N405 Exam 1 Assignment Questions And Answers To Pass.
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Course
N405
Institution
N405
What is a crucial goal of therapeutic communication when helping the client deal with personal issues and painful feelings?
A. guaranteeing total confidentiality and anonymity for the client
B. communicating empathy through gentle touch
C. conveying client respect and acceptance even if not all ...
N405 Exam 1 Assignment Questions And
Answers To Pass.
What is a crucial goal of therapeutic communication when helping the client deal with personal issues
and painful feelings?
A. guaranteeing total confidentiality and anonymity for the client
B. communicating empathy through gentle touch
C. conveying client respect and acceptance even if not all of the client's behaviors are tolerated
D. mutual sharing of information, spontaneity, emotions, and intimacy - Answer C
Which probe should the nurse use to encourage client evaluation of his or her own behavior?
A. "What did you do differently with your coworker this time?"
B. "I can hear that it's still hard for you to talk about this."
C. "So what does this all mean to you now?"
D. "What will it take to carry out your new plans?" - Answer A.
A client has been rehospitalized with a severe exacerbation of lupus. Her husband approaches the nurse
and says, "My wife is scaring me. She says she doesn't want to live with this illness anymore. Our kids are
grown, and she feels useless as a mother and a wife." Which statements are the most appropriate
responses to the husband? Select all that apply.
A. "I'm sure she will feel differently when we get this episode under control."
B. "We can talk about what you can say to her that may help."
C. "You need to be strong and optimistic when you are with her."
D. "I'll have a talk with your wife to see if she is suicidal."
E. "I'm glad you shared this with me. I can imagine that this is scary for you." - Answer Only pick one.
Maybe D.
A client was experiencing marital discord with a spouse of 4 years. When the spouse walked out, the
client became angry and began to throw things and break dishes. A friend talked the client into seeking
,help at the local mental health center. Which of these questions should the nurse ask initially to begin to
assess this client's immediate problem?
A. "Do you feel in control of yourself at this time?"
B. "What led you to come in for help today?"
C. "What did you do to cause your spouse to leave?"
D. "In hindsight, how might you have managed this situation differently?" - Answer B
The nurses assesses a client for physiologic responses to stress. Which finding would suggest to the
nurse that the client is not experiencing anger?
A. increased muscle tension
B. decreased peristalsis
C. increased respiratory rate
D. decreased blood pressure - Answer D
When planning the care of a client experiencing aggression, the nurse incorporates the principle of "least
restrictive alternative," meaning that less restrictive interventions must be tried before more restrictive
measures are employed. What measures should the nurse consider to be the most restrictive?
A. haloperidol given intramuscularly
B. haloperidol given orally
C. voluntary seclusion or time-out
D. tension reduction strategies - Answer A
As an angry client becomes more agitated while talking about problems, the nurse decides to ask for
staff assistance in taking control of the situation when the client demonstrates which behavior?
A. picking up a pool cue stick and telling the nurse to get out of the way
B. making a fist and pounding loudly on the table
C. swearing about a spouse's behaviors when discussing marital problems
D. coming out of the room instead of staying in time-out - Answer A
Based on a client's history of violence toward others and inability to cope with anger, what should the
nurse use as the most important indicator of goal achievement before discharge?
, A. verbalization of feelings in an appropriate manner
B. acknowledgement of the client's angry feelings
C. development of a list of how anger has been handled in the past
D. ability to describe situations that provoke angry feelings - Answer A
A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening
others, angry outbursts, and two episodes of hitting a coworkers at the client's place of employment.
The client is very anxious and tells the nurse, "I didn't mean to hit him. He made me so mad that I just
couldn't help it. I hope I don't hit anyone here." To ensure a safe environment, what should the nurse do
first?
A. Put the client in a private room, and limit the client's time out of the room to when staff can be with
the client.
B. Let other clients know that the client has a history of hitting others so that they will not provoke the
client.
C. Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member
when feeling angry.
D. Obtain a prescription for a medication to be administered to decrease the client's anxiety and
threatening behavior. - Answer C
A client loses control and throws two chairs toward another client. What should the nurse do next?
A. Process the incident with the client and discuss alternative behaviors.
B. Call for assistance to restrain the client and administer a PRN intramuscular tranquillizer.
C. Ask the client to go to the quiet area and talk about the behavior.
D. Administer an oral PRN tranquilizer and prepare for a show of determination. - Answer B
A woman who was raped in her home was brought to the emergency department by her husband. After
being interviewed by the police, the husband talks to the nurse. "I don't know why she didn't keep the
doors locked like I told her. I can't believe she's had sex with another man now." How should the nurse
response?
A. "It wasn't consensual sex. Let's see if your wife was physically injured."
B. "Maybe the doors were locked, but the man broke in anyway."
C. "Let's talk about how you feel. Maybe it would help to talk to other men who have been through this."
D. "Your wife needs your support right now, not your criticism." - Answer C
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