Chapter 07 Individual and Family Considerations Related to Illness

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Chapter 07  Individual and Family Considerations Related to Illness

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. A nurse in a wellness center is presenting a class on integrating holistic therapies with traditional health care. The nurse talks about the trend in health care to treat each patient in a manner that reconnects his or her total being. Which of the following would best be considered a holistic approach to health?

A) Physical, emotional, and spiritual well-being B) Emotional and sexual contact
C) Healthy work environment
D) Financial success and post-secondary education

Ans: A
Chapter: 7
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 1
Page and Header: 97, Holistic Approach to Health and Health Care

Feedback: A holistic approach to health reconnects the traditionally separate approach to mind and body. The connection of physical, emotional, and spiritual well-being must be understood

and considered when providing health care. Options B, C, and D are incorrect because though they may contribute to a total (or holistic) perception of the patient, they would not be the best answer to the question.

2. You are the nurse admitting a new patient to your medical-surgical unit. You are completing an initial health assessment of the patient and document that the patient appears to have an emotionally healthy attitude. What behaviors would be indicative of an emotionally healthy attitude?

A) Limiting goal setting
B) Having a sense of humor C) Avoiding conflict
D) Desire to question reality

Ans: B
Chapter: 7
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 97, Mental Health and Emotional Distress

Feedback: A mentally healthy person accepts reality and has a positive sense of self. Emotional health is also manifested by having moral and humanistic values and beliefs, having satisfying interpersonal relationships, doing productive work, and maintaining a realistic sense of hope. Having hopes and dreams, resolving conflict, setting goals for the future, and having a sense of humor are all characteristics associated with mental health.

3. A patient admitted to a telemetry unit with complaints of chest pain is a business executive in a large corporation. During your assessment, you gather data that indicates the patient consumes 7 to 8 ounces of scotch every evening. What is the best indicator of this patient’s ability to cope? A) Maladaptive stress management

B) Inability to satisfy basic needs
C) Behaving in an unrealistic manner D) Engaging in rewarding behavior

Ans: A
Chapter: 7
Client Needs: C
Cognitive Level: Application

Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 101, Mental Health and Emotional Distress

Feedback: Drug and alcohol abuse are considered maladaptive ways to manage stress. People who engage in substance abuse use illegally obtained drugs, prescribed or over-the-counter medications, and alcohol alone or in combination with other drugs in ineffective attempts to cope with the pressures, strains, and burdens of life. The other options are all indicators of this patient’s ability to cope, but they are not the best indicator.

4. As the nurse caring for a 25-year-old patient who has recently been diagnosed with testicular cancer, you know that this patient’s illness will impact every aspect of his life. What developmental tasks might you expect to be affected?
A) Achieving self-actualization

B) Marrying and starting a family C) Reviewing life’s accomplishments D) Establishing financial security

Ans: B
Chapter: 7
Client Needs: C
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Page and Header: 103, Family Health and Distress

Feedback: It is within families that people grow, are nurtured, acquire a sense of self, develop beliefs and values about life, and progress through life’s developmental stages. Developmental tasks associated with young adulthood include marrying and starting a family. The other options are incorrect because achieving self-actualization, reviewing life’s accomplishments, and establishing financial security are not developmental tasks for this stage of the patient’s life.

5. You are the nurse caring for a young female patient who has just been diagnosed with multiple sclerosis. The patient is in her early 30s and is the mother of two children under the age of 5 years. After hearing this news, what initial emotional symptom would the nurse anticipate the patient will most likely experience?
A) Lethargy
B) Bargaining

C) Lack of interest D) Anxiety

Ans: D
Chapter: 7
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 98, Mental Health and Emotional Distress

Feedback: In clinical settings, fear of the unknown, unexpected news about one’s health, and impairment of bodily functions engenders anxiety. Lethargy and lack of interest would be manifestations of depression that might follow the anxiety. Bargaining is a stage of grief and would not be an initial emotional symptom.

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