Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which priority nursing action should be taken for a client who is experiencing a crisis?
A. Assign multiple tasks to distract the client
Assigning multiple tasks can increase stress rather than help during a crisis.
B. Reduce the client's immediate anxiety and promote safety
The initial priority in crisis intervention is to stabilize the client and ensure their safety.
C. Encourage the client to repress their emotions
Repressing emotions is unhealthy and counterproductive in crisis management.
D. Focus on providing long-term goals for the client
Long-term goals are important but come after immediate stabilization and crisis resolution.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals med surg mid term proctored exam. Take the full exam now
Full Explanation
A. Assigning multiple tasks can increase stress rather than help during a crisis.
B. The initial priority in crisis intervention is to stabilize the client and ensure their safety.
C. Repressing emotions is unhealthy and counterproductive in crisis management.
D. Long-term goals are important but come after immediate stabilization and crisis resolution.
Similar Questions
Rest and sleep both involve decreased activity, but:
A. Only sleep provides the full physiologic restoration. The body requires.
Sleep is essential for tissue repair, immune function, and cognitive restoration, whereas rest provides relaxation but not the same level of physical and mental recovery.
B. Only rest provides the full physiologic restoration. The body requires.
Rest alone does not fully restore physiological functions.
C. Both provide equal levels of physiologic restoration
Rest and sleep do not provide equal restoration; sleep is more restorative.
D. Neither is necessary for maintaining physical health
Both rest and sleep are necessary for maintaining physical and mental health.
Full Explanation
A. Sleep is essential for tissue repair, immune function, and cognitive restoration, whereas rest provides relaxation but not the same level of physical and mental recovery.
B. Rest alone does not fully restore physiological functions.
C. Rest and sleep do not provide equal restoration; sleep is more restorative.
D. Both rest and sleep are necessary for maintaining physical and mental health.
Which role of the nurse involves coordinating the client's care across multiple healthcare services and settings?
A. Clinical Nurse Specialist
Clinical Nurse Specialists focus on expert clinical practice, education, and consultation within specialty areas.
B. Staff nurse
Staff nurses provide direct patient care but may not coordinate care across multiple services.
C. Nurse case manager
This role involves coordinating comprehensive care plans, facilitating communication between providers, and ensuring continuity across settings.
D. Nurse Educator
Nurse Educators focus on teaching and training nurses and patients rather than coordinating care.
Full Explanation
A. Clinical Nurse Specialists focus on expert clinical practice, education, and consultation within specialty areas.
B. Staff nurses provide direct patient care but may not coordinate care across multiple services.
C. This role involves coordinating comprehensive care plans, facilitating communication between providers, and ensuring continuity across settings.
D. Nurse Educators focus on teaching and training nurses and patients rather than coordinating care.
A client states, "I know I'm going to fail this test, so why even study?" The nurse recognizes this as an example of which defense mechanism?
A. Rationalization
Rationalization involves the client justifying not studying by creating a logical reason ("I’m going to fail anyway") to avoid the anxiety of failure.
B. Denial
Denial involves refusing to accept reality, which is different from this statement.
C. Projection
Projection is attributing one’s own feelings to others, which is not shown here.
D. Regression
Regression involves reverting to earlier behaviors, which is not demonstrated in this example.
Full Explanation
A. Rationalization involves the client justifying not studying by creating a logical reason ("I’m going to fail anyway") to avoid the anxiety of failure.
B. Denial involves refusing to accept reality, which is different from this statement.
C. Projection is attributing one’s own feelings to others, which is not shown here.
D. Regression involves reverting to earlier behaviors, which is not demonstrated in this example.