Exam 1: NR326/ NR 326 (Latest 2023/ 2024) Mental Health Nursing Exam| 100% Correct | Questions and Verified Answers | Graded A - Chamberlain
QUESTION
Y... [Show More] our spouse says, "You're crazy to think about going to college! You're not smart enough to handle the studies along with everything else." Which of the following is an example of a nonassertive response?
a. "I will do what I can and the best that I can."
b. (Thinking to yourself): "I'll just go anyway and keep it a secret."
c. "You're probably right. Maybe I should reconsider."
d. "I'm going to do what I want to do, when I want to do it, and you can't stop me!"
Answer:
c. "You're probably right. Maybe I should reconsider."
QUESTION
You are having company for dinner, and they are due to arrive in 20 minutes. You are about to finish cooking and still have to shower and dress. The doorbell rings, and it is a man selling a new product for cleaning windows. Which of the following is an example of an aggressive response?
a. "I don't do windows!" and slam the door in his face.
b. "I'll take a case," and write him a check.
c. "Sure, I'll take three bottles." Then to yourself you think: "I'm calling this company tomorrow and complaining to the manager about their salespeople coming around at dinnertime!"
d. "I'm very busy at the moment. I don't wish to purchase any of your product. Thank you."
Answer:
a. "I don't do windows!" and slam the door in his face.
QUESTION
You are in a movie theater that prohibits smoking. The person in the seat next to you just lit a cigarette, and the smoke is very irritating. Which of the following is an example of an assertive response?
a. You say nothing.
b. "Please put your cigarette out. Smoking is prohibited."
c. You say nothing but begin to frantically fan the air in front of you and cough loudly and convulsively.
d. "Put your cigarette out, you slob! Can't you read the 'no smoking' sign?"
Answer:
b. Please put your cigarette out. Smoking is prohibited."
QUESTION
A spouse comes home from work and angrily shouts, "Why the heck isn't dinner ready?" Which of the following is an example of a passive-aggressive response?
a. "I'm sorry. I'll have it done in no time, honey." But then intentionally takes a long time to cook the meal.
b. "I'm tired, too. Make your own dinner, you bum! I'm tired of being your slave!"
c. "I haven't started dinner yet. I'd like some help from you."
d. "I'm so sorry. I know you're tired and hungry. It's all my fault!"
Answer:
a. "I'm sorry. I'll have it done in no time, honey." But then intentionally takes a long time to cook the meal.
QUESTION
5. You and your best friend, Jill, have had plans for 6 months to go on vacation together to Hawaii. You have saved your money and have plane tickets to leave in 3 weeks. She has just called you and reported that she is not going. She has a new boyfriend, they are moving in together, and she does not want to leave him. You are very angry with Jill for changing your plans. Which of the following is an example of an assertive response?
a. "I'm very disappointed and very angry. I'd like to talk to you about this later. I'll call you."
b. "I'm very happy for you, Jill. I think it's wonderful that you and Jack are moving in together."
c. You tell Jill that you are very happy for her, but then say to another friend, "Well, that's the end of my friendship with Jill!"
d. "What? You can't do that to me! We've had plans! You're acting like a real slut!"
Answer:
a. "I'm very disappointed and very angry. I'd like to talk to you about this later. I'll call you."
QUESTION
A client on the psychiatric unit approaches the nurse, strokes the nurse's arm, and says, "Why don't you be a sweetie and get me some pain medication." Which of these actions by the nurse demonstrates the best clinical judgment?
a. Ignore the client's behavior and assess pain level.
b. Inform the client that patronizing attitudes are not the best way to get more pain medication.
c. Tell the client that this behavior is not appropriate and clarify unit rules and policies regarding touching others.
d. Tell the client, "If you call me sweetie or touch me one more time I will call security and have you restrained."
Answer:
c. Tell the client that this behavior is not appropriate and clarify unit rules and policies regarding touching others.
QUESTION
7. A client tells the nurse, "I know I need to communicate more assertively, but I don't really know how." Which of these is the best response by the nurse?
a. Inform the client that you will make a referral to an advanced practice nurse because generalist nurses are not within their scope of practice to teach assertiveness skills.
b. Affirm that the client must know how to communicate assertively because they just did communicate their needs.
c. Instruct the client that as long as they use "I" statements their communication will be assertive.
d. Ask the client to further describe their concerns and offer to provide education in assertiveness skills.
Answer:
d. Ask the client to further describe their concerns and offer to provide education in assertiveness skills.
QUESTION
During a client education group on assertiveness skills, a client asks a question while some other group members are carrying on a separate conversation, appearing not to listen. The client states, "When you appear not to be listening, I feel disrespected. I need for the group to listen to my question." How should the nurse respond to this event?
a. Reinforce that the client used assertive communication to express their needs and support that respect for other group members includes not having private conversations during the group.
b. Tell the client to ask the question again and speak louder.
c. Instruct the client that no one is being disrespectful but their low self-esteem may be influencing their perception.
d. Terminate the group and offer to talk with the client privately about their questions.
Answer:
a. Reinforce that the client used assertive communication to express their needs and support that respect for other group members includes not having private conversations during the group.
QUESTION
A nurse is approached by a mental health technician who states, "I need for you to do 15-minute checks on my clients because I've got too many other things to do." This has been a regular occurrence with the mental health technician, and other staff members have complained that this worker is "just being lazy." Which of these is the best response by the nurse?
a. Commend the technician for using good "I" communication.
b. Instruct the technician that his peers think he is just being lazy.
c. Reinforce to the technician that everyone is busy.
d. State to the technician the expectation that he will complete his assigned duties.
Answer:
d. State to the technician the expectation that he will complete his assigned duties.
QUESTION
A physician approaches the nurse, yelling loudly and stating, "You must be the stupidest person to ever get out of nursing school. I said I wanted vital signs on this client every 4 hours and there are no recordings of temperatures. Do I need to teach you what vital signs are?" Which of these is the best response by the nurse?
a. "Yes, doctor, I know what vital signs are."
b. "I will try to find the information you are looking for, but I don't appreciate your belittling comments. I need for you to treat me with respect."
c. "If you weren't so stupid you would know that the temperatures are recorded on a separate graph in the electronic health record."
d. "I'm not doing a thing for you until you treat me with respect."
Answer:
b. "I will try to find the information you are looking for, but I don't appreciate your belittling comments. I need for you to treat me with respect." [Show Less]
