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Exam (elaborations)

NUR 114 Practice Exam Questions and Correct Answers

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  • NUR 114

The nurse admits the client with a diagnosis of schizophrenia to the unit. The client needs are best met by which action? A. Give the client a brief orientation and stay with the client for awhile. B. Offer the client a description of ward activities and introduce the client to other clients. C. I...

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  • September 9, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 114
  • NUR 114
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NUR 114 Practice Exam Questions and
Correct Answers
The nurse admits the client with a diagnosis of schizophrenia to the unit. The client
needs are best met by which action?

A. Give the client a brief orientation and stay with the client for awhile.
B. Offer the client a description of ward activities and introduce the client to other
clients.
C. Introduce the client to another client and ask the other client to give a short unit tour.
D. Sit with the client in a quiet room and wait until the hallucinations stop. ✅A. Give the
client a brief orientation and stay with the client for awhile.

Since client has a reduced attention span and an inability to concentrate, a brief
orientation is best; by staying with the client the nurse conveys an attitude of caring and
protection.

The nurse observes the client develop a strong attachment to another client who
repeatedly insults the client. The nurse understands this is an example of which
behavior?

A. Reaction formation
B. Undoing
C. Displacement
D. Introjection ✅A. Reaction formation

Expressing an attitude that is directly opposite to an unconscious wish or fear.

The client appears angry and demanding following a below-the-knee amputation. Which
interpretation by the nurse of this client's behavior is most justifiable?

A. The client is seeking attention to compensate for the loss.
B. The client is placing the blame for difficulties on others.
C. The client is having difficulty accepting the new body image.
D. The client feels alienated by the hospital staff. ✅C. The client is having difficulty
accepting the new body image.

Client is having difficulty accepting altered body image, and may worry about how
others will view the new body; is a problem after loss of a body part.

The nurse cares for the client with depression who attempts suicide. The nurse
understands which is the most likely reason that the client attempts suicide?

, A. The client is suspicious and mistrustful.
B. The client consciously wishes to manipulate others.
C. The client feels overwhelmed and helpless.
D. The client wants to gain attention. ✅C. The client feels overwhelmed and helpless.

The reason a person attempts suicide is unclear, but there is a general agreement that
the suicidal act follows a precipitating event; may be loss of loved one, or ill health;
when it seems that everything has failed and nothing has brought relief, the person
loses hope and may turn to thoughts of suicide; at this point, suicide seems to be the
only solution to overwhelming emotional pain.

A graduate nurse fails an examination and accuses the psychiatric instructor of being an
unfit teacher and causing the failure. The nurse identifies this as an example of which
behavior?

A. Conversion
B. Acting out
C. Compensation
D. Projection ✅D. Projection

Unable to accept the sense of failure and resulting poor self-esteem, the student
projects the failure onto the instructor, thereby saving face but coping ineffectively.

One morning the nurse finds the client crying and approaches. The client says, "What
do you want? Go away, you can't help me. I hate you and I hate myself." Which
response by the nurse is best?

A. Why is it that you dislike me and yourself?
B. I'll come back later when you feel in a better mood.
C. It's difficult for me to communicate with you when you talk this way.
D. You seem to be in pain, I'll stay with you for a while. ✅D. You seem to be in pain, I'll
stay with you for a while.

Conveys support and understanding; client's statement reflects the low self-esteem
common in the depressed person; depressed clients are frequently angry, but displace
the anger inwardly, and suffer shame and guilt; basic interpersonal task of the nurse is
to gradually help lessen the client's feelings of worthlessness.

The nurse cares for the clients in the mental health clinic. The client with depression
joins an ongoing therapy group. What is the goal of the group therapy?

A. to introduce the client to other clients.
B. To communicate acceptance to the client.
C. To encourage decision-making.
D. To increase the client's sense of responsibility. ✅B. To communicate acceptance to
the client.

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