1.Easy
A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?
- AOffering self
- BDefending
- CReflecting
- DSeeking clarification
2.Easy
What is the CAGE questionnaire used for?
- ARating the severity of a patient's depression
- BAssessing cognitive function in older adults
- CScreening for problem drinking
- DMeasuring the severity of opioid withdrawal
3.Easy
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- AFinancial abuse
- BSelf-neglect by the father
- CSexual abuse
- DPhysical abuse
4.Medium
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- AGet up quickly to get the blood flowing to the brain
- BStop the medicine if the dizziness happens more than once
- CDrink a cup of strong coffee before getting out of bed each morning
- DSit on the edge of the bed for a moment and then stand up slowly
5.Medium
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
- AGrandiose
- BSomatic
- CNihilistic
- DErotomanic
6.Medium
When should blood be taken to measure a patient's lithium level?
- AAbout 12 hours after the last dose
- BImmediately after the morning dose
- C1 hour after the last dose
- DAt any time of day, since it makes no difference
7.Hard
A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?
- ABoth people share their needs equally, as in any friendship
- BIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
- CIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
- DThe patient is responsible for setting the boundaries of the relationship
8.Hard
A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?
- ADocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
- BEnsure the child's safety and follow child protection procedures
- CDischarge the child home with the mother as soon as possible
- DDiscuss the matter with the mother alone and ask her to stop
Answer key
- 1. B · Defending
- 2. C · Screening for problem drinking
- 3. A · Financial abuse
- 4. D · Sit on the edge of the bed for a moment and then stand up slowly
- 5. D · Erotomanic
- 6. A · About 12 hours after the last dose
- 7. C · It is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
- 8. B · Ensure the child's safety and follow child protection procedures
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