CORRECT ANSWERS| GRADE A+
c. Safety and security needs
d. Love and belonging needs - - Answer: . 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 - - Answer: b. Psychosis
Anna, who is 72 years old, is of the age when she may have experienced
many losses coming close together. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - - Answer: 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?
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. Sheis afraid that the neighbors will think her mother is "crazy" - -
Answer: b. Relatives often try to normalize behavior rather than label
it mental illness
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. Suppressant
c. Denial
d. Repression - - Answer: 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 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 the 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
wrong with her - - Answer: b. Document that the client is manifesting
suspicious ideation and anosognosia
Three years ago, Anna's dog Lucky, whom she had for 16 years, was run
over by a car and killed. Anna's daughter reports that since that time,
Anna has lost weight, rarely leaves her home, and just sits and talks
about Lucky. Anna's behavior would be considered maladaptive because:
a. it has been more than 3 years since Lucky died
b. her grief is too intense just 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 – - Answer: c. her grief is interfering with her functioning
Anna states that Lucky was her closest friend, and since his death, there
is no one who could 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
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. Instructthe client that grief takes a long time to resolve but that she
will be feeling better soon - - Answer: c. Assess the client for
symptoms of depression and suicide risk
A client who has arrived at the health clinic for diabetic education is