WorksheetsNSG 3450 Exam 2 Review
Total questions: 20
Worksheet time: 10mins
A nurse is conducting a mental status exam on a newly admitted client. The client is disheveled, avoids eye contact, and answers in a flat tone. Which domain of the mental status exam is the nurse assessing?
Mood and Affect
Appearance
Thought Process
Cognition
During a therapeutic interview, the nurse says, 'It sounds like you’re feeling a lot of pressure from your responsibilities.' What communication technique is being used?
Restating
Exploring
Reflecting
Paraphrasing
A nurse is facilitating a therapeutic group session. One member begins to dominate the conversation, leaving little room for others. What is the most appropriate response by the nurse?
Ignore the behavior and let others speak when ready.
Ask the member to stop speaking.
Gently interrupt and redirect the discussion to others.
End the session early to avoid conflict.
Which of the following best describes the 'resistance' stage in the General Adaptation Syndrome (GAS)?
The body’s initial response to a stressor
A return to normal functioning after stress
Continued physiological effort to adapt to a stressor
Total depletion of the body's resources
Which behavior is most consistent with conduct disorder in adolescents?
Verbal defiance
Destroying property
Temper tantrums
School avoidance
Which behavior best indicates 'la belle indifference' in a client with conversion disorder?
Frustration about paralysis
Calmness despite sudden blindness
Anxiety over health
Obsession with cleanliness
What is the primary nursing goal for a client diagnosed with dissociative identity disorder (DID)?
Encourage isolation for safety
Reinforce the client’s alternate identities
Help the client integrate their identities
Promote dependence on the care team
Which response by the nurse reflects the use of the 'exploring' communication technique?
'Can you describe that feeling more in detail?'
'Everyone feels that way sometimes.'
'You should try to rest more.'
'Tell me what your doctor said.'
A client diagnosed with PTSD reports difficulty sleeping and avoiding certain places. What should the nurse prioritize in the initial care plan?
Encouraging daily journaling
Providing education on trauma
Establishing safety and trust
Promoting group therapy participation
A nurse is caring for a client experiencing the alarm stage of the general adaptation syndrome (GAS). What physiological finding should the nurse expect?
Decreased respiratory rate
Pupil constriction
Increased blood glucose
Decreased heart rate
A client with obsessive-compulsive disorder (OCD) engages in repeated handwashing. What should the nurse understand about this behavior?
It is a voluntary act to maintain hygiene
It helps reduce anxiety caused by obsessive thoughts
It is a learned behavior for attention
It indicates a psychotic delusion
Which client statement reflects symptoms of derealization?
'I feel like I'm watching myself from outside my body.'
'Everything around me seems unreal and foggy.'
'I can’t remember who I am or where I live.'
'I feel like there are multiple versions of me.'
A nurse is caring for a child with oppositional defiant disorder (ODD). What behavior is most likely observed?
Repeated stealing and lying
Aggression toward people or animals
Deliberate defiance and argumentative behavior
Self-injurious behavior
Which finding is consistent with disinhibited social engagement disorder in a child?
Withdrawn behavior with caregivers
Unusual closeness with strangers
Frequent temper tantrums
Hyperactivity and distractibility
A nurse observes that a client repeatedly asks if their blood pressure is normal, despite reassurance. What disorder should the nurse suspect?
Illness anxiety disorder
Somatic symptom disorder
Conversion disorder
Factitious disorder
A client frequently avoids social situations due to fear of embarrassment. What diagnosis is most likely?
Generalized anxiety disorder
Social anxiety disorder
Obsessive-compulsive disorder
Panic disorder
A client is newly diagnosed with adjustment disorder. What is the expected characteristic of this condition?
A chronic, lifelong emotional disorder
Disproportionate emotional response to a stressor
Multiple physical symptoms without cause
Persistent hallucinations and delusions
What is the most appropriate nursing intervention for a client with dissociative identity disorder during a therapy session?
Ask detailed questions about each identity
Focus on establishing safety and grounding
Confront the client about fragmented behavior
Encourage isolation for self-reflection
Which approach is most therapeutic when a client with conduct disorder exhibits aggressive behavior?
Ignore the behavior to avoid reinforcing it
Use immediate, consistent consequences
Use verbal reasoning to change behavior
Encourage the client to express feelings freely
A nurse suspects factitious disorder. Which behavior is most consistent with this diagnosis?
. Fear of having cancer
Fabricating symptoms for attention
Developing paralysis under stress
Avoiding medical care at all costs
