Nursing Elites

1. In planning care for the termination phase of a nurse-client relationship, which of the following actions should the nurse include in the plan of care?

• A. Discussing ways to use new behaviors
• B. Practicing new problem-solving skills
• C. Developing goals
• D. Establishing boundaries

Correct answer: A

Rationale: During the termination phase of a nurse-client relationship, it is crucial to discuss ways to use new behaviors. This helps the client integrate and apply the skills and strategies they have acquired during the therapeutic process into their daily life. By focusing on the application of new behaviors, the client can maintain progress and continue to grow even after the professional relationship has ended. Practicing new problem-solving skills, developing goals, and establishing boundaries are important aspects of the therapeutic process but are more commonly addressed in earlier phases of the nurse-client relationship. Therefore, the correct action to include in the plan of care during the termination phase is discussing ways to use new behaviors.

2. Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

• A. Favorable with medication
• B. In the relapse stage
• C. Improvable with psychosocial interventions
• D. To have a less positive outcome

Correct answer: D

Rationale: Individuals with an early and slow onset of schizophrenia typically have a less positive outcome or prognosis. This is because early onset schizophrenia is often associated with a more severe form of the illness and can lead to greater functional impairment in various aspects of life, including academic and social functioning. Therefore, the prognosis for Gilbert, given his presentation and age of onset, would be considered to have a less positive outcome.

3. A patient is being assessed for generalized anxiety disorder (GAD). Which symptom is the patient most likely to report?

• A. Excessive worrying about various aspects of life.
• B. Extreme mood swings between euphoria and depression.
• C. Persistent thoughts of self-harm.
• D. Hearing voices that others do not hear.

Correct answer: A

Rationale: Patients with generalized anxiety disorder (GAD) commonly present with excessive worrying about various aspects of life. This persistent and uncontrollable worry is a hallmark symptom of GAD and can significantly impact daily functioning and quality of life. Extreme mood swings (choice B), persistent thoughts of self-harm (choice C), and auditory hallucinations (choice D) are more indicative of other mental health conditions like bipolar disorder, depression, and schizophrenia, respectively. These symptoms are not specific to GAD.

4. Which characteristic is most commonly associated with dissociative identity disorder?

• A. Frequent nightmares
• B. Auditory hallucinations
• C. Multiple distinct personalities
• D. Chronic fatigue

Correct answer: C

Rationale: Dissociative identity disorder, commonly known as multiple personality disorder, is characterized by the presence of two or more distinct personality states within an individual. These distinct personalities may have their own way of perceiving and interacting with the world, often leading to gaps in memory and a sense of detachment. Frequent nightmares, auditory hallucinations, and chronic fatigue are not primary characteristics of dissociative identity disorder. Option C, multiple distinct personalities, is the hallmark feature of this disorder, making it the correct choice.

5. Which symptom is most commonly associated with social anxiety disorder?

• A. Fear of speaking in public
• B. Recurrent, intrusive thoughts
• C. Flashbacks of traumatic events
• D. Persistent low mood

Correct answer: A

Rationale: Fear of speaking in public is a hallmark symptom of social anxiety disorder. Individuals with social anxiety disorder often experience intense fear or anxiety about social situations where they may be scrutinized or judged by others, such as speaking in public. This fear can significantly impact their daily functioning and quality of life, making it a key feature in diagnosing social anxiety disorder. Recurrent, intrusive thoughts, flashbacks of traumatic events, and persistent low mood are more commonly associated with other mental health conditions, such as obsessive-compulsive disorder, post-traumatic stress disorder, and depression, respectively. Therefore, choice A is the correct answer as it aligns with the characteristic symptom of social anxiety disorder.

Similar Questions