RNSG Exam 1 Fall 2025

The nurse is incorporating "hot" and "cold" cultural beliefs about food into the plan of care for a client with a mental health illness. The nurse is most likely caring for which client?

1. An African American

2. A Latino American

3. A Native American

4. An Alaska Native

2. A Latino American

The nurse is considering the effects a prescribed psychiatric medication may have on a dark-skinned client. Which characteristic is the nurse evaluating?

1. Culture

2. Ethnicity

3. Race

4. Assimilation

3. Race

The nurse is using an interpreter for a client with an anxiety disorder who does not speak the nurse's language. Which technique should the nurse use?

1. Maintain eye contact with the client.

2. Involve a family member for sensitive subjects.

3. Talk separately with the interpreter at length.

4. Use medical terms throughout the conversation.

1. Maintain eye contact with the client.

Which question should the nurse ask to determine social organization for a client of color?

1. "What do you do to keep well?"

2. "How do you and your family express grief?"

3. "Are there any routines you need to follow?"

4. "Who makes the decisions in your household?"

4. "Who makes the decisions in your household?"

A nurse is providing culturally competent care based on Bennett's Model of Intercultural Sensitivity. Which nursing behavior indicates integration? 1. Accepts clients of different cultures

2. Develops a desire to be informed about different cultures

3. Easily incorporates a variety of cultural viewpoints into care

4. Demonstrates empathy for cultural differences

3. Easily incorporates a variety of cultural viewpoints into care

The nurse is caring for a client at risk for spiritual distress and impaired religiosity. Which action should the nurse take?

1. Assess for substance use/abuse.

2. Monitor the client for biological variations.

3. Evaluate the client's paralanguage.

4. Plan for territoriality needs.

1. Assess for substance use/abuse.

The nurse is caring for a client with posttraumatic stress disorder who is of a different culture. Which action should the nurse take to promote environmental control for this client?

1. Give time options when appropriate

2. Teach good nutrition habits, incorporating the client's preferences

3. Support the client in participating in cultural and spiritual rituals

4. Observe for the use of touch among family members

3. Support the client in participating in cultural and spiritual rituals

Which population group should the mental health nurse most closely assess for thoughts of suicide?

1. African-American males

2. Alaska Native young adults

3. Asian American youth

4. White females

2. Alaska Native young adults

A Native American client with depression wants to talk to a shaman. Which nursing intervention is most appropriate?

1. Try to locate a shaman who will agree to come to the mental health unit.

2. Explain to the client that "voodoo" medicine will not heal the depression.

3. Ask the client to explain what the shaman can do that the psychiatrist cannot.

4. Inform the client that refusing treatment is a client's right.

1. Try to locate a shaman who will agree to come to the mental health unit.

The client and nurse are discussing religion and spirituality. Which statement from the client indicates religion?

1. "I believe in a higher power."

2. "At times I want to feel a sense of transcendence."

3. "At times I am overwhelmed by a sacred gratefulness."

4. "I worship in a mosque."

4. "I worship in a mosque."

The nurse is assessing a depressed client's spirituality. Which question should the nurse ask when determining meaning and purpose for a client?

1. "How does your illness affect your life goals?"

2. "How do you feel about yourself right now?"

3. "What are your thoughts about forgiving others?"

4. "What brings you joy and peace in your life?"

1. "How does your illness affect your life goals?"

When interviewing a client of a different culture, which parameters should the nurse consider? (Select all that apply.)

1. Insurability

2. Space

3. Biological variations

4. Time

5. Communication

2. Space

3. Biological variations

4. Time

5. Communication

The nurse is caring for a mental health client's spiritual needs. Which factors should the nurse assess as spiritual needs? (Select all that apply.) 1. Experience

2. Hope

3. Forgiveness

4. Love

5. Doctrine

2. Hope

3. Forgiveness

4. Love

The nurse is caring for an anxious client. Which information should the nurse share with the client about spiritual and religious needs? (Select all that apply.)

1. Forgiveness is the greatest spiritual need.

2. Love increases the hormone cortisol.

3. Inability to participate in faith rituals can result in spiritual distress.

4. Hope helps strengthen the immune system.

5. Journaling can be helpful for spiritual healing.

4. Hope helps strengthen the immune system.

5. Journaling can be helpful for spiritual healing.

_________ exists within each individual, regardless of belief system, and serves as a force for interconnectedness between the self and others, the environment, and a higher power.

Spirituality

Which is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

1. Clarify personal attitudes, values, and beliefs.

2. Obtain thorough assessment data.

3. Determine the client's length of stay.

4. Establish personal goals for the interaction.

1. Clarify personal attitudes, values, and beliefs.

The nurse is caring for an older male client who states, "You remind me so much of my late wife." During subsequent encounters with the client, he expresses overwhelming feelings of affection toward the nurse and states "I don't know what I would do if you weren't my nurse. No one cares for me like you do." How should the nurse respond?

1. Promote safety and immediately terminate the relationship with the client.

2. Encourage the client to ignore these thoughts and feelings.

3. Immediately reassign the client to another staff member.

4. Help the client to clarify the meaning of the relationship.

4. Help the client to clarify the meaning of the relationship.

The nurse has just met a new client and is beginning to get to know to the client. Which would be the priority nursing action during this phase of the nurse-client relationship?

1. Acknowledge the client's actions and generate alternative behaviors.

2. Establish rapport and develop treatment goals.

3. Attempt to find alternative placement for the client.

4. Explore how thoughts and feelings about this client may adversely impact nursing care

2. Establish rapport and develop treatment goals.

Which client action would a nurse expect during the working phase of the nurse-client relationship?

1. The client gains insight and incorporates alternative behaviors.

2. The client establishes rapport with the nurse and mutually develops treatment goals.

3. The client explores feelings related to reentering the community.

4. The client explores personal strengths and weaknesses that impact behavioral choices.

1. The client gains insight and incorporates alternative behaviors.

Which client statement would a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?

1. "I can't bear the thought of leaving here and failing."

2. "I might have a hard time working with you because you remind me of my mother."

3. "I really don't want to talk any more about my childhood abuse."

4. "I'm not sure that I can count on you to protect my confidentiality.

3. "I really don't want to talk any more about my childhood abuse."

The nurse is caring for a client who lost a child in a car accident. The client states she does not want to go on living. Which nursing statement conveys empathy for the client?

1. "This situation is very sad, but time is a great healer."

2. "You are sad, but you must be strong for your other children."

3. "Once you cry it all out, things will seem so much better."

4. "It must be horrible to lose a child, and I'll stay with you until your husband arrives."

4. "It must be horrible to lose a child, and I'll stay with you until your husband arrives."

The nurse is building atherapeutic relationship with a client. During their interaction, the nurse feels the individual is not always honest or open during their interactions. Which characteristic would a nurse identify as missing?

1. Respect

2. Genuineness

3. Sympathy

4. Rapport

2. Genuineness

On which task would a nurse place highest priority during the working phase of relationship development?

1. Establishing a contract for intervention

2. Examining feelings about working with a particular client

3. Establishing a plan for continuing aftercare

4. Promoting the client's insight and perception of reality

4. Promoting the client's insight and perception of reality

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "My father spanked me often." Nurse: "Your father was a harsh disciplinarian"

1. Restating

2. Offering general leads

3. Focusing

4. Accepting

1. Restating

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol." Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"

1. Encouraging comparison

2. Making observations

3. Formulating a plan of action

4. Giving recognition

3. Formulating a plan of action

Which is an example of offering a "general lead" when interviewing a newly admitted psychiatric client?

1. "Do you know why you are here?"

2. "Are you feeling depressed or anxious?"

3. "Yes, I see. Go on."

4. "Can you order the specific events that led to your admission?"

3. "Yes, I see. Go on."

A nurse says to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique?

1. The therapeutic technique of giving advice

2. The therapeutic technique of defending

3. The nontherapeutic technique of presenting reality

4. The nontherapeutic technique of giving reassurance

4. The nontherapeutic technique of giving reassurance

A client diagnosed with posttraumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique might a nurse use that is an example of "broad openings"?

1. "What occurred prior to the rape, and when did you go to the emergency department?"

2. "What would you like to talk about?"

3. "I notice you seem uncomfortable discussing this."

4. "How can we help you feel safe during your stay here?

2. "What would you like to talk about?"

A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?

1. S

2. Ο

3. L

4. E

2. Ο

An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback?

1. "Why did you use the client's name on your clinical worksheet?"

2. "You were very careless to refer to your client by name on your clinical worksheet."

3. "Surely you didn't do this deliberately, but you breached confidentiality by using names"

4. "It is disappointing that after being told you're still using client names on your worksheet."

3. "Surely you didn't do this deliberately, but you breached confidentiality by using names"

Which type of touch is described as functional-professional?

1. A nurse performing an assessment

2. Shaking the hand of an acquaintance

3. A child laying their head on the mother's lap

4. Hugging a good friend and former coworker good-bye

1. A nurse performing an assessment

A client exhibiting dependent behaviors says, "Do you think I should move out of my parents' house and get a job?" Which nursing response is most appropriate?

1. "It would be best to do that in order to increase independence."

2. "Why would you want to leave a secure home?"

3. "Let's discuss and explore all of your options."

4. "I'm afraid you would feel very guilty leaving your parents."

3. "Let's discuss and explore all of your options."

A mother rescues two of her four children from a house fire. The other two children die in the house fire. In an emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response?

1. "The smoke was too thick. You couldn't have gone back in."

2. "You're experiencing feelings of guilt, because you weren't able to save your children."

3. "Focus on the fact that you could have lost all four of your children."

4. "It's best if you try not to think about what happened. Try to move on."

2. "You're experiencing feelings of guilt, because you weren't able to save your children."

A newly admitted client, diagnosed with obsessive-compulsive disorder (OCD), washes his hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

1. "Everyone diagnosed with OCD needs to control their ritualistic behaviors."

2. "It is important for you to discontinue these ritualistic behaviors."

3. "Why are you asking for help if you won't participate in unit therapy?" 4. "Let's figure out a way for you to attend unit activities and still wash your hands."

4. "Let's figure out a way for you to attend unit activities and still wash your hands."

Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)

1. Meeting the psychological needs of the nurse and the client

2. Ensuring therapeutic termination

3. Promoting client insight into problematic behavior

4. Collaborating to set appropriate goals

5. Meeting both the physical and psychological needs of the client

2. Ensuring therapeutic termination

3. Promoting client insight into problematic behavior

4. Collaborating to set appropriate goals

5. Meeting both the physical and psychological needs of the client

Which individuals are communicating a message? (Select all that apply.) 1. A mother spanking her son for playing with matches

2. A teenage boy isolating himself and playing loud music

3. A biker sporting an eagle tattoo on his biceps

4. A teenage girl writing, "No one understands me"

5. A father checking for new email on a regular basis

1. A mother spanking her son for playing with matches

2. A teenage boy isolating himself and playing loud music

3. A biker sporting an eagle tattoo on his biceps

4. A teenage girl writing, "No one understands me"

The term _____________ implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.

Rapport

______________ refers to a nurse's behavioral and emotional response to a client. These responses may be related to unresolved feelings toward significant others from the nurse's past.

Countertransference

Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?

1. Medical history is of little significance and can be eliminated from the nursing assessment.

2. Assessment provides a holistic view of the client, including biopsychosocial aspects.

3. Comprehensive assessments can be performed only by advanced practice nursing.

4. Psychosocial evaluations are gained by subjective reports rather than objective observations.

2. Assessment provides a holistic view of the client, including biopsychosocial aspects.

Which statement regarding nursing interventions would a nurse identify as accurate?

1. Nursing interventions are independent from the treatment team's goals.

2. Nursing interventions are solely directed by written physician orders.

3. Nursing interventions are comprehensive and reflect current clinical nursing practice.

4. Nursing interventions are standardized by policies and procedures.

3. Nursing interventions are comprehensive and reflect current clinical nursing practice.

Which function is exclusive to the advanced practice psychiatric nurse?

1. Teaching about the side effects of neuroleptic medications.

2. Using psychotherapy to improve mental health status.

3. Using milieu therapy to structure a therapeutic environment.

4. Providing case management to coordinate continuity of health services.

2. Using psychotherapy to improve mental health status.

The nurse would recognize which acronym as representing problem-oriented charting?

1. SOAPIE

2. APIE

3. DAR

4. PQRST

1. SOAPIE

Which tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT)?

1. CIWA scale

2. GGT

3. BMSE

4. CAPS scale

3. BMSE

Which is being assessed when a nurse askes a client to identify name, date, residential address, and situation?

1. Mood

2. Perception

3. Orientation

4. Affect

3. Orientation

Which describes the primary purpose of a registered nurse gathering client information?

1. It enables the nurse to modify behaviors related to personality disorders.

2. It enables the nurse to make sound clinical judgements and plan appropriate care.

3. It enables the nurse to prescribe the appropriate medications.

4. It enables the nurse to assign the appropriate Axis I diagnosis.

2. It enables the nurse to make sound clinical judgements and plan appropriate care.

A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. These actions reflect with role of the nurse?

1. Health teacher

2. Case manager

3. Milieu manager

4. Psychotherapist

3. Milieu manager

The following outcome was developed for a client: "Client will list five personal strengths by the end of day one." Which correctly written nursing diagnostic statement most likely generated the development of this outcome?

1. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements

2. Self-care deficit R/T altered thought process

3. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10

4. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt

1. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements

How would a nurse prioritize nursing diagnosis?

1. By the established goal of care

2. By the life-threatening potential

3. By the physician's priority of care

4. By the client's preference

2. By the life-threatening potential

A client has a nursing diagnosis of insomnia R/T paranoid thinking AEB MNA, DFA, and daytime napping. Which is a correctly written and appropriate outcome for this client?

1. The client will avoid daytime napping and attend all groups.

2. The client will exercise, as needed, before bedtime.

3. The client will sleep seven uninterrupted hours by day four of hospitalization.

4. The client's sleep habits will improve during hospitalization.

3. The client will sleep seven uninterrupted hours by day four of hospitalization.

The following NANDA-I nursing diagnosis stem was developed for a client on an inpatient unit: Risk for Injury. Which assessment data most likely led to the development of this problem statement?

1. The client is receiving ECT and is diagnosed with Parkinsonism.

2. The client has a history of four suicide attempts in adolescence.

3. The client expresses hopelessness and helplessness and isolates self.

4. The client has disorganized thought process and delusional thinking.

1. The client is receiving ECT and is diagnosed with Parkinsonism.

Which response by the instructor most accurately answers the student's questions regarding how to best develop nursing outcomes for clients?

1. "You can use NIC, a standardized reference for nursing outcomes."

2. "Look at your client's problems and set a realistic, achievable goal."

3. "With client collaboration, outcomes would be based on client problems."

4. "Copy your standard outcomes from a nursing care plan textbook."

3. "With client collaboration, outcomes would be based on client problems."

Which characteristics of accurately developed client outcomes would a nurse identify? Select all that apply

1. Client outcomes are specifically formulated by nurses.

2. Client outcomes are not restricted by time frames.

3. Client outcomes are specific and measurable.

4. Client outcomes are realistically based on client capability.

5. Client outcomes are formally approved by the psychiatrist.

3. Client outcomes are specific and measurable.

4. Client outcomes are realistically based on client capability.

Put the nursing interventions in the order in which they would proceed in the steps of the nursing process.

1. Determine if an antianxiety medication is decreasing a client's stress.

2. Measure a client's vital signs and review past history.

3. Encourage deep breathing and teach relaxation techniques.

4. Aim, with client collaboration, for a seven-hour night's sleep.

5. Recognize and document the client's problem.

2, 5, 4, 3, 1

A _______ provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.

Nursing Diagnosis

_________ is a diagrammatic teaching and learning strategy that allows students and faculty to visualize interrelationships between medical diagnoses, nursing diagnoses, assessment data, and treatments.

Concept Mapping

In response to a student's question regarding choosing a psychiatric specialty, a charge nurse states, "Mentally ill clients need to feel compassion and care. If I were in that position, I'd want a caring nurse also." From which ethical framework is the charge nurse operating?

1. Kantianism

2. Christian ethics

3. Ethical egoism

4. Utilitarianism

2. Christian ethics

During a hiring interview, which response by a nursing applicant would indicate that the applicant operates from an ethical egoism framework?

1. "I would want to be treated in a caring manner if I were mentally ill."

2. "This job will pay the bills, and the workload is light enough for me."

3. "I will be happy caring for the mentally ill. Working in med/surg kills my back."

4. "It is my duty in life to be a psychiatric nurse. It is the right thing to do."

2. "This job will pay the bills, and the workload is light enough for me."

A nurse applies extra physical restraints to a client who yells obscenities and threatens harm to the nurse. The nurse's coworkers observes this action ad feels that this in an inappropriate use of restraints, but fears of retaliation if action is take against the nurse in question. Which is true about this scenario?

1. The coworker may experience a great deal of emotion.

2. The nurse values the client's autonomy.

3. The coworker is exhibiting beneficence.

4. The client values justice.

1. The coworker may experience a great deal of emotion.

The unit manager's policy is that clients can make a choice about whether or not to attend group therapy in an inpatient psychiatric unit. Which ethical principle does the unit manager's policy preserve?

1. Justice

2. Autonomy

3. Veracity

4. Beneficence

2. Autonomy

Which is an example of an intentional tort?

1. A nurse fails to assess a client's obvious symptoms of neuroleptic malignant syndrome.

2. A nurse physically places an irritating client in four-point restraints.

3. A nurse makes a medications error and does not report the incident.

4. A nurse gives patient information to an unauthorized person.

2. A nurse physically places an irritating client in four-point restraints.

An involuntary committed client is verbally abusive to the staff, repeatedly threatening to sue. The client records the full names of the staff. Which nursing action is most appropriate to decrease the possibility of a lawsuit?

1. Verbally redirect the client and then refuse one-on-one interaction.

2. involve the hospital's security division as soon as possible.

3. Notify the client that documenting personal staff information is against hospital policy.

4. Continue professional attempts to establish a positive working relationship with the client.

4. Continue professional attempts to establish a positive working relationship with the client.

Which statement would a nurse identify as correct regarding a client's right to refuse treatment?

1. Clients can refuse pharmacological but not any psychological treatment.

2. Clients can refuse any treatment at any time.

3. Clients can refuse only electroconvulsive therapy (ECT).

4. Professionals can override treatment refusal by an actively suicidal or homicidal.

4. Professionals can override treatment refusal by an actively suicidal or homicidal.

Which potential client would a nurse identify as a candidate for involuntary commitment?

1. The client lives under a bridge.

2. The client threatening to commit suicide.

3. The client who never bathes and wears a wool hat in the summer.

4. The client who eats waste out of a garbage can.

2. The client threatening to commit suicide.

A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client's wishes?

1. A client makes inappropriate sexual innuendos to a staff member.

2. A client constantly demands attention from the nurse by begging, "Help me get better."

3. A client physically attacks another client after being confronted in group therapy.

4. A client refuses to bathe or perform hygienic activities.

3. A client physically attacks another client after being confronted in group therapy.

The nurse is answering a phone call in which the person is asking if a client has recently been admitted to a psychiatric facility. Which nursing response reflects appropriate legal and ethical obligations?

1. the nurse refuses to give any information to the caller, citing rules of confidentiality.

2. The nurse immediately hangs up on the caller.

3. The nurse confirms that the person has been at the facility but adds no additional information.

4. The nurse suggests that the caller speak to the client's therapist.

1. the nurse refuses to give any information to the caller, citing rules of confidentiality.

A client requests information on several medications in order to make informed choice about management of depression. A nurse would provide this information to facilitate which ethical principle?

1. Autonomy

2. Beneficence

3. Nonmaleficence

4. Justice

1. Autonomy

An inpatient psychiatric physician refuses to treat clients without insurance and prematurely discharges those whose insurance benefits have expired. Which violation of an ethical principle should a nurse recognize in this situation?

1. Autonomy

2. Beneficence

3. Nonmaleficence

4. Justice

4. Justice

Which situation reflects a violation of the ethical principle of veracity?

1. A nurse discusses with a client another client's impending discharge.

2. A nurse refuses to give information to a physician who is not responsible for the client's care.

3. A nurse tricks a client into seclusion by asking the client to carry lien to the seclusion room.

4. A nurse does not treat all clients equally, regardless of illness severity.

3. A nurse tricks a client into seclusion by asking the client to carry lien to the seclusion room.

A client who will be receiving electroconvulsive therapy (ECT) must provide informed consent. Which situation should cause a nurse to question the validity of the informed consent?

1. The client is paranoid.

2. The client is 87 years old.

3. The client incorrectly reports his or her spouse's name, date, and time of day.

4. The deaf client relies on his or her spouse to interpret the information.

3. The client incorrectly reports his or her spouse's name, date, and time of day.

The client diagnosed with schizophrenia refuses medication at one regularly scheduled home visit from a home-health nurse. Which nursing intervention is ethically appropriate?

1. Allow the client to decline the medication and document the decision.

2. Tell the client that is the medication is refused, hospitalization will occur.

3. Arrange with a relative to add the medication to the client's morning orange juice.

4. Call for help to hold the client down while the injection is administered.

1. Allow the client to decline the medication and document the decision.

Which situation exemplifies both assault and battery?

1. The nurse becomes angry, called the client offensive names, and withholds treatment.

2. The nurse threatens to "tie down" the client and then does so, against the client's wishes.

3. The nurse hides the client's clothes and medicated the client to prevent elopement.

4. The nurse restrains the client without just cause and communicates this to family.

2. The nurse threatens to "tie down" the client and then does so, against the client's wishes.

A geriatric client is confused and wandering in and out of every door of a care facility. Which scenario reflects the least restrictive alternative for this client?

1. The client is placed in seclusion.

2. The client is placed in a geriatric chair with tray.

3. The client is placed in soft Posey restraints.

4. The client is monitored by an ankle bracelet.

4. The client is monitored by an ankle bracelet.

A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects him to the community phone, and the sister is summoned. Later the nurse realizes that the brother was not on the client's approved call list. What law has the nurse broken?

1. The National Alliance for the Mentally Ill Act

2. The Tarasoff Ruling

3. The Health Insurance Portability and Accountability Act

4. The Good Samaritan Law

3. The Health Insurance Portability and Accountability Act

After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department by police. The client threatens suicide. Which criteria would enable a physician to consider involuntary commitment? (Select all that apply.)

1. Being dangerous to others

2. Being homeless

3. Being disruptive to the community

4. Being gravely disabled and unable to meet basic needs

5. Being suicidal

1. Being dangerous to others

4. Being gravely disabled and unable to meet basic needs

5. Being suicidal

A valid, legally recognized claim or entitlement, encompassing both freedom from government interference or discriminatory treatment and an entitlement to a benefit or a service is defined as a _______________________.

Right

A branch of philosophy that addresses methods of determining the rightness or wrongness of one's actions is defined as _______________.

Ethics

A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal?

1. Demonstrate good knowledge of different cultural health beliefs

2. Effectively respond to the needs of people of different cultures

3. Interact respectfully with patients who have differing health beliefs

4. Recognize that they will never be the expert in other cultures.

3. Interact respectfully with patients who have differing health beliefs

A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrated this characteristic?

1. Attends workshops on cultural diversity and health practices

2. Participates in community health events with minority populations

3. Plans care with the family members within their cultural beliefs

4. Uses family members as interpreters to make them feel important

3. Plans care with the family members within their cultural beliefs

A patient wishes to use complementary therapy when managing a chronic health condition. Which action by the nurse is most appropriate?

1. Advise the patient that stopping medical treatment may cause it to worsen.

2. Inform the patient that there are no complementary therapies for this condition.

3. Investigate herbs that can be substituted for prescription drugs.

4. Suggest the patient add massage therapy to the medical regimen.

4. Suggest the patient add massage therapy to the medical regimen.

A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best?

1. Allow the family to continue these practices as desired.

2. Assess how these practices reflect religious beliefs.

3. Inform the family that most of these practices do not work.

4. Provide evidence-based information about the therapies.

4. Provide evidence-based information about the therapies.

A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by the nurse will best promote effective communication?

1. Call for a professional interpreter to translate information.

2. Pattern voice tone and eye contact after the patient's behaviors.

3. Talk slowly and deliberately using simple language and cues.

4. Use nonverbal communication as much as possible with the patient.

2. Pattern voice tone and eye contact after the patient's behaviors.

A nurse manager expects all employees to be patient advocates. Which nursing action best demonstrates this nursing role?

1. Arranging a family-physician conference to clarify treatment plans.

2. Encouraging treatment options based on personal beliefs and values.

3. Giving contact information for governmental assistance agencies.

4. Working on a political campaign to reduce poverty in the state.

1. Arranging a family-physician conference to clarify treatment plans.

A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier. What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?

1. Able to communicate long-term desires for health of the patient

2. Demonstrates comprehension by head nodding and saying "yes"

3. States understanding of condition and treatment via an interpreter

4. Understands how nonverbal communication varies between cultures

3. States understanding of condition and treatment via an interpreter

A nurse is working with family members who have been striving to improve their functioning as a family unit. What behavior would suggest to the nurse that the family is meeting its goals?

1. The children are in multiple activities to develop talents.

2. The desire to be understood guides most communication.

3. Family members gave up some activities to eat dinner together on most nights.

4. The parents have a strong desire for the children to succeed.

3. Family members gave up some activities to eat dinner together on most nights.

A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement desired health behaviors. What action by the nurse would be most helpful?

1. Conduct a health screening and educational event each month.

2. Provide written information in the group's native language.

3. Teach selected group representatives to be lay health educators.

4. Try to establish relationships within the refugee community.

3. Teach selected group representatives to be lay health educators.

A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized and not communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action by the nurse is best?

1. Encourage family members to make "to do" lists and assign chores.

2. Explain that changes in one person require changes in the others.

3. Make a referral to a counselor or mental health nurse practitioner.

4. Tell the family members that, for the patient to recover, they must assume the patient's role.

2. Explain that changes in one person require changes in the others.

A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The parents seem overly stressed and anxious and do not seem to work well as a unit. What can the nurse conclude about this family?

1. Communication problems are the core of the parents' stress.

2. Economic stressors are impacting the parental dyad.

3. The family is in too many developmental stages to master any of them.

4. There are too many children to give each one adequate attention.

3. The family is in too many developmental stages to master any of them.

A nurse is working with a patient who is newly married and pregnant and says she is distressed because she and her husband seem to be so different, and they argue over petty issues. What action by the nurse using group theory would be best?

1. Ask the patient if she can remember why she and her husband fell in love.

2. Caution her that this level of disagreement will cause stress to the unborn baby.

3. Offer the patient a referral to a community counseling center for couples' therapy.

4. Reassure her that this is normal and help her brainstorm ways to work cooperatively.

4. Reassure her that this is normal and help her brainstorm ways to work cooperatively.

A clinic nurse is using group theory to assess a family whose youngest child recently moved back home after graduating from college and is unable to find a job. Which statement by a parent would indicate to the nurse that goals for norming have been met?

1. "I'm glad my son stays in his room in the basement all day, so he doesn't bother us."

2. "It's hard to decide how much food to buy because we don't know where he's eating."

3. "My son is gone a lot of the time, so we really don't notice that he moved back in."

4. "We have agreed not to have a curfew as long as we know when he will be home."

4. "We have agreed not to have a curfew as long as we know when he will be home."

A student observes as an adult brother and sister lash out at the nurse caring for their hospitalized parent. The parent lives at home but is dependent on the children for care and is obviously neglected. The nurse has informed the children that social work will be involved in their parent's case. How does the nurse explain this interaction?

1. "Don't worry; they will calm down eventually."

2. "Families often get emotional in these situations."

3. "They are focusing attention on me, not the problem."

4. "This family is obviously highly dysfunctional."

3. "They are focusing attention on me, not the problem."

A nurse working with a married couple notes that both parties seem to try to be dominant in their sessions. According to Bowen's family systems theory, which question asked by the nurse would yield the most useful information?

1. "Are you each a first-born, middle child, or youngest sibling?"

2. "How demonstrative was each of your parents when you were growing up?"

3. "How many children were in each of your families?"

4. "What socioeconomic classes did you both grow up in?"

1. "Are you each a first-born, middle child, or youngest sibling?"

A nurse working with a pregnant patient who is a recent immigrant to the United States notes that her husband rarely accompanies her to prenatal visits, and when he does, he sits in the waiting room. What action by the nurse is best?

1. Ask the patient what role men in her culture play in pregnancy.

2. Ask the patient why her husband doesn't seem involved.

3. Encourage the man to participate to support his wife.

4. Research the couple's cultural background and health beliefs.

1. Ask the patient what role men in her culture play in pregnancy.

The family clinic nurse initiates conversation with a 16-year-old adolescent male who is 5 feet 10 inches and weighs 250 pounds (113.6 kg). Which of the following is the most appropriate question for the nurse to ask the adolescent regarding his weight?

1. "Are you willing to talk about your weight gain this year?"

2. "Do you realize your weight puts you into an obese category?"

3. "Do you participate in any activities or exercise?"

4. "What do you think about your weight right now?"

4. "What do you think about your weight right now?"

A group of student nurses are reviewing the Nurse Practice Act. Which statements indicate that teaching has been effective? Select all that apply.

1. "Nurse Practice Acts are the same across the United States."

2. "Roles and responsibilities are specified by type of license."

3. "Information for initial application."

4. "Criteria for renewal of professional license."

5. "Describes required elements for professional nursing programs."

2. "Roles and responsibilities are specified by type of license."

3. "Information for initial application."

4. "Criteria for renewal of professional license."

5. "Describes required elements for professional nursing programs."

A nurse is reviewing research studies. Based on the concept of evidence-based practice, which type of research designs would be considered to be Level 1? Select all that apply.

1. "Committee report."

2. "Randomized clinical trial (RCT)."

3. "Expert opinion."

4. "Meta-analysis."

5. "Case studies."

2. "Randomized clinical trial (RCT)."

4. "Meta-analysis."

Which statements are accurate based on common mortality statistics? Select all that apply.

1. "The birth rate is based on data collection obtained every 2 years."

2. "Fetal and neonatal fatalities are included in the perinatal mortality rate."

3. "Neonatal mortality rate includes deaths up to 1 year."

4. "Infant mortality rate includes all deaths under age 1 year per 1,000 births."

5. "Maternal mortality rates include only term gestations."

2. "Fetal and neonatal fatalities are included in the perinatal mortality rate."

4. "Infant mortality rate includes all deaths under age 1 year per 1,000 births."

Which type of nursing is the root of all other nursing practice areas?

1. Pediatric nursing

2. Maternal child nursing

3. Medical-surgical nursing

4. Mental health-psychiatric nursing

3. Medical-surgical nursing

Which competency did the nursing executive center of the advisory board identify as the greatest academic-practice gap for new graduate nurses?

1. Knowledge of pharmacology

2. Interpretation of assessment date

3. Knowledge of pathophysiology

4. Decision making

3. Knowledge of pathophysiology

In the nursing executive center of the Advisory board report, what recommendations are made to address the academic practice gap for new graduate nurses?

1. Mandatory number if clinical hours

2. Increased credits in all entry level courses

3. Residency programs

4. Additional science prerequisite courses

3. Residency programs

The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem. Which is the nurse's first action?

1. Developing a question

2. Disseminating the findings

3. Conducting a review of the literature

4. Evaluating outcomes of practice change

1. Developing a question