NUR 384 EXAM 1– Questions and Answers Updated 2025 Concordia University, St. Paul, Exams of Nursing

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NUR 384 EXAM

1– Questions and

Answers

Updated 2025

Concordia

University, St.

Paul

NUR 384

A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios should the nurse use to demonstrate biased treatment?

1. A client is not permitted to attend the group therapy activity due to wanting to harm another peer in the group.
2. A client is not permitted to attend the group therapy activity because they practice the Buddhist faith.
3. A client is not permitted to attend the group therapy activity due to having a family therapy session during the same time.
4. A client is not permitted to attend the group therapy activity due to having thoughts of harming themselves with "anything they can find."
5. A client is not permitted to attend the group therapy activity because they practice the Buddhist faith. Bias is when treatment of a client is verified in the form of stereotyping, prejudice, or discrimination. Therefore, this scenario demonstrates biased treatment. A nurse is caring for a newly admitted client who states they are concerned about their privacy and rights while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights?

A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding? a. "If a client threatens to harm another person, health care providers have a responsibility to inform that person." b. "If a client threatens to harm themselves, there is a responsibility to report that client to their family." c. "If a client threatens to harm themselves, there is a responsibility to tell their medical provider." d. "If a client threatens to harm another person, there is a responsibility to inform the other person's family." a. "If a client threatens to harm another person, health care providers have a responsibility to inform that person." A health care provider has a "duty to warn" when there is a threat from a client to another person to cause harm to them. A nurse is preparing an in-service for nursing staff on the concept of holistic nursing. Which of the following components should the nurse include in the teaching?

1. Holistic nursing considers the client's emotional health
2. Holistic nursing care is limited to spiritual health practices
3. Practicing holistic nursing requires certification beyond nursing licensure
4. Assessment of holistic client practices is limited to outpatient settings
5. Holistic nursing considers the client's emotional health Holistic nursing care considers the client's physical, emotional, social, spiritual, and intellectual health.

A nurse is discussing ethical principles with another nurse. Which of the following should the nurse include as an examples of the principle of nonmaleficence? a. A nurse evaluates the clint's desire for autonomy while considering the personal safety of other clients on the unit b. A nurse encourages the client to determine which therapeutic activity they would like to participate in c. A nurse plans to spend equal amounts of time with each client assigned to their care d. A nurse makes a referral to speech therapy for a client who is experiencing dysphagia a. A nurse evaluates the clint's desire for autonomy while considering the personal safety of other clients on the unit The principle of nonmaleficence involves doing no harm. By weighing the risks and benefits of the client's desire for autonomy while considering the safety of the other clients on the unit, the nurse is practicing nonmaleficence. A nurse is discussing the DSM-5 TR with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM-5? a. "I would use the DSM-5 TR to diagnose clients who have mental health disorders." b. "The DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder." c. "I would use the DSM-5 TR as a guide instructing what specific criteria or questions should be asked for a suspected mental health diagnosis."

c. Increasing institutionalization of clients who have severe mental health disorders d. Limit screening of mental illness to those individuals who display manifestations b. Prevention practices related to cyber-bullying Cyber-bullying is a stressor that can result in mental health disorders. By implementing practices targeted at prevention of cyber-bullying, the priority goal of prevention of mental health disorders is met. A newly licensed nurse is reviewing the American Nurses Association's core professional values of nursing. Which of the following actions by the nurse demonstrates the value of empowerment? a. The nurse becomes a trainer for the new equipment for other nurses on the unit b. The nurse schedules care around the client's religious practices of daily prayer c. The nurse supports the autonomy of a client who refuses chemotherapy, even though their family wants it d. The nurse provides resources to the client who wants to create a living will before they have surgery d. The nurse provides resources to the client who wants to create a living will before they have surgery The value of empowerment involves the use of decision making to solve problems for the client. Assisting a client in accessing the resources needed to create a living will is a demonstration of this value.

A nurse is caring for a client who is newly admitted to the acute psychiatric unit for alcohol use disorder. The client reports growing up in an Amish community. Which of the following actions should the nurse take? a. Inform the client that the nurse follows Judaism b. Provide the client with a Bible c. Assess for personal bias related to alcohol use disorder before interacting with the client d. Ask the client where they grew up practicing Amish traditions c. Assess for personal bias related to alcohol use disorder before interacting with the client To ensure the nurse does not have any bias in their treatment of the client, the nurse should first understand what their own culture and biases are to not hinder client care. A charge nurse is presenting on the topic of mental health diagnoses during a unit meeting. The charge nurse should identify that the DSM-5 TR classification is used in conjunction or paired with what other classification system? a. Nursing Intervention Classifications b. Maslow's hierarchy of needs c. International Classification of Disease d. Erikson's Stages of Psychosocial Development c. International Classification of Disease The DSM-5 classification is often used in conjunction or paired with the World Health Organization's International Classification of Disease (ICD).

A nurse is planning a presentation regarding mental illness for a local health fair. Which of the following should the nurse include as a characteristic of mental illness? a. Resilience following a loss of a job b. Difficulty maintaining social relationships c. Volunteering at a crisis center d. Ending a friendship with an individual who demands participation in dangerous activities b. Difficulty maintaining social relationships Mental illnesses are associated with distress and/or problems functioning in social, work, or family activities. A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places a client at risk for mental illness? a. A family member with a diagnosis of diabetes b. A medical diagnosis of diabetes c. A history of using community support services d. A History of abuse d. A History of abuse A history of abuse places a client at risk for mental illness. A nurse is caring for a client who reports that they are having a hard time completing their ADLs due to feeling anxious. The client also reports feeling

tired, difficulty sleeping, and having a poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum? a. The client would fall closer towards the mental illness end or struggling b. The client would fall closer towards the mental health end or thriving c. The client would not clearly fall on the mental health continuum as they do not have a mental illness diagnosis d. The client should be evaluated by the provider before their observance on the mental health continuum is noted, as currently they would fall in the middle a. The client would fall closer towards the mental illness end or struggling The mental health continuum is a range of responses a person displays in response to life events. The ends vary between positive and negative responses, often viewed as mental health versus mental illness. A nurse is providing teaching to a group of newly licensed nurses about stigma. Which of the following client scenarios should the nurse include as an example of self-stigma? a. A client refuses to go to their provider for manifestations of anxiety until they meet with their cultural leader, a shaman b. A client stops taking their medication for anxiety because they do not like how it makes them feel c. A client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know they are on an antidepressant d. A client refuses a follow-up appointment for their anxiety because they are waiting until they can arrange their transportation c. A client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know they are on an antidepressant

The nurse should identify that this is an example of justice. Justice involves caring for all clients equally and with the same level of fairness. A nurse is beginning a debrief with staff about a behavioral emergency that resulted in physically restraining a client. The nurse should identify that which of the following is the purpose of debriefing? a. To determine what to say to the client about the incident. b. To determine which members did not perform well. c. To carefully document the entire incident. d. To improve the quality of future responses. d. To improve the quality of future responses. The purpose of debriefing is to review what happened and determine what should be done to improve the quality of future responses. Debriefing provides staff and clients with the opportunity to discuss how the situation evolved, their feelings, and to promote recovery for the client. A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching?

1. "The id is the rational part of a person's personality."
2. "The id is the part that guides a person's morals or why they follow rules."
3. The id helps teach clients what is right versus wrong regarding their behavior."
4. "The id is often an area that is used for instant gratification."

4. "The id is often an area that is used for instant gratification." The first part of one's personality is the id, known for instant gratification. This can include gratification of physical needs or desires. A nurse in a mental health facility is caring for a client. Who asks, " why can't you be my therapist?" Which of the following therapeutic responses should the nurse give?
5. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you."
6. "That is not part of my current role. I work more with ensuring you take you medications."
7. "The therapist is the only person who can conduct the therapy session while in the facility."
8. "Therapy must be conducted by a licensed therapist. I do not understand the techniques they do with you."
9. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you." Often, the nurse will not be performing the therapy. Instead, the nurse might be collecting initial data, recognizing the client's need for therapy, or even advocating for the client's right to treatment. A nurse is teaching a newly licensed nurse about psychodynamic theory. Which of the following should the nurse include as an example related to this theory?

2. A quiet room with music and warm lighting
3. An exercise room with bikes and treadmills
4. A craft room with scissors and other art supplies
5. A craft room with scissors and other art supplies A craft room with scissors could be a safety risk and does not prevent self- destructive behaviors, which is a contradiction of milieu therapy. A nurse is assisting a client and getting ready to have their first telehealth appointment with her therapist. Which of the following actions should the nurse take to assist the client with this type of therapy?
6. Ensure the client's computer is connected to the internet.
7. Make sure the client has no one else in the room during their appointment.
8. Verify the client's history and medication list.
9. Have the client come to the clinic to meet the therapist before the initial appointment.
10. Ensure the client's computer is connected to the internet. To assist the client in setting up telehealth services, the nurse should ensure the client's computer or electronic device is connected to the internet. If the client cannot virtually connect from home, they are unable to attend their appointment. A nurse in a newly licensed nurse in a mental health facility are discussing their roles related to therapy. Which of the following interventions should the nurse discuss with the newly licensed nurse?

1. Ensuring a therapeutic nurse-client relationship with those on the unit
2. Leading family group therapy sessions
3. Giving clients medications before each therapy session
4. Instructing the clients to select which types of therapy they would like to use
5. Ensuring a therapeutic nurse-client relationship with those on the unit The nurse should discuss ensuring a therapeutic nurse-client relationship with clients on the unit because it builds trust with the clients and promotes their wellbeing. A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits, including which of the following?
6. "Mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness."
7. "Mental health promotion can assist you in getting off of your medication."
8. "Mental health promotion guides you to a variety of therapies to treat your mental illness."
9. "Mental health promotion increases the chances of you having to be hospitalized every time your mental illness symptoms manifest."
10. "Mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness." Mental illness can cause a client to miss work. By promoting mental health, the client is less likely to miss work due to mental illness.

When a client begins to give away their possessions, it can be a warning sign that they are planning to kill themselves. The nurse should further explore the client's behaviors and symptoms. A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatment should be considered on this list? Select all that apply.

1. Individual therapy
2. Pet therapy
3. Meditation
4. Yoga
5. Group therapy
6. Pet therapy
7. Meditation
8. Yoga A nurse is teaching a client about therapy. Which of the following statements should the nurse include?
9. "You can refuse therapy. We are just required to offer it to you."
10. "You can select to do therapy, but this must be decided on admission."
11. "Your provider requires you to attend therapy in both an individual and group setting while on the unit."
12. "Therapy can be used in conjunction with your medications to improve your health."
13. "Therapy can be used in conjunction with your medications to improve your health."

Informing the client of the variety of therapies is often geared toward describing to the client what the therapy is. The nurse can instruct the client on the benefits of the different types of therapies and what types of diagnoses the therapies can assist with. A nurse is caring for an adolescent, who has an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment.

1. Cognitive therapy
2. Seclusion
3. Electroconvulsive therapy (ECT)
4. Restraints
5. Cognitive therapy Cognitive therapy can examine the adolescent's past experiences and how it is impacting their current behaviors. This therapy can be used with both adolescents and children, and it assists in helping them understand current behaviors and responses. A nurse is observing a group of children interacting. The nurse notes anytime a question is asked, all the children want to answer, and will often talk over each other. Then there should recognize that this behavioral is indicative of which of the following stages of coal breaks theory.
6. Instrumental relativity orientation
7. Postconvention
8. Conventional
9. Preconventional