NUR 422 Exam # 1 Worcester Fall 2025
Access The Exact Questions for NUR 422 Exam # 1 Worcester Fall 2025
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock 100 + Actual Exam Questions and Answers for NUR 422 Exam # 1 Worcester Fall 2025 on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Searching for outstanding NUR 422 Exam # 1 Worcester Fall 2025 prep materials with actual test questions to ace your exams? Become a subscriber to view the questions.
Free NUR 422 Exam # 1 Worcester Fall 2025 Questions
1. The client is hospitalized with coronary artery disease and demonstrates other conditions often associated with diseases of adaptation, including headaches and depression. Currently, the client is demonstrating anxiety and states he is "worried" about his spouse. Which is the most appropriate nursing response to the situation?
- A. Ask the client if he has a pet he would like to see while in the hospital.
- B. Teach the client how to meditate when he is feeling anxious.
- C. Encourage the client to talk through his concerns about his spouse.
- D. Inform the client that he has to learn to cope with stressors.
Explanation
Encouraging the client to verbalize concerns is a primary therapeutic communication strategy for anxiety. Discussing worries about his spouse helps the nurse assess emotional needs, offer support, and reduce anxiety through expression. Verbalization provides emotional release and promotes coping while maintaining trust. This client is experiencing stress-related illness; exploring worries can reduce sympathetic arousal and improve adaptation.
2. A client with a history of three suicide attempts has been taking fluoxetine (Prozac) for 1 month. The client suddenly presents with a bright affect, is much more communicative, and rates mood at 9/10. Which action should be the nurse's priority at this time?
- A. Giving the client off-unit privileges as positive reinforcement
- B. Requesting a medication reevaluation
- C. Increasing frequency of client observation
- D. Encouraging the client to share mood improvement in the group
Explanation
A sudden improvement in mood after starting an antidepressant in a client with a history of multiple suicide attempts is a red-flag warning sign. Antidepressants can increase energy and motivation before emotional stability fully improves, potentially giving the patient the ability to carry out a suicide plan. The priority is safety, meaning the nurse must increase monitoring, assess for suicidal intent, and prevent opportunities for self-harm.
3. A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a safety plan. Which is the nurse's priority intervention at this time?
- A. Encouraging the client to express feelings related to suicide
- B. Conducting 15-minute checks to ensure safety
- C. Placing the client on one-to-one observation while monitoring suicidal ideation
- D. Obtaining an order for locked seclusion until the client is no longer suicidal
Explanation
A patient with command hallucinations to self-harm who refuses to agree to safety measures is at high and imminent risk for suicide. This requires the highest level of safety intervention: constant one-to-one observation. Continuous monitoring allows the nurse to protect the client from acting on dangerous impulses and respond immediately to any self-harm attempts, emphasizing safety as the top priority.
4. A stockbroker commits suicide after being convicted of insider trading. While speaking with the family, which statement by the nurse demonstrates accurate and appropriate information sharing?
- A. "Your grieving will subside within 1 year; until then, I recommend antidepressants."
- B. "Since stigmatization often occurs in these situations, it would be best if you avoid discussing the suicide with anyone."
- C. "The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them."
- D. "Support groups are available specifically for survivors of suicide, and I would be happy to help you locate one in the area."
Explanation
Families affected by suicide often experience complicated grief, guilt, shame, and social isolation. Recommending support groups provides emotional connection, reduces stigma, and offers coping strategies from others with similar experiences. This is an appropriate, therapeutic, and evidence-based resource to help them process grief and find support.
5. A nurse discovers a client's suicide note that details the time, place and means to commit suicide. What is the priority nursing intervention and accompanying rationale for this action?
- A. Calling an emergency treatment team meeting because the client's threat must be addressed
- B. Establishing room restrictions because the client's threat is an attempt to manipulate the staff
- C. Placing the client on one-to-one suicide precautions because the more specific the plan, the more likely the client will attempt suicide
- D. Administering lorazepam (Ativan) as needed because the client is angry about the discovery of the note
Explanation
A suicide note that identifies time, place, and means indicates a high-lethality, high-intent situation. The strongest predictor of suicide attempt is a specific and organized plan, so the immediate priority is safety through constant one-to-one observation. This intervention ensures continuous monitoring, reduces access to means, and allows the nurse to intervene immediately if the client attempts self-harm.
6. An angry patient states to the nurse, "You redheaded skinny witch. You can't tell me what to do." Which appropriate interventions would the nurse implement during this outburst?
- A. Ignore initial derogatory remarks.
- B. Respond to angry expressions with matching verbalizations.
- C. Offer support using empathy and therapeutic touch.
- D. Reprimand the patient for poor judgment and derogatory remarks.
Explanation
During an anger outburst, the nurse should not personalize insults or escalate the situation. Ignoring the initial name-calling focuses on de-escalation, maintaining safety, and remaining therapeutic. Addressing the underlying emotion rather than reacting to hostility helps prevent power struggles and keeps the environment calm. Once the patient is calmer, boundaries about respectful communication can be reinforced.
7. After repeated requests for a patient to unpack and get settled on the psychiatric unit, the patient states, "I have no intention of unpacking and staying on this unit." To avoid a confrontation, the nurse unpacks the patient's belongings. Which nursing behavior is exemplified?
- A. Aggressiveness
- B. Negative operant conditioning
- C. Assertiveness
- D. Positive role modeling
Explanation
Aggressiveness occurs when an individual imposes their will on another and disregards their autonomy. Although the nurse may believe they are avoiding conflict, unpacking the patient's belongings after a clear refusal violates the patient’s expressed choice. This behavior forces compliance rather than encouraging participation, undermines independence, and does not support therapeutic boundary-setting.
8. What is the primary nursing goal when establishing a therapeutic relationship with a client?
- A. To develop communication skills
- B. To develop the nurse's personal identity
- C. To establish a purposeful social interaction
- D. To promote client growth
Explanation
The primary goal of a therapeutic nurse-client relationship is to promote the client’s growth, autonomy, and emotional healing. This relationship supports the client in understanding feelings, developing coping strategies, and improving mental functioning. It is purposeful and client-focused, facilitating progress toward greater self-awareness and health.
9. A nurse's statement, "You remind me a lot of my grandmother, so I am sure we will get along very well," is an example of what?
- A. Sympathy
- B. Countertransference
- C. The working phase
- D. Transference
Explanation
Countertransference occurs when the nurse unconsciously transfers feelings or attitudes from past relationships onto the client. In this case, the nurse is associating the client with their grandmother and assuming the relationship will be positive based on that personal emotional connection. This can interfere with objective care and appropriate therapeutic boundaries, making it countertransference.
10. After years of dialysis, an 84-year-old states, "I'm exhausted, depressed, and done with these attempts to keep me alive." Which question should the nurse ask the spouse when preparing a discharge plan of care?
- A. "Have any changes in your spouse's appetite or sleep?"
- B. "How does your spouse cope with illness?"
- C. "Has your spouse been following a diet and exercise program consistently?"
- D. "How often is your spouse left alone?"
Explanation
The client verbalizes emotional exhaustion and possible suicidal ideation. When planning discharge, the nurse must assess the level of supervision and safety at home. Determining how long the client is left alone helps assess suicide risk and the need for additional support services. Ensuring that the client is not isolated and has close monitoring is a priority for safety in a high-risk situation.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .