NSG 526 Exam 09/22/2026
NSG 526 Exam 1 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
11.
At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the
members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and
says, "You tell me, you're the leader." What is the best response for the nurse to make?
A) Yes, I am the leader today. Would you like to be the leader tomorrow?
B) Yes, I will be leading this group. What would you like to accomplish during this time?
C) Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks.
D) Yes, I am the leader. You seem angry about not being the leader yourself. –
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
Correct Answer :Anxiety over participation in a group and testing of the leader characteristically occur in the
initial phase of group dynamics. (B) provides information and focuses the group back to defining its function. (A)
is manipulative bargaining. Although (C) provides information, it does not focus the group on its purpose or task.
(D) is interpreting the client's feelings and is almost challenging.
Correct Answer(s): B
12.
The nurse is planning discharge for a male client with schizophrenia. The client insists that he is returning to his
apartment, although the healthcare provider informed him that he will be moving to a boarding home. What is
the most important nursing diagnosis for discharge planning?
A) Ineffective denial related to situational anxiety.
B) Ineffective coping related to inadequate support.
C) Social isolation related to difficult interactions.
D) Self-care deficit related to cognitive impairment.
- Correct Answer :The best nursing diagnosis is (A) because the client is unable to acknowledge the move to a
boarding home. (B, C, and D) are potential nursing diagnoses, but denial is most important because it is a
defense mechanism that keeps the client from dealing with his feelings about living arrangements.
Correct Answer(s): A
13.
Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate)
indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen?
A) Hamburger, French fries, and chocolate milkshake.
B) Liver and onions, broccoli, and decaffeinated coffee.
C) Pepperoni and cheese pizza, tossed salad, and a soft drink.
D) Roast beef, baked potato with butter, and iced tea. - Correct Answer :Only (D) contains no tyramine.
Tyramine in foods interacts with MAOI in the body causing a hypertensive crisis which is life-threatening, and
Parnate is classified as an MAOI antidepressant. Some items in (A, B, and C) contain tyramine and would not be
permitted for a client taking Parnate.
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
Correct Answer(s): D
14.
An elderly female client with advanced dementia is admitted to the hospital with a fractured hip. The client
repeatedly tells the staff, "Take me home. I want my Mommy." Which response is best for the nurse to provide?
A) Orient the client to the time, place, and person.
B) Tell the client that the nurse is there and will help her.
C) Remind the client that her mother is no longer living.
D) Explain the seriousness of her injury and need for hospitalization. - Correct Answer :Those with dementia
often refer to home or parents when seeking security and comfort. The nurse should use the techniques of
"offering self" and "talking to the feelings" to provide reassurance (B). Clients with advanced dementia have
permanent physiological changes in the brain (plaques and tangles) that prevent them from comprehending and
retaining new information, so (A, C, and D) are likely to be of little use to this client and do not help the client's
emotional needs.
Correct Answer(s): B
15.
The nurse is assessing a client's intelligence. Which factor should the nurse remember during this part of the
mental status exam?
A) Acute psychiatric illnesses impair intelligence.
B) Intelligence is influenced by social and cultural beliefs.
C) Poor concentration skills suggests limited intelligence.
D) The inability to think abstractly indicates limited intelligence. - Correct Answer :Social and cultural beliefs (B)
have significant impact on intelligence. Chronic psychiatric illness may impair intelligence (A), especially if it
remains untreated. Limited concentration does not suggest limited intelligence (C). Difficulties with abstractions
are suggestive of psychotic thinking (D), not limited intelligence.
Correct Answer(s): B
16.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
The nurse should include which interventions in the plan of care for a severely depressed client with
neurovegetative symptoms? (Select all that apply.)
A) Permit rest periods as needed.
B) Speaking slowly and simply.
C) Place the client on suicide precautions.
D) Allow the client extra time to complete tasks.
E) Observe and encourage food and fluid intake.
F) Encourage mild exercise and short walks on the unit - Correct Answer :(A, B, D, E, and F) should be included
in this client's plan of care because these measures promote the client's comfort and well-being.
Neurovegetative symptoms accompany the mood disorder of depression and include physiological disruptions,
such as anorexia, constipation, sleep disturbance, and psychomotor retardation. Suicidal ideation (C) does not
usually accompany the neurovegetative state because the client does not have the energy or high level of
anxiety associated with a suicide attempt.
Correct Answer(s): A, B, D, E, F
17.
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility
and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse to provide?
A) Anywhere you want to stand as long as you do not get hurt by those in the parade.
B) You are confused because of all the activity in the hall. There is no parade.
C) Let us go back to the activity room and see what is going on in there.
D) Remember I told you that this is a nursing home and I am your nurse. - Correct Answer :It is common for
those with Alzheimer's disease to use the wrong words. Redirecting the client (using an accepting non-
judgmental dialogue) to a safer place and familiar activities (C) is most helpful because clients experience short-
term memory loss. (A) dismisses the client's attempt to find order and does not help her relate to her
surroundings. (B) dismisses the client and may increase her anxiety level because it merely labels the client's
behavior and offers no solution. It is very frustrating for those with Alzheimer's disease to "remember," and
scolding them (D) may hurt their feelings.
Correct Answer(s): C
18.
A+ TEST BANK 4
NSG 526 Exam 1 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
11.
At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the
members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and
says, "You tell me, you're the leader." What is the best response for the nurse to make?
A) Yes, I am the leader today. Would you like to be the leader tomorrow?
B) Yes, I will be leading this group. What would you like to accomplish during this time?
C) Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks.
D) Yes, I am the leader. You seem angry about not being the leader yourself. –
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
Correct Answer :Anxiety over participation in a group and testing of the leader characteristically occur in the
initial phase of group dynamics. (B) provides information and focuses the group back to defining its function. (A)
is manipulative bargaining. Although (C) provides information, it does not focus the group on its purpose or task.
(D) is interpreting the client's feelings and is almost challenging.
Correct Answer(s): B
12.
The nurse is planning discharge for a male client with schizophrenia. The client insists that he is returning to his
apartment, although the healthcare provider informed him that he will be moving to a boarding home. What is
the most important nursing diagnosis for discharge planning?
A) Ineffective denial related to situational anxiety.
B) Ineffective coping related to inadequate support.
C) Social isolation related to difficult interactions.
D) Self-care deficit related to cognitive impairment.
- Correct Answer :The best nursing diagnosis is (A) because the client is unable to acknowledge the move to a
boarding home. (B, C, and D) are potential nursing diagnoses, but denial is most important because it is a
defense mechanism that keeps the client from dealing with his feelings about living arrangements.
Correct Answer(s): A
13.
Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate)
indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen?
A) Hamburger, French fries, and chocolate milkshake.
B) Liver and onions, broccoli, and decaffeinated coffee.
C) Pepperoni and cheese pizza, tossed salad, and a soft drink.
D) Roast beef, baked potato with butter, and iced tea. - Correct Answer :Only (D) contains no tyramine.
Tyramine in foods interacts with MAOI in the body causing a hypertensive crisis which is life-threatening, and
Parnate is classified as an MAOI antidepressant. Some items in (A, B, and C) contain tyramine and would not be
permitted for a client taking Parnate.
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
Correct Answer(s): D
14.
An elderly female client with advanced dementia is admitted to the hospital with a fractured hip. The client
repeatedly tells the staff, "Take me home. I want my Mommy." Which response is best for the nurse to provide?
A) Orient the client to the time, place, and person.
B) Tell the client that the nurse is there and will help her.
C) Remind the client that her mother is no longer living.
D) Explain the seriousness of her injury and need for hospitalization. - Correct Answer :Those with dementia
often refer to home or parents when seeking security and comfort. The nurse should use the techniques of
"offering self" and "talking to the feelings" to provide reassurance (B). Clients with advanced dementia have
permanent physiological changes in the brain (plaques and tangles) that prevent them from comprehending and
retaining new information, so (A, C, and D) are likely to be of little use to this client and do not help the client's
emotional needs.
Correct Answer(s): B
15.
The nurse is assessing a client's intelligence. Which factor should the nurse remember during this part of the
mental status exam?
A) Acute psychiatric illnesses impair intelligence.
B) Intelligence is influenced by social and cultural beliefs.
C) Poor concentration skills suggests limited intelligence.
D) The inability to think abstractly indicates limited intelligence. - Correct Answer :Social and cultural beliefs (B)
have significant impact on intelligence. Chronic psychiatric illness may impair intelligence (A), especially if it
remains untreated. Limited concentration does not suggest limited intelligence (C). Difficulties with abstractions
are suggestive of psychotic thinking (D), not limited intelligence.
Correct Answer(s): B
16.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
The nurse should include which interventions in the plan of care for a severely depressed client with
neurovegetative symptoms? (Select all that apply.)
A) Permit rest periods as needed.
B) Speaking slowly and simply.
C) Place the client on suicide precautions.
D) Allow the client extra time to complete tasks.
E) Observe and encourage food and fluid intake.
F) Encourage mild exercise and short walks on the unit - Correct Answer :(A, B, D, E, and F) should be included
in this client's plan of care because these measures promote the client's comfort and well-being.
Neurovegetative symptoms accompany the mood disorder of depression and include physiological disruptions,
such as anorexia, constipation, sleep disturbance, and psychomotor retardation. Suicidal ideation (C) does not
usually accompany the neurovegetative state because the client does not have the energy or high level of
anxiety associated with a suicide attempt.
Correct Answer(s): A, B, D, E, F
17.
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility
and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse to provide?
A) Anywhere you want to stand as long as you do not get hurt by those in the parade.
B) You are confused because of all the activity in the hall. There is no parade.
C) Let us go back to the activity room and see what is going on in there.
D) Remember I told you that this is a nursing home and I am your nurse. - Correct Answer :It is common for
those with Alzheimer's disease to use the wrong words. Redirecting the client (using an accepting non-
judgmental dialogue) to a safer place and familiar activities (C) is most helpful because clients experience short-
term memory loss. (A) dismisses the client's attempt to find order and does not help her relate to her
surroundings. (B) dismisses the client and may increase her anxiety level because it merely labels the client's
behavior and offers no solution. It is very frustrating for those with Alzheimer's disease to "remember," and
scolding them (D) may hurt their feelings.
Correct Answer(s): C
18.
A+ TEST BANK 4
