NURS 3110 Exam 3 Questions With
Correct Answers
1. A 50-year-old woman is recovering from a bilateral mastectomy. She
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refuses to eat, discourages visitors, and pays little attention to her
| | | | | | | | | | |
appearance. One morning the nurse enters the room to see the patient
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with her hair combed and makeup applied. Which of the following is the
| | | | | | | | | | | |
best response from the nurse?
| | | | |
1. "What's the special occasion?"
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2. "You must be feeling better today."
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3. "This is the first time I've seen you look this good."
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4. "I see that you've combed your hair and put on makeup." - CORRECT
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ANSWER✔✔-4
2. A 30-year-old patient diagnosed with major depressive disorder has a
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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. - CORRECT ANSWER✔✔-3, 4
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3. A patient who is depressed is crying and verbalizes feelings of low
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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. - CORRECT ANSWER✔✔-1
| | | | | |
4. 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. - CORRECT
| | | | | | | | | |
ANSWER✔✔-1, 2 |
5. 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 - CORRECT ANSWER✔✔-
| | | | | | |
1, 2, 3
| |
6. 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 - CORRECT ANSWER✔✔-2, 3
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7. 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 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 - CORRECT ANSWER✔✔-4
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8. 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
Correct Answers
1. 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." - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-4
2. 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. - CORRECT ANSWER✔✔-3, 4
| | | | | | | |
3. 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. - CORRECT ANSWER✔✔-1
| | | | | |
4. 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. - CORRECT
| | | | | | | | | |
ANSWER✔✔-1, 2 |
5. 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 - CORRECT ANSWER✔✔-
| | | | | | |
1, 2, 3
| |
6. 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 - CORRECT ANSWER✔✔-2, 3
| | | | | | | | | |
7. 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 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 - CORRECT ANSWER✔✔-4
| | | | | | | |
8. 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
