SHEILA L. VIDEBECK TEST BANK
Chapter 7: Client’s Response to Illness
1. The nurse is assessing the anxiety level of a young school-age child. The nurse
encourages the child to express feelings through the use of toys in a play situation. The
purpose for this approach to assessment is largely related to which of the following? A)
The child has cognitive impairment and has limited vocabulary skills.
B) The child has not been intellectually stimulated and can only express self through
play.
C) Children may not have developed the language to fully describe their feelings.
D) Children will not express themselves openly unless instructed to do so by parents.
Ans: C
Feedback:
A client's age can influence how he or she expresses illness. A young child may lack the
understanding and ability to describe his or her feelings, which may make management
of the disorder more challenging. Nurses must be aware of the child's level of language
and work to understand the experience as he or she describes it.
2. A nurse is teaching decision-making skills to a client with dependent personality
disorder. According to Erikson, the likely cause of the client developing dependent
personality is failure to meet the critical task of which developmental stage?
A) Trust
B) Autonomy
C) Initiative
D) Industry
Ans: D
Feedback:
Failure to complete the critical task results in a negative outcome for that stage of
development and impedes completion of future tasks. Tasks of trust versus mistrust
include viewing the world as safe and reliable and viewing relationships as nurturing,
stable, and dependable. In autonomy versus shame and doubt, children achieve a sense
of control and free will. In initiative versus guilt, the child begins to develop a
conscience, and learns to manage conflict and anxiety. Industry versus inferiority
involves school-age children building confidence in their own abilities and taking
pleasure in accomplishments.
Page 1
, SHEILA L. VIDEBECK TEST BANK
3. Which one of the following statements is most accurate regarding the age at onset of a
mental illness such as schizophrenia?
A) Persons who are diagnosed at a younger age will more likely have a poorer
outcome.
B) Persons who are diagnosed at a younger age will more likely have a better
outcome.
C) Age at diagnosis is not related to outcomes.
D) Younger clients have more experiences that will help them.
Ans: A
Feedback:
Persons who are diagnosed with schizophrenia at a younger age at onset have poorer
outcomes, such as more negative signs and less effective coping skills, than do people
with a later age at onset. A possible reason for this difference is that younger clients
have not had experiences of successful independent living or the opportunity to work
and be self-sufficient and have a less well-developed sense of personal identity than
older clients.
4. Genetics have been shown to play which of the following roles in a person's mental and
emotional health?
A) Several mental disorders appear to run in families.
B) Specific genes have been linked to certain mental disorders.
C) Biologic factors can be modified to change the influence on emotional health.
D) Psychiatric treatment is effective regardless of an individual's biologic influences.
Ans: A
Feedback:
Heredity and biologic factors are not under voluntary control. We cannot change these
factors. Research has identified genetic links to several disorders. Although specific
genetic links have not been identified for several mental disorders (e.g., bipolar disorder,
major depression, and alcoholism), research has shown that these disorders tend to
appear more frequently in families. Genetic makeup tremendously influences a person's
response to illness and perhaps even to treatment.
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, SHEILA L. VIDEBECK TEST BANK
5. Which one of the following statements about the roles that biologic makeup plays in a
client's emotional responses is most accurate?
A) Biologic differences can affect a client's response to treatment with psychotropic
drugs.
B) Biologic differences do not affect a client's response to treatment with
psychotropic drugs.
C) Heredity and biologic factors are under voluntary control.
D) Persons cannot change their health status and improve the ability to cope.
Ans: A
Feedback:
Biologic differences can affect a client's response to treatment with psychotropic drugs.
Heredity and biologic factors are not under voluntary control. Persons can change their
health status and improve their ability to cope.
6. Which of the following individual factors can a person modify to improve mental and
emotional health? Select all that apply.
A) Serotonin deficiency
B) Lack of exercise
C) Poor nutrition
D) Type I diabetes
E) Sleeplessness
Ans: B, C, E
Feedback:
Personal health practices, such as exercise, poor nutritional status, lack of sleep, or a
chronic physical illness, can influence the client's response to illness. Unlike genetic
factors, how a person lives and takes care of himself or herself can alter many of these
factors. For this reason, nurses must assess the client's physical health even when the
client is seeking help for mental health problems. Serotonin deficiency and type I
diabetes are not under voluntary control.
7. The nurse is preparing to administer PRN medication to a client of a Japanese descent
who is anxious. The prescription reads, ìAlprazolam (Xanax) 0.25 to 1.0 mg PO PRN.î
The best dose for the nurse to give initially is
A) 0.25 mg.
B) 0.5 mg.
C) 0.75 mg.
D) 1.0 mg.
Ans: A
Feedback:
In general, nonwhites treated with Western dosing protocols have higher serum levels
per dose and suffer more side effects. Persons of Asian descent often metabolize drugs
more slowly, requiring lower doses to produce therapeutic effects.
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Chapter 7: Client’s Response to Illness
1. The nurse is assessing the anxiety level of a young school-age child. The nurse
encourages the child to express feelings through the use of toys in a play situation. The
purpose for this approach to assessment is largely related to which of the following? A)
The child has cognitive impairment and has limited vocabulary skills.
B) The child has not been intellectually stimulated and can only express self through
play.
C) Children may not have developed the language to fully describe their feelings.
D) Children will not express themselves openly unless instructed to do so by parents.
Ans: C
Feedback:
A client's age can influence how he or she expresses illness. A young child may lack the
understanding and ability to describe his or her feelings, which may make management
of the disorder more challenging. Nurses must be aware of the child's level of language
and work to understand the experience as he or she describes it.
2. A nurse is teaching decision-making skills to a client with dependent personality
disorder. According to Erikson, the likely cause of the client developing dependent
personality is failure to meet the critical task of which developmental stage?
A) Trust
B) Autonomy
C) Initiative
D) Industry
Ans: D
Feedback:
Failure to complete the critical task results in a negative outcome for that stage of
development and impedes completion of future tasks. Tasks of trust versus mistrust
include viewing the world as safe and reliable and viewing relationships as nurturing,
stable, and dependable. In autonomy versus shame and doubt, children achieve a sense
of control and free will. In initiative versus guilt, the child begins to develop a
conscience, and learns to manage conflict and anxiety. Industry versus inferiority
involves school-age children building confidence in their own abilities and taking
pleasure in accomplishments.
Page 1
, SHEILA L. VIDEBECK TEST BANK
3. Which one of the following statements is most accurate regarding the age at onset of a
mental illness such as schizophrenia?
A) Persons who are diagnosed at a younger age will more likely have a poorer
outcome.
B) Persons who are diagnosed at a younger age will more likely have a better
outcome.
C) Age at diagnosis is not related to outcomes.
D) Younger clients have more experiences that will help them.
Ans: A
Feedback:
Persons who are diagnosed with schizophrenia at a younger age at onset have poorer
outcomes, such as more negative signs and less effective coping skills, than do people
with a later age at onset. A possible reason for this difference is that younger clients
have not had experiences of successful independent living or the opportunity to work
and be self-sufficient and have a less well-developed sense of personal identity than
older clients.
4. Genetics have been shown to play which of the following roles in a person's mental and
emotional health?
A) Several mental disorders appear to run in families.
B) Specific genes have been linked to certain mental disorders.
C) Biologic factors can be modified to change the influence on emotional health.
D) Psychiatric treatment is effective regardless of an individual's biologic influences.
Ans: A
Feedback:
Heredity and biologic factors are not under voluntary control. We cannot change these
factors. Research has identified genetic links to several disorders. Although specific
genetic links have not been identified for several mental disorders (e.g., bipolar disorder,
major depression, and alcoholism), research has shown that these disorders tend to
appear more frequently in families. Genetic makeup tremendously influences a person's
response to illness and perhaps even to treatment.
Page 2
, SHEILA L. VIDEBECK TEST BANK
5. Which one of the following statements about the roles that biologic makeup plays in a
client's emotional responses is most accurate?
A) Biologic differences can affect a client's response to treatment with psychotropic
drugs.
B) Biologic differences do not affect a client's response to treatment with
psychotropic drugs.
C) Heredity and biologic factors are under voluntary control.
D) Persons cannot change their health status and improve the ability to cope.
Ans: A
Feedback:
Biologic differences can affect a client's response to treatment with psychotropic drugs.
Heredity and biologic factors are not under voluntary control. Persons can change their
health status and improve their ability to cope.
6. Which of the following individual factors can a person modify to improve mental and
emotional health? Select all that apply.
A) Serotonin deficiency
B) Lack of exercise
C) Poor nutrition
D) Type I diabetes
E) Sleeplessness
Ans: B, C, E
Feedback:
Personal health practices, such as exercise, poor nutritional status, lack of sleep, or a
chronic physical illness, can influence the client's response to illness. Unlike genetic
factors, how a person lives and takes care of himself or herself can alter many of these
factors. For this reason, nurses must assess the client's physical health even when the
client is seeking help for mental health problems. Serotonin deficiency and type I
diabetes are not under voluntary control.
7. The nurse is preparing to administer PRN medication to a client of a Japanese descent
who is anxious. The prescription reads, ìAlprazolam (Xanax) 0.25 to 1.0 mg PO PRN.î
The best dose for the nurse to give initially is
A) 0.25 mg.
B) 0.5 mg.
C) 0.75 mg.
D) 1.0 mg.
Ans: A
Feedback:
In general, nonwhites treated with Western dosing protocols have higher serum levels
per dose and suffer more side effects. Persons of Asian descent often metabolize drugs
more slowly, requiring lower doses to produce therapeutic effects.
Page 3
