Weekly Quizzes Flashcards
Sometimes a client associates the nurse with feelings, thoughts, or wishes the client holds about another person, such as a family member or other person in authority. This phenomenon is known as:
Transference
Countertransference
Resistance
Neutrality
Transference
Which of the following tasks is essential for a nurse to accomplish in order to form a therapeutic relationship with a patient?
The nurse should clarify their own personal beliefs and values
Determine how long the patient will be at the hospital
Define personal goals for the interaction
Complete a thorough assessment
The nurse should clarify their own personal beliefs and values
The nurse is caring for a patient who was involved in a house fire. The patient’s child died in the fire. The patient stated that she does not want to go on living. Which of the following statements is the most appropriate and most empathetic response to the patient.
“It must be awful to lose a child. I’ll stay with you until your family arrives.”
“I know you’re sad, but you need to be strong for your other children.”
“You’ll feel better once you have a good cry.”
“This situation is very sad, but time is a great healer.”
“It must be awful to lose a child. I’ll stay with you until your family arrives.”
Which person or group is at highest risk for suicide?
an 8 year old white male
A newer mom at her mom’s group, breastfeeding her 9 month old
A female explaining to her best friend she’s sure she’s going through “her midlife crisis”
A Hispanic gentleman who is celebrating his retirement from the navy with his family
A Hispanic gentleman who is celebrating his retirement from the navy with his family
A nurse is caring for a patient who has threatened to kill themselves by hanging. The patient states, “I’m going to use a knotted-up shower curtain when no one is around”. Which information would determine the nurse’s plan of care for this patient?
The more specific a plan is, the more likely the patient will attempt suicide.
Patients who talk about suicide never actually commit it.
Patients who threaten suicide should be observed every 15 minutes.
After a brief assessment, the nurse should document and then avoid the topic of suicide.
The more specific a plan is, the more likely the patient will attempt suicide.
A newly admitted patient with depression has been determined to be actively suicidal with a high risk and in need of one-to-one supervision. What is the best statement to inform the patient of the plan of care?
“A staff member will be with you at all times; we need to make sure you are safe.”
“On this unit, a staff member stays with each new admission for the first 24 hours.”
“Wanting to harm yourself is an impulse control issue so someone needs to watch you closely”
“We are not sure you would be willing to tell a staff member if the urge to commit suicide becomes strong, so to prevent hospital liability someone will stay with you.”
“A staff member will be with you at all times; we need to make sure you are safe.”
The nurse working at the crisis center received a call from a patient who stated he was depressed and wanted to die. Further investigation revealed that the patient had within reach all of the items listed below that he could use “to get the job done.” Which item would cause the nurse the most concern?
A garden hose
A bottle of alcohol
A full bottle of prescription medication
A loaded gun
A loaded gun
The Emergency Department nurses were discussing a patient who seeks help almost every holiday by expressing suicidal ideation or making a suicide gesture. One of the nurses stated, “I don’t think he is serious about hurting himself. Maybe we should not see him the next time he comes.” Which response from the charge nurse is accurate in dealing with suicidal patients?
“This is attention seeking behavior and we should probably ignore the behavior the next time.”
“He obviously needs the support he gets at the hospital.”
“Telling him we cannot see him may be the answer to stop this behavior.”
Each suicidal episode must be individually evaluated and assessed”
Each suicidal episode must be individually evaluated and assessed”
The Cycle of Violence describes the typical cycle that spouse or partner violence usually follows. Select the correct phases of the Cycle of Violence:
tension-building phase, tension-decreasing phase, triggering event
acute battering phase, chronic battering phase, apology phase
tension-building phase, acute battering phase, honeymoon phase
controlling phase, triggering event, honeymoon phase
tension-building phase, acute battering phase, honeymoon phase
A nurse is caring for a client in a mental health crisis. The client is agitated, expressing feelings of hopelessness, and is unable to identify a solution to the current situation. Which nursing intervention is the priority in managing the client’s crisis?
Administering a prescribed anti-anxiety medication to promote immediate calmness.
Engaging in therapeutic communication to explore the client’s thoughts and feelings.
Implementing physical restraints to ensure the safety of the client and others.
Requesting a psychiatric consultation for potential long-term counseling
Engaging in therapeutic communication to explore the client’s thoughts and feelings.
You are discussing anger and aggression with a fellow student nurse. Which statement by the student nurse exhibits understanding of aggression and anger?
Anger is not a normal emotion and is the result of a chemical imbalance.
Inappropriately expressed anger can become aggression.
Individuals with aggression do not feel guilty, fearful, insecure, or rejected.
Individuals who are angry or aggressive always present the same way.
Inappropriately expressed anger can become aggression.
Which of the following are NOT components of the MSE? (Select all that apply)
Personality
Mood
History
Behavior
Appearance
Medications
Personality
History
Medications
Which of the following examples best illustrates an auditory hallucination?
“This morning I heard aliens telling me to kill
myself.”
“The night shift nurse can read my mind.”
“I am an important member of the undercover
police force.”
“I can feel a radio transmitter in my ear.”
“This morning I heard aliens telling me to kill
myself.”
Ms Rogers has been diagnosed with agoraphobia. Which behavior would be most characteristic of this disorder?
Ms Rogers stays in her home for fear of being in a place from which she cannot escape.
Ms Rogers experiences panic attacks when she encounters snakes.
Ms Rogers will not eat in a public place.
Ms Rogers refused to fly in an airplane.
Ms Rogers stays in her home for fear of being in a place from which she cannot escape.
What are risk factors for developing generalized anxiety disorder? Select all that apply
Genetics
Traumatic childhood
Being a male
Recent traumatic event
Brain chemistry
Genetics
Traumatic childhood
Recent traumatic event
Brain Chemistry
