NR 326 CMS Exam 1 Updated (2024/2025) Questions and Answers (Verified Answers).
Quiz:> What is needed for involuntary admission to a psychiatric inpatie... [Show More] nt unit?
{{{Answers}}} {1. Petition needed.
2. The RN will assess the pt for lethality; assess the inability of client to care for self;
assess judgment and thought.
3. At first, clinical certification is needed from a clinical eval done by physician or
psychologist.
4. A second clinical cert from a clinical eval by a psychiatrist is needed within 24 hrs
after initial cert.)
Quiz:> Examples of non-therapeutic communication techniques
{{{Answers}}} {-Offering false reassurance
-Giving opinions
-Asking "why" questions
-Asking too many questions without first establishing rapport or allowing pt to verbalize
judgement; interrupting
-Focusing on the person's character weaknesses vs. strengths, opportunities for
improvement, and behavioral motivation)
Quiz:> The rapeutic communication techniques
{{{Answers}}} {-Active listening skills
-Redirecting patient to healthy ways of coping and interacting
-Providing dignity and respect
-Observing and relating the person's strengths to 1:1 and group interactions
-Identify and focus on the person's strengths, motivations)
Quiz:> What are active listening techniques?
{{{Answers}}} {Clarifying, reflecting, summarizing, emotional labeling, silence, offering
self, exploring (possible options and previous coping that has worked))
Quiz:> Nursing interventions for a pt exhibiting threatening behavior and violence
{{{Answers}}} {-Have staff nearby
-One person talks to the pt with a calm, non-threatening voice
-De-escalation skills
-Redirect pt (let's walk, I have time to listen, let's solve this together))
Quiz:> What are your priority actions during a situational crisis?
{{{Answers}}} {-Determine if the client has psychotic thinking
(Clients experiencing a situational crisis are at greatest risk for injury to themselves or
others))
Quiz:> What do you do for a pt exhibiting panic level anxiety?
{{{Answers}}} {Remain with the pt for awhile (the nurse should not leave a pt who has
severe anxiety alone. The nurse's priority is to use the least restrictive intervention, such
as staying with the pt and calmly encouraging them to express their feelings))
Quiz:> Repression
{{{Answers}}} {A patient who just got assaulted and can't remember circumstances of
the event)
Quiz:> Denial
{{{Answers}}} {A nurse manager expects the nurse abusing alcohol to demonstrate the
defense mechanism of denial. Denial is the most common defense mechanism,
especially used by people dealing with the problems and missed responsibilities
associated with substance abuse behavior.)
Quiz:> Rationalization
{{{Answers}}} {A pt states they have to drink a bottle of alcohol daily to relax due to a
veery high stress job. Rationalization is when a person creates reasonable and
acceptable explanations for unacceptable behavior.)
Quiz:> Somatization
{{{Answers}}} {A pt indicates they keep feelings nauseated and sick to their stomach,
chest pains, and a headache, every time they are asked to go to art therapy and be with
other people (Somatization is developing physical symptoms in place of anxiety))
Quiz:> Reaction formation
{{{Answers}}} {A pt dislikes his roommate and speaks ill of him to everyone who will
listen; but, when the roommate returns, he offers the roommate a cookie and a snack
(Reaction formation is overcompensating or demonstrating the opposite behavior of
what the person feels))
Quiz:> Displacement
{{{Answers}}} {A pt kicks a chair after emotionally yelling and screaming at a psychiatrist
for prescribing a med (displacement is shifting feelings r/t an object, person, or situation
to another less threatening object, person, or situation))
Quiz:> Regression
{{{Answers}}} {A pt is describing what he does to cope with things not working out the
way he expects (Regression is reverting to an earlier, more primitive and child-like
pattern of behavior))
Quiz:> What does a crisis situation contain?
{{{Answers}}} {A crisis situation contains the potential for psychological growth or
deterioration)
Quiz:> What may be prescribed for a pt experiencing anxiety?
{{{Answers}}} {Paroxetine and Lorazepam (benzo)). [Show Less]
