RNSG 1413 EXAM 2 QUESTIONS
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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Exam
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Exam 2 - RNSG 1413
A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to
eat, discourages visitors, and pays little attention to her appearance. One
morning the nurse enters the room to see the patient with her hair combed and
makeup applied. Which of the following is the best response from the nurse?
1. "What's the special occasion?"
2. "You must be feeling better today."
3. "This is the first time I've seen you look this good."
4. "I see that you've combed your hair and put on makeup."
4. " I see that you've combed your hair and put on makeup"
A 30-year-old patient diagnosed with major depressive disorder has a nursing
diagnosis of Situational Low Self-Esteem related to negative view of self.
Which of the following are appropriate interventions by the nurse? (Select all
that apply.)
1. Encourage reconnecting with high school friends.
2. Role-play to increase assertiveness skills.
3. Focus on identifying strengths and accomplishments.
4. Provide time for journaling to explore underlying thoughts and feelings.
5. Explore new job opportunities.
3, 4. Focusing on strengths and accomplishments to minimize the emphasis on
failures helps the patient alter distorted and negative thinking. Journaling can allow a
patient to explore thoughts and feelings that can promote insight and eventual
behavioral change. The other interventions represent the nurse imposing ideas on
what needs to occur for the patient to be healthier; allowing the patient to direct the
change process is important.
A patient who is depressed is crying and verbalizes feelings of low self-esteem
and self-worth, such as "I'm such a failure ... I can't do anything right." What is
the nurse's best response?
1. Remain with the patient until he or she validates feeling more stable.
2. Tell the patient that is not true and that every person has a purpose in life.
3. Review recent behaviors or accomplishments that demonstrate skill ability.
4. Reassure the patient that you know how he or she is feeling and that things
will get better.
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1. Remain with the patient until he or she validates feeling more stable
A 20-year-old patient diagnosed with an eating disorder has a nursing
diagnosis of Situational Low Self-Esteem. Which of the following nursing
interventions are appropriate to address self-esteem? (Select all that apply.)
1. Offer independent decision-making opportunities.
2. Review previously successful coping strategies.
3. Provide a quiet environment with minimal stimuli.
4. Support a dependent role throughout treatment.
5. Increase calorie intake to promote weight stabilization.
1. Offer independent decision-making opportunities.
2. Review previously successful coping strategies.
The nurse can increase a patient's self-awareness and self-concept through
which of the following actions? (Select all that apply.)
1. Helping the patient define personal problems clearly
2. Allowing the patient to openly explore thoughts and feelings
3. Reframing the patient's thoughts and feelings in a more positive way
4. Having family members assume more responsibility during times of stress
5. Recommending self-help reading materials
1. Helping the patient define personal problems clearly
2. Allowing the patient to openly explore thoughts and feelings
3. Reframing the patient's thoughts and feelings in a more positive way
Which of the following assessment findings suggest an altered self-concept?
(Select all that apply.)
1. Uneven gait
2. Slumped posture and poor personal hygiene
3. Avoidance of eye contact when answering a question
4. Requests for visits from the chaplain
5. Frequent use of the call light
2. Slumped posture and poor personal hygiene
3. Avoidance of eye contact when answering a question
The home health nurse is visiting a 90-year-old man who lives with his 89-year-
old wife. He is legally blind and is 3 weeks' post right hip replacement. He
ambulates with difficulty with a walker. He comments that he is saddened now
that his wife has to do more for him and he is doing less for her. Which of the
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following is the priority nursing diagnosis?
1. Impaired Self Toileting
2. Lack of Knowledge Regarding Resources for the Visually Impaired
3. Disturbed Body Image
4. Risk for Situational Low Self-Esteem
4. Risk for Situational Low Self-Esteem
A nurse is working with an older adult who recently moved to an assisted-
living center because of declining physical capabilities associated with the
normal aging process. Which nursing interventions are directed at promoting
self-esteem in this patient?
1. Commending the patient's efforts at completing self-care tasks
2. Assuming that the patient's physical complaints are attention-seeking
measures
3. Minimizing time discussing memories and past achievements spent with the
patient
4. Limiting decision-making opportunities for the patient to reduce stress
1. Commending the patient's efforts at completing self-care tasks
A nurse is caring for a 40-year-old male diagnosed with Crohn's disease
several years ago, resulting in numerous hospitalizations each year for the
past 3 years. Which of the following behaviors interfere with the
developmental tasks of middle adulthood? (Select all that apply.)
1. Sends birthday cards to friends and family
2. Refuses visitors while hospitalized
3. Self-absorbed in physical and psychological issues
4. Performs self-care activities
5. Communicates feelings of inadequacy
2. Refuses visitors while hospitalized
3. Self-absorbed in physical and psychological issues
5. Communicates feelings of inadequacy
When assessing a patient's adjustment to the role changes brought about by a
medical condition such as a stroke, the nurse asks about which of the
following? (Select all that apply.)
1. What are your thoughts about returning to work?
2. What questions do you have about your medications?