A 22-year-old client has been manipulative of staff and disruptive in the milieu. Although she is not dangerous to herself or others, she has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but she consistently refuses 'any drugs.' The staff realizes that legally this client can

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Assessing Health Behavior Nursing Questions

Question 1 of 5

A 22-year-old client has been manipulative of staff and disruptive in the milieu. Although she is not dangerous to herself or others, she has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but she consistently refuses 'any drugs.' The staff realizes that legally this client can

Correct Answer: D

Rationale: The client maintains the right to refuse treatment even if it is needed when she is not dangerous to herself or others. If a client able to give consent, she cannot be coerced into doing so, have her family sign permission for her, or be committed by the family to receive treatment unless she is a danger to herself or others.

Question 2 of 5

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, The patient is like one of my grandparents—so helpless. Which response is the nurse demonstrating?

Correct Answer: B

Rationale: Countertransference is the nurse’s emotional response to a patient based on the nurse’s unconscious needs, conflicts, or past experiences. Here, the nurse’s sadness and comparison to a grandparent indicate a personal emotional reaction rather than a patient-driven one. Transference involves the patient’s feelings toward the nurse, not the nurse’s toward the patient. Catastrophic reaction refers to an exaggerated patient response to stress, and defensive coping reaction is a patient mechanism, not a nurse response.

Question 3 of 5

Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient says, I’m still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges? What is the nurses best response?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Documentation in a patient’s chart shows, Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, I enjoy spending time with you. Which analysis is most accurate?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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