NACE Psychosocial Needs and Development 3

Question 1

A nurse suspects that an elderly patient is being financially exploited by a family member. What is the nurse's legal obligation?

Accepted Answer

Report the suspected abuse to Adult Protective Services

Answer

Discuss the concern with the family member first

Answer

Document the suspicion but take no further action

Answer

Wait for definitive proof before reporting

Question 2

A patient in the emergency department is displaying aggressive behavior and threatening staff. Which de-escalation technique should the nurse try first?

Accepted Answer

Speak in a calm, low tone and offer the patient choices

Answer

Apply physical restraints immediately

Answer

Administer PRN sedation medication

Answer

Request security to remove the patient from the department

Question 3

Which assessment tool is most commonly used by nurses to screen for depression in adult patients?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

Glasgow Coma Scale

Answer

Braden Scale

Answer

CAGE Questionnaire

Question 4

A patient diagnosed with schizophrenia reports hearing voices that tell them to harm themselves. How should the nurse classify this symptom?

Accepted Answer

Command auditory hallucination

Answer

Delusion of persecution

Answer

Visual hallucination

Answer

Illusion

Question 5

A new mother two weeks postpartum tells the nurse she has thoughts of harming her baby. What is the priority nursing action?

Accepted Answer

Assess for postpartum psychosis and ensure immediate safety of the mother and infant

Answer

Reassure her that these feelings are normal for new mothers

Answer

Suggest she take a nap while someone watches the baby

Answer

Schedule a follow-up appointment in one week

Question 6

A nurse is caring for a dying patient. The patient's family asks the nurse to 'do everything possible' despite the patient's documented wish for comfort measures only. What is the most appropriate response?

Accepted Answer

Gently review the patient's documented wishes and explain the legal and ethical obligation to follow them

Answer

Honor the family's request since the patient can no longer speak for themselves

Answer

Ask the physician to override the patient's advance directive

Answer

Avoid the conversation and continue comfort measures without explanation