Question 1

Which statement made by the nursing student indicates an understanding regarding the role of the social worker?&#10;A) &#34;The social worker can encourage a client to express their feelings through the use of music.&#34;&#10;B) &#34;My client has been eating drywall, so I have contacted the social worker to come speak to them.&#34;&#10;C) &#34;I have asked the social worker to organize a game of volleyball this weekend.&#34;&#10;D) &#34;My client cannot afford medications when they are discharged, so the social worker is arranging some assistance.&#34;&#10;

Accepted Answer

1.This is incorrect. The music therapist encourages the expression of feelings through music.
2.This is incorrect. The dietitian would be useful in assisting a client with pica.
3.This is incorrect. A recreational therapist organizes activities and sports.
4.This is correct. A social worker is concerned with a client's social needs, such as placement, financial support, and community requirements.

Question 2

Which statement describes the development of trust between the nurse and client?&#10;A) &#34;You cannot draw a picture until you take your medication.&#34;&#10;B) &#34;I am sorry you are angry.&#34;&#10;C) &#34;I am going to teach you how to change your dressing.&#34;&#10;D) &#34;I will listen if you would like to tell me about your day.&#34;&#10;

Accepted Answer

1.This is incorrect. This statement sets limits.
2.This is incorrect. This statement is an example of caring.
3.This is incorrect. This statement is educating the client.
4.This is correct. The nurse is telling the client they will listen to them, which, by encouraging them to share their feelings, establishes trust.

Question 3

Which dining arrangement would the nurse use to best promote a sense of community?&#10;A) Arrange tables for two around the dining room&#10;B) Allow clients to take their meals to their rooms&#10;C) Set up rectangular tables in the shape of a large square around the room to seat everyone&#10;D) Arrange tables seating 5 or 6 clients around the dining room&#10;

Accepted Answer

1.This is incorrect. Tables set for two do not promote a sense of community.
2.This is incorrect. Allowing the client to take their meals to their room promotes isolation.
3.This is incorrect. One large table seating everyone does not promote conversation; there are too many people to facilitate or hear a conversation.
4.This is correct. Small group seating arrangements are encouraged to promote a sense of community and facilitate conversation.

Question 4

Which client would benefit most from working with a dietitian?&#10;A) A client with anxiety&#10;B) A client with schizophrenia&#10;C) A client with pica&#10;D) A client with bipolar disorder&#10;

Accepted Answer

1.This is incorrect. Although a client with schizophrenia would benefit from a dietitian's guidance, a client with pica would benefit more.
2.This is incorrect. Although a client with anxiety would benefit from a dietitian's guidance, a client with pica would benefit more.
3.This is correct. A client with pica craves unusual substances with no nutritional value (such as clay or dirt) and would benefit from working with a dietitian to replace nutrients.
4.This is incorrect. A client with bipolar disorder would benefit from working with a dietitian, but a client with pica would benefit more.

Question 5

The nurse is using the nursing process to develop a teaching plan for a multigenerational family household. Which statement best describes how a genogram would facilitate a teaching plan?&#10;A) The genogram would provide an overall picture of the life of the family over several generations.&#10;B) The genogram would provide influences for the development of predictable personality characteristics.&#10;C) This provides a conceptual view of societal emotional support system for the family during crises.&#10;D) This provides guidelines for boundary setting with prevention of excessive interference.&#10;

Accepted Answer

1.This is correct. This is the definition of the genogram, which offers a great deal of information in a small amount of space and can be used as a teaching tool for the family.
2.This is incorrect. This describes Bowen's theory on sibling position, which suggests that birth order influences the development of predictable personality characteristics.
3.This is incorrect. This describes the societal concept of Bowen's theory, which views society as an emotional system.
4.This is incorrect. This would not define boundaries within the family dynamics. Boundaries are defined as the level of participation and interaction among subsystems.

Question 6

Which situation should a nurse identify as an example of an autocratic leadership style?&#10;A) The president of a club asks members to form research committees.&#10;B) The unit manager completes the work schedule without input from staff members.&#10;C) During a community meeting, a nurse listens as clients generate solutions.&#10;D) The student nurses' association advertises for candidates for president.&#10;

Accepted Answer

1.This is incorrect. This is a characteristic of a democratic leadership style, where the leader asks members to engage in group problem-solving.
2.This is correct. The nurse leader who mandates decisions without consulting the group is demonstrating an autocratic leadership style. Autocratic leadership increases productivity but often reduces morale and motivation due to lack of members' input and creativity.
3.This is incorrect. By having the members generate solutions to a problem, this is a democratic leadership style.
4.This is incorrect. There does not appear to be any mention of a leader in this group; rather, the group is focused on a task to be completed.

Question 7

The young parents of a child in preschool are attending a parenting group. Many of the participants have older children and are able to influence the young parents about the expected norms for communication and behavior. What has this group provided this young couple?

A) Task completion
B) Governance
C) Normative influence
D) Information sharing

Accepted Answer

1.This is incorrect. Task completion occurs when group members provide assistance in endeavors that are beyond the capacity of one individual (or couple in this case), when results can be achieved more effectively as a team.
2.This is incorrect. Groups that provide oversight functions and direction of activities, often within the context of a larger group organization, are providing governance.
3.This is correct. Per Sampson and Marthas (1990), this function relates to the ways in which groups enforce the established norms. As groups members interact, they influence each other about expected norms for communication and behavior.
4.This is incorrect. Although the older parents may provide information to the younger parents, there is more occurring than providing information to the younger parents.

Question 8

The master's-prepared nurse with specialized training is serving as a group leader, where the client becomes an "actor" in a life-situation scenario. This scenario provides the client a safe atmosphere to work through unresolved conflicts. What is this type of therapeutic group?

A) Psychodrama
B) Teaching
C) Self-Help
D) Parenting

Accepted Answer

1.This is correct. The master's-prepared nurse with specialized training may serve as a leader in a psychodrama group, where the client acts in a scenario to find a safer, less-threatening atmosphere than a real situation in which to express and work through unresolved conflicts.
2.This is incorrect. Although there is some teaching in this type of group, the key words are specialized training and master's-prepared nurse.
3.This is incorrect. Although the client is developing self-help skills during this group, the client is using drama to work through the scenario to learn (or develop) new coping skills.
4.This is incorrect The key words for this question are specialized training and master's- prepared nurse. A parenting group can be taught by a nurse without the specialized training needed for psychodrama.

Question 9

Which provides the basis for selecting nursing interventions to achieve outcomes for which the nurse is accountable?&#10;A) Physician diagnosis&#10;B) Nursing diagnosis&#10;C) Critical pathways&#10;D) Case management&#10;

Accepted Answer

1.This is incorrect. Physician diagnoses are not the basis for independent nursing interventions.
2.This is correct. Nursing diagnoses are the basis for independent nursing interventions.
3.This is incorrect. Critical pathways are abbreviated care plans that provide guidelines for goal achievement.
4.This is incorrect. Case management serves to decrease fragmented care and keeps the cost of services contained.

Question 10

Which is the correct manner to prioritize nursing diagnoses?&#10;A) By the established goal of care&#10;B) By the life-threatening potential&#10;C) By the physician's priority of care&#10;D) By the client's preference&#10;

Accepted Answer

1.This is incorrect. The established goal of care does not reflect the life-threatening potential appropriate to prioritizing nursing care.
2.This is correct. The nurse should prioritize nursing diagnoses related to life-threatening potential. Safety is always the nurse's priority.
3.This is incorrect. The physician's priority of care does not always reflect safety or life-threatening potential and is not used to address independent nursing care.
4.This is incorrect. The client's preference does not necessarily address safety or life-threatening potential and therefore is not used to prioritize care.

Question 11

Which best reflects the reason clients are now called &#34;health-care consumers?&#34;&#10;A) Healthcare is a for-profit industry and the term &#34;consumers&#34; best reflects this industry.&#10;B) The term &#34;health-care consumer&#34; reflects the extensive choices available to individuals.&#10;C) &#34;Health-care consumer&#34; echoes the collaborative relationship between nurses and clients.&#10;D) The term &#34;health-care consumer&#34; reflects client protections available within the industry.&#10;

Accepted Answer

The answer of Which best reflects the reason clients are...

Question 12

Which should the nurse perform to maximize client education prior to discharge teaching?&#10;A) Assess the client's readiness to learn.&#10;B) Identify the priority nursing diagnosis.&#10;C) Provide routine antidepressant medication.&#10;D) Begin the teaching as soon as possible.&#10;

Accepted Answer

The answer of Which should the nurse perform to maximize...

Deck 4: Milieu Therapy-The Therapeutic Community