ECPI VB Nur 168 Concepts 3 Final Review
A 16-year-old patient has been diagnosed with Body Image
Disturbance related to severe acne. In planning nursing care,
what is an appropriate goal for this patient?
A. The patient will make above-B grades in all tests at school.
B. The patient will demonstrate, by diet control and skin care,
increased interest in control of acne.
C. The patient reports that she feels more self-confident in her
music and art, which she enjoys.
D. The patient expresses that she is very smart in school.
Correct Answers B
A 17-year-old college student calls the emergency department
(ED) and tells the nurse that she was raped by a professor. She
wants to come to the ED, but only if the nurse can assure her
that they will not call her parents. What should be the nurse's
first priority?
A. Getting the patient into a safe environment and mobilizing
support for her
B. Encouraging the student to disclose the name of the professor
so that his predatory behavior will be stopped
C. Convincing the student to be assessed for pregnancy, STIs, or
other complications
D. Convincing the student to tell her parents so that she can
receive their support Correct Answers A
A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
,A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions Correct Answers D
A 33-year-old businessperson is in counseling, attempting to
deal with a long-repressed history of sexual abuse by her father.
"I guess I should feel satisfied with what I've achieved in life,
but I'm never content, and nothing I achieve makes me feel good
about myself.... I hate my father for making me feel like I'm no
good. This is an awful way to live." What self-concept
disturbance is this person experiencing?
A. Personal Identity Disturbance
B. Body Image Disturbance
C. Self-Esteem Disturbance
D. Altered Role Performance Correct Answers C
A 36-year-old woman enters the emergency department with
severe burns and cuts on her face after an auto accident in a car
driven by her fiancé of 3 months. Three weeks later, her fiancé
has not yet contacted her. The patient states that she is very busy
and she is too tired to have visitors anyway. The patient
frequently lies with her eyes closed and head turned away. What
do these data suggest?
A. There is no disturbance in self-concept.
B. This patient has ego strength and high self-esteem but may
have a disturbance of body image.
C. The area of self-esteem has very low priority at this time and
should be ignored until much later.
D. It is probable that there are disturbances in self-esteem and
body image. Correct Answers D
,A 70-year-old patient who has had a number of strokes refuses
further life-sustaining interventions, including artificial nutrition
and hydration. She is competent, understands the consequences
of her actions, is not depressed, and persists in refusing
treatment. Her health care provider is adamant that she cannot
be allowed to die this way, and her daughter agrees. An ethics
consult has been initiated. Who would be the appropriate
decision maker?
A. The patient
B. The patient's daughter
C. The patient's health care provider
D. The ethics consult team Correct Answers A
A certified nurse midwife is teaching a pregnant woman
techniques to reduce the pain of childbirth. Which stress
reduction activities would be most effective? Select all that
apply.
A. Progressive muscle relaxation
B. Meditation
C. Anticipatory socialization
D. Biofeedback
E. Rhythmic breathing
F. Guided imagery Correct Answers A, B, E, F
A charge nurse in a busy hospital manages a skilled nursing unit
using an autocratic style of leadership. Which leadership tasks
BEST represent this style of leadership?
(Select all that apply.)
A. The charge nurse polls the other nurses for input on nursing
protocols.
, B. The charge nurse dictates break schedules for the other
nurses.
C. The charge nurse schedules a mandatory in-service training
on new equipment.
D. The charge nurse allows the other nurses to divide up nursing
tasks.
E. The charge nurse delegates nursing responsibilities to the
staff.
F. The charge nurse encourages the nurses to work
independently. Correct Answers B, C, E
A college freshman away from home for the first time says to a
counselor, "Why did I have to be born into a family of big
bottoms and short fat legs! No one will ever ask me out for a
date. Oh, why can't I have long thin legs like everyone else in
my class? What a frump I am." What type of disturbance in self-
concept is this patient experiencing?
A. Personal Identity Disturbance
B. Body Image Disturbance
C. Self-Esteem Disturbance
D. Altered Role Performance Correct Answers B
A college student visits the school's health center with vague
complaints of anxiety and fatigue. The student tells the nurse,
"Exams are right around the corner and all I feel like doing is
sleeping." The student's vital signs are within normal
parameters. What would be an appropriate question to ask in
response to the student's verbalizations?
A. "Are you worried about failing your exams?"
B. "Have you been staying up late studying?"
C. "Are you using any recreational drugs?"
A 16-year-old patient has been diagnosed with Body Image
Disturbance related to severe acne. In planning nursing care,
what is an appropriate goal for this patient?
A. The patient will make above-B grades in all tests at school.
B. The patient will demonstrate, by diet control and skin care,
increased interest in control of acne.
C. The patient reports that she feels more self-confident in her
music and art, which she enjoys.
D. The patient expresses that she is very smart in school.
Correct Answers B
A 17-year-old college student calls the emergency department
(ED) and tells the nurse that she was raped by a professor. She
wants to come to the ED, but only if the nurse can assure her
that they will not call her parents. What should be the nurse's
first priority?
A. Getting the patient into a safe environment and mobilizing
support for her
B. Encouraging the student to disclose the name of the professor
so that his predatory behavior will be stopped
C. Convincing the student to be assessed for pregnancy, STIs, or
other complications
D. Convincing the student to tell her parents so that she can
receive their support Correct Answers A
A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
,A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions Correct Answers D
A 33-year-old businessperson is in counseling, attempting to
deal with a long-repressed history of sexual abuse by her father.
"I guess I should feel satisfied with what I've achieved in life,
but I'm never content, and nothing I achieve makes me feel good
about myself.... I hate my father for making me feel like I'm no
good. This is an awful way to live." What self-concept
disturbance is this person experiencing?
A. Personal Identity Disturbance
B. Body Image Disturbance
C. Self-Esteem Disturbance
D. Altered Role Performance Correct Answers C
A 36-year-old woman enters the emergency department with
severe burns and cuts on her face after an auto accident in a car
driven by her fiancé of 3 months. Three weeks later, her fiancé
has not yet contacted her. The patient states that she is very busy
and she is too tired to have visitors anyway. The patient
frequently lies with her eyes closed and head turned away. What
do these data suggest?
A. There is no disturbance in self-concept.
B. This patient has ego strength and high self-esteem but may
have a disturbance of body image.
C. The area of self-esteem has very low priority at this time and
should be ignored until much later.
D. It is probable that there are disturbances in self-esteem and
body image. Correct Answers D
,A 70-year-old patient who has had a number of strokes refuses
further life-sustaining interventions, including artificial nutrition
and hydration. She is competent, understands the consequences
of her actions, is not depressed, and persists in refusing
treatment. Her health care provider is adamant that she cannot
be allowed to die this way, and her daughter agrees. An ethics
consult has been initiated. Who would be the appropriate
decision maker?
A. The patient
B. The patient's daughter
C. The patient's health care provider
D. The ethics consult team Correct Answers A
A certified nurse midwife is teaching a pregnant woman
techniques to reduce the pain of childbirth. Which stress
reduction activities would be most effective? Select all that
apply.
A. Progressive muscle relaxation
B. Meditation
C. Anticipatory socialization
D. Biofeedback
E. Rhythmic breathing
F. Guided imagery Correct Answers A, B, E, F
A charge nurse in a busy hospital manages a skilled nursing unit
using an autocratic style of leadership. Which leadership tasks
BEST represent this style of leadership?
(Select all that apply.)
A. The charge nurse polls the other nurses for input on nursing
protocols.
, B. The charge nurse dictates break schedules for the other
nurses.
C. The charge nurse schedules a mandatory in-service training
on new equipment.
D. The charge nurse allows the other nurses to divide up nursing
tasks.
E. The charge nurse delegates nursing responsibilities to the
staff.
F. The charge nurse encourages the nurses to work
independently. Correct Answers B, C, E
A college freshman away from home for the first time says to a
counselor, "Why did I have to be born into a family of big
bottoms and short fat legs! No one will ever ask me out for a
date. Oh, why can't I have long thin legs like everyone else in
my class? What a frump I am." What type of disturbance in self-
concept is this patient experiencing?
A. Personal Identity Disturbance
B. Body Image Disturbance
C. Self-Esteem Disturbance
D. Altered Role Performance Correct Answers B
A college student visits the school's health center with vague
complaints of anxiety and fatigue. The student tells the nurse,
"Exams are right around the corner and all I feel like doing is
sleeping." The student's vital signs are within normal
parameters. What would be an appropriate question to ask in
response to the student's verbalizations?
A. "Are you worried about failing your exams?"
B. "Have you been staying up late studying?"
C. "Are you using any recreational drugs?"
