exam 1 NR 326
Fast-Track Exam Preparation Kit | Answered Questions, Breakdown Strategies,
and Memory Aids
1. Three years ago, Anna's dog, Lucky, her pet for 16 years, was killed by a car. Since that time,
Anna has lost weight, rarely leaves her home, and talks excessively about Lucky. Anna's behavior
would be considered maladaptive for which of the following reasons?
a. It has been more than 3 years since Lucky died.
b. Her grief is too intense over the loss of a dog.
c. Her grief is interfering with her functioning.
d. Cultural norms typically do not comprehend grief over the loss of a pet. - c. Her grief is
interfering with her functioning.
Anna states that Lucky was her closest friend, and since his death, no one can ever replace the
relationship they had. According to Maslow's hierarchy of needs, which level of need is not
being met?
a. Physiological needs
b. Self-esteem needs
c. Safety and security needs
d. Love and belonging needs - d. Love and belonging needs
Anna's daughter notices that Anna appears to be listening to another voice when just the two of
them are in a room together. When questioned, Anna admits that she hears someone telling
her that she was a horrible caretaker for Lucky and did not deserve to ever have a pet. Which of
the following best describes what Anna is experiencing?
a. Neurosis
b. Psychosis
c. Depression
d. Bereavement - b. Psychosis
,Anna, who is 72 years old, is at the age when she may have experienced several losses in a short
time. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - a. Bereavement overload
Anna has been grieving the death of Lucky for 3 years. She is unable to take care of her normal
activities because she insists on visiting Lucky's grave daily. What is the most likely reason that
Anna's daughter has put off seeking help for Anna?
Women are less likely than men to seek help for emotional problems.
b. Relatives often try to normalize behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
d. She is afraid that the neighbors will think her mother is "crazy." - b. Relatives often try to
normalize behavior rather than label it mental illness.
6. Lucky's accident occurred when he got away from Anna while they were taking a walk. He ran
into the street and was hit by a car. Anna cannot remember the circumstances of his death. This
is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression - d. Repression
A client with a history of schizophrenia is brought to the emergency department by police who
report that she was knocking down food displays at a grocery store and yelling that the food is
all poisoned. The client reports to the nurse the she has no idea why she was brought to the
,emergency department because "there is nothing wrong with me." Which of these actions by
the nurse demonstrates good clinical judgment?
a. Instruct the police officer that this client should be incarcerated because there is nothing that
can be done in an emergency department.
b. Document that the client is manifesting suspicious ideation and anosognosia.
c. Ask the doctor to order gastric lavage because the client reports having been poisoned.
d. Instruct the client that the food is not poisoned and there is something very wrong with her. -
b. Document that the client is manifesting suspicious ideation and anosognosia.
8. During a primary care physician appointment, a client who has been a widow for 7 years
reports to the nurse that she does not want to wake up in the morning and feels there is
nothing left for her. Which of these actions by the nurse is a priority?
a. Listen empathically and encourage the client to find some activities to increase socialization.
b. Encourage the client to discuss this with her physician.
c. Assess the client for symptoms of depression and suicide risk.
d. Instruct the client that grief takes a long time to resolve but that she will be feeling better
soon. - c. Assess the client for symptoms of depression and suicide risk.
A client who has arrived at the health clinic for diabetic education is perspiring, wringing his
hands, and states, "I'm so anxious about giving myself shots I can hardly breathe. I don't know
what to do." Which of these actions by the nurse demonstrates good clinical judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels less anxious.
- a. Assist the client in relaxation exercises before commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder reports to
the nurse, "Ever since my daughter died by suicide 10 years ago, I can't stand to be around my
, friends. They just don't get it!" Which of these actions by the nurse demonstrates good clinical
judgment?
a. Affirm that other people cannot possibly provide adequate support in circumstances like
these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to accept their
support.
d. Ask the client to describe how her daughter killed herself. - b. Assist the client to explore the
connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status because
that is what she would want if she were the client. Which of the following ethical theories is
considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism - b. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal status because
that would bring the most happiness to the most people. Which of the following ethical
theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism - a. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is her duty to
do so. Which of the following ethical theories is considered in this decision?
a. Natural law theories
Fast-Track Exam Preparation Kit | Answered Questions, Breakdown Strategies,
and Memory Aids
1. Three years ago, Anna's dog, Lucky, her pet for 16 years, was killed by a car. Since that time,
Anna has lost weight, rarely leaves her home, and talks excessively about Lucky. Anna's behavior
would be considered maladaptive for which of the following reasons?
a. It has been more than 3 years since Lucky died.
b. Her grief is too intense over the loss of a dog.
c. Her grief is interfering with her functioning.
d. Cultural norms typically do not comprehend grief over the loss of a pet. - c. Her grief is
interfering with her functioning.
Anna states that Lucky was her closest friend, and since his death, no one can ever replace the
relationship they had. According to Maslow's hierarchy of needs, which level of need is not
being met?
a. Physiological needs
b. Self-esteem needs
c. Safety and security needs
d. Love and belonging needs - d. Love and belonging needs
Anna's daughter notices that Anna appears to be listening to another voice when just the two of
them are in a room together. When questioned, Anna admits that she hears someone telling
her that she was a horrible caretaker for Lucky and did not deserve to ever have a pet. Which of
the following best describes what Anna is experiencing?
a. Neurosis
b. Psychosis
c. Depression
d. Bereavement - b. Psychosis
,Anna, who is 72 years old, is at the age when she may have experienced several losses in a short
time. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - a. Bereavement overload
Anna has been grieving the death of Lucky for 3 years. She is unable to take care of her normal
activities because she insists on visiting Lucky's grave daily. What is the most likely reason that
Anna's daughter has put off seeking help for Anna?
Women are less likely than men to seek help for emotional problems.
b. Relatives often try to normalize behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
d. She is afraid that the neighbors will think her mother is "crazy." - b. Relatives often try to
normalize behavior rather than label it mental illness.
6. Lucky's accident occurred when he got away from Anna while they were taking a walk. He ran
into the street and was hit by a car. Anna cannot remember the circumstances of his death. This
is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression - d. Repression
A client with a history of schizophrenia is brought to the emergency department by police who
report that she was knocking down food displays at a grocery store and yelling that the food is
all poisoned. The client reports to the nurse the she has no idea why she was brought to the
,emergency department because "there is nothing wrong with me." Which of these actions by
the nurse demonstrates good clinical judgment?
a. Instruct the police officer that this client should be incarcerated because there is nothing that
can be done in an emergency department.
b. Document that the client is manifesting suspicious ideation and anosognosia.
c. Ask the doctor to order gastric lavage because the client reports having been poisoned.
d. Instruct the client that the food is not poisoned and there is something very wrong with her. -
b. Document that the client is manifesting suspicious ideation and anosognosia.
8. During a primary care physician appointment, a client who has been a widow for 7 years
reports to the nurse that she does not want to wake up in the morning and feels there is
nothing left for her. Which of these actions by the nurse is a priority?
a. Listen empathically and encourage the client to find some activities to increase socialization.
b. Encourage the client to discuss this with her physician.
c. Assess the client for symptoms of depression and suicide risk.
d. Instruct the client that grief takes a long time to resolve but that she will be feeling better
soon. - c. Assess the client for symptoms of depression and suicide risk.
A client who has arrived at the health clinic for diabetic education is perspiring, wringing his
hands, and states, "I'm so anxious about giving myself shots I can hardly breathe. I don't know
what to do." Which of these actions by the nurse demonstrates good clinical judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels less anxious.
- a. Assist the client in relaxation exercises before commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder reports to
the nurse, "Ever since my daughter died by suicide 10 years ago, I can't stand to be around my
, friends. They just don't get it!" Which of these actions by the nurse demonstrates good clinical
judgment?
a. Affirm that other people cannot possibly provide adequate support in circumstances like
these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to accept their
support.
d. Ask the client to describe how her daughter killed herself. - b. Assist the client to explore the
connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status because
that is what she would want if she were the client. Which of the following ethical theories is
considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism - b. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal status because
that would bring the most happiness to the most people. Which of the following ethical
theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism - a. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is her duty to
do so. Which of the following ethical theories is considered in this decision?
a. Natural law theories
