NUR 325 EXAM 1 (2026/2027) NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
A patient who is having difficulty managing his diabetes
mellitus responds to the news that his hemoglobin A1C, a
measure of blood sugar control over the past 90 days, has
increased by saying, "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6
months." Which defense mechanism is the patient using?
a. Denial.
b. Conversion.
c. Dissociation.
d. Displacement. - Correct Answer A (Denial is avoiding
emotional stress by refusing to consciously acknowledge
anything that causes intolerable anxiety. This patient's
statements reflect denial about poorly controlled blood
sugars.)
A grandfather living in Japan worries about his two young
grandsons who disappeared after a tsunami. This is an
example of:
a. A situational crisis.
b. A maturational crisis.
c. An adventitious crisis.
,d. A developmental crisis. - Correct Answer C (An
adventitious crisis is a type of crisis resulting from a
natural disaster such as a tsunami.)
The nurse plans care for a 16-year-old male, taking into
consideration that stressors experienced most commonly
by adolescents include which of the following?
a. Loss of autonomy caused by health problems
b. Physical appearance, family, friends, and school
c. Self-esteem issues, changing family structure
d. Search for identity with peer groups and separation
from family - Correct Answer D (Stressors that apply to
preadolescents are self-esteem issues and a changing
family structure. A loss of autonomy caused by health
problems applies to the older adult. Stressors that apply to
children are physical appearance, family, friends, and
school.)
When assessing an older adult who is showing symptoms
of anxiety, insomnia, anorexia, and mild confusion, one of
the first assessments includes which of the following?
a. The amount of family support
b. A 3-day diet recall
c. A thorough physical assessment
d. Threats to safety in her home - Correct Answer C
(Stress often causes symptoms similar to physical
illnesses. Physical causes for problems need to be
investigated and treated before treatment for stress-
related symptoms can be initiated.)
,A 34-year-old single father who is anxious, tearful, and
tired from caring for his three young children tells the
nurse that he feels depressed and doesn't see how he can
go on much longer. Which of the following would be the
nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children.
You can do it!"
c. "Is there someone who can help you during the
evenings and weekends?"
d. "What do you mean when you say you can't go on any
longer?" - Correct Answer D (You need to get information
about what the gentleman means when he says he can't
go on any longer. He might be thinking of turning his
children over to a grandparent or seeking other child-care
arrangements. Asking about suicide initially might be
premature. Asking, "Are you thinking of suicide?"
prematurely might shut the patient down entirely. If the
patient talks about suicide, for safety reasons it is very
important to further discuss his suicidal thoughts and refer
to the appropriate health care professional. Asking the
open-ended question provides an opportunity to
understand what the person is thinking and open lines of
communication.)
The nurse is interviewing a patient in the community clinic
and gathers the following information about her: she is
intermittently homeless, a single parent with two children
who have developmental delays, and is suffering from
, chronic asthma. She does not laugh or smile, does not
volunteer any information, and at times appears close to
tears. She has no support system and does not work. She
is experiencing an allostatic load. As a result, which of the
following would be present during complete patient
assessment? (Select all that apply.)
a. Posttraumatic stress disorder
b. Rising hormone levels
c. Chronic illness
d. Return of vital signs to normal
e. Depression - Correct Answer C E (An increased
allopathic load can result in long-term physiological and
psychological problems such as chronic illness and
depression. Posttraumatic stress disorder results from a
single traumatic event. Hormone levels rise in the alarm
stage. Vital signs return to normal in the resistance stage.)
During the assessment interview of an older woman who
is recently widowed, the nurse suspects that this woman is
experiencing a developmental crisis. Which of the
following questions provide information about the impact
of this crisis? (Select all that apply.)
a. With whom do you talk on a routine basis?
b. What do you do when you feel lonely?
c. How is having diabetes affecting your life?
d. I know this must be hard for you. Let me tell you what
might help.
e. Do you have any changes in lifestyle habits: sleeping,
eating, smoking, and drinking? - Correct Answer A B E
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
A patient who is having difficulty managing his diabetes
mellitus responds to the news that his hemoglobin A1C, a
measure of blood sugar control over the past 90 days, has
increased by saying, "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6
months." Which defense mechanism is the patient using?
a. Denial.
b. Conversion.
c. Dissociation.
d. Displacement. - Correct Answer A (Denial is avoiding
emotional stress by refusing to consciously acknowledge
anything that causes intolerable anxiety. This patient's
statements reflect denial about poorly controlled blood
sugars.)
A grandfather living in Japan worries about his two young
grandsons who disappeared after a tsunami. This is an
example of:
a. A situational crisis.
b. A maturational crisis.
c. An adventitious crisis.
,d. A developmental crisis. - Correct Answer C (An
adventitious crisis is a type of crisis resulting from a
natural disaster such as a tsunami.)
The nurse plans care for a 16-year-old male, taking into
consideration that stressors experienced most commonly
by adolescents include which of the following?
a. Loss of autonomy caused by health problems
b. Physical appearance, family, friends, and school
c. Self-esteem issues, changing family structure
d. Search for identity with peer groups and separation
from family - Correct Answer D (Stressors that apply to
preadolescents are self-esteem issues and a changing
family structure. A loss of autonomy caused by health
problems applies to the older adult. Stressors that apply to
children are physical appearance, family, friends, and
school.)
When assessing an older adult who is showing symptoms
of anxiety, insomnia, anorexia, and mild confusion, one of
the first assessments includes which of the following?
a. The amount of family support
b. A 3-day diet recall
c. A thorough physical assessment
d. Threats to safety in her home - Correct Answer C
(Stress often causes symptoms similar to physical
illnesses. Physical causes for problems need to be
investigated and treated before treatment for stress-
related symptoms can be initiated.)
,A 34-year-old single father who is anxious, tearful, and
tired from caring for his three young children tells the
nurse that he feels depressed and doesn't see how he can
go on much longer. Which of the following would be the
nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children.
You can do it!"
c. "Is there someone who can help you during the
evenings and weekends?"
d. "What do you mean when you say you can't go on any
longer?" - Correct Answer D (You need to get information
about what the gentleman means when he says he can't
go on any longer. He might be thinking of turning his
children over to a grandparent or seeking other child-care
arrangements. Asking about suicide initially might be
premature. Asking, "Are you thinking of suicide?"
prematurely might shut the patient down entirely. If the
patient talks about suicide, for safety reasons it is very
important to further discuss his suicidal thoughts and refer
to the appropriate health care professional. Asking the
open-ended question provides an opportunity to
understand what the person is thinking and open lines of
communication.)
The nurse is interviewing a patient in the community clinic
and gathers the following information about her: she is
intermittently homeless, a single parent with two children
who have developmental delays, and is suffering from
, chronic asthma. She does not laugh or smile, does not
volunteer any information, and at times appears close to
tears. She has no support system and does not work. She
is experiencing an allostatic load. As a result, which of the
following would be present during complete patient
assessment? (Select all that apply.)
a. Posttraumatic stress disorder
b. Rising hormone levels
c. Chronic illness
d. Return of vital signs to normal
e. Depression - Correct Answer C E (An increased
allopathic load can result in long-term physiological and
psychological problems such as chronic illness and
depression. Posttraumatic stress disorder results from a
single traumatic event. Hormone levels rise in the alarm
stage. Vital signs return to normal in the resistance stage.)
During the assessment interview of an older woman who
is recently widowed, the nurse suspects that this woman is
experiencing a developmental crisis. Which of the
following questions provide information about the impact
of this crisis? (Select all that apply.)
a. With whom do you talk on a routine basis?
b. What do you do when you feel lonely?
c. How is having diabetes affecting your life?
d. I know this must be hard for you. Let me tell you what
might help.
e. Do you have any changes in lifestyle habits: sleeping,
eating, smoking, and drinking? - Correct Answer A B E