KATHLEENLAN
EY
NUR2960Prac
ticeExam
1. The nurse is assessing a family composed of a married couple with three
children, one from the wife’s previous marriage and two from the union of
this couple. This couple would be considered what type of family?
A. Married–blended family
B. Nuclear family
C. Same-sex family
D. Single-parent family
2. Two female adults have an established long-term relationship and are
attending parenting classes in anticipation of finalizing the adoption of
their first baby. This couple demonstrates understanding of potential
effects on family dynamics when making which statement?
A. “Our relationship with one another will not be affected.”
B. “Any stress will finally be over once the baby arrives.”
C. “Communication may be a challenge since we’ll
be busier.”
D. “Codependency is important to support each other.”
3. What question should the nurse ask to assess the function of a family?
A. Who lives with you?
B. Who does the grocery shopping?
C. Who are the members of your family?
D. How old are the members of your family?
4. The nurse working with a family to prepare them for discharge of the
father after a stroke would help them to address the things they can
control. Which factor should the nurse include in the education?
A. Economic state of society
B. Genetic inheritance
C. Maturity of individuals
D. Psychological defenses
5. Which are exemplars of negative/dysfunctional family dynamics? (Select
all that apply.)
A. Codependency
B. Divorce/remarriage
C. Marital infidelity
D. Sibling rivalry
E. Traumatic injury of a family member
6. A patient has been prescribed a selective serotonin reuptake inhibitor
(SSRI) antidepressant. After taking the new medication, the patient states,
“This medication isn’t working. I don’t feel any different.” What is the
best response by the nurse?
, A. “I will call your care provider. Perhaps you need a different
medication.”
B. “Don’t worry. We can try taking it at a different time of day to help
it work better.”
C. “It usually takes a few weeks for you to notice
improvement from this medication.”
D. “Your life is much better now. You will feel better soon.”
7. A patient coming to the health clinic for a blood pressure check reports to
the nurse that she just does not have the energy to go out much in
winter but looks forward to gardening in summer. The nurse realizes that
this patient is describing a major symptom of what condition?
A. Anxiety
B. Seasonal affective disorder
C. Medication side effects
D. Antisocial personality
8. A family member of a patient diagnosed with bipolar disorder asks what
behaviors would indicate the beginnings of a manic phase. What is
the best response by the nurse?
A. “The person may sleep more, have trouble completing hygiene
needs, and have a poor appetite.”
B. “The person may have sudden spikes in blood pressure and
crave foods that are sweet or salty.”
C. “The person may have excess energy, talk a lot,
feel restless, and spend too much money.”
D. “The person may experience decreased energy and interest in
activities beginning in the winter months.”
9. A patient who is at a health clinic reports a sore throat and is exhibiting
signs of depression. The nurse administers a basic screening for
depression. What level of prevention is the nurse performing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Modified prevention
10. The nurse is caring for a patient newly diagnosed with major depressive
disorder. What typical signs and symptoms would the nurse expect?
(Select all that apply.)
A. Poor eye contact
B. Increased fever
C. Appetite changes
D. Increased white blood cell count
E. Slowed speech
11. The nurse is implementing a nonpharmacological intervention for a patient
with anxiety. Which intervention is most appropriate?
, A. Increasing caffeine intake
B. Decreasing physical activity
C. Limiting noise or music in the room
D. Performing abdominal breathing exercises
12. Which statement by a nursing student about the effects of the fight or
flight response indicates a need for further education?
A. Pupils constrict when a patient is anxious.
B. The heart races when a patient experiences anxiety.
C. Peristalsis slows as the patient decides whether to fight back.
D. The patient may complain of dry mouth when anxious.
13. The nurse is assessing a patient’s anxiety related to stress. Which changes
reflect the short-term physiological response to stress? (Select all that
apply.)
A. Cortisol is released, increasing glycogenesis and reducing
fluid loss.
B. Immune system functioning decreases, and the risk of cancer
increases.
C. Corticosteroid release increases stamina and impedes digestion.
D. Muscular tension, blood pressure, and triglyceride levels
increase.
E. Epinephrine is released, increasing the heart and
respiratory rates.
F. Risk of depression, autoimmune disorders, and heart disease
increases.
14. Which action should the nurse take to monitor the effects of an acute
stressor on a hospitalized patient? (Select all that apply.)
A. Assess for bradycardia.
B. Ask about epigastric pain.
C. Observe for increased appetite.
D. Check for elevated blood glucose levels.
E. Monitor for a decrease in respiratory rate.
15. Which statements are true regarding anxiety? (Select all that apply.)
A. Anxiety is a response to stress.
B. Anxiety is uncommon in women.
C. Anxiety can cause elevations in blood pressure and heart
rate.
D. Many conditions are exacerbated by stress and anxiety.
E. Patients with anxiety respond well to relaxation techniques.
F. Children are at the highest risk for anxiety.
16. A nurse wishes to obtain data about a patient’s self-esteem. What is the
best assessment technique for the nurse to use to obtain this data?
A. Completing an entire head-to-toe assessment first
B. Conducting a structured interview with direct questions
EY
NUR2960Prac
ticeExam
1. The nurse is assessing a family composed of a married couple with three
children, one from the wife’s previous marriage and two from the union of
this couple. This couple would be considered what type of family?
A. Married–blended family
B. Nuclear family
C. Same-sex family
D. Single-parent family
2. Two female adults have an established long-term relationship and are
attending parenting classes in anticipation of finalizing the adoption of
their first baby. This couple demonstrates understanding of potential
effects on family dynamics when making which statement?
A. “Our relationship with one another will not be affected.”
B. “Any stress will finally be over once the baby arrives.”
C. “Communication may be a challenge since we’ll
be busier.”
D. “Codependency is important to support each other.”
3. What question should the nurse ask to assess the function of a family?
A. Who lives with you?
B. Who does the grocery shopping?
C. Who are the members of your family?
D. How old are the members of your family?
4. The nurse working with a family to prepare them for discharge of the
father after a stroke would help them to address the things they can
control. Which factor should the nurse include in the education?
A. Economic state of society
B. Genetic inheritance
C. Maturity of individuals
D. Psychological defenses
5. Which are exemplars of negative/dysfunctional family dynamics? (Select
all that apply.)
A. Codependency
B. Divorce/remarriage
C. Marital infidelity
D. Sibling rivalry
E. Traumatic injury of a family member
6. A patient has been prescribed a selective serotonin reuptake inhibitor
(SSRI) antidepressant. After taking the new medication, the patient states,
“This medication isn’t working. I don’t feel any different.” What is the
best response by the nurse?
, A. “I will call your care provider. Perhaps you need a different
medication.”
B. “Don’t worry. We can try taking it at a different time of day to help
it work better.”
C. “It usually takes a few weeks for you to notice
improvement from this medication.”
D. “Your life is much better now. You will feel better soon.”
7. A patient coming to the health clinic for a blood pressure check reports to
the nurse that she just does not have the energy to go out much in
winter but looks forward to gardening in summer. The nurse realizes that
this patient is describing a major symptom of what condition?
A. Anxiety
B. Seasonal affective disorder
C. Medication side effects
D. Antisocial personality
8. A family member of a patient diagnosed with bipolar disorder asks what
behaviors would indicate the beginnings of a manic phase. What is
the best response by the nurse?
A. “The person may sleep more, have trouble completing hygiene
needs, and have a poor appetite.”
B. “The person may have sudden spikes in blood pressure and
crave foods that are sweet or salty.”
C. “The person may have excess energy, talk a lot,
feel restless, and spend too much money.”
D. “The person may experience decreased energy and interest in
activities beginning in the winter months.”
9. A patient who is at a health clinic reports a sore throat and is exhibiting
signs of depression. The nurse administers a basic screening for
depression. What level of prevention is the nurse performing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Modified prevention
10. The nurse is caring for a patient newly diagnosed with major depressive
disorder. What typical signs and symptoms would the nurse expect?
(Select all that apply.)
A. Poor eye contact
B. Increased fever
C. Appetite changes
D. Increased white blood cell count
E. Slowed speech
11. The nurse is implementing a nonpharmacological intervention for a patient
with anxiety. Which intervention is most appropriate?
, A. Increasing caffeine intake
B. Decreasing physical activity
C. Limiting noise or music in the room
D. Performing abdominal breathing exercises
12. Which statement by a nursing student about the effects of the fight or
flight response indicates a need for further education?
A. Pupils constrict when a patient is anxious.
B. The heart races when a patient experiences anxiety.
C. Peristalsis slows as the patient decides whether to fight back.
D. The patient may complain of dry mouth when anxious.
13. The nurse is assessing a patient’s anxiety related to stress. Which changes
reflect the short-term physiological response to stress? (Select all that
apply.)
A. Cortisol is released, increasing glycogenesis and reducing
fluid loss.
B. Immune system functioning decreases, and the risk of cancer
increases.
C. Corticosteroid release increases stamina and impedes digestion.
D. Muscular tension, blood pressure, and triglyceride levels
increase.
E. Epinephrine is released, increasing the heart and
respiratory rates.
F. Risk of depression, autoimmune disorders, and heart disease
increases.
14. Which action should the nurse take to monitor the effects of an acute
stressor on a hospitalized patient? (Select all that apply.)
A. Assess for bradycardia.
B. Ask about epigastric pain.
C. Observe for increased appetite.
D. Check for elevated blood glucose levels.
E. Monitor for a decrease in respiratory rate.
15. Which statements are true regarding anxiety? (Select all that apply.)
A. Anxiety is a response to stress.
B. Anxiety is uncommon in women.
C. Anxiety can cause elevations in blood pressure and heart
rate.
D. Many conditions are exacerbated by stress and anxiety.
E. Patients with anxiety respond well to relaxation techniques.
F. Children are at the highest risk for anxiety.
16. A nurse wishes to obtain data about a patient’s self-esteem. What is the
best assessment technique for the nurse to use to obtain this data?
A. Completing an entire head-to-toe assessment first
B. Conducting a structured interview with direct questions
