NUR1460 Exam 1 questions and answers
with solutions
An adult experiencing a recent exacerbation of ulcerative colitis tells the nurse, "I had an
accident while I was at the grocery store. It was so embarrassing." Select the nurse's therapeutic
response.
a. "Most grocery stores have public restrooms available."
b. "Tell me more about how you felt when that happened."
c. "People usually have compassion about those types of events."
d. "Your disease is now in remission so that is not likely to happen again." - ANSWER b. "Tell me
more about how you felt when that happened."
A nurse counsels a widow whose husband died 5 years ago. The widow says, "If I'd done more,
he would still be alive." Select the nurse's therapeutic response.
a. "I understand how you feel after such a terrible loss."
b. "That was a long time ago. Now it's time to move on with your life."
c. "You did a very good job of caring for him, especially because he was sick for so long."
d. "Your husband was 82 years old with severe chronic obstructive pulmonary disease." -
ANSWER c. "You did a very good job of caring for him, especially because he was sick for so
long."
A patient has been out of work for 3 weeks with a major illness and anticipates another month
of recovery. The patient tells the nurse, "I'm trying to keep up with my work email from home.
They hired a new person in my department, but that person has no experience." Select the
nurse's therapeutic response.
a. "It sounds like you're saying you are worried about your job security."
b. "No one expects you to keep pace with your job while you're recovering."
c. "Your employer is required to hold your job for you while you're on sick leave."
,d. "Don't worry about your job right now. It's more important for you to recover." - ANSWER a.
"It sounds like you're saying you are worried about your job security."
In which nurse-patient interaction might it be appropriate for the nurse to consider using
touch?
a. Comforting a tearful patient of Japanese heritage
b. Counseling a child who was physically abused by a parent
c. Welcoming a person of Hispanic heritage to a new group session
d. Interacting with a Native American who has a hearing impairment - ANSWER c. Welcoming a
person of Hispanic heritage to a new group session
A nurse prepares a patient in a rural community for an initial telehealth visit with the health
care provider. Select the nurse's priority action.
a. Ensure that the patient's rights to privacy are respected.
b. Ask the patient, "How much do you know about the Internet?"
c. Inform the patient, "This experience will be like appearing on television."
d. Advise the patient, "You will be able to hear, but not see, your health care provider." -
ANSWER a. Ensure that the patient's rights to privacy are respected.
A mature, professional couple plans a large wedding in a city that is 100 miles from their home.
Which response is most likely to be associated with this experience?
a. Distress
b. Eustress
c. Acute stress
d. Depersonalization - ANSWER b. Eustress
, A college student has been experiencing significant stress associated with academic demands.
Last month, the student began attending yoga sessions three times a week. Which outcome
indicates this activity has been successful?
a. The student reports improved feelings of well-being.
b. The student increases the use of caffeine to enhance concentration.
c. The student reports, "Now I am sleeping about 10 hours every day."
d. The student says, "I withdrew from two courses to reduce my academic load." - ANSWER a.
The student reports improved feelings of well-being.
An adult required a heart transplant 5 years ago. Multiple medical complications followed,
resulting in persistent irritability, depression, and insomnia. The adult's spouse says, "I've
walked on eggshells for 5 years, never knowing when something else will go wrong." What is
the nurse's priority intervention regarding the spouse?
a. Explore the spouse's feelings, showing care and compassion.
b. Encourage the spouse to attend a community support group.
c. Teach stress reduction and relaxation techniques to the spouse.
d. Refer the spouse to the primary care provider for health assessment. - ANSWER d. Refer the
spouse to the primary care provider for health assessment.
A veteran of the war in Afghanistan tells the nurse, "Every day, something happens that makes
me feel like I'm still there. My family has grown impatient with me. They say it's time for me to
move on from that time in my life, but I can't." What is the nurse's first priority?
a. Assess the veteran for suicide risk.
b. Refer the veteran for specialized mental health services.
c. Assess the veteran for evidence of traumatic brain injury.
d. Refer the veteran's family to a posttraumatic stress disorder group. - ANSWER a. Assess the
veteran for suicide risk.
with solutions
An adult experiencing a recent exacerbation of ulcerative colitis tells the nurse, "I had an
accident while I was at the grocery store. It was so embarrassing." Select the nurse's therapeutic
response.
a. "Most grocery stores have public restrooms available."
b. "Tell me more about how you felt when that happened."
c. "People usually have compassion about those types of events."
d. "Your disease is now in remission so that is not likely to happen again." - ANSWER b. "Tell me
more about how you felt when that happened."
A nurse counsels a widow whose husband died 5 years ago. The widow says, "If I'd done more,
he would still be alive." Select the nurse's therapeutic response.
a. "I understand how you feel after such a terrible loss."
b. "That was a long time ago. Now it's time to move on with your life."
c. "You did a very good job of caring for him, especially because he was sick for so long."
d. "Your husband was 82 years old with severe chronic obstructive pulmonary disease." -
ANSWER c. "You did a very good job of caring for him, especially because he was sick for so
long."
A patient has been out of work for 3 weeks with a major illness and anticipates another month
of recovery. The patient tells the nurse, "I'm trying to keep up with my work email from home.
They hired a new person in my department, but that person has no experience." Select the
nurse's therapeutic response.
a. "It sounds like you're saying you are worried about your job security."
b. "No one expects you to keep pace with your job while you're recovering."
c. "Your employer is required to hold your job for you while you're on sick leave."
,d. "Don't worry about your job right now. It's more important for you to recover." - ANSWER a.
"It sounds like you're saying you are worried about your job security."
In which nurse-patient interaction might it be appropriate for the nurse to consider using
touch?
a. Comforting a tearful patient of Japanese heritage
b. Counseling a child who was physically abused by a parent
c. Welcoming a person of Hispanic heritage to a new group session
d. Interacting with a Native American who has a hearing impairment - ANSWER c. Welcoming a
person of Hispanic heritage to a new group session
A nurse prepares a patient in a rural community for an initial telehealth visit with the health
care provider. Select the nurse's priority action.
a. Ensure that the patient's rights to privacy are respected.
b. Ask the patient, "How much do you know about the Internet?"
c. Inform the patient, "This experience will be like appearing on television."
d. Advise the patient, "You will be able to hear, but not see, your health care provider." -
ANSWER a. Ensure that the patient's rights to privacy are respected.
A mature, professional couple plans a large wedding in a city that is 100 miles from their home.
Which response is most likely to be associated with this experience?
a. Distress
b. Eustress
c. Acute stress
d. Depersonalization - ANSWER b. Eustress
, A college student has been experiencing significant stress associated with academic demands.
Last month, the student began attending yoga sessions three times a week. Which outcome
indicates this activity has been successful?
a. The student reports improved feelings of well-being.
b. The student increases the use of caffeine to enhance concentration.
c. The student reports, "Now I am sleeping about 10 hours every day."
d. The student says, "I withdrew from two courses to reduce my academic load." - ANSWER a.
The student reports improved feelings of well-being.
An adult required a heart transplant 5 years ago. Multiple medical complications followed,
resulting in persistent irritability, depression, and insomnia. The adult's spouse says, "I've
walked on eggshells for 5 years, never knowing when something else will go wrong." What is
the nurse's priority intervention regarding the spouse?
a. Explore the spouse's feelings, showing care and compassion.
b. Encourage the spouse to attend a community support group.
c. Teach stress reduction and relaxation techniques to the spouse.
d. Refer the spouse to the primary care provider for health assessment. - ANSWER d. Refer the
spouse to the primary care provider for health assessment.
A veteran of the war in Afghanistan tells the nurse, "Every day, something happens that makes
me feel like I'm still there. My family has grown impatient with me. They say it's time for me to
move on from that time in my life, but I can't." What is the nurse's first priority?
a. Assess the veteran for suicide risk.
b. Refer the veteran for specialized mental health services.
c. Assess the veteran for evidence of traumatic brain injury.
d. Refer the veteran's family to a posttraumatic stress disorder group. - ANSWER a. Assess the
veteran for suicide risk.
