Medical-Surgical Nursing 7th Edition Linton Matteson Test Bank

ttered room, encouraging clothing that does not impede self-toileting, and making the urinal available increase independence and alleviate situations that make self-toileting difficult. Waking a resident not only disturbs his or her rest, but doing so also increases dependency on the staff. DIF: Cognitive Level: Application REF: pp. 11-12 OBJ: 10 | 11 TOP: Independence in Long-Term Care Center KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation COMPLETION 1. The nurse clarifies that an impairment that creates a measurable diminished capacity to work is a(n) . ANS: disability When there is a measurable impairment that changes the individual’s lifestyle, it is referred to as a disability. DIF: Cognitive Level: Knowledge REF: p. 15 OBJ: N/A TOP: Rehabilitation Concepts KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care 2. What should the home health nurse do when teaching a family member the skill of injecting insulin effectively? Prioritize these nursing interventions for this situation. (Place the events in the appropriate sequence. Do not separate answers with a space or punctuation. Example: ABCD.) a. Offer instruction at an appropriate pace. b. Write down the steps of the procedure. c. Assess the level of knowledge of the family member. d. Inquire about the preferred learning style. e. Evaluate the family member’s performance. ANS: CBDAE Effective teaching depends on assessing the level of knowledge, breaking down the skill in steps, offering instruction in the preferred style, pacing the instruction appropriately, and evaluating the performance. DIF: Cognitive Level: Application REF: p. 14 OBJ: 1 TOP: Home Health Teaching KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 3. Prioritize the steps in solving an ethical dilemma. (Place the events in the appropriate sequence. Do not separate answers with a space or punctuation. Example: ABCD.) WWW.THENURSINGMASTERY.COM a. Evaluate the outcome. b. Plan an approach. c. Visualize the consequences. d. Take action. e. Identify the problem. ANS: EBCDA To solve an ethical dilemma, one must clearly identify the problem, plan an approach, visualize the consequences, take action, and evaluate the outcome. DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 7 TOP: Solving an Ethical Dilemma KEY: Nursing Process Step: N/A MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities Linton: Medical-Surgical Nursing, 7th Edition MULTIPLE CHOICE 1. What should be included in a patient‟s care plan in consideration of cultural similarities? a. Family, educational background, and economic level should all be considered. b. Subtle communication involving languages should be considered. c. Families have strong patriarchal leaders. d. Culture is learned, shared, and expressed similarly among members. ANS: D Different cultures have some similarities and some differences. How the culture is expressed in health care settings will be diverse. DIF: Cognitive Level: Comprehension REF: p. 26 OBJ: 4 TOP: Similarities among Cultures KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care 2. What is the basis for the health–illness continuum? a. Prevention of acute illness b. Individual response to health or illness c. Promotion of health and wellness d. Variation in degree of health or illness ANS: D Currently, health and illness are viewed as relative states along a continuum. Individuals are at neither absolute health nor absolute illness but are in an ever-changing state of being. DIF: Cognitive Level: Comprehension REF: pp. 25-26 OBJ: 5 TOP: Current View of Health-Illness Continuum KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control 3. What is the current concern of the health care system? a. Treating illness b. Preventing illness c. Promoting optimal function in the chronically ill d. Caring for patients with acute and chronic illness ANS: B Health promotion activities are directed toward maintaining or enhancing well-being as a protection against illness. DIF: Cognitive Level: Knowledge REF: pp. 25-26 OBJ: 2 | 5 TOP: Health Promotion KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control 4. What is the primary reason that family is an important unit in society? a. Offers unconditional love and acceptance. WWW.THENURSINGMASTERY.COM b. Provides emotional support and security. c. Is essential to life and society. d. Promotes cultural values and attitudes. ANS: B A family is defined as being joined together by bonds of sharing and emotional closeness. DIF: Cognitive Level: Comprehension REF: p. 33 OBJ: 8 TOP: The Family Unit KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. What should a nurse assess when a patient comes from an extended family? a. Multiple wage earners b. Three generations living together c. Children from previous marriages d. Parents of different ethnic origins ANS: B The extended family consists of relatives of either spouse who live with the nuclear family. Children, regardless of their parentage, are considered part of the nuclear family. DIF: Cognitive Level: Comprehension REF: p. 33 OBJ: 8 TOP: Types of Families KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 6. A nurse is designing a home care plan for a child with a congenital disease and is assessing the family values regarding home care. What is the best resource for the nurse to use? a. Current literature on congenital deformities b. General knowledge of the culture c. Patient‟s family d. Written survey ANS: C Determining the family‟s values, beliefs, customs, and behaviors that influence health needs and health care practice is important. The best source is the family itself. DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: 11 TOP: Cultural Aspects KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 7. A nurse counsels a family regarding the stage of families with adolescents. Which developmental task is appropriate for the nurse to include? a. Maintaining relationships with the extended family b. Developing parental roles to meet the needs of children c. Maintaining a satisfying marital relationship d. Maintaining open communication between parent and children ANS: D The family developmental tasks at this stage include balancing freedom with responsibility and maintaining communication between parents and children. WWW.THENURSINGMASTERY.COM DIF: Cognitive Level: Comprehension REF: p. 34|Table 3.3 OBJ: 8 TOP: Family Life Cycles KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 8. Which developmental task should families master in later life? a. Becoming role models for their grandchildren b. Making a significant contribution to society c. Abandoning the parental role to grown children d. Maintaining a satisfactory living arrangement ANS: D The last stage of the family life cycle includes families in later life who are adjusting to retirement, the aging process, decreased self-esteem, and changes in status and health issues. Maintaining a satisfactory living arrangement is the primary developmental task. DIF: Cognitive Level: Comprehension REF: p. 34|Table 3.3 OBJ: 8 TOP: Family Life Cycles KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 9. Culture and social class usually set a precedent for different roles and responsibilities of each family member. Which example best demonstrates the healthiest family? a. The father assumes the role as breadwinner. b. The mother assumes the role as homemaker. c. The father or mother shares the roles of breadwinner and homemaker. d. The roles of breadwinner or homemaker can be shifted as needed. ANS: D A healthy family is one in which the opportunity to shift roles occurs easily from time to time. DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: 8 TOP: Family Role StructureKEY: Nursing Process Step: N/A MSC: NCLEX: N/A 10. During a family counseling session, a patient, a mother of a 5-year-old son, states, “I don‟t understand why my husband continually tries to get our son involved in T-ball. My son said the coach and his dad yelled at him and told him the game was lost because he couldn‟t catch the ball.” What is the most important family interaction to maintain a healthy family unit? a. Maintain open communication among all family members. b. Encourage self-acceptance and self-esteem for all family members. c. Encourage all family members to participate in community events. d. Realize that not all family members may be able to fulfill assigned roles. ANS: B The most important influence on family interaction is the self-esteem of each member. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: 9 TOP: Family Interaction KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development WWW.THENURSINGMASTERY.COM 11. For the past three evenings, shortly after their arrival in the hospital unit, the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital. The patient begins to cry and complains about her abdominal pain. What role is the patient assuming? a. Caretaker b. Martyr c. Blocker d. Scapegoat ANS: D A scapegoat usually assumes the role to maintain homeostasis, serving to divert attention from marital conflict between spouses. DIF: Cognitive Level: Analysis REF: p. 34 OBJ: 9 | 10 TOP: Family Role StructureKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 12. A patient, a 36-year-old mother of four children, is crying. She relates to you that her best friend just told her, “You are a good mother and you do everything perfectly, but I don‟t think you enjoy it.” What role is the patient assuming? a. Caretaker b. Martyr c. Contributor d. Harmonizer ANS: B A martyr sacrifices everything for the sake of the family. DIF: Cognitive Level: Analysis REF: p. 34 OBJ: 9 | 10 TOP: Family Role StructureKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 13. What is the basis for the roles children assume in families? a. Obligation b. Instinct c. Observation d. Rewards ANS: D Parents reward children for fulfilling certain roles, which children adopt and maintain as they mature. DIF: Cognitive Level: Comprehension REF: p. 34|p. 35 OBJ: 9 TOP: Family Role StructureKEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 14. A patient confides that her husband shares only the incidental happenings of his day at work as he reads the paper, and he never tells her that he loves her anymore. She is beginning to wonder if their marriage is getting stale. What communication pattern should the nurse recognize? a. Affective WWW.THENURSINGMASTERY.COM b. Affectional c. Functional d. Dysfunctional ANS: D One type of dysfunctional communication involves using chitchat about unimportant daily occurrences to avoid discussing meaningful issues or expressing feelings. DIF: Cognitive Level: Analysis REF: p. 35 OBJ: 9 TOP: Functional Communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 15. What should a nurse consider when discussing the communication patterns of families with the patient? a. Cultural aspects of the family b. Age of the family members c. Role adopted by each family member d. Number of members in the family ANS: A Although each option has significance, cultural aspects must be considered in determining the functioning level of the family as it affects the roles taken. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: 9 TOP: Functional Communication KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 16. A patient states that her 5-year-old daughter is always running up to relatives and friends and wants to give them a big hug and kiss. The patient asks if her daughter is appropriate in her actions. What is the most appropriate reply based on the concepts of functional communication? a. “Your daughter‟s actions are definitely dysfunctional.” b. “Your daughter is just being a „little girl‟ and will outgrow being so affectionate.” c. “Your daughter is going through a normal developmental phase.” d. “Does your mother-in-law show signs of affection toward your daughter?” ANS: C Physical expression of emotion usually dominates in early childhood and is normal in the developmental pattern. DIF: Cognitive Level: Application REF: p. 35 OBJ: 9 TOP: Functional Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 17. For what should functional patterns of communication in the family setting provide a means? a. Nurturing b. Information c. Closeness d. Openness ANS: A WWW.THENURSINGMASTERY.COM Functional patterns of communication include emotional and affective communication that deals with the expression of feelings and nurturing. A healthy family is able to demonstrate a wide range of emotions and feelings. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: 9 TOP: Functional Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 18. What does the manner in which a family unit adapts to stress affect? a. Ability to communicate and function b. Health and function c. Level of affective communication d. Ability to adapt and function ANS: B The manner in which a family handles stress can affect the health of the family. DIF: Cognitive Level: Comprehension REF: pp. 36-37 OBJ: 11 TOP: Stress and Adaptation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 19. A patient who was recently diagnosed with cancer tells the nurse that she is so grateful for her children and family because she does not know what she would do without them. Which coping response is being exhibited? a. Internal family b. External family c. Family communication d. Social support ANS: A The internal family coping responses are those that the family relationships use as support. DIF: Cognitive Level: Comprehension REF: p. 36 OBJ: 10 TOP: Coping Strategies KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 20. What is the main role of the nurse when assessing families and their coping strategies? a. Emotional support and reassurance b. Information and reassurance c. Emotional support and referral d. Elimination of the stressor ANS: B Families need information and reassurance. DIF: Cognitive Level: Comprehension REF: pp. 36-37 OBJ: 10 TOP: Role of the Nurse KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 21. What is the best description of the current view of the family as a unit? a. Functioning together to provide security and support to its members b. Functioning to meet the needs of society and support its members WWW.THENURSINGMASTERY.COM c. A unit of two or more that shares common goals and mutual support d. A unit of two or more joined together by mutual bonds and identity ANS: D Friedman (1997) defined the family as “…two or more persons joined together by bonds of sharing and emotional closeness and who identify themselves as being part of the family.” DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: 8 TOP: Family Role StructureKEY: Nursing Process Step: N/A MSC: NCLEX: N/A 22. A nurse reminds a patient that communication in the family unit involves continual exchange of information. Which is the best example of this concept? a. Determining the intent of the communication being sent b. Determining whether the communication is functional or dysfunctional c. Accepting individual differences d. Excluding emotional responses ANS: C Clear communication is a way of fostering a nurturing environment. Communication patterns in a functional family demonstrate an acceptance of individual differences, openness, honesty, and recognition of needs. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: 9 TOP: Family Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 23. What is the basis for the health–illness continuum? a. Prevention of acute illness b. Individual response to health or illness c. Promotion of health and wellness d. Variation in degree of health or illness ANS: D Currently, health and illness are viewed as relative states along a continuum. Individuals are at neither absolute health nor absolute illness but are in an ever-changing state of being. DIF: Cognitive Level: Comprehension REF: p. 25 OBJ: 2 | 5 TOP: Current View of Health-Illness Continuum KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control 24. What should a nurse take into consideration regarding developmental tasks when planning patient care? a. All of the activities performed throughout life. b. Activities learned primarily in the middle years of life. c. Things to be learned and accomplished in each stage of life. d. All actions taken when confronted with specific problems. ANS: C WWW.THENURSINGMASTERY.COM Developmental processes are changes that present challenges that must be undertaken and mastered for a person to go on to the next stage successfully. DIF: Cognitive Level: Comprehension REF: p. 30 OBJ: 8 TOP: Developmental Tasks KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 25. Which behavior is not characteristic of a young adult‟s developmental task? a. Living in his or her own apartment b. Accepting a place on the board of a community agency c. Interacting with a large group of friends d. Dating many different young women ANS: D As young adults enter their 30s and 40s, their focus is directed mainly toward raising a family and furthering their career. A heterosexual intimate relationship is not in keeping with developmental tasks. DIF: Cognitive Level: Comprehension REF: pp. 30-31 OBJ: 8 TOP: Developmental Tasks: Young Adulthood KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development MULTIPLE RESPONSE 1. What is included in the functional communication styles in a family? (Select all that apply.) a. Openness b. Subtlety c. Chitchat d. Spontaneity e. Self-disclosure ANS: A, D, E Functional communication is open and honest and has no subtlety or superficial chitchat. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: 9 TOP: Functional Communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 2. A nurse makes a patient referral to a community resource. What benefit(s) will this referral provide? (Select all that apply.) a. Provision of helpful literature b. Ongoing and consistent assistance c. Reassurance to the family members that t