exam 1 NR 326 questions with correct answers
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. -
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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." - CORRECT
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔c. Assess the client for symptoms of
depression and suicide risk.
, A client who has arrived at the health clinic for diabetic education is perspiring,
wringing his hands, and states, "I'm so anxious about giving myself shots I can hardly
breathe. I don't know what to do." Which of these actions by the nurse demonstrates
good clinical judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels
less anxious. - CORRECT ANSWERS ✔✔a. Assist the client in relaxation exercises
before commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder
reports to the nurse, "Ever since my daughter died by suicide 10 years ago, I can't
stand to be around my friends. They just don't get it!" Which of these actions by the
nurse demonstrates good clinical judgment?
a. Affirm that other people cannot possibly provide adequate support in
circumstances like these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to
accept their support.
d. Ask the client to describe how her daughter killed herself. - CORRECT ANSWERS
✔✔b. Assist the client to explore the connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status
because that is what she would want if she were the client. Which of the following
ethical theories is considered in this decision?
a. Kantianism
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. -
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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." - CORRECT
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔c. Assess the client for symptoms of
depression and suicide risk.
, A client who has arrived at the health clinic for diabetic education is perspiring,
wringing his hands, and states, "I'm so anxious about giving myself shots I can hardly
breathe. I don't know what to do." Which of these actions by the nurse demonstrates
good clinical judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels
less anxious. - CORRECT ANSWERS ✔✔a. Assist the client in relaxation exercises
before commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder
reports to the nurse, "Ever since my daughter died by suicide 10 years ago, I can't
stand to be around my friends. They just don't get it!" Which of these actions by the
nurse demonstrates good clinical judgment?
a. Affirm that other people cannot possibly provide adequate support in
circumstances like these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to
accept their support.
d. Ask the client to describe how her daughter killed herself. - CORRECT ANSWERS
✔✔b. Assist the client to explore the connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status
because that is what she would want if she were the client. Which of the following
ethical theories is considered in this decision?
a. Kantianism
