Deck 19: Illness and Hospitalization

Question 1

If illness or hospitalization results in a change in physical appearance,it is likely to have a strong impact on the person's:

A)Attitude
B)Body image
C)Confidence
D)Acceptance of the problem

Answer 1

Body image

Question 2

The most important reason for performing a crisis assessment on hospitalized clients is that it allows the care provider to:

A)Implement appropriate care measures
B)Encourage clients to share their concerns
C)Identify the requirements for additional supplies and personnel
D)Identify problems before a crisis develops and plan preventive interventions

Answer 2

Identify problems before a crisis develops and plan preventive interventions

Question 3

During a crisis assessment due to the diagnosis of a terminal illness,the nurse is trying to determine what the client's history is with regard to losses.Which question will best assess this area?

A)"How easily do you adapt to new situations?"
B)"What is your understanding of the current situation?"
C)"Who or what has helped you through crisis situations in the past?"
D)"How is this situation affecting your family?"

Answer 3

"Who or what has helped you through crisis situations in the past?"

Question 4

The abnormal process in which aspects of the social,physical,emotional,or intellectual function of a person are diminished or impaired is called:

A)Health
B)Illness
C)Recovery
D)Homeostasis

Question 5

A 72-year-old woman from the Dominican Republic is hospitalized after fainting while visiting her daughter.The staff has voiced complaints regarding the family ignoring hospital rules regarding visiting hours and number of visitors allowed in the room.In addition,the daughter brings food to the mother from home which is not a part of the client's prescribed diet.How can the staff deal with these issues in a professional manner?

A)Meet with the patient and family to determine how to provide support for cultural practices.
B)Have security remove the family and focus on the client's care and needs.
C)Accept the food from the family and throw it out without informing them.
D)Allow family presence to take priority over treatments and therapies.

Question 6

A business owner is hospitalized after suffering a heart attack.The staff finds him very demanding and angry toward all personnel and noncompliant in his therapy and treatment plan.What is the best strategy for the nurse to employ with this patient?

A)Give him an ultimatum to cooperate or face a longer recovery period.
B)Allow him to continue this behavior due to his role outside the hospital.
C)Provide him with necessary information to actively participate in goal setting.
D)Request that a health care provider with a stronger personality take care of him.

Question 7

Which is the best way for the nurse to assist clients in managing their pain?

A)By setting mutual goals
B)By focusing on nursing care
C)By administering narcotic analgesics
D)By telling the clients to think of something else

Question 8

The nurse is admitting a male client so he can undergo testing for diagnostic purposes.The nurse explains how the equipment in the room works and how to order meals.After the nurse leaves the room,the client yells for the nurse because he can't remember how to use the call light.What emotional response is the client experiencing?

A)Denial
B)Withdrawal
C)Shock
D)Anger

Question 9

A male client has been diagnosed recently with a chronic illness.His family tells the nurse that they have noticed that he has not been attending his weekly card game night with his friends and does not return their calls.What reaction is this client most likely experiencing?

A)Anxiety
B)Withdrawal
C)Shock
D)Anger

Question 10

An individual notices that he is experiencing periods of feeling very depressed followed by periods of elation and increased energy.He knows that something is wrong and talks with his family about what he should do.This is an example of the stage of illness called:

A)Dependency
B)Symptoms
C)Recovery and rehabilitation
D)Sick role

Question 11

The process that helps clients cope with illness or surgery after leaving the institution is called:

A)Client education
B)Preventative care
C)Discharge planning
D)Role change planning

Question 12

The client feels unwell.She knows that she would be better off if she rested today,but important matters at work are waiting.She stops at the drugstore on her way to work and purchases several over-the-counter cold remedies.Her behaviors are related to the stage of illness experience called:

A)Symptom experience
B)Medical care contact
C)Assuming the sick role
D)Dependent patient role

Question 13

The nurse is talking with a male client recently admitted to a mental health facility.He is very anxious to begin his treatment for alcohol and drug addiction because he states that he "really wants to get well this time." Which stage of illness is the client experiencing?

A)Dependency
B)Symptoms
C)Recovery and rehabilitation
D)Sick role

Question 14

The nurse begins discharge planning measures with a hospitalized client:

A)Near the time of discharge
B)At the time of admission
C)3 days into the hospital stay
D)On the day before discharge

Question 15

A female client admitted to a mental health facility for depression is frequently asking for help in deciding which foods to choose for her meals as well as which activities she should participate in.Which stage of illness is she experiencing?

A)Dependency
B)Symptoms
C)Recovery and rehabilitation
D)Sick role

Question 16

For most people,being hospitalized is seen as a/n:

A)Crisis
B)Annoyance
C)Chance to rest
D)Expensive hotel

Question 17

The client has been admitted to the medical unit for unexplained weight loss and fatigue.He does not speak except to answer questions,and he refuses to interact with other people except when necessary.Which coping mechanism is he using to deal with his hospitalization?

A)Anger
B)Shock
C)Anxiety
D)Withdrawal

Question 18

A woman arrives at the hospital to deliver her first child.She has no previous history of hospitalization or serious illness.During her stay,the client is highly anxious and demands to be informed of all information documented on her medical record.The client's husband informs the nurse that the client's mother died in the hospital 10 months ago after a brief battle with lung cancer.The most probable reason for the client's current reaction is:

A)Obsessive fear of dying
B)Reluctance in becoming a mother
C)Symbolic meaning of the hospital
D)Ambivalence regarding the sick role

Question 19

The stage of hospitalization during which the client reestablishes personal identity and becomes self-centered is the time when the client is:

A)Going to be discharged
B)Feeling overwhelmed
C)Becoming emotionally stabilized
D)Adapting to the environment

Question 20

The caregiver is encouraging a mother to participate in bathing her daughter,who is in traction for a fractured femur.The caregiver is recognizing the family's:

A)Physical need to work
B)Social need to stay with the client
C)Intellectual need to control the situation
D)Emotional need to be involved in caring for the client

Question 21

A psychological defense mechanism that allows a person to block painful feelings associated with a problem is known as __________.

Question 22

Which functions of a person are diminished or impaired during illness? (Select all that apply. )

A)Social
B)Medical
C)Emotional
D)Physical
E)Intellectual

Question 23

Which natural remedies may the nurse use to assist clients in alleviating pain? (Select all that apply. )

A)Distraction
B)Pain patches
C)Massage
D)Visualization
E)PCA pumps

Question 24

__________ is a continually changing state of well-being that encompasses an individual's physical,social,and mental well-being.

Question 25

The client being transferred to a rehabilitation center following hospitalization for surgical repair of a fractured hip is portrayed by the nurse in the hospital setting as being very involved and making good progress in his physical therapy sessions.However,the nurse in the rehabilitation facility observes that the client is withdrawn,and he often asks to defer his physical therapy sessions.Which statement best describes the change in patient behavior?

A)The patient is suffering from delirium due to the unfamiliar surroundings.
B)The patient has adapted to the recovery role and does not need rehabilitation.
C)The patient enjoyed the dependency role in the hospital setting.
D)The patient is adjusting to a new environment and is in a vulnerable position.