Question 1

The nurse is providing care to a client with a history of schizophrenia who is diagnosed with a urinary tract infection. Which is the most significant barrier the nurse recognizes as this patient facing?

Accepted Answer

Stigma associated with mental illness can significantly impact the care and treatment of individuals with schizophrenia, affecting their willingness to seek help, adherence to treatment, and the quality of care they receive.

Question 2

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

D

Question 3

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

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

Most people experience illness as a change in the way they feel or a disruption in their typical life, which encompasses both physical symptoms and the impact on daily activities and well-being.

Question 5

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

Sick-role behavior involves adopting behaviors typical of a sick person, such as seeking assistance from others to fulfill roles and responsibilities they're unable to manage due to illness, as demonstrated by the parent calling the grandmother for help.

Question 6

Dunn believes that an individual's state of health should be evaluated in the context of the person's environment. Which is an approach that illustrates Dunn's belief?

Accepted Answer

Dunn's belief emphasizes the multifaceted impact of various environmental factors—including physical surroundings, family, and social support—on an individual's health, suggesting that these elements can either positively or negatively influence health outcomes.

Question 7

The nurse works at a busy trauma center and needs to establish a relationship of caring, respect, and understanding with clients during a time of extreme physical and emotional stress. Which behavior from the nurse is most likely to convey a sense of compassion?

Accepted Answer

Providing a healing presence involves being emotionally available and supportive, which conveys compassion and helps build a trusting relationship with clients during stressful times.

Question 8

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

Accepted Answer

The answer of The nurse recognizes which type of loss...

Question 9

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

The answer of The new graduate nurse is working with...

Question 10

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

The scenario illustrates "Biological factors" because the client's increased risk of breast cancer is directly related to her genetic predisposition, which is a biological factor. Family history of breast cancer in close relatives like a sister and mother significantly raises the risk, highlighting the role of genetics in health.

Question 11

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

Designating a corner of the patient's room to display personal mementos directly addresses the emotional and psychological needs of the patient by creating a more personalized and comforting environment, which can help in coping with the stress of prolonged hospitalization.

Question 12

When transferring a patient from a hospital to a long-term care facility, which action by the nurse is most helpful in facilitating the patient's planning and emotional adjustment?

Accepted Answer

Notifying the patient and family as much in advance of the transfer as possible is most helpful for planning and emotional adjustment. It allows the patient and their family time to prepare both practically and emotionally for the transition.

Question 13

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

The answer of The nurse is admitting a 62-year-old patient...

Question 14

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

Neuman's Continuum suggests that individuals move through a range of energy levels in response to stressors. A client with severe respiratory disease would likely be identified as having low energy due to compromised breathing, as their body's resources are significantly taxed by the effort to breathe and maintain oxygen levels.

Question 15

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

The answer of The nurse is providing care for a...

Question 16

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

The wellness-illness continuum concept involves managing health within the constraints of an individual's condition, aiming to maximize well-being and functionality. Encouraging positive health characteristics within the limits of a specific illness aligns with this approach by promoting the best possible quality of life and health outcomes within the context of the chronic condition.

Question 17

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

Accepted Answer

Healthy families are characterized by members who support each other in living a health-promoting lifestyle, including physical, mental, and emotional wellness. Choices B, C, and D do not reflect the proactive and supportive nature of healthy family dynamics.

Question 18

The nurse assigns a nursing assistant the task of ambulating a group of patients on the medical-surgical unit. Later in the morning, the nursing assistant tells the nurse, "Some of my patients feel very sick but want to get out of bed. Others say they feel well but don't want to get out of bed. What should I do?" Which is the most appropriate response by the nurse?

Accepted Answer

The most appropriate response is to prioritize patient comfort and willingness, suggesting that those who want to get up should be assisted first, and those who are reluctant or not feeling well can be helped later. This approach respects patient autonomy and readiness, potentially leading to a more positive experience and outcome.

Question 19

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

The most appropriate response by the nurse is to acknowledge the spouse's feelings and the impact of the loss without minimizing their experience or offering unsolicited advice. This approach demonstrates empathy and understanding, providing emotional support during a difficult time.

Question 20

The nurse is providing care for client who is 76 years of age and experiencing chronic illness related to genetic-linked anemia. The client does not eat a balanced diet and admits preferring sweets to meat and vegetables. Which dimension of health is the nurse most likely to influence with teaching and counseling?

Accepted Answer

The nurse can most directly influence the client's eating habits through teaching and counseling, as this involves modifiable behavior that can be changed with education and support.

Quiz 11: Experiencing Health Illness