Exam 1 NR 326 Questions And Answers All Verified

Exam 1 NR 326 Questions And Answers All Verified 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. - ANS 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 - ANS 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 - ANS 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 - ANS 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." - ANS 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 - ANS 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. - ANS 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. - ANS c. Assess the client for symptoms of depression and suicide risk.