NURS 322 Exam 1 Practice Questions and Complete Solutions
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Course
NSG 322
Institution
NSG 322
When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient?
A. "I see." B. "Really?" C. "You haven't slept the last couple of nights?" D. "So...
NURS 322 Exam 1 Practice Questions
and Complete Solutions
When the community health nurse visits a patient at home, the patient states, "I haven't
slept the last couple of nights." Which response by the nurse illustrates a therapeutic
communication response to this patient?
A. "I see."
B. "Really?"
C. "You haven't slept the last couple of nights?"
D. "Sometimes, I have trouble sleeping too." ✅C. "You haven't slept the last couple of
nights?"
The nurse observes a patient pacing in the hall. Which statement by the nurse may help
the patient recognize his anxiety?
A. "I guess you're worried about something, aren't you?
B. "Can I get you some medication to help calm you?"
C. "Have you been pacing for a long time?"
D. "I notice that you're pacing. How are you feeling?" ✅D. "I notice that you're pacing.
How are you feeling?"
A male patient tells the nurse he was involved in a car accident while he was
intoxicated. What would be the most therapeutic response from nurse?
A. "Why didn't you get someone else to drive you?"
B. "Tell me how you feel about the accident."
C. "You should know better than to drink and drive."
D. "I recommend that you attend an Alcoholics Anonymous meeting." ✅B. "Tell me
how you feel about the accident."
A patient admitted to a mental health unit for treatment of psychotic behavior spends
hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I
don't belong here." What defense mechanism is the patient implementing?
A. Denial
B. Projection
C. Regression
D. Rationalization ✅A. Denial
The nurse is preparing a patient for the termination phase of the nurse-patient
relationship. The nurse prepares to implement which nursing task that is most
appropriate for this phase?
, A. Planning short-term goals
B. Making appropriate referrals
C. Developing realistic solutions
D. Identifying expected outcomes ✅B. Making appropriate referrals
The nurse is teaching a patient and her family about the causes of depression. Which of
the following causative factors should the nurse emphasize as the most significant?
A. Brain structure abnormalities
B. Chemical imbalance
C. Social environment
D. Recessive gene transmission ✅B. Chemical imbalance
An individual with depression has a deficiency in which neurotransmitters, based on the
biogenic amine theory?
A. Dopamine and thyroxin
B. GABA and acetylcholine
C. Cortisone and epinephrine
D. Serotonin and norepinephrine ✅D. Serotonin and norepinephrine
The community nurse is speaking to a group of new mothers as part of a primary
prevention program. Which self-measures would be most helpful as a strategy to
decrease the occurrence of mood disorders?
A. Keeping busy, so as not to confront problem areas
B. Medication with antidepressants
C. Use of crisis intervention services
D. Verbalizing rather than internalizing feelings ✅D. Verbalizing rather than
internalizing feelings
Using cognitive-behavioral therapy, which treatment would be appropriate for a patient
with depression?
A. Challenging negative thinking
B. Encouraging analysis of dreams
C. Prescribing antidepressant medications
D. Using ultraviolet light therapy ✅A. Challenging negative thinking
The nurse is teaching the family of a patient with major depression disorder. Which of
the following information should be included in the teaching? Select all that apply.
A. Depression is characterized by sadness and feelings of hopelessness.
B. It is not uncommon for a depressed person to have thoughts of suicide.
C. Talk therapy, along with antidepressant medications, is usually the treatment.
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