Download DAVIS EDGE PRACTICE QUESTIONS study guide and more Exams Advanced Education in PDF only on Docsity!
DAVIS EDGE PRACTICE QUESTIONS
A nurse working in labor and delivery loves her job working with new mothers and babies. Having been a single pregnant teenager who chose not to keep her baby, she often volunteers with the local crisis pregnancy center counseling young women. However, when working with young women who are inquiring about abortion, she unconsciously becomes very mechanical showing little to no emotion. Which component of Johari's window explains why this occurs?
Others are aware of what is occurring, but the nurse is not.
Characteristics are unconscious because the private self will not allow for public awareness.
Both the nurse and the public are unaware of what is occurring.
The nurse is exhibiting characteristics that are known to the public and the nurse, even though they are unconscious. - 4 A client with low self-esteem tells the nurse, "I am of no value to anybody." Which statement by the nurse in response to the client indicates a better example of therapeutic communication?
"Of course you are something. Everyone is something."
"You are feeling like nobody cares about you right now."
"What makes you say this?"
"You must be feeling very lonely right now." - 2 The nurse is developing a therapeutic relationship with the client. Which statement made by the nurse indicates an empathetic response?
"I understand your feelings because I have gone through the same thing."
"If you felt bad about those harsh comments, it is ok to be sad and cry."
"I will surely incorporate your ideas and preferences when planning your care."
"Be assured that whatever we discuss will not leave the boundaries of our health-care team." - 2 - nurse perceives and understands the response of the client appropriately The nurse patted a client's back while providing care. The client felt offended by the nurse's gesture. Which boundary is in jeopardy in this situation?
Social boundary
Material boundary
Personal boundary
Professional boundary - 3 While caring for a client with anger, the nurse formulates a plan of action with the client. What would be the rationale behind this nursing intervention?
To nurture the client in the dependent role
To find clues to the underlying true feelings of the client
To encourage a like response from the client
To prevent anxiety or anger from escalating to an unmanageable level - 4 While caring for a client with persistent depressive disorder, the nurse says, "I can understand what you are feeling now. I too have been in this same situation before." Which feeling of the nurse is indicated by these statements?
Rapport
While caring for a client with schizophrenia, the nurse suspects low self-esteem in the client. Which symptom in the client supports the nurse's suspicion?
Suspiciousness
Verbalizing about hearing voices
Social withdrawal
Unkempt appearance - 3 Which area of mental function does the nurse evaluate during the brief mental status examination?
Thought content
Judgment
Mood
Naming objects - 4 The nurse is conducting a brief mental status evaluation of a client in a psychiatry ward. While evaluating, the nurse asks the client to write a sentence. Which area of mental function is the nurse evaluating?
Ability to follow simple verbal commands
Ability to follow simple written commands
Ability to use language correctly
Ability to concentrate - 3
The nurse observes manipulative and argumentative behavior in the client with a psychotic disorder. Which section of the mental history form is used by the nurse to document this information?
Interaction patterns
Communication patterns
Reality orientation
Thought processes - 1 Which stage of anxiety is associated with incoherent speech and ineffective communication?
Mild
Panic
Severe
Moderate - 2 Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply.
Diarrhea
Headaches
Diaphoresis
Urinary frequency
The client experiencing distorted response is fixed in the denial stage of grieving.
The client experiencing distorted response is preoccupied with memories of the loss.
The client experiencing distorted response suffers from eating disorders. - 1 The nurse is providing emergency care to a client who is a victim of a fire accident. While assessing vital signs, the nurse finds the respiratory rate of 32 breaths/min and a heart rate of 120 beats per minute. Which stage of anxiety does the nurse suspect in the client?
Mild
Panic
Severe
Moderate - 3 After interacting with the partner of a client who has terminal cancer, the nurse anticipates that the client is experiencing denial. Which statement of the caregiver supports the nurse's conclusion?
"My partner is blaming God for his condition."
"My partner wants to shift to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports."
"My partner is not showing any interest in his favorite games and movies."
"My partner says he wants to spend as much time as possible with his family." - 2 After assessing a client, the nurse anticipates that the client is showing the displacement type of ego defense mechanism. Which statement made by the client's caregiver supports the nurse's assumption?
"My friend breaks things when he's angry."
"My friend imitates the dressing style of his favorite athlete."
"My friend sleeps for a long period of time when experiencing stress."
"My friend ignores me and refuses to speak when I ask about an unpleasant memory." - 1 Client 1 sprinkles salt over her shoulder to prevent bad luck, which indicates that the client is showing the undoing type of ego defense mechanism. Option 2: Client 2 stays alone and does not speak to anyone. This indicates that the client is showing the isolation type of ego defense mechanism. Option 3: Client 3 feels like kicking a dog, which indicates that he is showing the displacement type of ego defense mechanism. Option 4: Client 4 is aware of the stress, but acts in the opposite way like smiling instead of getting irritated. This indicates that the client is showing the reaction formation type of ego defense mechanism. - Just read over A client's partner complains to the nurse, "My husband continues to smoke even though he knows of the dangers to his health." Which ego defense mechanism does the nurse suspect in the client?
Denial
Displacement
Rationalization
Introjection - 1 A psychiatric client claims to be the messenger of God, drapes himself in a blanket, "performs miracles" on other clients, and refuses to respond unless addressed as Jesus Christ. Which type of ego defense mechanism does the nurse suspect in this client?
Denial
Projection
Introjection
Rationalization - 2 While preparing a care plan for a client with spiritual distress, the nurse asks the client, "What coping skills have you practiced previously? Are they effective in the current situation?" How will the client's response be helpful for the nurse?
To identify the client's strengths and incorporate them into the care plan
To develop a trusting relationship with the client
To enhance integration of new skills and necessary changes into the client's lifestyle
To recognize and resolve the client's feelings about certain life situations - 1 What is the distance of personal zone space that should be maintained during an interpersonal interaction in the Western culture?
3 to 6 feet
0 to 18 inches
6 feet and over
18 inches to 3 feet - 4
While caring for a client with spiritual distress, the nurse observes that the client's behavior is indicative of poor relationships with others. How is this observation beneficial for the nurse?
To develop an accurate care plan for the client
To develop a therapeutic relationship with the client
To help the client find his or her own solutions to the concerns
To orient the client towards reality - 1 The nurse is observing the communication, internal values, time maintenance, and environmental control of a client with a psychotic disorder. What is the nurse assessing in the client?
Culture
Ethnicity
Religion
Spirituality - 1 The nurse is caring for a client with spiritual distress who was addicted to marijuana. After rehabilitation therapy, the client was withdrawn from marijuana. Which behavior will the nurse observe in the client after the therapy?
The client will demonstrate the ability to deal with problems in a positive way.
The client will demonstrate a sense of self control and find his or her own solutions to problems.
The client will demonstrate orientation towards reality.
The client's sense of belonging in the world with others - 2 Which nursing intervention is beneficial in developing an accurate care plan for the client with spiritual distress?
Determining the client's religious or spiritual orientation
Establishing an environment where the client can express his or her feelings freely
Discussing philosophical issues related to the impact of the current situation on the client's spiritual beliefs
Using therapeutic communication skills of reflection and active listening - 1 On assessing a client with severe renal failure, the nurse finds that the client has lost her bladder and bowel control, is experiencing severe pains, and has difficulty eating. Which spiritual need does the nurse first prioritize in the client's care plan?
Love
Hope
Faith
Forgiveness - 2 Which nursing intervention is most beneficial while assessing a client with schizophrenia and religious delusions?
Interviewing the client in an isolated room
Including a mental health nurse during the assessment
Engaging a family member or a significant person in the assessment process
Administering an antipsychotic drug before initiating the assessment - 3 A client with renal failure is admitted to the hospital. The nurse finds that the client is depressed due to a lack of family support and has decreased social interaction with the people from her church. Which nursing diagnosis is most applicable to the client, according to the given data?
Spiritual distress
Risk of impaired religiosity
Readiness for enhanced religiosity
Readiness for enhanced spiritual well-being - 2 While caring for a client with impaired religiosity, the nurse demonstrates a nonjudgmental attitude. What outcome will the nurse expect in the client after the interaction?
The client verbalizes personal satisfaction from spiritual or religious practices.
The client demonstrates self-control and finds his or her own solutions to problems.
The client will develop good relationships with others.
The client will demonstrate relief from spiritual distress. - 1 The nurse is performing a brief spiritual assessment of a client with a psychiatric illness. Which question does the nurse ask the client to assess the meaning and purpose of life?
"How hopeful are you about obtaining a better degree of health?"
Ethics
Values - 4 Which phase of ethical decision-making involves the consideration of ethical theories?
Planning
Evaluation
Assessment
Implementation - 1 The registered nurse is teaching student nurses about the Patient Self-determination Act. Which action of the student nurse indicates effective implementation of this act when caring for a 12-year-old client?
Providing information about legal rights of clients in written format
Discussing the client's health information with peers during his or her visits
Collecting the client's blood specimen after getting informed consent from the client
Avoiding informing the client about adverse effects of medications - 1 A student nurse is charged with assault and battery. What could be the reason for this lawsuit?
The student nurse touched the client without his or her consent.
The student nurse disrespected the decision of a mentally ill client.
The student nurse disclosed the client's information during an emergency situation.
The student nurse performed a life-sustaining treatment even though the client was refusing it. - 4 While caring for a client with psychiatric illness, the nurse explores the client's activities and interests. Which ethical principle does the nurse follow through this assessment?
Veracity
Autonomy
Beneficence
Nonmaleficence - 3 A nursing instructor is teaching a group of student nurses about the methods used to determine right or wrong behavior during nursing practice. Which concept is the nursing instructor trying to teach the students?
Right
Values
Bioethics
Ethics - 3 The nursing instructor is teaching a group of student nurses about the importance of values clarification in nursing practice. Which behavior of the student nurses indicates effective learning?
Upholding the client's rights during practicum
The client has a life-threatening condition.
The client is in the second trimester of pregnancy. - 3 Which phase of ethical decision making requires the nurse to undergo values clarification to make an ethical decision?
Planning
Assessment
Implementation
Problem identification - 4 During ethical decision making, the nurse effectively follows and communicates the decision made. Which step of a model for making ethical decisions does the nurse exemplify?
Planning
Assessment
Evaluating
Implementation - 4 Which situation indicates an effective learning opportunity for a client who is experiencing a crisis?
When the client's crisis is solved
When the client's anxiety level is reduced
When the client's old coping strategies have proved to be successful
When the client develops new methods of coping from the crisis situation - 4 Which intervention should the nurse perform to enhance the client's ability to manage and deal with stress?
Determine the degree of anxiety in the client.
Engage the client in learning new coping strategies.
Explore a previously used technique with the client.
Discuss with the client his or her perception of what is causing the anxiety. - 2 While caring for a client with spiritual distress, the nurse uses the therapeutic communication skills of reflection and active listening. Which outcome in the client indicates effectiveness of the nursing intervention?
The client finds his or her own solutions to concerns.
The client's past and present pain has healed.
The client begins to look at the basis for spiritual confusion.
The client has a decreased sense of confusion and overstimulation. - 1 The mother of a client tells the nurse, "My son's behavior has become aggressive since he didn't get accepted to medical school on his third try." Which type of crisis does the nurse suspect in this client?
Developmental crisis
