Question 1

As a nurse attendant enters the client's room, the client says, "Bugs are crawling on my sheets! Get them off my bed!" Which of the following responses is the most appropriate?

Accepted Answer

A) "Don't worry, I'll stay here and brush away the bugs for you." 
B) "Try to relax. The crawling sensation will go away sooner if you can relax." 
C) "There are no bugs on your sheets. It's just your imagination playing tricks on you." 
D) "I know you're frightened. I don't see bugs crawling on your sheets, but I'll stay with you."

Question 2

Ms. Rush is a nursing center resident. She needs assistance with walking. She tells you that she needs to go to the chapel for her confession and to hear mass. You should:

Accepted Answer

A) Assist her in going to the chapel. 
B) Tell her family about her request. 
C) Tell her she can go if she can find a way to go there. 
D) Ask the nurse what to do.

Question 3

Barbara Stanford, an 82-year-old writer, has Alzheimer's disease. Which of the following actions is an important part of providing care to Mrs. Stanford?

Accepted Answer

A) Avoid physical contact. 
B) Apply wrist and ankle restraints. 
C) Provide a high level of sensory stimulation. 
D) Monitor the client carefully.

Question 4

A client in the day room is having a panic attack. The nursing assistant should:

Accepted Answer

A) Tell the client to take deep breaths. 
B) Have the client talk about the panic attack. 
C) Encourage the client to verbalize feelings. 
D) Ask the client about the cause of the panic attack.

Question 5

The stages of grieving identified by Elizabeth Kubler-Ross are:

Accepted Answer

A) Numbness, anger, resolution, and reorganization. 
B) Denial, anger, identification, depression, and acceptance. 
C) Anger, loneliness, depression, and resolution. 
D) Denial, anger, bargaining, depression, and acceptance.

Question 6

Postmortem care is carried out by the licensed nurse, and the nurse aide may be asked to assist. What is the main purpose of postmortem care?

Accepted Answer

A) To maintain good appearance of the body. 
B) To identify any other reasons for the cause of death. 
C) To prepare the body for autopsy. 
D) To promote drainage of any remaining body secretions.

Question 7

Mr. Arnold Robbins is placed on suicide precautions. During the care planning conference, the nursing staff discussed a care plan for Mr. Robbins. Which of the following tasks do you anticipate the licensed nurse will delegate to you?

Accepted Answer

A) Do not allow him to leave his room. 
B) Remove all sharp and cutting objects. 
C) Give him the opportunity to ventilate feelings. 
D) Stay with him at all times.

Question 8

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?

Accepted Answer

A) Beans and tortillas. 
B) Cheese and olive oils. 
C) Vegetables and rice. 
D) Red meat and potatoes.

Question 9

When communicating with a paranoid client, to the most important action is to:

Accepted Answer

A) Use logic and be persistent. 
B) Provide an anxiety-free environment. 
C) Express doubt and not argue. 
D) Encourage ventilation of anger.

Question 10

The nurse assistant observes that a client with amnesia looksfine but responds to questions in a vague, distant manner. What should the nurse assistant do?

Accepted Answer

A) Give the client lots of space to test his/her independence. 
B) Keep the client busy, and make sure he/she doesn't take naps during the day. 
C) Use short, simple sentences whenever the client needs direction. 
D) Spend as much time with the client as possible and ask questions about his/her recent life.

Question 11

During the end-of-shift report, the nurse informed the nurse assistant that a client of Jewish faith requested for a strict kosher diet, and arrangements have been made in the dietary department. At lunchtime, which of the following meal trays would be appropriate for the nurse assistant to serve said client?

Accepted Answer

A) Pork roast, rice, vegetables, mixed fruit, milk 
B) Crab salad on a croissant, vegetables with dip, potato salad, milk 
C) Sweet and sour chicken with rice and vegetables, mixed fruit, juice 
D) Fettuccini Alfredo with shrimp and vegetables, salad, mixed fruit, iced tea

Question 12

Stereotyping in providing care may result in:

Accepted Answer

A) Wrong assessments and inappropriate interventions. 
B) More frustration on the part of the nursing assistant than the client. 
C) Less frustration on the part of the nursing assistant and the client. 
D) Fuller cooperation by the clients and family members.

Question 13

Ms. Julia Jacobs is diagnosed with breast cancer and is undergoing chemotherapy. She appears depressed and has verbalized concerns about impending hair loss. How should the nurse assistant deal with this?

Accepted Answer

A) Discuss hair loss as it occurs. 
B) Provide reading material about chemotherapy. 
C) Acknowledge that hair loss may be a difficult side effect, and explore the client's feelings about this. 
D) Give the client information about head scarves, hats, or wigs.

Question 14

Clients and families have the right to receive care that is:

Accepted Answer

A) Determined necessary by the health team. 
B) Culturally acceptable to them. 
C) Dictated as appropriate by medical research. 
D) Technologically advanced and inexpensive.

Exam 2: Pyschosocial Care