NURS 313 Exam 1 QUESTIONS WITH COMPLETE
SOLUTIONS
5 Stages of Grief Correct Answers Denial
Anger
Bargaining
Depression
Acceptance
A 25-year-old man barely avoids a motor
vehicle accident. His heart is pounding,
his palms are sweaty, and his respirations are increased. This is
an example of which stage of the General Adaptation
Syndrome?
a) Alarm reaction stage
b) Stage of resistance
c) Stage of exhaustion
d) Stage of biological stress Correct Answers A
A client hates her mother because of
childhood neglect. The nurse determines which client statement
represents the use of the defense mechanism of reaction
formation?
a) "I don't like to talk about my relationship with my mother."
b) "My mother hates me."
c) "I have a very wonderful mother whom I love very
much."
d) "My mom always loved my sister more than she
loved me." Correct Answers C
,A widow of 23 years has not removed any of her husband's
possessions, including the slippers beside their bed. Which
pathological grief response is being exhibited by this client?
a) Inhibited grief response
b) Prolonged grief response
c) Delayed grief response
d) Distorted grief response Correct Answers B
Accepting Correct Answers Therapeutic, conveys attitude of
reception and regard. ex. eye contact, nodding
Acculturation Correct Answers the process of acquiring new
attitudes, roles, customers, or behaviors as a result of contact
with another culture
Agreeing/Disagreeing Correct Answers NON-therapeutic.
Indicating accord with or opposition to clients ideas/opinions.
Implies that nurse has the right to pass judgement on whether
clients ideas or opinions are right/wrong. Ex. Thats right/wrong
SAY INSTEAD: Lets discuss what you feel is unfair about the
new rules
Alarm Reaction Stage Correct Answers during this stage, the
responses of fight or flight syndrome are initiated
Anticipatory Grief Correct Answers the experiencing of the
grief process before the actual loss occurs.
Anxiety Correct Answers a diffuse apprehension that is vague
in nature and is associated with feelings of uncertainty and
helplessness
, Approving/Disapproving Correct Answers NON-Therapeutic.
Sanctioning or denouncing the clients ideas of behaviors. This
implies nurse has right to pass judgement on good or bad. Ex:
Thats good, thats bad
SAY INSTEAD: Let's talk about the behavior you had at lunch
Assimilation Correct Answers process by which a person gives
up their original identity and develops a new cultural identity by
becoming absorbed in the more dominant culture group
Attempting to translate words into feelings Correct Answers
Therapeutic. When feelings are expressed indirectly the nurse
tries to desymbolize what has been said and to find clues to the
underlying true feelings
Belittling feelings expressed Correct Answers NON-
Therapeutic. When the nurse misjudges the degree of clients
discomfort, a lack of empathy, and understanding may be
conveyed. Makes client feel insignificant ex. Everybody gets
down in the dumps
SAY INSTEAD: You must be very upset. Tell me what you are
feeling.
Bereavement Overload Correct Answers may lose numerous
love ones in a relatively short time
Biculturalism Correct Answers individual has duel pattern of
identification and chooses which aspects of the new culture they
want to adopt and which aspect of their original culture they
want to retain
SOLUTIONS
5 Stages of Grief Correct Answers Denial
Anger
Bargaining
Depression
Acceptance
A 25-year-old man barely avoids a motor
vehicle accident. His heart is pounding,
his palms are sweaty, and his respirations are increased. This is
an example of which stage of the General Adaptation
Syndrome?
a) Alarm reaction stage
b) Stage of resistance
c) Stage of exhaustion
d) Stage of biological stress Correct Answers A
A client hates her mother because of
childhood neglect. The nurse determines which client statement
represents the use of the defense mechanism of reaction
formation?
a) "I don't like to talk about my relationship with my mother."
b) "My mother hates me."
c) "I have a very wonderful mother whom I love very
much."
d) "My mom always loved my sister more than she
loved me." Correct Answers C
,A widow of 23 years has not removed any of her husband's
possessions, including the slippers beside their bed. Which
pathological grief response is being exhibited by this client?
a) Inhibited grief response
b) Prolonged grief response
c) Delayed grief response
d) Distorted grief response Correct Answers B
Accepting Correct Answers Therapeutic, conveys attitude of
reception and regard. ex. eye contact, nodding
Acculturation Correct Answers the process of acquiring new
attitudes, roles, customers, or behaviors as a result of contact
with another culture
Agreeing/Disagreeing Correct Answers NON-therapeutic.
Indicating accord with or opposition to clients ideas/opinions.
Implies that nurse has the right to pass judgement on whether
clients ideas or opinions are right/wrong. Ex. Thats right/wrong
SAY INSTEAD: Lets discuss what you feel is unfair about the
new rules
Alarm Reaction Stage Correct Answers during this stage, the
responses of fight or flight syndrome are initiated
Anticipatory Grief Correct Answers the experiencing of the
grief process before the actual loss occurs.
Anxiety Correct Answers a diffuse apprehension that is vague
in nature and is associated with feelings of uncertainty and
helplessness
, Approving/Disapproving Correct Answers NON-Therapeutic.
Sanctioning or denouncing the clients ideas of behaviors. This
implies nurse has right to pass judgement on good or bad. Ex:
Thats good, thats bad
SAY INSTEAD: Let's talk about the behavior you had at lunch
Assimilation Correct Answers process by which a person gives
up their original identity and develops a new cultural identity by
becoming absorbed in the more dominant culture group
Attempting to translate words into feelings Correct Answers
Therapeutic. When feelings are expressed indirectly the nurse
tries to desymbolize what has been said and to find clues to the
underlying true feelings
Belittling feelings expressed Correct Answers NON-
Therapeutic. When the nurse misjudges the degree of clients
discomfort, a lack of empathy, and understanding may be
conveyed. Makes client feel insignificant ex. Everybody gets
down in the dumps
SAY INSTEAD: You must be very upset. Tell me what you are
feeling.
Bereavement Overload Correct Answers may lose numerous
love ones in a relatively short time
Biculturalism Correct Answers individual has duel pattern of
identification and chooses which aspects of the new culture they
want to adopt and which aspect of their original culture they
want to retain
