt "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques are the nurse using?
a) presenting reality & encouraging planning
b) clarifying & suggesting collaboration
c) reflecting & ...
NUR 215 - Exam 1 Study Guide
Questions and Answers Graded A 2024
During a therapeutic encounter, the nurse remarks to a pt "I noticed anger in your voice
when you spoke of your father. Tell me about that." What communication techniques
are the nurse using?
a) presenting reality & encouraging planning
b) clarifying & suggesting collaboration
c) reflecting & exploring
d) giving information & encouraging evaluation -Correct Answer ✔c) reflecting &
exploring
During a clinical interview with a male nurse, the client falls silent after disclosing that
she was sexually abused as a child. The nurse should
a) quickly break the silence & encourage the pt to continue
b) allow the pt to break the silence
c) reassure the pt that the abuse wasn't their fault
d) reach out & gently touch the pt's arm -Correct Answer ✔b) allow the pt to break the
silence
Client reactions of intense hostility or feelings of strong affection toward the nurse are
common forms of
A) resistance.
B) transference.
C) countertransference.
D) emotional reaction. -Correct Answer ✔B) transference
Acute onset of disordered thinking is most associated with
a) delirium
b) dementia
c) depression
d) transference -Correct Answer ✔a) delirium
Which thought process describes the client's inability to leave his apartment because he
thought someone was waiting to kill him?
A) Hallucination
B) Phobia
C) Delusions
D) Confabulation. -Correct Answer ✔c) delusions
NUR 215 exam 1
,NUR 215 exam 1
SATA: The client becomes very agitated and angry, and he talks loudly to himself as he
waits to be seen by the health care provider. Which medication should the nurse
anticipate giving the client after securing a prescription from the health care provider?
A) Short-acting anxiolytic
B) Antipsychotic medication
C) Mood-stabilizing medication
D) Non-benzo anxiolytic -Correct Answer ✔a & b
We would give a short-acting anxiolytic (antianxiety agent) and a antipsychotic med
The nurse understands that the purpose of the urine drug screen is to assess Brian for
what important information?
A) Detection of substances that may have caused Brian's delusions and/or
hallucinations
B) Determine the approximate time Brian stopped taking his medications
C) Provide information about the type of psychosis Brian is experiencing
D) Document medication noncompliance and reinforce need for hospitalization. -Correct
Answer ✔a) detection of substances that may have caused Brian's delusions and/or
hallucinations
What additional intervention is essential to a successful plan?
A) Isolations
B) Daily activities
C) Consistency
D) Adequate rest -Correct Answer ✔c) consistency
What neurotransmitter is targeted by haloperidol (Haldol)?
A) GABA
B) Serotonin
C) Dopamine
D) Norepinephrine. -Correct Answer ✔c) dopamine
Haldol brings down dopamine levels, which is how pts experience the extrapyramidal
effects
Several hours after receiving his medication, Brian complains of muscle spasms in his
neck and jaw. What side effect of the medication should the nurse suspect?
A) Akathisia
B) Dystonia
C) Tardive dyskinesia
NUR 215 exam 1
, NUR 215 exam 1
D) Parkinsonism -Correct Answer ✔b) dystonia
Medication education and health education are types of
A) psychoeducational groups
B) insight-oriented groups
C) support groups
D) psychodrama -Correct Answer ✔a) psychoeducational groups
A group participant frequently reminds others of the group's main purpose. What type of
role is this person fulfilling?
A) Maintenance
B) Individual
C) Task -Correct Answer ✔c) task
A patient with type 1 diabetes calls the clinic with complaints of nausea, vomiting, and
diarrhea. It is most important that the nurse advise the patient to
a) Withhold the regular dose of insulin.
b) Drink cool fluids with high glucose content.
c) Check the blood glucose level every 2 to 4 hours.
d) Use a less strenuous form of exercise than usual until the illness resolves. -Correct
Answer ✔c) check BG level q 2-4
The nurse plans a class for patients who have newly diagnosed type 2 diabetes
mellitus. Which goal is most appropriate?
a. Make all patients responsible for the management of their disease.
b. Involve the family and significant others in the care of these patients.
c. Enable the patients to become active participants in the management of their
disease.
d. Provide the patients with as much information as soon as possible to prevent
complications. -Correct Answer ✔c) enable the pts to become active participants in the
mgmt of their disease
A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120
mg/dL (6.7 mmoL/L). Which statement by the nurse is best?
a. "You will develop type 2 diabetes within 5 years."
b. "You are at increased risk for developing DM."
c. "The test is normal, and diabetes is not a problem."
d. "The laboratory test result is positive for type 2 diabetes." -Correct Answer ✔b) "you
are at an increased risk for developing DM"
NUR 215 exam 1
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