NUR 384 EXAM Test Bank Exam 1-3 Questions and Answers Updated 2025 Graded A+ Concordia Uni, Exams of Nursing

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NUR 384 EXAM

Test Bank–

Exam 1- 3

Questions and

Answers

Updated 2025

Graded A+

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. The right to refuse treatment

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." d. "The DSM-5 TR tells how to treat a patient who has a mental health diagnosis." b. "The DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder."

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 reviewing the chart of a client who has paranoid schizophrenia. The nurse should identify that the DSM-5 TR distinguishes the different types of schizophrenia based on which of the following criteria? a. Current medication history b. When the manifestations started c. Family history of mental illness

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 Self-stigma is when an individual has a negative view or internalized shame regarding their mental illness, often due to the public stigma of mental illness. A nurse is discussing milieu therapy with a group of newly licensed nurses. Which of the following statements should the nurse make? a. Create an environment where structure is promoted over autonomy

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."
5. "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?
6. "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."

2. "That is not part of my current role. I work more with ensuring you take you medications."
3. "The therapist is the only person who can conduct the therapy session while in the facility."
4. "Therapy must be conducted by a licensed therapist. I do not understand the techniques they do with you."
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." 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?
6. A client who reports being afraid of storms because they experienced a tornado as a child
7. A client who reports they recently fractured their leg in a car accident
8. A client who was an active military member for 10 years and engaged in combat
9. A client who is currently going through a divorce and is struggling to accept the loss of their marriage
10. A client who reports being afraid of storms because they experienced a tornado as a child The nurse should include this as an example because the psychodynamic theory is based on Freud's psychoanalytic theory that human behavior is influenced by childhood experiences.

1. Ensure the client's computer is connected to the internet.
2. Make sure the client has no one else in the room during their appointment.
3. Verify the client's history and medication list.
4. Have the client come to the clinic to meet the therapist before the initial appointment.
5. 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?
6. Ensuring a therapeutic nurse-client relationship with those on the unit
7. Leading family group therapy sessions
8. Giving clients medications before each therapy session
9. Instructing the clients to select which types of therapy they would like to use
10. 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?

1. "Mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness."
2. "Mental health promotion can assist you in getting off of your medication."
3. "Mental health promotion guides you to a variety of therapies to treat your mental illness."
4. "Mental health promotion increases the chances of you having to be hospitalized every time your mental illness symptoms manifest."
5. "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. A nurse is planning to teach a client about behavioral therapy which of the following statements are the nurse plan to include?
6. "Behavioral therapy is based on the belief that problems are rooted in a person's past."
7. "Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns."
8. "Behavioral therapy holds that the unconscious mind influences your thoughts and feelings."
9. "Behavioral therapy is working one-on-one with a therapist through talk therapy."
10. "Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns." Behavioral therapy is a type of psychotherapy that focuses on modifying a client's maladaptive behaviors, patterns, and responses, instead of using adaptative behaviors. The therapy follows the concept that behaviors are learned and can have negative consequences.

A nurse is teaching a client about therapy. Which of the following statements should the nurse include?

1. "You can refuse therapy. We are just required to offer it to you."
2. "You can select to do therapy, but this must be decided on admission."
3. "Your provider requires you to attend therapy in both an individual and group setting while on the unit."
4. "Therapy can be used in conjunction with your medications to improve your health."
5. "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.
6. Cognitive therapy
7. Seclusion
8. Electroconvulsive therapy (ECT)
9. Restraints
10. 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.

1. Instrumental relativity orientation
2. Postconvention
3. Conventional
4. Preconventional
5. Instrumental relativity orientation In stage two, instrumental relativity orientation, behaviors are guided by a concern for self and wanting to satisfy an individual's own needs, with others' needs being a secondary consideration. A nurse is caring for an older adult client who has major depressive disorder. The client states, I don't think I am financially prepared for retirement, yet I am eligible to retire this year. The nurse should identify that the client is in which of the following stages of Erikson stages of development?
6. Transcendence
7. Ego integrity vs. despair
8. Generativity vs. stagnation or self-absorption
9. Intimacy vs. isolation
10. Ego integrity vs. despair