A group is in the working phase. One member states, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a waste of my time." Which initial action by the group leader would be most therapeutic?

A) Advise the member that hostility is inappropriate. Remove the member if it continues.
B) Keep the group's focus on this member so the person can express the anger.
C) Meet privately with the member outside of group to discuss the anger.
D) Change to a more positive topic of discussion in this group session.

Which assessment findings would alert the nurse that an older patient may have an increased risk for development of geriatric alcohol abuse? (Select all that apply.)

A) Mild recent memory impairment
B) Eighth grade education
C) Death of spouse
D) Retirement
E) Loneliness

Which accurately describes the speech of the preschool child?

A) Dysfluency in speech patterns is normal.
B) Sentence structure and grammatic usage are limited.
C) By age 5 years, child can be expected to have a vocabulary of about 1000 words.
D) Rate of vocabulary acquisition keeps pace with the degree of comprehension of speech.

A wife believes her husband is having an affair. Lately, he has been disinterested in romance and working late. The husband has an important, demanding project at work. The mother asks her teen, "What have you noticed about your father?" The teen later mentions this to the father, who says, "Tell your mother that I can't deal with her insecurities right now." Family therapy should focus on (Select all that apply.)

A) identifying and reducing the cognitive distortion in each parent's perceptions.
B) confronting the family with the need for honest, direct, assertive communication.
C) helping the parents find ways to cope more effectively with their stress and fears.
D) supporting the teen to redirect the parents when they try to communicate through her.
E) convincing the mother that her fear of an affair is due to her own insecurities and unfounded.
F) helping the husband understand how others might misinterpret the changes in his behavior.

A nurse assesses a patient for inclusion in group therapy. This patient has a childhood history of neglect and ridicule by parents. The patient says to the nurse, "My boss always expects more of me than the others, but talking to him would only make it worse." Which type of group would best address the patient's needs?

A) Support
B) Self-Help
C) Psychoeducational
D) Cognitive-behavioral

A nurse is teaching parents methods to reduce lead levels in their home. Which should the nurse include in the teaching? (Select all that apply.)

A) Plant bushes around the outside of the house.
B) Ensure your child eats frequent meals.
C) Use hot water from the tap when boiling vegetables.
D) Food can be stored in ceramic in the refrigerator.
E) Ensure that your child's diet contains sufficient iron and calcium.

Select the best question for the nurse to ask to assess a family's ability to cope.

A) "What strengths does your family have?"
B) "Do you think your family copes effectively?"
C) "Describe how you successfully handled one family problem."
D) "How do you think the current family problem should be resolved?"

A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.

A) Support the patient's efforts to become informed and to find health solutions.
B) Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
C) Remind the patient, "If you spend that much on oils, you may not be able to buy your prescribed medication."
D) Tell the patient, "Aromatherapy can complicate respiratory problems such as asthma. Let's consider some other options."

An inmate was diagnosed with posttraumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with characteristics similar to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. The correctional nurse should anticipate that the inmate would react to restraint by

A) committing to counseling to reduce the incidence of flashbacks.
B) becoming less likely to assault others during future flashbacks.
C) gradually calming and returning from the flashback to reality.
D) becoming more frightened, agitated, and combative.

A patient diagnosed with a SMI lives independently and attends a psychosocial rehabilitation program. The patient presents at the emergency department seeking hospitalization. The patient has no acute symptoms but says, "I have no money to pay my rent or refill my prescription." Select the nurse's best action.

A) Involve the patient's case manager to provide crisis intervention.
B) Send the patient to a homeless shelter until housing can be arranged.
C) Arrange for a short in-patient admission and begin discharge planning.
D) Explain that one must have active psychiatric symptoms to be admitted.