Practice Test Assessment Performance

Practice Test Assessment Performance
Over a period of several weeks, a male participant of a socialization group at a
community day care center for the elderly monopolizes most of the group's time and
interrupts others when they are talking. What is the best action for the nurse to take in
this situation?
Allow the group to handle the problem.
Rationale:
The phase the group process is in--initial, working, or termination--this will help
determine communication styles between the group members. After several weeks, the
group is in the working phase and the group members should be allowed to determine
the direction of the group. The nurse should ignore the client's comments and allow the
group to address the situation.
A nurse working in the emergency room of a children's hospital admits a child whose
injuries could have resulted from abuse. Which statement most accurately describes the
nurse's responsibility in cases of suspected child abuse?
The nurse should report any case of suspected child abuse to the nurse in charge.
Rationale
It is the nurse's legal responsibility to report all suspected cases of child abuse.
Notifying the charge nurse starts the legal reporting process.
A 45-year-old male client tells the nurse that he used to believe that he was Jesus
Christ, but now he knows he is not. Which response is best for the nurse to make?
Others have had similar thoughts when under stress.
Rationale
The nurse should offer support by assuring the client that others have suffered as he
has. The other responses are not therapeutic and not indicated.
The nurse is planning the care for an adult client with acute depression. Which
intervention should the nurse implement to help the client deal with depression?
Assist the client in exploring feelings of shame, anger, and guilt.
Rationale
Depression is associated with feelings of shame, anger, and guilt. Exploring such
feelings with the client is an important nursing intervention for a client who is acutely
depressed. The other interventions are not indicated