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NSG300 / NSG 300 Exam 4 Questions and Answers |
Test Prep | Latest Update 2026/2027 | Graded A+ |
Guaranteed Pass.
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 - 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
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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.
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. - 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
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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 - 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
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psychosocial factors can contribute to the 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).
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 - ANSWER-C delirium
related to UTI
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,
NSG300 / NSG 300 Exam 4 Questions and Answers |
Test Prep | Latest Update 2026/2027 | Graded A+ |
Guaranteed Pass.
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 - 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
,2 | Page
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.
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. - 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
,3 | Page
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 - 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
, 4 | Page
psychosocial factors can contribute to the 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).
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 - ANSWER-C delirium
related to UTI
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,
