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NURS 661 EXAM 1 QUESTIONS AND ANSWERS 2024
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NURS 661 EXAM 1 QUESTIONS AND ANSWERS 2024
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NURS 661 EXAM 1When leading a therapeutic group, the nurse demonstrates an understanding of
the need to act as the groups executive when:
a. Restating rules when a new member joins
b. Being available to orient the new members
c. Helping a member defuse the anger they are experiencing
d. Working with a member to help improve their communication skills
Answer: A
When another patient serves as alter ego during an outpatient group session, the
nurse documents that the group had been engaged in:
a. Role-playing
b. Psychodrama
c. Cognitive therapy
d. Consensus building
Answer: B
The nurse is collecting the paintings from the patients after the art session is over.
After art therapy, a patient hands the nurse a paper that consists of several black
scribbles. Which statement demonstrates the nurse understands the goals and
objectives of the therapy?
,a. Do you want to complete your painting?
b. I see that you dont take this very seriously.
c. Can you tell me what happened to prompt such work?
d. Thank you. Ill put this away in a safe place for you.
Answer: D
When asked, Why do you go to music therapy every morning at 10? The nurse
explains that the nurses role in music therapy as:
a. Fostering and encouraging performance talent
b. Teaching patients about various styles of music
c. Noting patient verbal and nonverbal expression of feelings
d. Selecting and playing numbers that will reduce anxiety and stress
Answer: C
When a novice nurse asks why the unit has a multidisciplinary approach to
therapeutic activities, the nurse should explain that multidisciplinary
collaboration:
a. Produces a higher level of insurance reimbursement
b. Reduces the incidence of aggressive behavior by patients
c. Produces quicker results and earlier discharge to the community
d. Produces better outcomes than when only one perspective is used
Answer: D
,When a patient asks the nurse, How can jolting me with an electrical shock
possibly do me any good? the answer most reflective of current biologic theory
would be:
a. ECT must sound like a very frightening treatment alternative to you.
b. ECT produces a change in brain chemistry that results in improved mood.
c. ECT interrupts brain impulses that are causing hallucinations and delusions
d. ECT provides you with external punishment so you can stop punishing yourself
Answer: B
Which statement made by a patient just prior to being transported for a
scheduled ECT treatment would result in cancellation of the treatment?
a. Ill be so glad when this treatment is over.
b. Will I remember having this treatment?
c. Did eating some crackers cause any problems?
d. Im so tired of being depressed; I dont think I can go on
Answer: C
The physician has ordered atropine 0.5 mg intramuscularly (IM) for a patient to be
administered 30 minutes prior to ECT. The rationale for use of this medication is
that it reduces secretions and:
a. Protects against vagal bradycardia
b. Improves the scope of convulsive activity
, c. Reduces the need for recovery room staff
d. Prevents incontinence of bladder and bowel
Answer: A
Which question by the nurse would gain the most information from a patient
experiencing a marital crisis?
a. Do you hate your spouse?
b. Do you get along with your in-laws?
c. Do you talk out your problems with your spouse?
d. What is it like at home with your spouse?
Answer: D
Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to
cry. She expresses concern over her daughters behavior. Your best response to
this woman is:
a. What is it that concerns you the most, Mrs. R.?
b. Well, you know, that is part of the illness.
c. Here is a book on schizophrenia. This will help you.
d. Are you afraid your daughter will always be like this?
Answer: A
Linda is pacing the floor and appears extremely anxious. The day shift nurse
approaches Linda in an attempt to lessen her anxiety. The most therapeutic
statement by the nurse would be:
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