NUR2755
Multidimensional Care IV
Final Exam Prep
2026
(With Solutions)
Multiple Choice Questions (MCQ)
A 68-year-old patient with multiple chronic illnesses is admitted for acute exacerbation of COPD. Which
dimension of multidimensional care is most critical for preventing readmission?
A) Physical care only
B) Psychological and social support
C) Medication adherence exclusively
D) Nutrition assessment only
Answer: B
Rationale: Psychological and social support are vital in managing chronic illness by addressing anxiety,
depression, and social determinants that impact recovery and readmission risk.
In managing pain for a terminally ill patient, which approach best reflects the bio-psycho-social dimension of
care?
A) Administering opioids as needed
B) Providing pharmacologic pain relief and counseling support
C) Relying on patient self-report only
D) Referring to physical therapy solely
Answer: B
Rationale: Effective pain management involves both physical symptom control and addressing psychological
and social aspects influencing pain perception.
Which of the following is a key component of spiritual care in multidimensional nursing?
A) Prescribing antidepressants
B) Facilitating discussions about meaning and purpose
C) Performing wound care meticulously
D) Ensuring financial resources are adequate
Answer: B
Rationale: Spiritual care involves supporting patients in exploring meaning, purpose, and existential
,concerns, distinct from pharmacologic or material needs.
When coordinating care for a patient with heart failure, what is essential to assess beyond clinical
symptoms?
A) Medication schedules only
B) Psychosocial status and caregiver availability
C) Only dietary intake
D) Laboratory values exclusively
Answer: B
Rationale: Psychosocial status and caregiver support significantly affect adherence, self-care capacity, and
overall outcomes in chronic heart failure.
What is the primary goal of advanced care planning in multidimensional care?
A) Prolong life at all costs
B) Enhance patient autonomy and dignity
C) Limit family involvement
D) Manage only physical symptoms
Answer: B
Rationale: Advanced care planning promotes patient autonomy and dignity by clarifying preferences for
future care aligned with patient values.
True/False Questions
True or False: Multidimensional care only involves addressing physical health needs.
Answer: False
Rationale: Multidimensional care encompasses physical, psychological, social, and spiritual aspects.
True or False: Effective communication with family members is a critical element of multidimensional care
for complex patients.
Answer: True
Rationale: Communication ensures alignment of care goals and provides support to both patient and family.
True or False: Assessing a patient’s cultural background is unnecessary if they are proficient in the
dominant language of care providers.
Answer: False
Rationale: Culture influences beliefs and behaviors beyond language proficiency and must be considered.
True or False: Emotional support is more important than pain management in terminal care.
Answer: False
Rationale: Both emotional support and pain management are equally important and complementary in
terminal care.
,True or False: Interdisciplinary care teams enhance multidimensional care outcomes.
Answer: True
Rationale: Collaboration among disciplines ensures comprehensive care covering all patient needs.
Short Answer Questions
Describe one major challenge in delivering multidimensional care to elderly patients with dementia.
Answer: One major challenge is managing communication barriers and cognitive impairments that
complicate assessing needs and preferences.
Rationale: Dementia affects memory and language, requiring tailored communication and assessment
strategies.
Explain why social determinants of health must be included in the multidimensional care assessment.
Answer: Because social determinants like income, housing, and education affect health outcomes and
access to care.
Rationale: Neglecting these factors can lead to ineffective care plans and poorer patient outcomes.
What role does nursing play in addressing spiritual distress in terminal patients?
Answer: Nurses provide empathetic listening, facilitate spiritual rituals, and coordinate chaplain services.
Rationale: Nurses act as holistic care providers by addressing spiritual needs alongside physical symptoms.
Identify two nursing interventions to support the psychological needs of patients with chronic illness.
Answer: Providing counseling referral and teaching stress reduction techniques.
Rationale: Psychological support improves coping and quality of life in chronic conditions.
How can technology improve the delivery of multidimensional care? Give one example.
Answer: By enabling telehealth consultations, improving access to specialists for psychosocial or spiritual
care.
Rationale: Technology overcomes geographic barriers and enhances coordinated care.
Fill in the Blank Questions
The ____________ model emphasizes the integration of biological, psychological, and social factors in
patient care.
Answer: biopsychosocial
Rationale: This model guides comprehensive nursing assessments beyond physical symptoms.
When providing multidimensional care, the nurse must consider the patient's ____________ needs, which
include emotional, social, and spiritual aspects.
Answer: psychosocial
Rationale: Holistic care involves more than just physical health.
, ____________ care focuses on managing symptoms and improving quality of life for patients with life-
limiting illnesses.
Answer: Palliative
Rationale: Palliative care addresses multidimensional suffering.
In a multidimensional care plan, coordination among ____________ team members improves outcomes for
complex patients.
Answer: interdisciplinary
Rationale: Diverse expertise is required for holistic management.
The process of planning for future health care preferences involving the patient and family is called
____________ care planning.
Answer: advanced
Rationale: It respects patient autonomy and guides decision-making.
Additional MCQs (21-30)
Which assessment tool is most appropriate for evaluating multidimensional needs in a cancer patient?
A) Glasgow Coma Scale
B) Edmonton Symptom Assessment System (ESAS)
C) Apgar Score
D) Braden Scale
Answer: B
Rationale: ESAS evaluates physical, psychological, and spiritual symptoms in cancer patients.
A patient with chronic pain reports increased anxiety and sleeplessness. What multidimensional intervention
should the nurse prioritize?
A) Increase opioid dosage only
B) Refer to mental health services and assess sleep hygiene
C) Discontinue pain meds
D) Provide physical therapy exclusively
Answer: B
Rationale: Addressing anxiety and sleep is crucial in comprehensive pain management.
What is a common barrier to implementing multidimensional care in resource-limited settings?
A) Excessive interdisciplinary teams
B) Lack of healthcare provider training in holistic care
C) Overutilization of technology
D) Excess communication with families
Answer: B
Multidimensional Care IV
Final Exam Prep
2026
(With Solutions)
Multiple Choice Questions (MCQ)
A 68-year-old patient with multiple chronic illnesses is admitted for acute exacerbation of COPD. Which
dimension of multidimensional care is most critical for preventing readmission?
A) Physical care only
B) Psychological and social support
C) Medication adherence exclusively
D) Nutrition assessment only
Answer: B
Rationale: Psychological and social support are vital in managing chronic illness by addressing anxiety,
depression, and social determinants that impact recovery and readmission risk.
In managing pain for a terminally ill patient, which approach best reflects the bio-psycho-social dimension of
care?
A) Administering opioids as needed
B) Providing pharmacologic pain relief and counseling support
C) Relying on patient self-report only
D) Referring to physical therapy solely
Answer: B
Rationale: Effective pain management involves both physical symptom control and addressing psychological
and social aspects influencing pain perception.
Which of the following is a key component of spiritual care in multidimensional nursing?
A) Prescribing antidepressants
B) Facilitating discussions about meaning and purpose
C) Performing wound care meticulously
D) Ensuring financial resources are adequate
Answer: B
Rationale: Spiritual care involves supporting patients in exploring meaning, purpose, and existential
,concerns, distinct from pharmacologic or material needs.
When coordinating care for a patient with heart failure, what is essential to assess beyond clinical
symptoms?
A) Medication schedules only
B) Psychosocial status and caregiver availability
C) Only dietary intake
D) Laboratory values exclusively
Answer: B
Rationale: Psychosocial status and caregiver support significantly affect adherence, self-care capacity, and
overall outcomes in chronic heart failure.
What is the primary goal of advanced care planning in multidimensional care?
A) Prolong life at all costs
B) Enhance patient autonomy and dignity
C) Limit family involvement
D) Manage only physical symptoms
Answer: B
Rationale: Advanced care planning promotes patient autonomy and dignity by clarifying preferences for
future care aligned with patient values.
True/False Questions
True or False: Multidimensional care only involves addressing physical health needs.
Answer: False
Rationale: Multidimensional care encompasses physical, psychological, social, and spiritual aspects.
True or False: Effective communication with family members is a critical element of multidimensional care
for complex patients.
Answer: True
Rationale: Communication ensures alignment of care goals and provides support to both patient and family.
True or False: Assessing a patient’s cultural background is unnecessary if they are proficient in the
dominant language of care providers.
Answer: False
Rationale: Culture influences beliefs and behaviors beyond language proficiency and must be considered.
True or False: Emotional support is more important than pain management in terminal care.
Answer: False
Rationale: Both emotional support and pain management are equally important and complementary in
terminal care.
,True or False: Interdisciplinary care teams enhance multidimensional care outcomes.
Answer: True
Rationale: Collaboration among disciplines ensures comprehensive care covering all patient needs.
Short Answer Questions
Describe one major challenge in delivering multidimensional care to elderly patients with dementia.
Answer: One major challenge is managing communication barriers and cognitive impairments that
complicate assessing needs and preferences.
Rationale: Dementia affects memory and language, requiring tailored communication and assessment
strategies.
Explain why social determinants of health must be included in the multidimensional care assessment.
Answer: Because social determinants like income, housing, and education affect health outcomes and
access to care.
Rationale: Neglecting these factors can lead to ineffective care plans and poorer patient outcomes.
What role does nursing play in addressing spiritual distress in terminal patients?
Answer: Nurses provide empathetic listening, facilitate spiritual rituals, and coordinate chaplain services.
Rationale: Nurses act as holistic care providers by addressing spiritual needs alongside physical symptoms.
Identify two nursing interventions to support the psychological needs of patients with chronic illness.
Answer: Providing counseling referral and teaching stress reduction techniques.
Rationale: Psychological support improves coping and quality of life in chronic conditions.
How can technology improve the delivery of multidimensional care? Give one example.
Answer: By enabling telehealth consultations, improving access to specialists for psychosocial or spiritual
care.
Rationale: Technology overcomes geographic barriers and enhances coordinated care.
Fill in the Blank Questions
The ____________ model emphasizes the integration of biological, psychological, and social factors in
patient care.
Answer: biopsychosocial
Rationale: This model guides comprehensive nursing assessments beyond physical symptoms.
When providing multidimensional care, the nurse must consider the patient's ____________ needs, which
include emotional, social, and spiritual aspects.
Answer: psychosocial
Rationale: Holistic care involves more than just physical health.
, ____________ care focuses on managing symptoms and improving quality of life for patients with life-
limiting illnesses.
Answer: Palliative
Rationale: Palliative care addresses multidimensional suffering.
In a multidimensional care plan, coordination among ____________ team members improves outcomes for
complex patients.
Answer: interdisciplinary
Rationale: Diverse expertise is required for holistic management.
The process of planning for future health care preferences involving the patient and family is called
____________ care planning.
Answer: advanced
Rationale: It respects patient autonomy and guides decision-making.
Additional MCQs (21-30)
Which assessment tool is most appropriate for evaluating multidimensional needs in a cancer patient?
A) Glasgow Coma Scale
B) Edmonton Symptom Assessment System (ESAS)
C) Apgar Score
D) Braden Scale
Answer: B
Rationale: ESAS evaluates physical, psychological, and spiritual symptoms in cancer patients.
A patient with chronic pain reports increased anxiety and sleeplessness. What multidimensional intervention
should the nurse prioritize?
A) Increase opioid dosage only
B) Refer to mental health services and assess sleep hygiene
C) Discontinue pain meds
D) Provide physical therapy exclusively
Answer: B
Rationale: Addressing anxiety and sleep is crucial in comprehensive pain management.
What is a common barrier to implementing multidimensional care in resource-limited settings?
A) Excessive interdisciplinary teams
B) Lack of healthcare provider training in holistic care
C) Overutilization of technology
D) Excess communication with families
Answer: B
