Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?
A. Ask staff members to describe their most traumatic memories of the event.
B. Reassure staff members that the debriefing is confidential.
The rationale is that confidentiality is essential to create a safe and trusting environment for staff members to share their feelings and experiences without fear of judgment or reprisal.
C. Provide stress-management exercises to the staff members.
D. Have staff members discuss their involvement in the event.
This question is an excerpt from Nurse Dive's nursing test bank - RN Mental Health 2019 With NGN Proctored Exam. Take the full exam now
Full Explanation
The rationale is that confidentiality is essential to create a safe and trusting environment for staff members to share their feelings and experiences without fear of judgment or reprisal.
Similar Questions
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home." Which of the following recommendations should the nurse make to address the client's social isolation?
A. Enroll in an online self-help course.
B. Join a low-impact exercise class.
The rationale is that exercise can improve mood, energy, and self-esteem, as well as provide social interaction and support for clients who have depression.
C. Practice guided imagery each morning.
D. Write in a journal daily.
Full Explanation
The rationale is that exercise can improve mood, energy, and self-esteem, as well as provide social interaction and support for clients who have depression.
A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
A. Co-dependents support group
B. Dual diagnosis treatment group
C. Desensitization therapy
D. Dialectical behavior treatment group
Dialectical behavior therapy (DBT) is an evidence-based intervention that helps clients who have borderline personality disorder and self-harm behaviors to develop coping skills, emotional regulation, and interpersonal effectiveness.
Full Explanation
Dialectical behavior therapy (DBT) is an evidence-based intervention that helps clients who have borderline personality disorder and self-harm behaviors to develop coping skills, emotional regulation, and interpersonal effectiveness.
A nurse is assessing a client who has a history of substance use disorder and states, "People are out to get me." The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
A. Opium
B. Heroin
C. Alcohol
D. Cocaine
Cocaine is a stimulant that can cause paranoia, increased heart rate, and elevated blood pressure in high doses or during acute intoxication.
Full Explanation
Cocaine is a stimulant that can cause paranoia, increased heart rate, and elevated blood pressure in high doses or during acute intoxication.