Nurs 220 Exam 1-4 Review
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1. To evaluate a client's personal -Personal identity can be evaluated from the standpoint of
identity, the nurse should con- three aspects of self; the ideal self, the real self, and the public
sider what three aspects of the self.
client's self?
Rationale: The ideal self reflects the qualities an individual
believes he or she should possess, as well as those he or
she aspires to develop. The real self represents an individual's
perceived true self; it may include observations about self or
self perceived qualities that the individual hides from others
or does not readily share. The public self is formed on the
basis of how the individual wishes to be perceived by others.
2. Which hormone is one of the -The two primary stress mediators are glucocorticoids (e.g.
primary mediators of stress? cortisol) and catecholamines (e.g. epinephrine).
Rationale: Serotonin is a neurotransmitter that is involved in
some mood and anxiety disorders, but it is not a primary
mediator of stress. Somatostatin is a hormone released by
the pituitary gland. It is not involved in the stress response.
Glucagon is secreted by the pancreas to increase blood glu-
cose levels.
3. The nurse is caring for a client A) The duration of the illness
who is hospitalized with pneu- B) The effect of the illness on future family functioning
monia. Which of the following D) The meaning of the illness to the family
will the nurse assess when de- E) The financial impact of the illness
termining the impact of the ill-
ness on the family? Select all The impact on the family is assessed by the duration of the
that apply illness as well as its effect on the family finances and func-
tioning. Other factors include residual effects of the illness,
A) The duration of the illness meaning of the illness to the family, and its significance to
B) The effect of the illness on
, Nurs 220 Exam 1-4 Review
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future family functioning family systems. The cause of the illness is not a factor that
C) The cause of the illness determines the impact on the family.
D) The meaning of the illness
to the family
E) The financial impact of the
illness
4. What is the major effect of a -Serious illness or injury may result in changes in family roles,
health crisis on family struc- responsibilities, and functions.
ture?
Rationale: Illness may precipitate a health crisis in a family.
Regardless of how the family adapts to an illness, members
of the family must constantly adjust roles and responsibilities
to manage the need of the ill family member.
5. The nurse is assessing his A) Body image
client's self concept. The client C) Self-esteem
is status post-myocardial in- E) Sexual orientation
farction and is due to be dis-
charged tomorrow. Which of The nurse assessing self-concept focuses on the client's per-
the following focuses will give sonal identity, body image, self-esteem, and role perfor-
the nurse the most informa- mance. Sexual orientation and gender identity do not always
tion about the client's self con- provide information about self-concept.
cept? select all that apply.
A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation
6. It is a religious holy day. -Contact the chaplain to request to see the client today.
The hospitalized client is with-
drawn, occasionally tearful, Rationale: Even on a holy day, there is usually a spiritual
, Nurs 220 Exam 1-4 Review
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and requests a minister to see caregiver on call for the hospital. Encouraging the family to
him. Family is at the bedside. talk to the client ignores the client's request. The other options
What action would the nurse may bring some relief to the client, but they still ignore his
take to address the client's request for a spiritual caregiver.
spiritual distress on this day?
7. The nurse is caring for a -Family disorganization may occur.
woman who was involved in
a car accident. The client's Rationale: The death of a family member often has a profound
husband was killed in the effect on the whole family-especially if the deceased, as in this
accident. The couple has situation, was the head of the family. Family disorganization
two teenage children. Which would be common, but as the family begins to recover, a new
statement explains how this sense of normalcy develops and the family reintegrates its
tragedy will be approached by roles and functions. Families need support from extended
the family? family members, their community, and spiritual advisers. The
other options are not considered normal patterns of family
grieving, and the nurse should be alert for problems that may
develop if these are present.
8. Occupation-specific stressors -Burnout
that are ongoing and unman-
aged can lead to what extreme Rationale: Eustress is good stress that leads to accomplish-
form of stress? ment and victory. Distress is bad stress that is associated with
inadequacy, insecurity, and loss. Although occupation-specific
stressors can be a type of distress, distress is not the specific
term for the extreme form of stress caused by ongoing and
unmanaged stress. The term used for that form of extreme
stress us burnout. Burnout in nurses can lead to reduced
quality of care and decreased patient satisfaction. Allostasis
refers to changes necessary to achieve homeostasis
9. Which of the following most A) It is the overall level of distress experienced as a result of
accurately describes the fam- the mental illness
, Nurs 220 Exam 1-4 Review
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ily burden associated with
mental illness? Family burden is the overall level of distress experienced as a
result of the mental illness.
A) It is the overall level of dis- Stigma is the pattern of negative attitudes that lead people
tress experienced as a result of to fear in discriminate against individuals with mental illness
the mental illness. and their families. Objective burdens are a type of family
B) It is the pattern of negative burden that is measurable or quantifiable. An echo map is an
attitudes that lead people to assessment tool that helps nurses visualize how the family can
fear individuals with mental ill- interacts with the external community environment.
ness.
C) It is the measurable or
quantifiable impacts of mental
illness on the family.
D) It is the assessment that vi-
sualizes the way the family in-
teracts with the community.
10. The nurse is assessing a B) The client reads spiritual material every morning.
client's spirituality. Which of E) The client tells the nurse she is convinced she will be
the following findings would punished in the afterlife.
suggest that the client ex-
periences of spirituality as a Regularly reading spiritual material and asking to watch a re-
source of strength? ligious service on Television are actions that suggest the client
views spirituality as a source of strength in contrast, focusing
A) The client uses the tele- on possible punishment in the after life would suggest that
phone to inform family mem- the client is experiencing spiritual distress. Lack of interest in
bers of an unwanted diagno- meeting with a chaplain might indicate spiritual distress, or it
sis. might indicate that the diagnosis on the phone is unrelated
B) The client reads spiritual to spirituality.
material every morning.
C) The client asks to watch a
religious service on television.
Study online at https://quizlet.com/_aop4al
1. To evaluate a client's personal -Personal identity can be evaluated from the standpoint of
identity, the nurse should con- three aspects of self; the ideal self, the real self, and the public
sider what three aspects of the self.
client's self?
Rationale: The ideal self reflects the qualities an individual
believes he or she should possess, as well as those he or
she aspires to develop. The real self represents an individual's
perceived true self; it may include observations about self or
self perceived qualities that the individual hides from others
or does not readily share. The public self is formed on the
basis of how the individual wishes to be perceived by others.
2. Which hormone is one of the -The two primary stress mediators are glucocorticoids (e.g.
primary mediators of stress? cortisol) and catecholamines (e.g. epinephrine).
Rationale: Serotonin is a neurotransmitter that is involved in
some mood and anxiety disorders, but it is not a primary
mediator of stress. Somatostatin is a hormone released by
the pituitary gland. It is not involved in the stress response.
Glucagon is secreted by the pancreas to increase blood glu-
cose levels.
3. The nurse is caring for a client A) The duration of the illness
who is hospitalized with pneu- B) The effect of the illness on future family functioning
monia. Which of the following D) The meaning of the illness to the family
will the nurse assess when de- E) The financial impact of the illness
termining the impact of the ill-
ness on the family? Select all The impact on the family is assessed by the duration of the
that apply illness as well as its effect on the family finances and func-
tioning. Other factors include residual effects of the illness,
A) The duration of the illness meaning of the illness to the family, and its significance to
B) The effect of the illness on
, Nurs 220 Exam 1-4 Review
Study online at https://quizlet.com/_aop4al
future family functioning family systems. The cause of the illness is not a factor that
C) The cause of the illness determines the impact on the family.
D) The meaning of the illness
to the family
E) The financial impact of the
illness
4. What is the major effect of a -Serious illness or injury may result in changes in family roles,
health crisis on family struc- responsibilities, and functions.
ture?
Rationale: Illness may precipitate a health crisis in a family.
Regardless of how the family adapts to an illness, members
of the family must constantly adjust roles and responsibilities
to manage the need of the ill family member.
5. The nurse is assessing his A) Body image
client's self concept. The client C) Self-esteem
is status post-myocardial in- E) Sexual orientation
farction and is due to be dis-
charged tomorrow. Which of The nurse assessing self-concept focuses on the client's per-
the following focuses will give sonal identity, body image, self-esteem, and role perfor-
the nurse the most informa- mance. Sexual orientation and gender identity do not always
tion about the client's self con- provide information about self-concept.
cept? select all that apply.
A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation
6. It is a religious holy day. -Contact the chaplain to request to see the client today.
The hospitalized client is with-
drawn, occasionally tearful, Rationale: Even on a holy day, there is usually a spiritual
, Nurs 220 Exam 1-4 Review
Study online at https://quizlet.com/_aop4al
and requests a minister to see caregiver on call for the hospital. Encouraging the family to
him. Family is at the bedside. talk to the client ignores the client's request. The other options
What action would the nurse may bring some relief to the client, but they still ignore his
take to address the client's request for a spiritual caregiver.
spiritual distress on this day?
7. The nurse is caring for a -Family disorganization may occur.
woman who was involved in
a car accident. The client's Rationale: The death of a family member often has a profound
husband was killed in the effect on the whole family-especially if the deceased, as in this
accident. The couple has situation, was the head of the family. Family disorganization
two teenage children. Which would be common, but as the family begins to recover, a new
statement explains how this sense of normalcy develops and the family reintegrates its
tragedy will be approached by roles and functions. Families need support from extended
the family? family members, their community, and spiritual advisers. The
other options are not considered normal patterns of family
grieving, and the nurse should be alert for problems that may
develop if these are present.
8. Occupation-specific stressors -Burnout
that are ongoing and unman-
aged can lead to what extreme Rationale: Eustress is good stress that leads to accomplish-
form of stress? ment and victory. Distress is bad stress that is associated with
inadequacy, insecurity, and loss. Although occupation-specific
stressors can be a type of distress, distress is not the specific
term for the extreme form of stress caused by ongoing and
unmanaged stress. The term used for that form of extreme
stress us burnout. Burnout in nurses can lead to reduced
quality of care and decreased patient satisfaction. Allostasis
refers to changes necessary to achieve homeostasis
9. Which of the following most A) It is the overall level of distress experienced as a result of
accurately describes the fam- the mental illness
, Nurs 220 Exam 1-4 Review
Study online at https://quizlet.com/_aop4al
ily burden associated with
mental illness? Family burden is the overall level of distress experienced as a
result of the mental illness.
A) It is the overall level of dis- Stigma is the pattern of negative attitudes that lead people
tress experienced as a result of to fear in discriminate against individuals with mental illness
the mental illness. and their families. Objective burdens are a type of family
B) It is the pattern of negative burden that is measurable or quantifiable. An echo map is an
attitudes that lead people to assessment tool that helps nurses visualize how the family can
fear individuals with mental ill- interacts with the external community environment.
ness.
C) It is the measurable or
quantifiable impacts of mental
illness on the family.
D) It is the assessment that vi-
sualizes the way the family in-
teracts with the community.
10. The nurse is assessing a B) The client reads spiritual material every morning.
client's spirituality. Which of E) The client tells the nurse she is convinced she will be
the following findings would punished in the afterlife.
suggest that the client ex-
periences of spirituality as a Regularly reading spiritual material and asking to watch a re-
source of strength? ligious service on Television are actions that suggest the client
views spirituality as a source of strength in contrast, focusing
A) The client uses the tele- on possible punishment in the after life would suggest that
phone to inform family mem- the client is experiencing spiritual distress. Lack of interest in
bers of an unwanted diagno- meeting with a chaplain might indicate spiritual distress, or it
sis. might indicate that the diagnosis on the phone is unrelated
B) The client reads spiritual to spirituality.
material every morning.
C) The client asks to watch a
religious service on television.
