ATI RN CONCEPT BASED ASSESSMENT EXIT EXAM 240 LATEST QUESTIONS UPDATED 2021

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A patient tells a nurse, "My new friend is the most perfect person one could imagine; kind, considerate, and good looking. I can't find a single flaw." This patient is demonstrating: Select o ... ne: a. Projection b. Idealization c. Compensation d. Denial Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident? Select one: a. Introjection b. Conversion c. Splitting d. Projection Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes this nurse's response? Select one: a. Passive aggression b. Sublimation c. Altruism d. Suppression A person who is speaking about a rival for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating: Select one: a. Repression b. Denial c. Projection d. Reaction formation An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident? Select one: a. Compensation b. Introjection c. Regression d. Rationalization A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of: Select one: a. Devaluation b. Repression c. Identification d. Compensation A patient is undergoing diagnostic tests. the patient says, "Nothing is wrong with me except a stubborn chest cold." the spouse reports that the patient smokes, coughs daily, and has lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using? Select one: a. Projection b. Regression c. Displacement d. Denial A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day when asked about the project, the worker says, "I've been working on other things." When asked 4 hours later, the worker says, "Someone else was using the copier, so I couldn't finish it." The worker's behavior demonstrates: Select one: a. Acting out b. Rationalization c. Passive aggression d. Projection The nurse is preparing the client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task is most appropriate for this phase? Select one: a. Developing realistic solutions. b. Making appropriate referrals. c. Identifying expected outcomes. d. Planning short term goals. Mrs. F. has remained close to the nurse all day. When the nurse talked with other clients during dinner, Mrs. F. tried to regain the nurse’s attention and began to shout, “You’re just like my mother. You pay attention to everyone but me!” The best interpretation of this behavior is that... Select one: a. Mrs. F. is demonstrating transference. b. Mrs. F. is exhibiting resistance. c. Mrs. F. has been spoiled by her family. d. The nurse has failed to meet Mrs. F’s needs. During the termination phase of the nurse-client relationship, the clinic nurse observes that the client continuously demonstrates bursts of anger. The most appropriate interpretation of the behavior is that the client... Select one: a. Requires further treatment and is not ready to be discharged. b. Is displaying typical behaviors that can occur during termination. c. Needs to be referred to the psychiatrist as soon as possible. d. Needs to be admitted to the hospital. The client says to the nurse “I am going to die, 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.” The most therapeutic response is: Select one: a. “I think we should talk more about your anger with your family.” b. “Well, it sounds like you’re being pessimistic. After all, years ago people died of pneumonia.” c. “You’re feeling angry that your family continues to hope for you to be cured.” d. Have you shared your feelings with your family?” The most therapeutic response a nurse could make to a student who begins to cry upon learning that a failing grade was received on a final exam is: Select one: a. “It won’t seem so important 5 years from now.” b. “You’ll make it next time.” c. “How close were you to passing?” d. “Failing an exam is an upsetting thing to happen.” A client relates angrily to the nurse that his wife says he is selfish. Which response by the nurse would be most helpful? Select one: a. “I don’t think that you are selfish.” b. “Everyone is a little bit selfish.” c. “You sound angry – tell me more about what went on.” d. “That’s just her opinion.” The nurse is meeting a new client on the unit. Which action, by the nurse, is most effective in initiating the nurse-client relationship? Select one: a. Ask the client why he/she was brought to the hospital. b. Introduce self and explain the purpose and the plan for the relationship. c. Wait until the client indicates a readiness to establish a relationship. d. Describe the nurse’s family and ask the client to describe his/her family. The nurse is caring for a Native American client who says, “I don’t want you to touch me. I’ll take care of myself.” Which nursing response is most therapeutic? Select one: a. “If you don’t want our care, why did you come here?” b. "Okay, if that’s what you want. I’ll just leave this cup for you to collect your urine.” c. “It sounds as though you want to take care of yourself. Let’s work together so you can do things for yourself.” d. “Why are you being so difficult? I only want to help you.” A client looks at a mirror and cries out, “I look like a bird. This is not my face.” The nurse responds therapeutically by saying: Select one: a. “Maybe the light is playing tricks on you.” b. "What kind of a bird do you think you are?” c. “That must be very distressing to you, your face does not look different to me.” d. “Why do you think that you look like a bird?” [Show More]

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