NSG300
NSG300 Exam 4 Study Guide Questions and
Answers 2025
You are caring for an adolescent patient who underwent a gastric banding procedure 6
months previously. She tells you, "There is still a fat person inside of me." This type of
statement illustrates which type of stressor?
A identity stressor
B self-esteem stressor
C body image stressor
D role performance stressor -Correct Answer ✔C: body image stressor
Because the patient statement reflects her looks, this would be a body image issue. A
change in the appearance, structure, or function of a body part requires an adjustment
in body image. An individual's perception of the change and the relative importance
placed on body image affects the significance of a loss of function or change in
appearance. See page 693, section entitled "Factors Affecting Self-Concept." Your
textbook reviews each type of stressor and Figure 33.3 gives some great examples.
Fig. 33.3 p. 728
A nurse who recently graduated from nursing school is providing discharge instructions
to a patient who suffered a myocardial infarction (MI). The nurse knows that sexual
issues are common after an MI but feels uncomfortable bringing up this topic. What is
the best way for the nurse to handle this situation? Select all that apply.
A Instruct the patient to discuss any sexual concerns with their partner after discharge.
B Avoid discussing the topic unless the patient brings it up.
C Ask a more experienced nurse to cover this with the patient and learn from the
example.
NSG300
,NSG300
D Plan to attend conferences or training soon on how to discuss such issues.
E Encourage the patient to discuss any personal concerns with the cardiologist. -Correct
Answer ✔D Plan to attend conferences or training soon on how to discuss such issues.
C Ask a more experienced nurse to cover this with the patient and learn from the
example.
Most patients want to know how medications, treatments, and surgical procedures
influence their sexual relationship even though they often do not ask questions. With
experience nurses recognize that most patients welcome the opportunity to talk about
their sexuality, especially when they are experiencing difficulties. The classic PLISSIT
model provides an approach that nurses can use to assess sexuality in patients (Box
34.5).
How should you begin a sexual assessment? Ask for the client's permission!
PLISSIT Assessment of Sexuality
Permission to discuss sexuality issues
Limited Information related to sexual health problems being experienced
Specific Suggestions—only when the nurse is clear about the problem
Intensive Therapy—referral to professional with advanced training if necessary
What is one of the most common sexual problems affecting women of all ages?
A hyperactive sexual desire disorder
B hypoactive sexual desire disorder
C intersex variation
D erectile dysfunction -Correct Answer ✔B hypoactive sexual desire disorder
One of the most common problems affecting women of all ages is hypoactive sexual
desire disorder (HSDD). Biological, organic, or psychosocial factors can contribute to the
NSG300
,NSG300
incidence of HSDD. Chronic medical conditions such as breast or gynecological cancers
and hormonal fluctuations, pain, or depression and anxiety can contribute to a
decreased interest in sexual intimacy (LeVay et al., 2019).
A nurse in an outpatient setting is performing an admission assessment on a 77-year-old
woman who was suddenly widowed 3 weeks ago. During the health history the patient
tells the nurse that at times she "feels lost and isolated" and says she "does not feel like
participating in previous social or hobby activities." She says she "just doesn't feel like
her usual self." The nurse needs to understand that which of the following most directly
influences the patient's current self-concept?
A Attitude and behaviors of relatives providing care
B Caring behaviors of the nurse and health care team
C Level of education, economic status, and living conditions
D Adjustment to role change, loss of loved ones, and physical energy -Correct Answer
✔D Adjustment to role change, loss of loved ones, and physical energy
Older adults experience significant challenges to self-concept, including mental and
physical changes associated with aging and changes in identity and role following
retirement and/or loss of significant others. The adjustment to stressors is most
important. The other influences are important but to a lesser degree.
Your patient has a sudden onset of confusion with altered incoherent speech. The nurse
notices cloudy urine and the patient has a fever. What issue is most likely in this case?
A delirium related to new medication
B dementia related to chronic confusion
C delirium related to UTI
D dementia related to Alzheimer's disease -Correct Answer ✔C delirium related to UTI
NSG300
, NSG300
Delirium, or acute confusional state, is a potentially reversible cognitive impairment that
occurs suddenly and worsens at night (Touhy, 2018d). Delirium often has a physiological
cause. Physiological causes include electrolyte imbalances, untreated pain, infection,
cerebral anoxia, hypoglycemia, medication effects, tumors, subdural hematomas, and
cerebrovascular infarction or hemorrhage. A new onset of delirium should trigger the
nurse to assess for signs and symptoms of infections such as pneumonia and UTI.
Delirium may also be caused by environmental factors such as sensory deprivation or
overstimulation, unfamiliar surroundings, or sleep deprivation or psychosocial factors
such as emotional distress. Although it occurs in any setting, an older adult in the acute
care setting is especially at risk because of predisposing factors (physiological,
psychosocial, and environmental) in combination with underlying medical conditions.
Between 11% and 42% of hospitalized older adults develop delirium (Touhy, 2018d).
Dementia is an additional risk factor that greatly increases the risk for delirium; it is
possible for delirium and dementia to occur at the same time. The presence of delirium
is a medical emergency and requires prompt assessment and intervention. Nurses are at
the bedside 24/7 and in a position to recognize delirium development and report it. The
cognitive impairment usually reverses once health care providers identify and treat the
cause of delirium.
A 16-year-old female tells the school nurse that she doesn't need the human
papillomavirus (HPV) vaccine since her partner always uses condoms. What is the
nurse's best response?
A "Latex condoms are the most effective way to eliminate the risk of HPV transmission."
B "Your parents may not want you to receive the HPV vaccine since it has been shown to
increase sexual risk taking and sexual activity."
C "The HPV vaccine is recommended even if you use condoms because it targets the
specific viruses that cause cancer and genital warts."
D "You are past the recommended age to receive the vaccine." -Correct Answer ✔C "The
HPV vaccine is recommended even if you use condoms because it targets the specific
viruses that cause cancer and genital warts."
NSG300
NSG300 Exam 4 Study Guide Questions and
Answers 2025
You are caring for an adolescent patient who underwent a gastric banding procedure 6
months previously. She tells you, "There is still a fat person inside of me." This type of
statement illustrates which type of stressor?
A identity stressor
B self-esteem stressor
C body image stressor
D role performance stressor -Correct Answer ✔C: body image stressor
Because the patient statement reflects her looks, this would be a body image issue. A
change in the appearance, structure, or function of a body part requires an adjustment
in body image. An individual's perception of the change and the relative importance
placed on body image affects the significance of a loss of function or change in
appearance. See page 693, section entitled "Factors Affecting Self-Concept." Your
textbook reviews each type of stressor and Figure 33.3 gives some great examples.
Fig. 33.3 p. 728
A nurse who recently graduated from nursing school is providing discharge instructions
to a patient who suffered a myocardial infarction (MI). The nurse knows that sexual
issues are common after an MI but feels uncomfortable bringing up this topic. What is
the best way for the nurse to handle this situation? Select all that apply.
A Instruct the patient to discuss any sexual concerns with their partner after discharge.
B Avoid discussing the topic unless the patient brings it up.
C Ask a more experienced nurse to cover this with the patient and learn from the
example.
NSG300
,NSG300
D Plan to attend conferences or training soon on how to discuss such issues.
E Encourage the patient to discuss any personal concerns with the cardiologist. -Correct
Answer ✔D Plan to attend conferences or training soon on how to discuss such issues.
C Ask a more experienced nurse to cover this with the patient and learn from the
example.
Most patients want to know how medications, treatments, and surgical procedures
influence their sexual relationship even though they often do not ask questions. With
experience nurses recognize that most patients welcome the opportunity to talk about
their sexuality, especially when they are experiencing difficulties. The classic PLISSIT
model provides an approach that nurses can use to assess sexuality in patients (Box
34.5).
How should you begin a sexual assessment? Ask for the client's permission!
PLISSIT Assessment of Sexuality
Permission to discuss sexuality issues
Limited Information related to sexual health problems being experienced
Specific Suggestions—only when the nurse is clear about the problem
Intensive Therapy—referral to professional with advanced training if necessary
What is one of the most common sexual problems affecting women of all ages?
A hyperactive sexual desire disorder
B hypoactive sexual desire disorder
C intersex variation
D erectile dysfunction -Correct Answer ✔B hypoactive sexual desire disorder
One of the most common problems affecting women of all ages is hypoactive sexual
desire disorder (HSDD). Biological, organic, or psychosocial factors can contribute to the
NSG300
,NSG300
incidence of HSDD. Chronic medical conditions such as breast or gynecological cancers
and hormonal fluctuations, pain, or depression and anxiety can contribute to a
decreased interest in sexual intimacy (LeVay et al., 2019).
A nurse in an outpatient setting is performing an admission assessment on a 77-year-old
woman who was suddenly widowed 3 weeks ago. During the health history the patient
tells the nurse that at times she "feels lost and isolated" and says she "does not feel like
participating in previous social or hobby activities." She says she "just doesn't feel like
her usual self." The nurse needs to understand that which of the following most directly
influences the patient's current self-concept?
A Attitude and behaviors of relatives providing care
B Caring behaviors of the nurse and health care team
C Level of education, economic status, and living conditions
D Adjustment to role change, loss of loved ones, and physical energy -Correct Answer
✔D Adjustment to role change, loss of loved ones, and physical energy
Older adults experience significant challenges to self-concept, including mental and
physical changes associated with aging and changes in identity and role following
retirement and/or loss of significant others. The adjustment to stressors is most
important. The other influences are important but to a lesser degree.
Your patient has a sudden onset of confusion with altered incoherent speech. The nurse
notices cloudy urine and the patient has a fever. What issue is most likely in this case?
A delirium related to new medication
B dementia related to chronic confusion
C delirium related to UTI
D dementia related to Alzheimer's disease -Correct Answer ✔C delirium related to UTI
NSG300
, NSG300
Delirium, or acute confusional state, is a potentially reversible cognitive impairment that
occurs suddenly and worsens at night (Touhy, 2018d). Delirium often has a physiological
cause. Physiological causes include electrolyte imbalances, untreated pain, infection,
cerebral anoxia, hypoglycemia, medication effects, tumors, subdural hematomas, and
cerebrovascular infarction or hemorrhage. A new onset of delirium should trigger the
nurse to assess for signs and symptoms of infections such as pneumonia and UTI.
Delirium may also be caused by environmental factors such as sensory deprivation or
overstimulation, unfamiliar surroundings, or sleep deprivation or psychosocial factors
such as emotional distress. Although it occurs in any setting, an older adult in the acute
care setting is especially at risk because of predisposing factors (physiological,
psychosocial, and environmental) in combination with underlying medical conditions.
Between 11% and 42% of hospitalized older adults develop delirium (Touhy, 2018d).
Dementia is an additional risk factor that greatly increases the risk for delirium; it is
possible for delirium and dementia to occur at the same time. The presence of delirium
is a medical emergency and requires prompt assessment and intervention. Nurses are at
the bedside 24/7 and in a position to recognize delirium development and report it. The
cognitive impairment usually reverses once health care providers identify and treat the
cause of delirium.
A 16-year-old female tells the school nurse that she doesn't need the human
papillomavirus (HPV) vaccine since her partner always uses condoms. What is the
nurse's best response?
A "Latex condoms are the most effective way to eliminate the risk of HPV transmission."
B "Your parents may not want you to receive the HPV vaccine since it has been shown to
increase sexual risk taking and sexual activity."
C "The HPV vaccine is recommended even if you use condoms because it targets the
specific viruses that cause cancer and genital warts."
D "You are past the recommended age to receive the vaccine." -Correct Answer ✔C "The
HPV vaccine is recommended even if you use condoms because it targets the specific
viruses that cause cancer and genital warts."
NSG300
