Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assisting with reminiscence therapy for a group of older adult clients.
Which of the following strategies should the nurse implement? .
A. Discussing childhood memories during group therapy
A rationale: Discussing childhood memories during group therapy is a key component of reminiscence therapy. It helps older adults recall past experiences and can improve their mood and cognitive function.
B. Playing board games with other clients to enhance cognition.
B rationale: Playing board games can enhance cognition, but it’s not specific to reminiscence therapy.
C. Making a unit calendar to promote orientation.
C rationale: Making a unit calendar promotes orientation, but it’s not part of reminiscence therapy.
D. Encouraging thought-stopping to block undesirable thoughts.
D rationale: Encouraging thought-stopping can help block undesirable thoughts, but it’s not a strategy used in reminiscence therapy.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Discussing childhood memories during group therapy is a key component of reminiscence therapy. It helps older adults recall past experiences and can improve their mood and cognitive function.
Choice B rationale:
Playing board games can enhance cognition, but it’s not specific to reminiscence therapy.
Choice C rationale:
Making a unit calendar promotes orientation, but it’s not part of reminiscence therapy.
Choice D rationale:
Encouraging thought-stopping can help block undesirable thoughts, but it’s not a strategy used in reminiscence therapy.
Similar Questions
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.
Which of the following actions should the nurse take first? .
A. Administer an antianxiety medication
A rationale: Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.
B. Calculate the client's score on the Hamilton Rating Scale for Anxiety.
B rationale: Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.
C. Explain the use of response prevention to the client.
C rationale: Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.
D. Discuss the benefits of relaxation exercises with the client.
D rationale: Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.
Full Explanation
Choice A rationale:
Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.
Choice B rationale:
Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.
Choice C rationale:
Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.
Choice D rationale:
Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.
A nurse is caring for a group of clients in a pediatric clinic.
Which of the following clients is at the highest risk for physical abuse? .
A. A school-age child who wants to go away to summer camp.
A rationale: A school-age child wanting to go to summer camp is not at a higher risk for physical abuse.
B. A toddler who has cystic fibrosis.
B rationale: A toddler with cystic fibrosis is at a higher risk for physical abuse due to the stress and demands of caring for a child with a chronic illness.
C. An adolescent who is preparing to leave home for college.
C rationale: An adolescent preparing to leave home for college is not at a higher risk for physical abuse.
D. A preschooler who is reluctant to share.
D rationale: A preschooler who is reluctant to share is not at a higher risk for physical abuse.
Full Explanation
Choice A rationale:
A school-age child wanting to go to summer camp is not at a higher risk for physical abuse.
Choice B rationale:
A toddler with cystic fibrosis is at a higher risk for physical abuse due to the stress and demands of caring for a child with a chronic illness.
Choice C rationale:
An adolescent preparing to leave home for college is not at a higher risk for physical abuse.
Choice D rationale:
A preschooler who is reluctant to share is not at a higher risk for physical abuse.
A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior.
Which of the following actions should the nurse take?.
A. Document the client's behavior in the medical record every 1 hr
A rationale: Documenting the client’s behavior every hour is not necessary. The nurse should monitor and document the client’s condition, but this does not need to be done every hour.
B. Provide range-of-motion exercises to all extremities every 2 hr.
B rationale: Providing range-of-motion exercises to all extremities every 2 hours is important when a client is in restraints. This helps to prevent muscle stiffness and maintain circulation.
C. Request the provider renew the prescription in 24 hr.
C rationale: The provider does not need to renew the prescription every 24 hours. The use of restraints should be reassessed regularly, but a new prescription is not required unless the restraints are removed and then need to be reapplied.
D. Keep staff interactions with the client to a minimum.
D rationale: Keeping staff interactions with the client to a minimum is not recommended. The client should be monitored closely and regular interaction can help to calm the client and reduce the need for restraints.
Full Explanation
Choice A rationale:
Documenting the client’s behavior every hour is not necessary. The nurse should monitor and document the client’s condition, but this does not need to be done every hour.
Choice B rationale:
Providing range-of-motion exercises to all extremities every 2 hours is important when a client is in restraints. This helps to prevent muscle stiffness and maintain circulation.
Choice C rationale:
The provider does not need to renew the prescription every 24 hours. The use of restraints should be reassessed regularly, but a new prescription is not required unless the restraints are removed and then need to be reapplied.
Choice D rationale:
Keeping staff interactions with the client to a minimum is not recommended. The client should be monitored closely and regular interaction can help to calm the client and reduce the need for restraints.