exam 1 NR 326 Questions and Answers (100%
Correct Answers) Already Graded A+
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.
Correct Answers) Already Graded A+
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.
