COVERING BODY IMAGE & CHRONIC DISEASE, SPIRITUALITY IN
NURSING, LONG-TERM CARE CONTINUUM, SEXUALITY
INTERVENTIONS, CAREGIVER STRAIN, DEMENTIA, NEUROPATHIC PAIN,
MS, CAD, CANCER, DIABETES, AND EMPOWERMENT STRATEGIES |
WITH DETAILED RATIONALES & LATEST 2026/2027 EVIDENCE-BASED
UPDATES
1. What percentage of individuals over 65 years experience pain?
A. 1 in 5
B. 1 in 4
C. 1 in 3
D. 1 in 2
Answer: C. 1 in 3
Rationale: Research indicates that approximately one-third of
individuals over age 65 experience pain, making it a significant health
concern in the elderly population that nurses must assess and manage
appropriately.
2. Which of the following is a primary classification of sexual
difficulties in patients with Multiple Sclerosis?
A. Fatigue-related issues
B. Pain during intercourse
C. CNS damage or hormonal changes
D. Relationship concerns
Answer: C. CNS damage or hormonal changes
,Rationale: Primary sexual difficulties in MS result directly from central
nervous system damage or hormonal alterations caused by the disease
process itself, distinguishing them from secondary issues that arise from
symptoms or tertiary issues involving attitudes.
3. The Lubben Social Network Scale (LSNS) is used to measure which
condition?
A. Caregiver burden
B. Social isolation
C. Body image disturbance
D. Spiritual well-being
Answer: B. Social isolation
Rationale: The Lubben Social Network Scale is a validated assessment
tool specifically designed to measure social isolation by evaluating
family and friend connections, helping nurses identify patients at risk
for negative health outcomes.
4. Which of the following describes neuropathic pain?
A. Dull and aching
B. Throbbing and pressure
C. Burning and shooting
D. Sharp and localized
Answer: C. Burning and shooting
Rationale: Neuropathic pain is characteristically described as burning,
shooting, stabbing, paresthesia, or electrical sensations, resulting from
damage to the nervous system rather than tissue injury.
5. What is a benefit of incorporating spirituality into nursing practice?
A. Reduces medication costs
,B. Provides holistic approach to patient care
C. Eliminates need for physical assessment
D. Shortens hospital stays
Answer: B. Provides holistic approach to patient care
Rationale: Spirituality in nursing supports a holistic approach addressing
mind, body, and spirit, and promotes holding of hope, which is
connected to feelings of empowerment in the face of suffering.
6. Which factor is NOT considered a source of power when managing
powerlessness?
A. Physical strength
B. Financial wealth
C. Psychological stamina
D. Social support
Answer: B. Financial wealth
Rationale: Sources of power that can be shifted to help patients regain
control include physical strength, psychological stamina, social support,
energy, hope, motivation, knowledge, and positive self-concept, not
financial wealth.
7. How is dementia characterized?
A. Acute onset of confusion
B. Progressive impairment of cognitive functions
C. Reversible memory loss
D. Isolated memory problems
Answer: B. Progressive impairment of cognitive functions
, Rationale: Dementia is characterized by progressive impairment of
cognitive functions, personality, and behaviors, with symptoms
including memory loss, disorientation, impaired language, impaired
judgment, and in advanced stages, aggressiveness, mood swings,
wandering, and confusion.
8. What is the purpose of the Caregiver Strain Index?
A. Assess patient pain levels
B. Evaluate caregiver role strain
C. Measure medication adherence
D. Assess cognitive function
Answer: B. Evaluate caregiver role strain
Rationale: The Caregiver Strain Index is a specific assessment tool
designed to evaluate the burden and strain experienced by caregivers,
helping healthcare providers identify those who may need additional
support.
9. Which body image issue is influenced by chronic disease?
A. Temporary changes only
B. Changes that are always visible
C. Functional limitations
D. Changes that never draw attention
Answer: C. Functional limitations
Rationale: Functional limitations are one of the four body image issues
influenced by chronic disease, along with external visible changes,
appearance that may draw attention to stigmatizing causes, and
visibility/invisibility of body image alterations.