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Which is a standard for establishing a code of conduct for living?
- A. Acceptance
- B. Empathy
- C. Values
- D. Positive regard
Correct Answer: C
Rationale: Values are abstract standards that give a person a sense of right and wrong and establish a code of conduct for living. Acceptance occurs when the nurse does not become upset or respond negatively to a client's outbursts, anger, or acting out. Empathy is the ability of the nurse to perceive the meaning and feelings of the client and to communicate that understanding to the client. Positive regard is an unconditional, nonjudgmental attitude.
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As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
- A. The invitation facilitates dependency on the nurse.
- B. The nurse's action blurs the boundaries of the therapeutic relationship.
- C. The nurse's action promotes the patient's social skills.
- D. The nurse's action assists the patient's integration into community living.
Correct Answer: B
Rationale: The invitation creates a social relationship rather than a therapeutic relationship.
A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?
- A. Let’s talk about something other than the CIA.
- B. It sounds like you’re concerned about your privacy.
- C. The CIA is prohibited from operating in health care facilities.
- D. You have lost touch with reality, which is a symptom of your illness.
Correct Answer: B
Rationale: Reflecting the patient’s underlying concern, as in Option B, validates feelings without challenging beliefs. Options A, C, and D dismiss, reassure falsely, or confront non-therapeutically.
A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of 'attending'?
- A. We all have stress in life. Being in a psychiatric hospital is not the end of the world.
- B. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
- C. You will feel better after we get some antidepressant medication started for you.
- D. I'd like to sit with you for a while, so you may feel more comfortable talking with me.
Correct Answer: D
Rationale: Attending involves showing presence and attentiveness to the patient, allowing them to feel comfortable and heard without rushing or offering immediate solutions.
Emergency response workers arrive in a community after a large-scale natural disaster. What is the workers' first action?
- A. Report to the incident command system (ICS) center.
- B. Determine whether the community is safe.
- C. Establish teams of workers with varied skills.
- D. Evaluate actions completed by local law enforcement.
Correct Answer: A
Rationale: An ICS provides a common organizational structure facilitating an immediate response. It establishes a clear chain of command that supports the coordination of personnel and equipment at an event site. The incorrect responses describe actions that may or may not be taken by the ICS.
Systematic desensitisation is the treatment of choice in-
- A. Phobia and OCD
- B. Depression
- C. MDP
- D. Schizophrenia
Correct Answer: A
Rationale: Systematic desensitization, a behavioral therapy, is the treatment of choice for phobias and OCD (Option A), using gradual exposure to reduce anxiety. It’s less effective for depression (B), MDP (manic-depressive psychosis, likely bipolar, C), or schizophrenia (D), which require mood stabilizers or antipsychotics.