NSG 300 EXAM 4 PRACTICE QUESTIONS WITH
100% CORRECT ANSWERS| NSG-300 NEW
MODIFIED EXAM 4 TESTED AND APPROVED!!
A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat,
discourages visitors, and pays little attention to her appearance. One morning the nurse enters
the room to see the patient with her hair combed and makeup applied. Which of the following
is the best response from the nurse?
A. "What's the special occasion?"
B. "You must be feeling better today."
C. "This is the first time I've seen you look this good."
D. "I see that you've combed your hair and put on makeup" Answer: D
A 30-year-old patient diagnosed with major depressive disorder has a nursing diagnosis of
Situational Low Self-Esteem related to negative view of self. Which of the following are
appropriate interventions by the nurse? (Select all that apply)
A. Encourage reconnecting with high school friends.
B. Role-play to increase assertiveness skills.
C. Focus on identifying strengths and accomplishments.
D. Provide time for journaling to explore underlying thoughts and feelings.
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E. Explore new job opportunities. Answers: C & D
A patient who is depressed is crying and verbalizes feelings of low self-esteem and selfworth,
such as "I'm such a failure ... I can't do anything right." What is the nurse's best response?
A. Remain with the patient until they validate feeling more stable
B. Tell the patient that is not true and that every person has a purpose in life
C. Review recent behaviors or accomplishments that demonstrate skill ability
D. Reassure the patient that you know how they are feeling and that things will get better
Answer: A
A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of Situational
Low Self-Esteem. Which of the following nursing interventions are appropriate to address
self-esteem? (Select all that apply)
A. Offer independent decision-making opportunities
B. Review previously successful coping strategies
C. Provide a quiet environment with minimal stimuli
D. Support a dependent role throughout treatment
E. Increase calorie intake to promote weight stabilization Answers: A & B
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The nurse can increase a patient's self-awareness and self-concept through which of the
following actions? (Select all that apply)
A. Helping the patient define personal problems clearly
B. Allow the patient to openly explore thoughts and feelings
C. Reframing the patient's thoughts and feelings in a more positive way
D. Having family members assume more responsibility during times of stress
E. Recommending self-help reading materials Answers: A, B, & C
Which of the following assessment findings suggest an altered self-concept? (Select all that
apply)
A. uneven gait
B. Slumped posture and poor personal hygiene
C. Avoidance of eye contact when answering a question
D. Requests for visits from the chaplain
E. Frequent use of the call light Answers: B & C
The home health nurse is visiting a 90-year-old man who lives with his 89-year-old wife. He
is legally blind and is 3 weeks' post right hip replacement. He ambulates with difficulty with
a walker. He comments that he is saddened now that his wife has to do more for him and he is
doing less for her. Which of the following is the priority nursing diagnosis?
A. Impaired self toileting
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B. Lack of knowledge regarding resources for the visually impaired
C. Disturbed body image
D. Risk for situational low self-esteem Answer: D
Which of the following is an example of a patient with a health disparity? (Select all that
apply)
A. A patient who has a homosexual sexual preference
B. A patient unable to access primary care services
C. A patient living with a chronic disease
D. A family who relies on public transportation
E. A patient who has had a history of smoking for 10 years Answers: B, C, & E
A 35-year-old woman has Medicaid coverage for herself and two young children. She missed
an appointment at the local health clinic to get an annual mammogram because she has no
transportation. She gets the annual screening because her mother had breast cancer. Which of
the following are social determinants of this woman's health? (Select all that apply)
A. Medicaid insurance
B. Annual screening
C. Mother's history of breast cancer
D. Lack of transportation