1.ID: 21580640372 The husband of a terminally ill client says to the nurse, “My company went
bankrupt, my son is a drug addict, my daughter is an
... [Show More] alcoholic, and now this! My doctor wants me to
try some stress reduction because my blood pressure is up. Whose wouldn’t be? I’ve tried music
and relaxation, but they don’t work.” Which statement by the nurse would be therapeutic?
A. “You have a lot of problems. How long does your wife have to live, and what is
her relationship with your children?”
B. “Before we talk about stress management, let’s discuss your children.”
C. “Let’s talk more about what has been helpful to you in the past.” Correct
D. “Can you afford to pay for therapy sessions? I see that your benefits are pretty
much maxed out, and I’d hate to ask you to take on any additional burden.”
2.ID: 21580640345 A client who recently lost his hand in a workplace accident says to the nurse, “I
don’t know how I’m going to support my family with a plastic hand. I might as well be dead.” Which
nursing response would be therapeutic?
A. “Perhaps you need to focus on being happy that you survived.”
B. “You’ll never need to worry about work again, because your employer will
cover all of your expenses and make a settlement that will support you for life.”
C. “You’re saying that you feel useless without your hand?” Correct
D. “Don’t worry about all of that at this point. You’re going to be fine.”
3.ID: 21580640309 A 35-year-old recently divorced parent of twins comes to the intake office of the
psychiatric clinic for the first time with a possible diagnosis of generalized anxiety disorder. The client
says to the nurse, “My mother always called me a worrywart like my nana, so I guess I come by my
problems naturally. I keep worrying about things I can’t change, like my divorce, and blaming myself
when I know I’m not the only one responsible for the divorce.” Which nursing statement would be
therapeutic?
A. “Yet you seem to be dwelling on the thought that the divorce is all your fault.”
B. “I wonder whether you think you’re responsible for making everything turn out
right.”
C. “Can you tell me more about the worrying and blaming you are
experiencing?” Correct
D. “So you’re a natural worrywart, divorced with twins. I guess you can be
forgiven for a little worrying, but tell me about the blaming you’ve been doing.”
4.ID: 21580640357 A client’s son and daughter were killed during a fellow student’s murderous
rampage at their high school 9 months ago. The client says to the nurse, “My wife and I just feel
empty and exhausted. I can’t believe that I had a vasectomy after our son and daughter were born
because we wanted to give them both whatever they needed. We have college funds for both of
them that they’ll never use now.” The nurse should make which appropriate statement to the client?
A. “My parents would be devastated if they lost me and my sister, too. How can I
be of service to you?”
B. “Your loss touches me so. How truly devastated you both must be. Can you
share what things you have been doing to grieve?” Correct
C. “Your loss is incalculable. Perhaps you could consider some ways in which to
commemorate their lives for you and in your community.”
D. “Your feelings are appropriate for the extent of your loss and how your
children’s deaths happened.”
5.ID: 21580640642 The wife of a dying man is ignoring his rapid physiological decline and imminent
death. She continues with her usual activities, exhibits inability to remember what others have just
told her, and misses important appointments. Which therapeutic statement should the nurse make to
the wife?
A. “I cannot emphasize how much your husband needs you to be there for him
right now. He is in the stage of denial.”
B. “You will need to concentrate on getting to these appointments on time and
write down what everyone says so you will remember.”
C.
“Can you talk about what’s happening to you right now? Your behavior is not
appropriate at this stage of your husband’s illness. You seem to be having
sympathy pains for him, like men during their wives’ pregnancies.”
D. “It isn’t unusual for family to suffer from anticipatory grief when a loved one is
dying.” Correct
6.ID: 21580638582 A client in group therapy says to the two nurses conducting the group, “You two are
great at psychoanalyzing us, but what about you two? Do you have trouble being assertive with your
bosses or the doctors like we do?” Which statement by one of the nurses would be most
therapeutic?
A. “Why do I feel attacked by someone whom I’m trying to help? Could it be that
you don’t want to work in this group anymore?”
B. “You’re interested in talking with us about our assertiveness, but this group is
for all of you here to help you to deal with problems more effectively.” Correct
C. “Maybe some others in this group want to talk about the assignment that we all
agreed would be completed today.”
D. “Your deflection from your own problems here in this group is inappropriate.
Let us remind you that you signed up for this group and agreed to participate in it.”
7.ID: 21580641015 The nurse is evaluating the coping skills of a client with a diagnosis of depression.
Which statement indicates to the nurse the need to help the client learn and appropriately use these
skills?
A. “I have learned ways to deal with stress.”
B. “I know that I can’t do everything.”
C. “I won’t ever be depressed again.” Correct
D. “I need to take my medications.”
8.ID: 21580641027 A client says to the nurse, “I’ve started a journal because my health care provider
suggested it, and I’m writing about the things that bother me each day. Sometimes I dictate my
feelings and what happened during the day into a recorder and write them up before I go to bed —
and, do you know, they seem silly to me then. Is this helping me?” Which response by the nurse
would be appropriate?
A. “Well, it will take some time, but let’s see how you’re doing over a month. In the
meantime, keep writing.”
B. “I’m not certain that using a tape recorder will help you with the journalkeeping.”
C. “It seems that people who write in their journals and can share traumatic
events improve their self-awareness.” Correct
D. “Well, I wonder about the dictation, because the writing is what helps reduce
stress.”
. 9.ID: 21580640688 A single mother whose son was suspended from school for carrying a gun into the
school, says to the nurse, “I know he has no dad, but I’ve brought him up to know better, and
anyway, where did he get the stupid gun? What should I do? He just won’t listen to me.” Which
nursing response would be helpful at this time?
A. “Many young people die of gunshots every day in this country, so your son’s
behavior is unacceptable.”
B. “Do you know all of your son’s friends, or is he left alone after school because
you work?”
C. “There is quite a bit that you can do. Let’s talk about what you’re already doing
first.” Correct
D. “Boys who are cared for only by their moms are at highest risk for violent
behavior.”
10.ID: 21580640385 During a one-to-one nurse-client session, the client plays with her pack of
cigarettes and says, “I just get a couple of DVDs and watch movies so I won’t have to look at my
husband or talk to him.” Which coping mechanism does the nurse recognize in the client’s
behaviors?
A. Wishful thinking
B. Self-blame
C. Avoidance Correct
D. Reframing
11.ID: 21580640312 The home care nurse makes a new-baby visit to a young husband and wife. The
visit takes two-and-a-half hours because the parents are so detailed in giving information and asking
questions of the nurse. Which intervention by the nurse would be therapeutic?
A. Having the home care office secretary call the nurse’s cell phone 20 minutes
after starting the visit to expedite the nurse’s departure
B. Ordering a follow-up visit to the family pediatrician and mental health clinical
specialist
C. Blocking out more time for the next visit and scheduling a follow-up visit as
soon as possible to assess how they are coping and gauge their level of
anxiety Correct
D. Informing all home care nurses to schedule their visits to the couple as their
last visit of the day [Show Less]