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A patient says, 'People should be allowed to commit suicide without interference from others.' A nurse replies, 'You're wrong. Nothing is bad enough to justify death.' What is the best analysis of this interchange?
- A. The patient is correct.
- B. The nurse is correct.
- C. Neither person is correct.
- D. Differing values are reflected in the two statements.
Correct Answer: D
Rationale: Values guide beliefs and actions. The individuals stating their positions place different values on life and autonomy. Nurses must be aware of their own values and be sensitive to the values of others.
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What is the full form of PMA-
- A. Pre Morbid Activity
- B. Post Menopausal Activity
- C. Psycho Motor Activity
- D. Psycho Mental Authority
Correct Answer: C
Rationale: PMA stands for Psycho Motor Activity (Option C) in psychiatric nursing, referring to observable movement behaviors (e.g., agitation). Pre Morbid Activity (A) is a concept, not an acronym, Post Menopausal (B) is unrelated, and Psycho Mental Authority (D) is fictitious.
Manic patient is busy to eat, what is the most appropriate response by the nurse?
- A. You know that if you do not eat you will die.
- B. If you continue to refuse to take food orally, you will be fed by nasogastric tube.
- C. If you are eat, you will going to follow recreational therapy
- D. You don't have to eat if you don't want to it is your choice.
Correct Answer: B
Rationale: A manic patient’s high energy and distractibility often lead to neglecting basic needs like eating. Option B informs the patient of a consequence (nasogastric tube) if refusal persists, balancing autonomy with care escalation. Option A is exaggerated and threatening, Option C is grammatically unclear and coercive, and Option D dismisses the nurse’s responsibility to ensure nutrition.
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
- A. Implement suicide precautions.
- B. Offer high-calorie snacks and fluids frequently.
- C. Assist the patient to identify three personal strengths.
- D. Observe patient for therapeutic effects of antidepressant medication.
Correct Answer: A
Rationale: Implementing suicide precautions is the only option related to patient safety. The other options, related to nutrition, self-esteem, and medication therapy, are important but are not priorities.
Which technique will best communicate to a patient that the nurse is interested in listening?
- A. Restating a feeling or thought the patient has expressed.
- B. Asking a direct question, such as ‘Did you feel angry?’
- C. Making a judgment about the patient’s problem.
- D. Saying, ‘I understand what you’re saying.’
Correct Answer: A
Rationale: Restating, as in Option A, shows active listening and validates the patient. Options B, C, and D are less engaging or assume understanding without confirmation.
A patient asks the nurse what she should do about her 'cheating' husband. The nurse replies, 'You should divorce him. You deserve better than that.' The nurse used which communication technique?
- A. Giving information
- B. Verbalizing the implied
- C. Giving advice
- D. Agreeing
Correct Answer: C
Rationale: Giving advice tells the client what to do, which is nontherapeutic as it assumes the nurse knows best. Information provides facts, verbalizing the implied clarifies hints, and agreeing aligns with the client, but C overrides client autonomy.