Chapter 13 Psychosocial Health & Illness

Chapter 13  Psychosocial Health & Illness

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following is considered a strength of the nursing profession?
a)
Biomedical focus
b)
Psychosocial focus
c)
Biopsychosocial focus
d)
Physical focus

ANS: C
A strength of the nursing profession is the ability to go beyond the biomedical, psychosocial, or physical focus to care for the entire person. This approach focuses on the overall biopsychosocial well-being of the patient.

Difficulty: Easy
Client Need: HPM
Cognitive Level: Knowledge

PTS: 1

2. The nurse is caring for a patient with cancer who has been receiving chemotherapy. Based on Maslow’s Hierarchy of Needs, which nursing intervention is your first priority?
a)
Assess for and treat pain.
b)
Determine whether the patient is hungry or thirsty.
c)
Explore feelings about dying.
d)
Observe client’s self-care abilities.

ANS: A
Untreated pain affects all biological/physiological needs. So, treating pain comes first. According to Abraham Maslow and his Hierarchy of Needs, lower-level needs (physiological) must be met before higher needs can be achieved. Maslow’s hierarchy tells you that until the pain (physiological need) is controlled, the patient cannot consider exploring feelings or participating in self-care.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: PSI
Cognitive Level: Application

PTS: 1

3. A female client tells the nurse, “I see how people look at me with my crooked back and short leg. No one has to tell me that I’m not pretty.” The nurse realizes this client is exhibiting:
a)
An overinflated sense of self-esteem
b)
A well-developed self-concept
c)
An overactive imagination
d)
A low self-concept

ANS: D
Self-concept forms out of a person’s evaluation of his physical appearance, intellectual ability, success in the workplace, friendship, and approval from others. A person with a low self-concept has a mostly negative perception of these evaluations of self. A low self-concept may cause withdrawal from social interactions and make it difficult to form relationships.

Difficulty: Easy
Client Need: PSI
Cognitive Level: Knowledge

PTS: 1

4. Which outcome is most realistic and appropriate in planning care for any newly diagnosed client with anxiety?
a)
Plans coping strategies for anxious situations
b)
Discusses the reasons for episodes with significant others
c)
Establishes two new social relationships
d)
Verbalizes that he is episode free

ANS: A
Identifying the source of the client’s anxiety will allow him to recognize the conflict and use his conscious, rational mind to deal with it by identifying and planning strategies for anxiety-producing situations. Expecting the client to be episode free is not realistic, and may put unrealistic expectations on the client. For newly diagnosed clients, establishing two new social relationships, given the energy required for trust to develop, may not be attainable. Discussing the reasons for episodes with significant others is not necessarily realistic or appropriate. The client may experience symptoms as a result of trauma and may have associated feelings of shame.

Difficulty: Difficult
Nursing Process: Planning Outcomes
Client Need: PSI
Cognitive Level: Application

PTS: 1

5. A 13-year-old patient is admitted to the hospital. There is no medical restriction on visitation. To help maintain the patient’s social identity while hospitalized, it is most important for the nurse to encourage visits by:
a)
Peers
b)
Grandparents
c)
Siblings
d)
Parents

ANS: A
Peers are more important than family in maintaining social identity in this age group.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: PSI
Cognitive Level: Knowledge

PTS: 1