NR341 Complex Adult Health Exam 1 Textbook
EXAM LATEST 2026-2027 QUESTIONS AND 100%
Verified ANSWERS
The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is
intermittently homeless, a single parent with two children who have developmental delays, and is suffering from
chronic asthma. She does not laugh or smile, does not volunteer any information, and at times appears close to
tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of
the following would be present during complete patient assessment? (Select all that apply.)
1. Post-traumatic stress disorder
2. Rising hormone levels
3. Chronic illness
4. Return of vital signs to normal
5. Depression - answer>>3, 5
(PTSD usually happens in response to a traumatic event. Rising hormone levels signify that the patient is in the
acute phase of stress, and this patient has long passed that. Return of vital signs to normal is seen with the acute
stressor being taken away, and this patient is experiencing chronic stress)
A patient who is having difficulty managing his diabetes mellitus responds to the news that his hemoglobin A1C, a
measure of blood sugar control over the past 90 days, has increased by saying, "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6 months." Which defense mechanism is the patient using?
1. Denial.
,2. Conversion.
3. Dissociation.
4. Displacement. - answer>>1.
When doing an assessment of a young woman who was a victim of a home invasion 3 months earlier, the nurse
learns that the woman has vivid images of the crash whenever she hears loud yelling or a sudden noise. The nurse
recognizes this as ____________. - answer>>PTSD
A grandfather living in Japan worries about his two young grandsons who disappeared after a tsunami. This is an
example of:
1. A situational crisis.
2. A maturational crisis.
3. An adventitious crisis.
4. A developmental crisis. - answer>>3.
(The tsunami is a naturally occurring disaster, which is a key characteristic of an adventitious crisis)
During the assessment interview of an older woman who is recently widowed, the nurse suspects that this woman
is experiencing a developmental crisis. Which of the following questions provide information about the impact of
this crisis? (Select all that apply.)
1. With whom do you talk on a routine basis?
2. What do you do when you feel lonely?
, 3. How is having diabetes affecting your life?
4. I know this must be hard for you. Let me tell you what might help.
5. Do you have any changes in lifestyle habits: sleeping, eating, smoking, and drinking? - answer>>1, 2, 5
The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced most commonly
by adolescents include which of the following?
1. Loss of autonomy caused by health problems
2. Physical appearance, family, friends, and school
3. Self-esteem issues, changing family structure
4. Search for identity with peer groups and separation from family - answer>>4
(1 = elderly, 2 = school-aged children, 3 = preadolescent)
A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The
camp notified the parents and took the child to the emergency department according to the camp protocol for
injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in
the treatment room, eating a Popsicle and picking out the color of her cast. List in order of priority what the nurse
should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her cast."
EXAM LATEST 2026-2027 QUESTIONS AND 100%
Verified ANSWERS
The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is
intermittently homeless, a single parent with two children who have developmental delays, and is suffering from
chronic asthma. She does not laugh or smile, does not volunteer any information, and at times appears close to
tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of
the following would be present during complete patient assessment? (Select all that apply.)
1. Post-traumatic stress disorder
2. Rising hormone levels
3. Chronic illness
4. Return of vital signs to normal
5. Depression - answer>>3, 5
(PTSD usually happens in response to a traumatic event. Rising hormone levels signify that the patient is in the
acute phase of stress, and this patient has long passed that. Return of vital signs to normal is seen with the acute
stressor being taken away, and this patient is experiencing chronic stress)
A patient who is having difficulty managing his diabetes mellitus responds to the news that his hemoglobin A1C, a
measure of blood sugar control over the past 90 days, has increased by saying, "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6 months." Which defense mechanism is the patient using?
1. Denial.
,2. Conversion.
3. Dissociation.
4. Displacement. - answer>>1.
When doing an assessment of a young woman who was a victim of a home invasion 3 months earlier, the nurse
learns that the woman has vivid images of the crash whenever she hears loud yelling or a sudden noise. The nurse
recognizes this as ____________. - answer>>PTSD
A grandfather living in Japan worries about his two young grandsons who disappeared after a tsunami. This is an
example of:
1. A situational crisis.
2. A maturational crisis.
3. An adventitious crisis.
4. A developmental crisis. - answer>>3.
(The tsunami is a naturally occurring disaster, which is a key characteristic of an adventitious crisis)
During the assessment interview of an older woman who is recently widowed, the nurse suspects that this woman
is experiencing a developmental crisis. Which of the following questions provide information about the impact of
this crisis? (Select all that apply.)
1. With whom do you talk on a routine basis?
2. What do you do when you feel lonely?
, 3. How is having diabetes affecting your life?
4. I know this must be hard for you. Let me tell you what might help.
5. Do you have any changes in lifestyle habits: sleeping, eating, smoking, and drinking? - answer>>1, 2, 5
The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced most commonly
by adolescents include which of the following?
1. Loss of autonomy caused by health problems
2. Physical appearance, family, friends, and school
3. Self-esteem issues, changing family structure
4. Search for identity with peer groups and separation from family - answer>>4
(1 = elderly, 2 = school-aged children, 3 = preadolescent)
A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The
camp notified the parents and took the child to the emergency department according to the camp protocol for
injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in
the treatment room, eating a Popsicle and picking out the color of her cast. List in order of priority what the nurse
should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her cast."
