exam 1 NR 326 Verified Questions and
Correct Answers, Updated 2025.
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. - Correct
answerc. 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- Correct answerd. 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- Correct answerb. 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- Correct answera. 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." - Correct
answerb. 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- Correct answerd. 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.- Correct answerb. 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.
b. Encourage the client to discuss this with her physician.
c. Assess the client for symptoms of depression and suicide risk.
d. Instruct the client that grief takes a long time to resolve but that she will be feeling
better soon.- Correct answerc. Assess the client for symptoms of depression
and suicide risk.
A client who has arrived at the health clinic for diabetic education is perspiring, wringing
his hands, and states, "I'm so anxious about giving myself shots I can hardly breathe. I
don't know what to do." Which of these actions by the nurse demonstrates good clinical
judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
,c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels less
anxious.- Correct answera. Assist the client in relaxation exercises before
commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder
reports to the nurse, "Ever since my daughter died by suicide 10 years ago, I can't stand
to be around my friends. They just don't get it!" Which of these actions by the nurse
demonstrates good clinical judgment?
a. Affirm that other people cannot possibly provide adequate support in circumstances
like these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to
accept their support.
d. Ask the client to describe how her daughter killed herself. - Correct
answerb. Assist the client to explore the connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status
because that is what she would want if she were the client. Which of the following
ethical theories is considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism- Correct answerb. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal status
because that would bring the most happiness to the most people. Which of the following
ethical theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism- Correct answera. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is her
duty to do so. Which of the following ethical theories is considered in this decision?
a. Natural law theories
b. Ethical egoism
c. Kantianism
d. Utilitarianism- Correct answerc. Kantianism
The nurse assists the physician with electroconvulsive therapy on a client who has
refused to give consent. With which of the following legal actions might the nurse be
charged because of this nursing action?
, a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality- Correct answerb. Battery
A competent, voluntary client has stated he wants to leave the hospital. The nurse hides
his clothes to keep him from leaving. With which of the following legal actions might the
nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality- Correct answerc. False imprisonment
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
down in the chair and be still, I'm going to put you in restraints!" With which of the
following legal actions might the nurse be charged because of this nursing action?
a. Defamation of character
b. Battery
c. Breach of confidentiality
d. Assault- Correct answerd. Assault
A nurse reports to the supervisor that a depressed client is refusing medication to treat
his heart condition and states he "would rather just die." The nurse is not sure how to
intervene because, although clients have a right to refuse medication, this client may be
so depressed that his behavior represents risk for suicide. Which of these actions by the
supervisor is a priority?
a. Tell the nurse that medication will have to be given forcibly if the client continues to
refuse medication.
b. Instruct the nurse that, because the client is elderly, he is unable to make this
decision and medication will need to be secretly mixed in his food.
c. Educate the nurse that the physician has the final say so the nurse should ask the
physician what to do.
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
can be explored further.- Correct answerd. Activate appropriate hospital
resources, such as an ethics committee, so this issue can be explored further.
A client on the psychiatric unit begins yelling out loud that no one is listening to him and
that he is going to "blow up" soon. The orderly asks the nurse if he should go ahead and
put the client in restraints for the safety of others. Which of these responses by the
nurse is most appropriate?
a. Educate the orderly that restraints may never be initiated without a physician's order.
b. Instruct the orderly that it would be best to see if the client can be assisted to calm
down by listening to his concerns.
Correct Answers, Updated 2025.
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. - Correct
answerc. 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- Correct answerd. 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- Correct answerb. 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- Correct answera. 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." - Correct
answerb. 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- Correct answerd. 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.- Correct answerb. 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.
b. Encourage the client to discuss this with her physician.
c. Assess the client for symptoms of depression and suicide risk.
d. Instruct the client that grief takes a long time to resolve but that she will be feeling
better soon.- Correct answerc. Assess the client for symptoms of depression
and suicide risk.
A client who has arrived at the health clinic for diabetic education is perspiring, wringing
his hands, and states, "I'm so anxious about giving myself shots I can hardly breathe. I
don't know what to do." Which of these actions by the nurse demonstrates good clinical
judgment?
a. Assist the client in relaxation exercises before commencing diabetes education.
b. Instruct the client that it is not hard to give oneself a shot and commence teaching.
,c. Assess the client further for symptoms of anxiety.
d. Cancel diabetic education and encourage the client to reschedule when he feels less
anxious.- Correct answera. Assist the client in relaxation exercises before
commencing diabetes education.
10. A client who was admitted to the psychiatric unit for major depressive disorder
reports to the nurse, "Ever since my daughter died by suicide 10 years ago, I can't stand
to be around my friends. They just don't get it!" Which of these actions by the nurse
demonstrates good clinical judgment?
a. Affirm that other people cannot possibly provide adequate support in circumstances
like these.
b. Assist the client to explore the connection between grief and anger.
c. Tell the client that her friends are doing the best they can and she should try to
accept their support.
d. Ask the client to describe how her daughter killed herself. - Correct
answerb. Assist the client to explore the connection between grief and anger.
The nurse decides to go against family wishes and tell the client of his terminal status
because that is what she would want if she were the client. Which of the following
ethical theories is considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism- Correct answerb. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal status
because that would bring the most happiness to the most people. Which of the following
ethical theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism- Correct answera. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is her
duty to do so. Which of the following ethical theories is considered in this decision?
a. Natural law theories
b. Ethical egoism
c. Kantianism
d. Utilitarianism- Correct answerc. Kantianism
The nurse assists the physician with electroconvulsive therapy on a client who has
refused to give consent. With which of the following legal actions might the nurse be
charged because of this nursing action?
, a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality- Correct answerb. Battery
A competent, voluntary client has stated he wants to leave the hospital. The nurse hides
his clothes to keep him from leaving. With which of the following legal actions might the
nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality- Correct answerc. False imprisonment
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
down in the chair and be still, I'm going to put you in restraints!" With which of the
following legal actions might the nurse be charged because of this nursing action?
a. Defamation of character
b. Battery
c. Breach of confidentiality
d. Assault- Correct answerd. Assault
A nurse reports to the supervisor that a depressed client is refusing medication to treat
his heart condition and states he "would rather just die." The nurse is not sure how to
intervene because, although clients have a right to refuse medication, this client may be
so depressed that his behavior represents risk for suicide. Which of these actions by the
supervisor is a priority?
a. Tell the nurse that medication will have to be given forcibly if the client continues to
refuse medication.
b. Instruct the nurse that, because the client is elderly, he is unable to make this
decision and medication will need to be secretly mixed in his food.
c. Educate the nurse that the physician has the final say so the nurse should ask the
physician what to do.
d. Activate appropriate hospital resources, such as an ethics committee, so this issue
can be explored further.- Correct answerd. Activate appropriate hospital
resources, such as an ethics committee, so this issue can be explored further.
A client on the psychiatric unit begins yelling out loud that no one is listening to him and
that he is going to "blow up" soon. The orderly asks the nurse if he should go ahead and
put the client in restraints for the safety of others. Which of these responses by the
nurse is most appropriate?
a. Educate the orderly that restraints may never be initiated without a physician's order.
b. Instruct the orderly that it would be best to see if the client can be assisted to calm
down by listening to his concerns.
