NR 326 EXAM 1 ALL QUESTIONS AND
ANSWERS | Study Questions and Answers
| 100% Correct | Grade A – Chamberlain
|Guaranteed pass | Brand new!!!
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 Answer:
C. Her grief is interfering with her functioning
,2. 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 Answer:
D. Love and belonging needs
3. 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 Answer:
B. Psychosis
4. 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 Answer:
A. Bereavement overload
5. 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?
A. 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 Answer:
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 Answer:
D. Repression
7. 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 that 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 Answer:
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 Answer:
C. Assess the client for symptoms of depression and suicide risk
9. 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
ANSWERS | Study Questions and Answers
| 100% Correct | Grade A – Chamberlain
|Guaranteed pass | Brand new!!!
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 Answer:
C. Her grief is interfering with her functioning
,2. 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 Answer:
D. Love and belonging needs
3. 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 Answer:
B. Psychosis
4. 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 Answer:
A. Bereavement overload
5. 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?
A. 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 Answer:
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 Answer:
D. Repression
7. 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 that 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 Answer:
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 Answer:
C. Assess the client for symptoms of depression and suicide risk
9. 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
