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Chapter 16 Questions
1. Current research suggests that men and women respond to stress in which of the following ways?
Women use a "tend and befriend" approach to stress.
2. Stress can have protective and adaptive functions.
3. The nurse is conducting a family assessment in which alcoholism by the parents is suspected. When
assessing the children within this family for symptoms of stress, the nurse recognizes that signs of
distress can include academic decline, gastric distress, and headaches.
4. Eustress is a short-term mild level of stress that acts as a positive stress response with protective
and adaptive functions and is perceived as being within the person's ability to manage
5. A three-stage progressive pattern of nonspecific physiologic responses known as alarm, resistance,
and exhaustion is based on Selye's General Adaptation Syndrome.
6. A client is experiencing anxiety related to hospitalization. When assessing this client, the nurse
anticipates which assessment finding? Disengagement from the stressor
7. A client's spouse becomes anxious and demonstrates hostility toward the nurse. The best response
by the nurse is to respond empathetically to contributory themes and feelings.
8. A client tells the nurse, "I think I'm losing my mind." The best response by the nurse is “Tell me what
you are experiencing right now
9. A client who has been diagnosed with cancer asks the nurse, "If I take the chemotherapy, will I be
cured, or am I going to die anyway?" The nurse's best response is "Tell me what prompted your
question."
10. A nurse consistently works extra shifts in the hope of earning a promotion. The nurse is becoming
increasingly fatigued and frustrated because the promotion has not occurred. The nurse is
experiencing g burnout.
11. The nurse is caring for a client who works as a boxer. The client states, "I was picked on a lot when I
was little, so I got really angry and now I work through the anger by boxing." The nurse recognizes
the client is demonstrating which ego defense mechanism ? Sublimation
12. Mobilize resources is an interventions classified as secondary prevention for stress
A.
1. Chapter 21
1. Grief is a Recurring, wavelike feelings of sadness and loss are common feelings in a client who is
grieving.
2. Anticipatory grief can be colored by ambivalent feelings.
3. The nurse is caring for a client who is expected to die within a month. The client states, "I can't go on
anymore, help me!" Which of the following best describes this client's stage of dying? Depression
4. Chronic sorrow is a normal grief response associated with an ongoing living loss that is permanent,
progressive, recurring, and cyclic in nature?
5. The nurse is caring for a client who has just received biopsy reports that indicate recurrence of
metastatic stage IV breast cancer. The client's statement that indicates the acceptance stage of
death and dying is "The test results are positive."
6. Stoicism and denial of grief are examples of how a family coping with death is affected by culture.
7. A client has just been transferred to a new facility from another hospital at his insistence. The client
is demanding a second opinion because he feels that "They must have made a mistake." The nurse
recognizes that the best communication technique to use with this client is to reflect the client's
behavior.
8. The nurse is caring for an 8-year-old child in the school nurse's office because the child received a
bloody nose in a scuffle with another child during recess. The nurse discovers that the child's
parents have recently divorced. The nurse recognizes that the child demonstrates behavior that is a
common response when grieving.
9. When evaluating care of dying clients, the nurse recognizes that interventions have been
unsuccessful if the nurse refuses to allow the client to be sad.
10. The nurse is caring for a 15-year-old client who is dying. The client tells the nurse, "I know I am not
going home again. I think it is harder for my parents than me. Will you talk to them for me?" Which of
the following is the best response by the nurse? "Yes, I will talk to your parents, but you need to talk
to them also. I will help you with that."
11. Which of the following is an inappropriate intervention for communicating with terminally ill clients
: Offering automatic responses and trite
12. Which of the following is a dimension of palliative care? It intends neither to hasten nor postpone
death.
13. An 89-year-old client recently lost his wife of 69 years to cancer. He reports "I had the strangest
thing happen to me last night. I woke up and saw my wife sitting in her chair." The nurse's best
response would be: "Hearing or seeing things that are not real can be a normal response to extreme
stress
14. A 21-year-old client informs the nurse that he is not sleeping. The nurse learns that the client's
girlfriend was killed in a car accident 1 month ago. Which statement would be of most concern to the
nurse? "I am moving on and plan to start dating again."
15. Which of the following individuals is most likely experiencing a delayed grief reaction?
A 54-year-old man suffering from alcoholism who just completed a 28-day inpatient rehabilitation
talking about the death of his wife 3 years
1. Chapter 17 Communication FN
1. What characterizes nurses who make the best communicators?
Developing critical thinking skills.
2. Mutuality :A nurse believes that the nurse–patient relationship is a partnership and that both are
equal participants. Which term should the nurse use to describe this belief?
3. Public: A nurse wants to present information about flu immunizations to older persons in the
community.
4. Which technique is being used most effectively in which scenario?
Transpersonal communication to enhance meditation
5. Personal space: A nurse is sitting at the patient’s bedside documenting a nursing history.
6. A smiling patient angrily states, “I will not cough and deep breathe.” How will the nurse interpret this
finding? The patient’s affect is inappropriate.
7. A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care that has been received. Which interaction is the nurse using?
A. Narrative.
8. Before meeting the patient, a nurse talks to other caregivers about the patient. The nurse is in which
phase of the helping relationship?
A. Preinteraction.
9. During the initial home visit, a home health nurse lets the patient know that the visits are expected to
end in about a month. The nurse is in which phase of the helping relationship?
A. Preinteraction.
10. A nurse and patient take action to meet health-related goals. The nurse is in which phase of the
helping relationship?
A. Working
11. The nurse is in the process of conducting an admission interview with the patient. At one point in the
discussion, the patient has provided information that the nurse would like to clarify. Using the
technique of clarification, how does the nurse respond?
A. “I’m not sure that I understand what you mean by that statement.”
12. The patient draws back when the nurse reaches over the side rails to take his blood pressure. What
should the nurse do first to promote effective communication?
A. Apologize for startling the patient and explain the need for contact.
13. A patient has trouble speaking words, and the patient’s speech is garbled. Which nursing diagnosis
is most appropriate for this patient?
A. Impaired verbal communication.
14. Which person is the best referral for a patient who speaks a foreign language?
A. An interpreter.
15. A nurse is using SOLER to facilitate active listening. Which technique should the nurse use for “R”?
A. Relax.
16. An older patient is wearing a hearing aid. Which technique should the nurse use to facilitate
communication?
.
A. Turn off the television.
17. When making rounds, the nurse finds a patient who is not able to sleep because of anticipation of
surgery in the morning. Which therapeutic response is most appropriate?
A. “It must be difficult not to know what the surgeon will find. What can I do to help?”
18. Which situation will cause the nurse to intervene and follow up on the unregulated care provider’s
behaviour?
A. The unregulated care provider is calling the older patient “honey.”
19. A confused older person is wearing thick glasses and a hearing aid. Which intervention is priority to
facilitate communication?
Allow time for the patient to respond.
20. The staff is having a hard time getting an older person to communicate. Which technique should the
nurse suggest the staff use?
A. Allow the patient to reminisce.
21. Which of the following patients will cause the greatest communication concerns for a nurse?
7. The nursing management team in a facility is investigating a nursing care delivery model that
involves staff members working under the direction of an RN leader. What does this model reflect?
A. Team nursing.
8. Accountability is a critical aspect of nursing care. Which of the following is an example of a specific
decision-making process of accountability?
A. Evaluating the patient’s outcomes after implementation of care.
9. The student nurse is seeking to learn skills associated with priority setting. Among the different
priorities of care, which of the following is an example of an intermediate priority?
A. The need to urinate.
10. The nurse on the unit is determining which activities may be delegated to an unregulated care
provider (UCP). A number of factors are included in the nurse’s decision. Assuming that the UCP is
competent, the RN may safely delegate which of the following activities?
A. Ambulation of stable patients.
11. UCPs are allowed to perform tasks with patients in which situation?
A. When tasks are delegated by an RN.
12. One type of nursing model is an emerging model among intraprofessional nursing teams and other
health care providers who are members of the interprofessional team. What is this model called?
13. A management structure in which traditional units are reorganized into business units is called what?
A. Matrix.
14. Which term characterizes the duties and activities that an individual is employed to perform?
A. Responsibility.
B.
17. A nurse has delegated a task to an unregulated care provider (UCP). Which of the following is the
nurse responsible for?
A. Maintaining accountability of the task. Ensuring the task is within the UCP’s job
description. Supervising the UCP if required
B. Providing clear instructions when delegating a task.
1. Chapter 28 Spirituality
1. The word spirituality derives from the Latin word spiritus, which refers to breath or wind. Today,
spirituality can be described as which of the following?
Transcendence beyond self, everyday living, and suffering.
2. The nurse is caring for a patient who claims that he does not believe in God and does not believe in
an “ultimate reality.” The nurse realizes what about this patient?
3. The nurse is caring for a patient who is terminally ill with very little time left to live. The patient states,
“I always believed that there was life after death. Now, I’m not so sure. Do you think there is?” The
nurse states, “I believe there is.” What has the nurse attempted to do? Provide hope
4. When discussing spirituality with adolescent patients, of what should the nurse be aware?
That many adolescents question religious practices and values.
5. The nurse is admitting a patient to the hospital. The patient states that he is a very spiritual person
but does not practise any specific religion. What should the nurse understand about these
statements?
That they are reasonable.
6. Which of the following is an intervention that will facilitate connectedness?
Placing memorabilia in the patient’s view
7. Which statement about religion and spirituality is true?
Spirituality is unique to the individual.
8. What is the best statement by a nurse who is assessing the spiritual needs of a 76-year-old patient
who was just admitted to the nursing unit with terminal cancer of the liver?
“I notice you have a Bible. Is that a source of spiritual strength to you?” “
9. The nurse’s initial action while working with a patient to assess and support the patient’s spirituality
is which of the following?
Determining the patient’s perceptions and belief system.
10. If a patient is identified as following the traditional health care beliefs of Judaism, while planning
patient care, which of the following should be incorporated in nursing care?
Observance of the Sabbath.
11. Which of the following attributes of spiritual care in nursing practice is described as a direction to
place patients’ needs first and protect vulnerability?
Altruism
12. The patient is admitted with chronic back pain. The nurse who is caring for this patient should do
which of the following?
13. In caring for the patient’s spiritual needs, what should the nurse understand?
Establishing presence is part of the art of nursing
14. When asked about his religious affiliation, a patient responds, “That’s personal; why do you want to
know?” Which of the following is the most appropriate nursing response?
“By knowing your religious preferences, I can best meet your spiritual needs.”
15. Which of the following can nurses used to develop their own spiritual awareness while facilitating the
spiritual practices of others?
. Engaging in mindfulness.
16. The patient is having a difficult time dealing with his diagnosis of acquired immune deficiency
syndrome (AIDS). He states, “It’s not fair. I’m totally isolated from my family because of this. Even
my father hates me for this. He won’t even speak to me.” What does the nurse need to do?
Use therapeutic communication to establish trust and caring.
17. The nurse is caring for a patient who is in the final stages of his terminal disease. The patient is very
weak but refuses to use a bedpan and wants to get up to use the bedside commode. What should
the nurse do? Enlist assistance from family members if possible and assist the patient to get up.
18. In assessing the spiritual health of her patients, what should the nurse understand?
Spiritual beliefs change as patients grow and develop.
19. When a patient’s risk for spiritual crises is evaluated, which of the following are part of the evaluation
process?
Reviewing the patient’s self-perception regarding spiritual health.
A. Reviewing the patient’s view of his or her purpose in life.
B. Discussing with family and associates the patient’s connectedness.
C. Asking whether the patient’s expectations are being met
20. five Cs of relational practice?
A. Compassion.
B. Curiosity.
C. Commitment.
D. Competence.
E. Corresponding.