Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?.
A. "The PSDA becomes applicable when a client reaches 65 years of age.”.
The PSDA applies to all adults, not just those who are 65 years of age or older.
B. "Advance directives do not apply to clients receiving mental health care.”.
Advance directives apply to all clients, including those receiving mental health care.
C. "A witness is legally required to sign a client's living will.”.
A witness is not legally required to sign a client’s living will.
D. "A client can verbally designate a durable power of attorney.”. . . . . . .
A client can verbally designate a durable power of attorney, which is part of the PSDA.
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
Similar Questions
A nurse is contributing to the plan of care for a client who has acute delirium.
Which of the following interventions should the nurse include in the plan of care? .
A. Discourage visitation from the client's family
A rationale: Discouraging visitation from the client’s family could increase feelings of isolation and confusion, which could exacerbate delirium.
B. Provide a high-stimulation environment for the client.
B rationale: A high-stimulation environment could overstimulate the client and worsen delirium.
C. Limit the client's need to make decisions.
C rationale: Limiting the client’s need to make decisions can reduce stress and confusion, which can help manage delirium.
D. Keep the client's room dark at night.
D rationale: Keeping the client’s room dark at night could disrupt the client’s sleep-wake cycle and potentially worsen delirium.
Full Explanation
Choice A rationale:
Discouraging visitation from the client’s family could increase feelings of isolation and confusion, which could exacerbate delirium.
Choice B rationale:
A high-stimulation environment could overstimulate the client and worsen delirium.
Choice C rationale:
Limiting the client’s need to make decisions can reduce stress and confusion, which can help manage delirium.
Choice D rationale:
Keeping the client’s room dark at night could disrupt the client’s sleep-wake cycle and potentially worsen delirium.
A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder.
Which of the following statements by the parent indicates an understanding of the redirection technique? .
A. "I should re-engage my child in an appropriate activity.”.
A rationale: Re-engaging the child in an appropriate activity is a good example of the redirection technique.
B. "I should move closer to my child when they are agitated.”. .
B rationale: Moving closer to the child when they are agitated could escalate the situation rather than calm it.
C. "I should use role-playing to enhance new behavioral skills.”. .
C rationale: Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.
D. "I should ignore attention-seeking behaviors.”. . .
D rationale: Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.
Full Explanation
Choice A rationale:
Re-engaging the child in an appropriate activity is a good example of the redirection technique.
Choice B rationale:
Moving closer to the child when they are agitated could escalate the situation rather than calm it.
Choice C rationale:
Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.
Choice D rationale:
Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.
A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination? .
A. "The aliens are going to abduct me tonight.”.
A rationale: This statement indicates a delusion, not a command hallucination. Delusions are fixed false beliefs that are not based in reality.
B. "The voices told me to quit eating the food here.”. .
B rationale: This statement indicates a command hallucination. Command hallucinations involve hearing voices that direct the person to take action.
C. "Are you planning to kill me?" .
C rationale: This statement indicates paranoia, not a command hallucination. Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution or threat.
D. "Can you see these spiders crawling all over me?" .
D rationale: This statement indicates a visual hallucination, not a command hallucination. Visual hallucinations involve seeing things that aren’t there.
Full Explanation
Choice A rationale:
This statement indicates a delusion, not a command hallucination. Delusions are fixed false beliefs that are not based in reality.
Choice B rationale:
This statement indicates a command hallucination. Command hallucinations involve hearing voices that direct the person to take action.
Choice C rationale:
This statement indicates paranoia, not a command hallucination. Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution or threat.
Choice D rationale:
This statement indicates a visual hallucination, not a command hallucination. Visual hallucinations involve seeing things that aren’t there.