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1. The client tells the nurse he was involved in a car accident while he was intoxicated.

What would be the most therapeutic response from the nurse? A. B. C. D. Why didn't you get someone else to drive you? Tell me how you feel about the accident. You should know better than to drink and drive. I recommend that you attend an Alcoholics Anonymous meeting.

2. A 19-year-old nursing student preparing for final exams arrives at the student health center, accompanied by two friends. She hasn't slept all night, is sobbing hysterically, is hyperventilating, and states that she "can't go on." Which of the following is the best response for the nurse to make? A. "Relax, we've all felt this way. You'll get through it." B. "Perhaps you need more time to study. Have you discussed this with your advisor?" C. "You're pretty upset right now. Studying for finals can be very stressful. Let's work on a plan that might be helpful." D. "You need to calm down. Nurses have to learn to take a lot of stress." 3. A client is admitted to the inpatient unit of the mental health center is shouting that the government of Italy is trying to assassinate him. Which of the following responses is most appropriate? A. "I think you're wrong. Italy is a friendly country and an ally of the United States. Their government wouldn't try to kill you." B. "I find it hard to believe that a foreign government or anyone else is trying to hurt you. You must feel frightened by this." C. "You're wrong. Nobody is trying to kill you." D. "A foreign government is trying to kill you? Please tell me more about it." 4 . While making rounds in a senior citizens' housing complex, the visiting nurse discovers one of her clients sobbing in her darkened apartment. On questioning the client, an 85-yearold widow, the nurse learns that her pet cat of 15 years had been put to sleep the day before. What's the nurse's best response? A. "It shouldn't be hard to find another cat. You'll feel better once you have another pet." B. "It was only a cat. Why are you allowing yourself to be so upset? It would be different if it were a person." C. "I'm so sorry that your pet had to be put to sleep. I know how important your cat was to you." D. "It's probably best for the cat because it was so old and ill." 5. A client with anorexia nervosa who is on bed rest stares at her dinner tray. She has made little effort to eat. Which statement by the nurse would be most therapeutic? A. "You should be ashamed of yourself. There are starving people who would love that food." B. "Hurry up with your tray. I have several more clients to see." C. "Don't worry. You can eat more tomorrow." D. "I'll stay with you while you eat and help you fill out tomorrow's menu 6. The nurse in the pychiatric unit tells the client I noticed you have taken a bath today is using which therapeutic technique:

A. B. C. D.

validating clarifying giving recognition restating

7. The nurse offers his/her presence and a desire to understand and collaborate with the client. Saying: I am here with you. I will stay with you. Perhaps you and I together can figure out whats happening, is using which therapeutic technique: A. silence B. offering self C. reflection D. accepting 8.Accepting is a therapeutic listening skill because it prompts the client to talk more, it also shows that the nurse is listening and is interested with what the client has to say, which of the following is accepting: A. B. C. D. I really think you did good today in the group, keep it up Thats the best behavior you have ever shown leaning forward, nurse says:I follow what you say I dont understand what you say, please say it gain

9.The client blurts out: he has been giving me a hard time, he thinks that Iam Nobody, he should treat me like a person. The nurse replies: I dont understand, could you tell me who is he. The nurse is using: A. B. C. D. reflection giving recognition focusing clarification

10.In a group one day, the client says: I do not know where to start. The nurse Responds yesterday, you were talking about your divorce, would you like to talk About it today. This technique is: A. B. C. D. reflecting restating focusing advising

11.The client talks about emotional abuse from his husband, the nurse replies: If it Happens again, how do you think you could cope. This technique isA. B. C. D. placing events in time sequence summarizing focusing encouraging a plan of action

12. In terminating the relationship, the nurse says: so far, you and I have talked about the triggers of your anxiety. This technique is: A. B. C. D. summarizing focusing reflecting validating

13.A nurse is talking to a depressed client and avoids stereotypical responses like: A. B. C. D. its not the end of the world, chin up your doctor is the finest psychiatrist in town Ill sit with you What are the voices saying

14.The client verbalizes to the nurse and says: My boyfriend has been ignoring me, he does not return my calls and told me that theres nothing to be skeptical about this because hes just busy. The nurse responds: I see that you are upset about this. This technique is: A. B. C. D. restating reflecting focusing validating

15. A client keeps repeating that he is scared but cannot verbalize what he fears.

Related to this situation, what principle would the nurse use to differentiate between anxiety and fear?
A. Anxiety is nonspecific, fear is specific. fear is not. B. Fear is nonspecific, anxiety is specific. intense than fear. C. Anxiety is always present; D. Anxiety is always less

16. A client asks the nurse what are possible manifestations of anxiety, the nurse responds by stating that the symptoms are:
a. b. c. d. delusions, hallucinations and flight of ideas restlessness, increase BP, RR, PR and muscle tensions rituals, cleanliness and obsessions illusions, loose associations and panic

17. problem solving abilities and perception are increased in what level of anxiety: a. mild b. moderate c. severe d. panic

18. nurse Daphne refocuses the clients attention with moderate level of anxiety because she knows that: a. the client has increased muscle tension b. the client is capable of listening to her directions c. the client has disorganized perception d. the client prefers to be taught 19. suicide and hysteria are manifestions of a client with what level of anxiety: a. mild b. moderate c. severe d. panic 20. In interacting with a client who is experiencing acute anxiety attack, the nurse assumes a/an: a. advocate and a teacher role b. supportive and authoritative role c. kind and passive role d. active and withdrawn