NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?
      A)
      Triggering phase
      B)
      Escalation phase
      C)
      Crisis phase
      D)
      Recovery phase
    2. In the psychiatric setting, what is the most effective intervention in preventing the hostile client's behavior from escalating to physical aggression?
      A)
      Getting as far away from the client as possible.
      B)
      Ensuring that the client gets their way.
      C)
      Yelling at the client to settle down now.
      D)
      Engaging the hostile client in dialogue.
    3. A client with a history of explosive outbursts becomes angry and states, "I am really getting angry.” The nurse sees this behavior as:
      A)
      Regression.
      B)
      Progress.
      C)
      Manipulation.
      D)
      Controlling.
    4. Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?
      A)
      All persons who have become victims of family violence will grow up to perpetrate family violence.
      B)
      A tendency toward violence is hereditary.
      C)
      Family violence may be perpetuated between generations of families by role modeling and social learning.
      D)
      Family violence does not tend to have an intergenerational transmission process.
    Page 1 of 12

    Exam Review

    1. A woman is in treatment for an anxiety disorder. Her history reveals that she was sexually abused repeatedly by her husband. Which of the following interventions would be appropriate in relation to this piece of data?
      A)
      Avoid discussing the abuse so as not to upset her.
      B)
      Request an anxiolytic to reduce her anxiety levels.
      C)
      Help her explore her role in perpetuating the abuse.
      D)
      Encourage her to talk about feelings related to the abuse.
    2. A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, "He is so jealous and overprotective; he wants to know where I am and who I'm with every minute." Which of the following is most likely true of the situation?
      A)
      This is characteristic of the tension-building phase of the violence cycle.
      B)
      The student's boyfriend is simply insecure and needs reassurance.
      C)
      The student is overreacting.
      D)
      This is a situation requiring a restraining order.
    3. The client asks the nurse, "What does somatization mean?" How should the nurse reply?
      A)
      "It means that your symptoms are a product of your imagination."
      B)
      "It means that stress and/or emotions are causing your symptoms."
      C)
      "It means you're not physically sick."
      D)
      "It means that you'll be well when you get your life in order."
    4. The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. What is the appropriate explanation for the nurse to offer?
      A)
      "She controls the symptoms when she isn't feeling much stress. It is hard to diagnose when the symptoms are intermittent."
      B)
      "There is a physical cause. It just has not been detected yet."
      C)
      "She is not really experiencing the symptoms. She is making them up to get attention."
      D)
      "There is no physical cause. Mental distress is causing the symptoms, even though she is not aware of it."
    Page 2 of 12

    Exam Review

    1. The client states, "I can’t go to group today. I have a very upset stomach this morning." Which would be the nurse's most appropriate response?
      A)
      "Okay, you can miss this time"
      B)
      "I know you don't feel well, but it’s important for you to participate in therapy."
      C)
      "You have to go to group. The doctor has ordered it."
      D)
      "You aren’t really feeling nauseous. It is part of your illness."
    2. Which statement would indicate to the nurse that the client understands somatic symptom illness?
      A)
      "I have to avoid stress all my life to avoid getting sick again."
      B)
      "As soon as my symptoms go away, I'll be my old self again."
      C)
      "How I handle stress and emotions can affect my physical health."
      D)
      "Taking medication won't help my pain since it's caused by stress."
    3. A newly graduated nurse is scheduled to take the NCLEX-RN® examination in three days. On awakening today, the graduate cannot see anything at all but tells fellow classmates, "Oh, don't worry; it will all work out." The nurse is aware that this statement results from:
      A)
      la belle indifference.
      B)
      malingering.
      C)
      undoing.
      D)
      regression.
    4. The nurse knows that which of the following statements is true about stress and anxiety?
      A)
      Stress is the wear and tear that life causes on the body.
      B)
      Stress is a person's reaction to anxiety.
      C)
      Anxiety occurs when a person has trouble dealing with life situations, problems, and goals.
      D)
      All people handle stress in the same way.
    Page 3 of 12

    Exam Review

    1. A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing:
      A)
      hallucinations
      B)
      denial
      C)
      derealization
      D)
      depersonalization
    2. Lorazepam, an anxiolytic agent, has been prescribed for a client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
      A)
      "This medication will relax me so I can focus on problem-solving."
      B)
      "This medication presents no risk of addiction or dependence."
      C)
      "I will probably always need to take this medication for my anxiety."
      D)
      "My anxiety will be eliminated if I take this medication as prescribed."
    3. A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called:
      A)
      combination therapy
      B)
      flooding
      C)
      cognitive restructuring
      D)
      systematic desensitization
    4. Which of the following interventions would be most effective for friends and family members to implement in order to boost the self-esteem of a person who has just experienced trauma or abuse?
      A)
      Encourage them to tell their story repeatedly to everyone they meet.
      B)
      Remind them to calm down when they appear to be experiencing a flashback.
      C)
      Help them to refocus their view of themselves from being a victim to being a survivor.
      D)
      Identify a list of support people or activities in the community.
    Page 4 of 12

    Exam Review

    1. When working with a client with posttraumatic stress disorder (PTSD) who experiences frequent flashbacks, what intervention should the nurse include?
      A)
      Encourage repression of memories associated with the traumatic event.
      B)
      Teach various relaxation techniques.
      C)
      Discuss that the event has no real meaning.
      D)
      Explain that physical symptoms are unrelated to the psychological state.
    2. What is the major difference between posttraumatic stress disorder (PTSD) and acute stress disorder?
      A)
      In PTSD, the recovery rate is 80% within three months.
      B)
      The severity and duration of the trauma are the most important variables in acute stress disorder.
      C)
      In acute stress disorder, the client is likely to develop exacerbation of symptoms.
      D)
      In PTSD, the symptoms occur three months or more after the trauma.
    3. Three years after the death of her father in an ICU, the infection prevention nurse was visiting an ICU in a different hospital to complete a chart review. At one point, the nurse looked at a bed containing a client with the same diagnosis as her father. The nurse saw her father's facial features on the client and experienced a sense of panic. In a few moments, the nurse realized that the client in the bed was not her father. What manifestation of posttraumatic stress disorder (PTSD) was the nurse experiencing?
      A)
      Flashback
      B)
      Dream
      C)
      Emotional numbing
      D)
      Hyperarousal
    4. The traumatized client has suddenly changed demeanor and voice pitch. Which of the following is true about the use of touch with a client with dissociative identity disorder?
      A)
      Touching will convey a sense of security to the client.
      B)
      Touch the client only if you are in their direct line of vision.
      C)
      It is best not to touch the client without their permission.
      D)
      Make sure the client knows the touch is friendly and supportive.
    Page 5 of 12

    Exam Review

    1. Which of the following statements by the nurse would be most appropriate to a colleague who very quietly and numbly tells the nurse that she had arrived at the scene of an automobile-pedestrian accident and unsuccessfully performed CPR on a victim three days ago? The nurse and her colleague are sitting in the break room and no one else is present.
      A)
      “Why did you perform CPR?”
      B)
      “I know how you feel; the same thing happened to me several years ago and I never recovered.”
      C)
      “Tell me what you saw.”
      D)
      “That is horrible!”
    2. The nurse observes a client who is becoming increasingly upset. He is pacing rapidly, hyperventilating, clenching his jaw, and pounding his fist into the palm of his opposite hand. Upon approach he appears preoccupied with his thoughts. The nurse identifies the client's anxiety level as:
      A)
      Moderate
      B)
      Severe
      C)
      Panic
      D)
      Mild
    3. Nursing interventions for a hospitalized client with PTSD include:
      A)
      Encouraging a thorough discussion of the original trauma.
      B)
      Timeout during flashbacks to regain self-control.
      C)
      Providing private, solitary time for reflection.
      D)
      Use of deep breathing and relaxation techniques.
    4. When assessing a client with anxiety, the nurse's questions should be:
      A)
      Avoided until the anxiety is gone.
      B)
      Specific and direct.
      C)
      Open-ended.
      D)
      Postponed until the client volunteers information.
    Page 6 of 12