NUR 162 Finals Prep 2

NUR 162 Finals Prep 2

• On Tom's day of discharge from the hospital, his wife brings a bouquet of flo

s and box of chocolates to give to his primary care nurse. Tom presents these gifts to the nurse saying, "Thank you for taking care of me." What is a correct response by the nurse?

• "I don't want a gift from you!"
• "Thank you so much! I think you're really extra special, too!"
• "Thank you. I will share these with the rest of the staff."
• "I love chocolate but let me pay you for them!"

Answer

c

• Chelsea says to the nurse, "I worked as a secretary to put my husband through college,

and as soon as he graduated, he left me. I hate him! I hate all men!" Which is an empathetic response by the nurse?

• "You are very angry now. This is a normal response to your loss."
• "I know what you mean. Men can be very insensitive."
• "I understand completely. My husband is a jerk, too."
• "You are depressed now, but you will feel better in time."

Answer

a

• Which of the following behaviors suggests a possible breach of professional boundaries?

(Select all that apply.)

• The nurse repeatedly requests to be assigned to a specific patient.
• The nurse shares the details of her divorce with the patient.
• The nurse makes arrangements to meet the patient outside of the therapeutic environment. 1 / 4

• The nurse shares how she dealt with a similar difficult situation.

Answer

a, b, c

• A patient states, "I refuse to sho

in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the most therapeutic response?

• "That's not true."
• "I have a hard time believing that is true."
• "Surely you don't really believe that."
• "Let's search the room together to see if we can find a camera."

Answer

b

• Nancy, a depressed patient who has been unkempt and untidy for weeks, today comes to

group therapy wearing makeup and a clean dress and having washed and combed her hair.Which of the following responses by the nurse is most therapeutic?

• "Nancy, I see you have put on a clean dress and combed your hair."
• "Nancy, you look wonderful today!"
• "Nancy, I'm sure everyone will appreciate that you have cleaned up for the group today."

• "Now that you see how important it is, I hope you will do this every day."

Answer

a 2 / 4

• Dorothy was involved in an automobile accident while under the influence of alcohol. She s

ved her car into a tree and narrowly missed hitting a child on a bicycle. She is in the hospital with multiple abrasions and contusions. She is talking about the accident with the nurse. Which of the following statements by the nurse is most appropriate?

• "Now that you know what can happen when you drink and drive, I'm sure you won't let it

happen again."

• "You know that was a terrible thing you did.That child could have been killed."
• "I'm sure everything is going to be okay now that you understand the possible consequences

of such behavior."

• "How are you feeling about what happened?"

Answer

d

• Judy has been in the hospital for 3 weeks. She has used Valium "to settle her nerves" for

the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time but states to the nurse, "I don't know if I will make it without Valium after I go home. I'm already starting to feel nervous. I have so many personal problems." Which is the most appropriate response by the nurse?

• "Why do you think you have to have drugs to deal with your problems?"
• "Everybody has problems, but not everybody uses drugs to deal with them. You'll just have to

do the best that you can."

• "Let's explore some things you can do to decrease your anxiety without resorting to drugs."

• "Just hang in there. I'm sure everything is going to be okay."

Answer

c 3 / 4

• Mrs. S. asks the nurse, "Do you think I should tell my husband about my affair with my

boss?" Which is the most appropriate response by the nurse?

• "What do you think would be best for you to do?"
• "Of course you should. Marriage has to be based on truth."
• "Of course not.That would only make things worse."

• "I can't tell you what to do.You have to decide for yourself."

Answer

a

• Abbey, an adolescent, just returned from group therapy and is crying. She says to the nurse,

"All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I've never had a close friend. I guess I never will." Which is the most appropriate response by the nurse?

• "Why will you never have any friends?"
• "You're feeling pretty down on yourself right now."
• "I'm sure they didn't mean to hurt your feelings."

• "You don't need friends to be happy."

Answer

b

• 10. Which of the following tasks are associated with the orientation phase of relationship

development? (Select all that apply.)

• Promoting the patient's insight and perception of reality.
• Creating an environment for the establishment of trust and rapport.
• Using the problem-solving model toward goal fulfillment.
• Obtaining available information about the patient from various sources.

• Formulating nursing diagnoses and setting goals.
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