exam 1 NR 326 questions with accurate answers
. A 15-year-old female client is admitted to the adolescent psychiatric
unit with a diagnosis of anorexia nervosa. She is 5 feet 5 inches tall and
weighs 82 pounds. She was selected to join the cheerleading squad for
the fall but states that she is not as good as the others on the squad. The
treatment team has identified the following problems: refusal to eat,
occasional purging, refusing to interact with staff and peers, and fear of
failure. Which of the following nursing diagnoses would be appropriate
for this client? (Select all that apply.)
a. Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements Ans✓✓✓ a.
Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements
. A client whose husband died 6 months ago is given a diagnosis of
major depressive disorder. She says to the nurse, "I start feeling angry
that Harold died and left me all alone; he should have stopped smoking
years ago! But then I start feeling guilty for feeling that way." What is
an appropriate response by the nurse?
a. "Yes, he should have stopped smoking. Then he probably wouldn't
have gotten lung cancer."
b. "I can understand how you must feel."
c. "Those feelings are a normal part of the grief response."
,d. "Just think about the good times that you had while he was alive."
Ans✓✓✓ c. "Those feelings are a normal part of the grief response."
. A decrease in which of the following neurotransmitters has been
implicated in depression?
a. Gamma-aminobutyric acid, acetylcholine, and aspartate
b. Norepinephrine, serotonin, and dopamine
c. Somatostatin, substance P, and glycine
d. Glutamate, histamine, and opioid peptides Ans✓✓✓ b.
Norepinephrine, serotonin, and dopamine
. A nurse is conducting a diabetic medication education group for
patients on a medical unit. Which of these actions by the nurse is the
most important priority during the first meeting of this group?
a. Ask the patients where they would like to begin.
b. Try to identify what role each of the members is assuming.
c. Conduct fingerstick blood sugars on each attendee.
d. Explain how the meetings will be structured. Ans✓✓✓ d. Explain
how the meetings will be structured.
. The nurse says to a client, "You are being readmitted to the hospital.
Why did you stop taking your medication?" What communication
technique does this represent?
a. Disapproving
b. Requesting an explanation
,c. Disagreeing
d. Probing Ans✓✓✓ b. Requesting an explanation
. The parents of a 14-year-old child ask the nurse for suggestions about
how to promote homework completion and less time spent on social
media. The nurse believes the Premack principle may be helpful. What
should the nurse suggest to the parents?
a. Tell the parents to reward their son each time homework is attempted,
even if it is only for 5 minutes.
b. Tell the parents to ignore this behavior, and eventually the child will
start completing the homework without prompting.
c. Tell the parents to draw up a contract stating what the consequences
will be if homework is not completed.
d. Tell the parents to explain to their child that TV is only permitted after
the homework is completed. Ans✓✓✓ d. Tell the parents to explain to
their child that TV is only permitted after the homework is completed.
. Which of the following parts of the brain is concerned with hearing,
short-term memory, and sense of smell?
a. Temporal lobe
b. Parietal lobe
c. Cerebellum
d. Hypothalamus Ans✓✓✓ a. Temporal lobe
. Which of the following tasks are associated with the orientation phase
of relationship development? (Select all that apply.)
, a. Promoting the patient's insight and perception of reality
b. Creating an environment for the establishment of trust and rapport
c. Using the problem-solving model toward goal fulfillment
d. Obtaining available information about the patient from various
sources
e. Formulating nursing diagnoses and setting goals Ans✓✓✓ b.
Creating an environment for the establishment of trust and rapport
e. Formulating nursing diagnoses and setting goals
1. A client who is angry with his psychiatrist says to the nurse, "He
doesn't know what he is doing. That medication isn't helping a thing!"
The nurse responds, "He has been a doctor for many years and has
helped many people." This is an example of what nontherapeutic
technique?
a. Rejecting
b. Disapproving
c. Probing
d. Defending Ans✓✓✓ d. Defending
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.
. A 15-year-old female client is admitted to the adolescent psychiatric
unit with a diagnosis of anorexia nervosa. She is 5 feet 5 inches tall and
weighs 82 pounds. She was selected to join the cheerleading squad for
the fall but states that she is not as good as the others on the squad. The
treatment team has identified the following problems: refusal to eat,
occasional purging, refusing to interact with staff and peers, and fear of
failure. Which of the following nursing diagnoses would be appropriate
for this client? (Select all that apply.)
a. Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements Ans✓✓✓ a.
Social isolation
b. Disturbed body image
c. Low self-esteem
d. Imbalanced nutrition: Less than body requirements
. A client whose husband died 6 months ago is given a diagnosis of
major depressive disorder. She says to the nurse, "I start feeling angry
that Harold died and left me all alone; he should have stopped smoking
years ago! But then I start feeling guilty for feeling that way." What is
an appropriate response by the nurse?
a. "Yes, he should have stopped smoking. Then he probably wouldn't
have gotten lung cancer."
b. "I can understand how you must feel."
c. "Those feelings are a normal part of the grief response."
,d. "Just think about the good times that you had while he was alive."
Ans✓✓✓ c. "Those feelings are a normal part of the grief response."
. A decrease in which of the following neurotransmitters has been
implicated in depression?
a. Gamma-aminobutyric acid, acetylcholine, and aspartate
b. Norepinephrine, serotonin, and dopamine
c. Somatostatin, substance P, and glycine
d. Glutamate, histamine, and opioid peptides Ans✓✓✓ b.
Norepinephrine, serotonin, and dopamine
. A nurse is conducting a diabetic medication education group for
patients on a medical unit. Which of these actions by the nurse is the
most important priority during the first meeting of this group?
a. Ask the patients where they would like to begin.
b. Try to identify what role each of the members is assuming.
c. Conduct fingerstick blood sugars on each attendee.
d. Explain how the meetings will be structured. Ans✓✓✓ d. Explain
how the meetings will be structured.
. The nurse says to a client, "You are being readmitted to the hospital.
Why did you stop taking your medication?" What communication
technique does this represent?
a. Disapproving
b. Requesting an explanation
,c. Disagreeing
d. Probing Ans✓✓✓ b. Requesting an explanation
. The parents of a 14-year-old child ask the nurse for suggestions about
how to promote homework completion and less time spent on social
media. The nurse believes the Premack principle may be helpful. What
should the nurse suggest to the parents?
a. Tell the parents to reward their son each time homework is attempted,
even if it is only for 5 minutes.
b. Tell the parents to ignore this behavior, and eventually the child will
start completing the homework without prompting.
c. Tell the parents to draw up a contract stating what the consequences
will be if homework is not completed.
d. Tell the parents to explain to their child that TV is only permitted after
the homework is completed. Ans✓✓✓ d. Tell the parents to explain to
their child that TV is only permitted after the homework is completed.
. Which of the following parts of the brain is concerned with hearing,
short-term memory, and sense of smell?
a. Temporal lobe
b. Parietal lobe
c. Cerebellum
d. Hypothalamus Ans✓✓✓ a. Temporal lobe
. Which of the following tasks are associated with the orientation phase
of relationship development? (Select all that apply.)
, a. Promoting the patient's insight and perception of reality
b. Creating an environment for the establishment of trust and rapport
c. Using the problem-solving model toward goal fulfillment
d. Obtaining available information about the patient from various
sources
e. Formulating nursing diagnoses and setting goals Ans✓✓✓ b.
Creating an environment for the establishment of trust and rapport
e. Formulating nursing diagnoses and setting goals
1. A client who is angry with his psychiatrist says to the nurse, "He
doesn't know what he is doing. That medication isn't helping a thing!"
The nurse responds, "He has been a doctor for many years and has
helped many people." This is an example of what nontherapeutic
technique?
a. Rejecting
b. Disapproving
c. Probing
d. Defending Ans✓✓✓ d. Defending
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.
