Question 1

The nurse is aware that patients may fail to comply with a proposed healthcare regimen and be perceived as being noncompliant. For which common reason(s) does a nurse identify as causing a patient to be noncompliant with a plan of care? Select all that apply.

Accepted Answer

A)  There patient lacks a support system.
B)  The patient does not understand the plan.
C)  The plan of care is inconvenient.
D)  The patient is stubborn by nature.
E)  The plan is financially inhibitive. A,B,C,E

Question 2

Some people readily become ill when under stress, while others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness. In which manner does the nurse apply this knowledge to nursing care?

Accepted Answer

A)  The nurse cannot use the presented information. People are innately hardy or not, a state that the nurse must merely recognize.
B)  Nurses need to encourage all people to develop some level of hardiness to help them get through difficult physical and emotional times.
C)  Nurses need to assess for their own level of hardiness. If nurses are hardy, they will be better nurses; if not, nurses can learn more about hardiness.
D)  Nurses assess for hardiness in patients and can encourage hardy patients to learn about their illness as a means for them to be more comfortable. D

Question 3

The home care nurse is providing care for a patient. After several visits and review of the plan of care, the nurse notices the patient does not follow the prescribed diet and exercise regimen. Which is the most appropriate action by the nurse?

Accepted Answer

A)  Discharge the patient from home care because of noncompliance to the medical regimen.
B)  Continue to teach and reinforce the importance of the diet and exercise regimen.
C)  Notify the healthcare provider of the patient's refusal to follow the diet and exercise regimen.
D)  Identify why the patient is not following the plan, and revise the plan in collaboration with the patient. D

Question 4

Many healthcare providers define illness as pathology; however, people experience, rather than define, illness. In which manner do most people experience illness?

Accepted Answer

A)  "Feeling lousy," a true sense of not being all right
B)  A change in the way they feel or a disruption in their typical life
C)  Something to be dreaded and avoided, if at all possible
D)  An experience that offers a potential for learning and spiritual growth

Question 5

A newly hired nurse is working with an experienced nurse on the oncology unit. The newly hired nurse expresses interest in helping patients and making their hospital stay a better experience. Which is the most appropriate response for the experienced nurse to make? Select all that apply.

Accepted Answer

A)  "This takes time. Once you have worked on the unit for a while, it will become clear to you."
B)  "Find your best approach to patient care, and then use this approach with every patient."
C)  "One of the very best ways is to listen to your patient and be attentive to their needs."
D)  "It is helpful to consider your strengths and weaknesses and how you cope with illness."
E)  "Just remember to apply all your nursing knowledge when you interact with a patient."

Question 6

A patient who is 80 years old arrives in the emergency department experiencing a severe heart attack. The patient's condition is deteriorating and the physician informs the spouse that the patient is not expected to survive. The spouse becomes distraught and tells the nurse, "We have been married for 60 years. What am I going to do?" Which is the most appropriate response by the nurse?

Accepted Answer

A)  "You had a good life together. You just need to understand that death is part of life, too."
B)  "I understand how you feel, but living to 80 years of age is a good long life."
C)  "I will get a social worker to see you for some help you may need at home."
D)  "I understand that this is an incredible and unexpected loss for you."

Question 7

The nurse is admitting a patient with heart disease to the cardiac unit. When answering questions related to health history, the patient's responses are lengthy and time consuming. Which is the most appropriate action by the nurse?

Accepted Answer

A)  Recognize that the patient may be lonely and just wants to talk to someone.
B)  Set a time limit, and inform the patient of your time frame to complete the assessment.
C)  Anticipate the patient's answers, and quickly go on to the next question.
D)  Be attentive, focus on what the patient has to say, and respond accordingly.

Question 8

The nurse is providing care for a patient with a terminal illness. Which is particularly valuable in helping a patient with a terminal illness maintain a sense of self?

Accepted Answer

A)  Family relationships
B)  Spirituality
C)  Nutrition
D)  Sleep and rest

Question 9

A parent of three small children has had nausea, vomiting, and extreme fatigue for the past 2 days and calls the children's grandmother for assistance with caring for the children. Which illness behavior is the parent experiencing?

Accepted Answer

A)  Sick-role behavior
B)  Dependence on others
C)  Seeking professional care
D)  Experiencing symptoms

Question 10

The nurse is providing care for a client who has been hospitalized for 6 weeks. Which nursing intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?

Accepted Answer

A)  Providing skin care every shift to prevent skin breakdown
B)  Encouraging the patient to get up in a chair to eat meals
C)  Assisting the patient to ambulate in the hallway for several minutes each day
D)  Designating a corner of the patient's room to display personal mementos

Question 11

The new graduate nurse is working with another nurse who is functioning as a mentor to the new graduate. Which advice from the mentor is best suited when the new graduate is preparing to interact with the first patient?

Accepted Answer

A)  Be maximally attentive to the patient at all times.
B)  Take a few moments to settle in to the situation.
C)  Accept the patient regardless of background.
D)  Create a broad attitude of enjoyment of the patient.

Question 12

The nurse recognizes which type of loss as being most common among patients who are hospitalized for complex health conditions?

Accepted Answer

A)  Privacy
B)  Dignity
C)  Functional
D)  Identity

Question 13

A patient who is 30 years of age has been experiencing joint pain for several months and is diagnosed with rheumatoid arthritis. The patient tells the nurse, "This can't be happening to me. I don't understand this." Which statement best describes the nurse's primary understanding of the patient comments?

Accepted Answer

A)  The patient is too young to possess the ability to cope with this diagnosis.
B)  The patient exhibiting the stage of denial related to the illness diagnosis.
C)  The patient's developmental stage affects the ability to cope with stressors.
D)  The patient's statements indicate an inability to accept an ongoing illness.

Question 14

The nurse is aware that which situations can lead to family caregiver's feeling(s) of "burnout"? Select all that apply.

Accepted Answer

A)  Caring for an infant during eruption of a first tooth
B)  Caring for an adolescent child with schizophrenia
C)  Caring for child being treated for a broken leg
D)  Caring for a spouse with Alzheimer's disease
E)  Caring for grandchildren once a week, as needed

Question 15

The nurse uses the concept of the wellness-illness continuum for developing a nursing plan of care. Which plan for a chronically ill patient does the nurse select?

Accepted Answer

A)  Educate the patient about every possible complication associated with the specific illness.
B)  Encourage positive health characteristics within the limits of the specific illness.
C)  Limit activities because of the progressive deterioration associated with chronic illnesses.
D)  Recommend activity beyond the scope of tolerance to prevent early deterioration.

Question 16

The nurse is providing care for a 55-year-old client with severe respiratory disease. Using Neuman's Continuum as a resource, which stage of illness is the nurse most likely to identify as being applicable to this client?

Accepted Answer

A)  Moderate energy related to resiliency of age
B)  High energy related to available treatment
C)  Low energy related to compromised breathing
D)  Extremely low energy due to impending death

Question 17

The nurse is attending to a 76-year-old patient who is being admitted for an acute myocardial infarction (heart attack). The doctor tells the patient that an angioplasty is necessary, and the patient agrees and signs the informed consent form. Which stage of illness behavior does the nurse identify the patient experiencing?

Accepted Answer

A)  Sick-role behavior
B)  Seeking professional care
C)  Experiencing symptoms
D)  Dependence on others

Question 18

The nurse is admitting a 62-year-old patient with a diagnosis of hypertension to the hospital. Which question by the nurse is most important when performing the initial assessment interview?

Accepted Answer

A)  "What medications do you take at home?"
B)  "Do you have any environmental, food, or drug allergies?"
C)  "Do you have an advance directive?"
D)  "What greatest concern you are dealing with today?"

Question 19

The nurse is aware the client's risk of breast cancer is dramatically increased because both her sister and her mother had breast cancer. Which of the multidimensional aspects of health does this scenario illustrate?

Accepted Answer

A)  Personal relationships
B)  Biological factors
C)  Lifestyle choices
D)  Environmental factors

Question 20

Living in a healthy family is an important dimension of wellness. Which condition most accurately describes a characteristic of healthy families?

Accepted Answer

A)  A family in which individual members live a health-promoting lifestyle
B)  A family that responds to its members' needs only during serious illness
C)  A family who may avoid or withhold the truth to prevent hurting someone's feelings
D)  A family that understands a family member is powerless when experiencing severe illness

Exam 11: Experiencing Health Illness