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UDC II Psych Ad.Q Exam Questions And Verified Detailed Answers
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UDC II Psych Ad.Q Exam Questions And Verified Detailed Answers...
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UDC II Psych Ad.Q Exam Questions And VerifiedDetailed Answers
Which of the following interventions would the nurse recommend for a client who
reports that, when stressed, he experiences racing thoughts that cannot be shut off?
A. Humor
B. Meditation
C. Guided imagery
D. Progressive muscle relaxation - ANSWER Answer: B
Meditation is a technique that can help quiet the mind and thus may be particularly
helpful for this client. It decreases the internal conversation that at times causes stress.
While humor is a great technique, it does not specifically address racing thoughts.
Guided imagery and muscle relaxation are helpful in creating body relaxation and may
not address racing thoughts as well as meditation does.
A client is experiencing hallucinations due to schizophrenia. Which intervention will the
nurse institute?
A. Arrange to admit the client to a care institution
B. Validate the reality of the experience for the client
C. Prepare the client for electroconvulsive therapy
D. Educate the family to act normally around the client - ANSWER Answer: B
The nurse accepts the client and the client's fears to facilitate effective communication.
Today mental health therapy is directed toward returning the client to the community as
rapidly as possible. Electroconvulsive therapy is not the treatment of choice for clients
with schizophrenia. Family's behavior and interaction with the client should be assessed
first. Based on that assessment, the nurse may decide to teach the family how to
respond when the client is actively hallucinating.
Which of the following is the most appropriate response to a schizophrenic client who
interrupts with random, irrelevant sentences that have no relationship to the themes of
conversation?
,A. "You aren't making any sense; let's talk about something else."
B. "Why don't you take a rest? We can talk again later this afternoon."
C. "I'd like to understand what you're saying, but you're too confused now."
D. "I'd like to understand what you're saying, but I'm having trouble following you." -
ANSWER Answer: D
When the nurse communicates a wish to understand, this elevates the client's sense of
self-worth. Nurse also reflects reality and the reality is that as a listener, the
conversation is hard to follow, and the intended meaning is not being received.
Associative links are a problem for clients with schizophrenia, and these same problems
will occur regardless of topic. The other responses block or stop communication, and
they indicate that the nurse doesn't want to speak to the client unless he makes sense.
Which therapeutic technique can the nurse use when an anxious client exhibits
pressured and rambling speech?
A. Touch
B. Silence
C. Focusing
D. Summarizing - ANSWER Answer: C
Focusing is utilized when a client rambles or jumps from topic to topic; the intended
meaning is easier to understand if the client focuses on one specific aspect. Touch
invades the client's space and could increase anxiety, which increases pressured
speech. Use of silence allows the client to continue rambling. Until the concern is
identified and explored, summarizing is impossible.
Which of the following behaviors is the nurse demonstrating while providing care to a
depressed 75-year-old female that reminds her of her grandmother as she spends extra
time and attention, and brings homemade cookies?
A. Affiliation
B. Displacement
C. Compensation
D. Countertransference - ANSWER Answer: D
With countertransference, the professional provider of care displays an emotional
response to a client based on a previous relationship or on unconscious needs or
,conflicts. Affiliation consists of turning to others for succor and assistance when under
stress or conflict. Displacement is the release of accumulated feelings onto something
or somebody else less threatening than the original source of those feelings.
Compensation consists of trying to make up for deficiencies in one area by exceling in
another area.
A woman with three young children in tow reports that she wants help because she
wants to leave her husband. He has beaten her for years, but now has begun hitting the
children. What is the nurse's first action?
A. The nurse would first have a staff member take care of the children while the mother
and nurse talk.
B. Call a facility where the mother and her children will be safe until the crisis is
resolved.
C. Assess for ambivalence about the decision to leave before making permanent plans.
D. Suggest that the husband and wife make an appointment for couples counseling. -
ANSWER Answer: A
This emotionally loaded issue should be addressed in a private session with the client;
an action plan may be formulated after the nurse has assessed the situation. A safe
facility, the client's ambivalence, and couples counseling may be addressed after the
situation has been assessed.
Which nursing intervention is most therapeutic to help a late-middle-age individual cope
with the emotional aspects of aging?
A. Focusing on the individual's past experiences
B. Encouraging the client to schedule lectures to attend about aging
C. Assisting the client in planning for the future
D. Encouraging the client to focus on her or his career - ANSWER Answer: C
Helping the individual maintain an interest in the future is therapeutic. It is also forward
looking and promotes a positive attitude. Helping the client focus on his or her past life
experiences is more appropriate for an older adult client than for a late-middle-age adult
client. Lectures may not always address emotional issues related to aging, and the
client should be interested in attending lectures. Helping the individual focus on her or
his job does not help the individual with concerns related to the future.
, Which of the following is the nurse's first reaction when a husband is upset because his
wife's alcohol withdrawal delirium has lasted into a second day?
A. "I can see that you are worried. We have your wife medicated to help her distress."
B. "This is expected. I really think you should go home because there is nothing you can
do to help."
C. "If you're afraid that she will die, I assure you, very few alcoholics die during
detoxification."
D. "If you are concerned that she is uncomfortable, I'm sure that she's not in pain." -
ANSWER Answer: A
These interventions are helpful in decreasing anxiety by recognizing the spouse's
feelings and explaining therapy to him. Telling him there is nothing he can do is
dismissive and encourages him not to talk about his concerns while fostering feelings of
isolation and helplessness. It is an inappropriate time to talk about death because such
discussions heighten fears. Pain is a subjective experience of the client, and false
reassurance would be avoided by the nurse.
Nervous System: Clinical Manifestations
Which part of the nervous system is most directly responsible for the clinical
manifestations that occur during a crisis?
A. Central nervous system
B. Peripheral nervous system
C. Sympathetic nervous system
D. Parasympathetic nervous system - ANSWER Answer: C
The response of the sympathetic nervous system to stress, mediated through the
release of epinephrine, prepares the body to fight or flee by raising the heart rate,
constricting peripheral vessels, and increasing oxygen supply to the muscles. Though
central in that the brain sends out signals in response to stress, it is the sympathetic
nervous system that effects this. The peripheral nervous system includes the
sympathetic and a parasympathetic nervous systems; however, the sympathetic
nervous system is the one mainly involved and the parasympathetic nervous system
does not take part in the fight-or-flight reaction. The parasympathetic nervous system
effects are opposite to those of the sympathetic nervous system.
What type of group is Alcoholics Anonymous (AA)?
A. Social group
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