The spouse of a client admitted to the mental health unit for alcohol

1.A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home ." Which statement by the nurse is appropriate?None 选项： A:"Maybe your spouse can give you your shots ." B:"You'll be fine once you get used to giving your own shots ." C:"What are your concerns about taking this medication at home?" D:"Don't worry . Your primary health care provider knows what's best for you ."

2.A client who has recently lost their spouse says, "No one cares about me anymore . All the people I loved are dead ." The nurse would make which therapeutic response when dealing with a grieving client?None 选项： A:"I certainly care about you ." B:"I don't believe that and neither should you ." C:"You must be feeling all alone at this point ." D:"It isn't unusual to feel alone when you are grieving ."

3.The nurse is providing dietary instructions to the client with anemia . The client tells the nurse that the iron pills are very expensive and that it will be difficult to pay for the pills and buy the proper food . What is the most appropriate nursing response?None 选项： A:"You will have to find a way to afford both ." B:"You will be fine as long as you take the iron pills ." C:"Why don't you ask your family to help you out financially?" D:"Would you like for me to check into some other options for you?"

"Are you concerned about how the surgery will affect your sexuality?"

B:

"If you are concerned about infertility, you could always bank your sperm."

C:

"The cancer is at an early stage. You are going to be fine."

D:

"What have you and your future spouse discussed about your condition?"

">4.A 25-year-old client is about to undergo a unilateral orchiectomy for treatment of testicular cancer. The client says to the nurse, "I'm so worried that my future spouse is going to call off our engagement." What is the best response by the nurse? 选项： A:

"Are you concerned about how the surgery will affect your sexuality?"

B:

"If you are concerned about infertility, you could always bank your sperm."

C:

"The cancer is at an early stage. You are going to be fine."

D:

"What have you and your future spouse discussed about your condition?"

5.A client admitted to the inpatient unit is being considered for electroconvulsive therapy (ECT) . While the client is calm, the family anxiously tells the nurse, "My parent's brain will be shocked with electricity . How can the doctor even think about doing this?" Which response by the nurse will best address the family's concerns?None 选项： A:"I think you need to speak directly to the psychiatrist ." B:"Maybe you'll feel better if you see the ECT room and speak to the staff ." C:"Your parent has decided to have this treatment . You need to support that decision ." D:"It sounds as though you are very concerned . Let's discuss the procedure ."

6. A preoperative client expresses anxiety to a nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? 选项： A: "I will be happy to explain the entire surgical procedure to you." B: "Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate:' C: "If is any help, everyone is nervous before surgery". D: "Can you share with me what you've been told about your surgery."

7.A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this . After all, I'm the one who's dying ." Which response by the nurse is therapeutic?None 选项： A:"Have you shared your feelings with your family?" B:"I think we should talk more about your anger with your family ." C:"It sounds as if you are feeling angry that your family continues to hope for you to be cured ." D:"You are probably very depressed, which is understandable with such a diagnosis ."

8.The nurse is completing medication reconciliation with a client just before discharge to home . The client asks, "Why are you going over this list? They did that when I was admitted!" Which statement by the nurse is the best response?None 选项： A:"Medication reconciliation is required before you can go home ." B:"Your insurance company requires a list of medications that you will be taking ." C:"We are checking to see what medications can be discontinued before you go home ." D:"We do this to make sure you will be receiving the correct medications once you are at home ."

9.Which of the following is a manageable problem: 选项： A、“Do you mean to tell me that these are the only terms that you will accept?” B、“You wouldn’t try to take advantage of us here, would you?” C、“How do you feel about our proposal?” D、“Here’s how i see the situation -- don’t you agree?”

10.During a therapy session a client with a personality disorder says to the nurse, "You look so nice today . I love how you do your hair, and I love that perfume you're wearing ." Which response by the nurse would best address this breach of boundaries?None 选项： A:"Thank you, the perfume was a gift ." B:"Your comment is really inappropriate ." C:"Neither my hair nor my perfume is the focus of today's session ." D:"The focus of today's session is on your issues, so let's get started ."

11. I will tell you what we shall do according to the actual situation. 选项： A: You will tell me what I will do. B:I will tell you what we shall do. C: I will tell them what we shall do according to the academic situation. D:I will tell you what we shall do correspondingly.

12.The most appropriate question in the interview is选项： A:Can you tell me something about your family? ; B:Is there anything I can do for you? ; C:What do you do? ; D:Do you get along well with your colleagues?

13.What should you ask if getting lost? ( ) 选项： A:Excuse me, is this way to the Hotel C? B:Could you help me find the way to the square? C:What can I do for you? D:I don’t know how to get out of here.

14.You completely disagree with the opinions of a speaker. Which of the following expressions do you think is INAPPROPRIATE to help you in the situation?选项： A:I’m afraid I can’t agree with you because ….; B:I see what you mean, but …. ; C:I think we are digressing a little.; D:I’m not absolutely sure about what you have said, but I’d suggest….

15.What should you ask if getting lost? ( )选项： A:Excuse me, is this way to the Hotel C? B:Could you help me find the way to the square? C:What can I do for you? D:I don’t know how to get out of here.

16.What do you say if you want to state that you understand something?选项： A:I get your point.; B:I must say it's not something I know very much about.; C:I don't know what you are talking about.; D:I can't follow you.

17.What do you say if you want to state that you understand something? 选项： A:I get your point.; B:I must say it's not something I know very much about.; C:I don't know what you are talking about.; D:I can't follow you.

18.If only I had known about your difficult situation, I ______. 选项： A、would help you B、will help you C、will have helped you D、would have helped you

19.You completely disagree with the opinions of a speaker. Which of the following expressions do you think is　INAPPROPRIATE to help you in the situation?A.I’m afraid I can’t agree with you because ….B.I see what you mean, but ….C.I think we are digressing a little.D.I’m not absolutely sure about what you have said, but I’d suggest….

20.When the client says, "I met Joe at the dance last week," what is the best way for the nurse to ask the client to describe her relationship with Joe() 选项： A、"Joe who" B、"Tell me about Joe. " C、"Tell me about you and Joe. " D、"Joe, you mean that blond guy with the dark blue eyes\

21.Dear,Mrs.,Huggett, You,may,remember,that,we,have,discussed,the,noise,your,children,make,while,practicing,their,musical,instruments(　　).,You,agreed,to,make,sure,that,they,would,stop,practicing,in,the,evenings. You,can,imagine,my,astonishment,,then,,when,I,realized,that,nothing,had,changed,and,the,situation,was,continuing,as,before.,I,find,it,difficult,to,stay,in,the,house,and,invent,any,excuse,to,go,out,for,the,evening,to,be,away,from,the,terrible,noise.,Much,as,I,like,music,,I,have,had,enough.,And,to,be,frank,,I,am,not,prepared,to,put,up,with,the,situation,any,more. I,think,it,high,time,you,realized,your,duty,as,a,member,of,the,community(　　),,and,I,must,warn,you,that,unless,you,do,something,about,the,situation,I,will,be,forced,to,take,legal(　　)action. I,have,sent,a,copy,of,this,letter,to,my,lawyer. Yours,sincerely, R.,G.,Barge

22.{Dear Mrs. Huggett,You may remember that we have discussed the noise your children make while practicing their musical instruments（乐器). You agreed to make sure that they would stop practicing in the evenings.You can imagine my astonishment, then, when I realized that nothing had changed and the situation was continuing as before. I find it difficult to stay in the house and invent any excuse to go out for the evening to be away from the terrible noise. Much as I like music, I have had enough. And to be frank, I am not prepared to put up with the situation any more.I think it high time you realized your duty as a member of the community（社区）, and I must warn you that unless you do something about the situation I will be forced to take legal（法律）action.I have sent a copy of this letter to my lawyer.Yours sincerely,R G Barge}