Question 1

What is the goal of nursing care for the patient with a chronic illness?

Accepted Answer

A)  Find the cause of the illness. 
B)  Tell the patient that he or she will learn to live with the illness. 
C)  Help the patient manage the illness. 
D)  Give the patient websites that have information about the illness. 
A)  Find the cause of the illness. 
B)  Tell the patient that he or she will learn to live with the illness. 
C)  Help the patient manage the illness. 
D)  Give the patient websites that have information about the illness. C

Question 2

A nurse hears a 5-year-old patient who just started kindergarten uses rude vocabulary.What is the best response to this behavior?

Accepted Answer

A)  Ignore it. 
B)  Speak to his teacher about it. 
C)  Praise him when he speaks properly. 
D)  Talk about it at the parent-teachers association. 
A)  Ignore it. 
B)  Speak to his teacher about it. 
C)  Praise him when he speaks properly. 
D)  Talk about it at the parent-teachers association. C

Question 3

Which syndrome includes the alarm reaction stage, resistance stage, and exhaustion stage?

Accepted Answer

A)  Local adaptation syndrome 
B)  General adaptation syndrome 
C)  Total adaptation syndrome 
D)  Absolute adaptation syndrome 
A)  Local adaptation syndrome 
B)  General adaptation syndrome 
C)  Total adaptation syndrome 
D)  Absolute adaptation syndrome B

Question 4

What is an example of a positive stressor?

Accepted Answer

A)  Test anxiety 
B)  Loss of a job 
C)  Paying income tax 
D)  Single motherhood 
A)  Test anxiety 
B)  Loss of a job 
C)  Paying income tax 
D)  Single motherhood

Question 5

An older Italian woman has an egg yolk in a bowl under her bed that she believes is absorbing the evil of her illness and making her feel better.Which action should a nurse implement?

Accepted Answer

A)  Move the egg yolk out of the way to the bathroom. 
B)  Replace the egg yolk with a hard-boiled egg. 
C)  Remove the egg for sanitary purposes. 
D)  Include maintenance of the egg in the nursing care plan. 
A)  Move the egg yolk out of the way to the bathroom. 
B)  Replace the egg yolk with a hard-boiled egg. 
C)  Remove the egg for sanitary purposes. 
D)  Include maintenance of the egg in the nursing care plan.

Question 6

What should a nurse evaluate to assess the social dimension of a patient's persona? (Select all that apply.)

Accepted Answer

A)  Interaction with family 
B)  Formulation of thoughts 
C)  Presentation of self to community 
D)  Problem solving 
E)  Processing of information 
A)  Interaction with family 
B)  Formulation of thoughts 
C)  Presentation of self to community 
D)  Problem solving 
E)  Processing of information

Question 7

A wife of a critically injured husband has been at his bedside constantly for 2 days.As the nurse speaks to the wife, the wife sobs, "This is awful.I can't take it anymore." What is the wife experiencing?

Accepted Answer

A)  Fear 
B)  Denial 
C)  Compensation 
D)  Stress 
A)  Fear 
B)  Denial 
C)  Compensation 
D)  Stress

Question 8

What are characteristics of a healthy person according to Maslow? (Select all that apply.)

Accepted Answer

A)  Acceptance of self 
B)  Reality orientation 
C)  Spontaneity 
D)  Effective problem-solving skills 
E)  No need for privacy 
A)  Acceptance of self 
B)  Reality orientation 
C)  Spontaneity 
D)  Effective problem-solving skills 
E)  No need for privacy

Question 9

What is the traditional view of health?

Accepted Answer

A)  Promotes optimal function. 
B)  Views health and illness as separate concepts. 
C)  Defines health as an absence of illness. 
D)  Emphasizes the prevention of disease. 
A)  Promotes optimal function. 
B)  Views health and illness as separate concepts. 
C)  Defines health as an absence of illness. 
D)  Emphasizes the prevention of disease.

Question 10

What is the first step in helping patients to increase adaptability?

Accepted Answer

A)  Assess past methods of coping with stress. 
B)  Suggest using past coping strategies. 
C)  Determine external coping strategies. 
D)  Determine what the patient perceives as stressful. 
A)  Assess past methods of coping with stress. 
B)  Suggest using past coping strategies. 
C)  Determine external coping strategies. 
D)  Determine what the patient perceives as stressful.

Question 11

A home health nurse is assisting a patient who is chronically ill with congestive heart failure to reorder time.What is the best intervention to assist this patient?

Accepted Answer

A)  Encouraging the patient to get up earlier or to go to sleep later 
B)  Developing a daily schedule that allows time for activities, as well as for medical regimens 
C)  Giving up time-consuming activities such as watching television or answering e-mail messages 
D)  Encouraging the patient to complete only one task a day 
A)  Encouraging the patient to get up earlier or to go to sleep later 
B)  Developing a daily schedule that allows time for activities, as well as for medical regimens 
C)  Giving up time-consuming activities such as watching television or answering e-mail messages 
D)  Encouraging the patient to complete only one task a day

Question 12

When a 25-year-old woman who had a hysterectomy 1 day earlier tearfully tells the nurse that she is grieving for the children she will never have, the nurse assesses the grief as positive.What does grief allow this patient to achieve?

Accepted Answer

A)  Focus on her loss. 
B)  Forget about her concern. 
C)  Reappraise her values for the future. 
D)  Depend on others for grief support. 
A)  Focus on her loss. 
B)  Forget about her concern. 
C)  Reappraise her values for the future. 
D)  Depend on others for grief support.

Question 13

When a patient is given a diagnosis of cancer, his first statement is, "What did I ever do to deserve God punishing me?" What does this exemplify?

Accepted Answer

A)  Maladaptive coping 
B)  Behavioral emotionalism 
C)  Spiritual distress 
D)  Spiritual maladaptation 
A)  Maladaptive coping 
B)  Behavioral emotionalism 
C)  Spiritual distress 
D)  Spiritual maladaptation

Question 14

A nurse points out that a physiologic response to stress involves the total body.Which syndrome is this considered?

Accepted Answer

A)  General adaptation 
B)  Local adaptation 
C)  Negative feedback 
D)  Total adaptation 
A)  General adaptation 
B)  Local adaptation 
C)  Negative feedback 
D)  Total adaptation

Question 15

A patient is being discharged from same-day surgery after a tonsillectomy.The nurse is aware that the patient will be in the phase of general adaptation syndrome, in which the body begins to heal after injury.Which stage is this considered?

Accepted Answer

A)  Alarm stage 
B)  Resistance stage 
C)  Exhaustion stage 
D)  Initial stage 
A)  Alarm stage 
B)  Resistance stage 
C)  Exhaustion stage 
D)  Initial stage

Question 16

The term that a nurse uses to refer to persons who fail to maintain treatment protocols is _______.

Accepted Answer

The answer of The term that a nurse uses to...

Question 17

What type of illness are the common cold, appendicitis, and urinary tract infections considered?

Accepted Answer

A)  Chronic 
B)  Disabling 
C)  Emergency 
D)  Acute 
A)  Chronic 
B)  Disabling 
C)  Emergency 
D)  Acute

Question 18

Which behavior best exemplifies developmental activities in a 13-year-old teenager?

Accepted Answer

A)  Going out with a group of friends 
B)  Reading an exciting book 
C)  Volunteering for the local hospital 
D)  Choosing a career 
A)  Going out with a group of friends 
B)  Reading an exciting book 
C)  Volunteering for the local hospital 
D)  Choosing a career

Question 19

When a patient is asked whether he wants his pain medication, he says to you, "I don't know; whatever you think is best." What should the nurse recognize this maladaptive coping mechanism as?

Accepted Answer

A)  Powerlessness 
B)  Helplessness 
C)  Denial 
D)  Depression 
A)  Powerlessness 
B)  Helplessness 
C)  Denial 
D)  Depression

Question 20

An anxious co-worker who is to present a comprehensive report to the hospital board on innovative staffing patterns sits down at a table in the lunchroom and begins to tell you what will be presented in the report.Which coping strategy is this co-worker using?

Accepted Answer

A)  Event rehearsal 
B)  Problem solving 
C)  Event review 
D)  Social support 
A)  Event rehearsal 
B)  Problem solving 
C)  Event review 
D)  Social support

Exam 4: Health, Illness, Stress, and Coping

What is the goal of nursing care for the patient with a chronic illness?

A nurse hears a 5-year-old patient who just started kindergarten uses rude vocabulary.What is the best response to this behavior?

Which syndrome includes the alarm reaction stage, resistance stage, and exhaustion stage?

What is an example of a positive stressor?

An older Italian woman has an egg yolk in a bowl under her bed that she believes is absorbing the evil of her illness and making her feel better.Which action should a nurse implement?

What should a nurse evaluate to assess the social dimension of a patient's persona? (Select all that apply.)

A wife of a critically injured husband has been at his bedside constantly for 2 days.As the nurse speaks to the wife, the wife sobs, "This is awful.I can't take it anymore." What is the wife experiencing?

What are characteristics of a healthy person according to Maslow? (Select all that apply.)

What is the traditional view of health?

What is the first step in helping patients to increase adaptability?

A home health nurse is assisting a patient who is chronically ill with congestive heart failure to reorder time.What is the best intervention to assist this patient?

When a 25-year-old woman who had a hysterectomy 1 day earlier tearfully tells the nurse that she is grieving for the children she will never have, the nurse assesses the grief as positive.What does grief allow this patient to achieve?

When a patient is given a diagnosis of cancer, his first statement is, "What did I ever do to deserve God punishing me?" What does this exemplify?

A nurse points out that a physiologic response to stress involves the total body.Which syndrome is this considered?

A patient is being discharged from same-day surgery after a tonsillectomy.The nurse is aware that the patient will be in the phase of general adaptation syndrome, in which the body begins to heal after injury.Which stage is this considered?

The term that a nurse uses to refer to persons who fail to maintain treatment protocols is _______.

What type of illness are the common cold, appendicitis, and urinary tract infections considered?

Which behavior best exemplifies developmental activities in a 13-year-old teenager?

When a patient is asked whether he wants his pain medication, he says to you, "I don't know; whatever you think is best." What should the nurse recognize this maladaptive coping mechanism as?

An anxious co-worker who is to present a comprehensive report to the hospital board on innovative staffing patterns sits down at a table in the lunchroom and begins to tell you what will be presented in the report.Which coping strategy is this co-worker using?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders