NUR2356
Multidimensional Care I
Final Exam Prep
2026
(With Solutions)
Multiple Choice Questions
A patient with chronic heart failure has progressive fatigue, edema, and dyspnea. Which dimension of care should be
prioritized to address both physical and psychosocial needs?
A) Physical only
B) Psychological only
C) Holistic multidisciplinary care
D) Pharmacological only
Answer: C
Rationale: Holistic multidisciplinary care addresses multiple dimensions including physical symptoms and
psychosocial support, essential for chronic heart failure management.
During a care conference, a nurse suggests involving a social worker for a patient newly diagnosed with terminal
cancer. What is the primary reason?
A) To provide symptom management
B) To support patient and family psychosocial needs
C) To administer medication
D) To perform physical assessments
Answer: B
Rationale: Social workers primarily provide psychosocial support and assist with coordination of services, crucial in
terminal illness.
,In pain management, which multidimensional approach is most effective?
A) Only opioids for severe pain
B) Combining pharmacologic, physical, and psychological strategies
C) Relying on patient willpower to cope
D) Using herbal remedies exclusively
Answer: B
Rationale: Effective pain management integrates physical treatments, medications, and psychological support.
What is the first step when developing a care plan for a patient with multiple chronic conditions?
A) Prescribe medications
B) Perform a comprehensive multidimensional assessment
C) Discharge planning
D) Referral to specialty care only
Answer: B
Rationale: A thorough assessment including physical, emotional, social, and spiritual needs is needed before planning
interventions.
Which factor most influences a nurse’s ability to deliver culturally competent multidimensional care?
A) Clinical knowledge alone
B) Personal biases and cultural awareness
C) Routine task completion
D) Following only physician orders
Answer: B
Rationale: Awareness of one's biases and knowledge about different cultures enhances culturally competent care.
True/False Questions
A patient’s spiritual distress can affect their overall physical recovery outcomes.
,Answer: True
Rationale: Spiritual well-being is linked to emotional resilience and physical healing processes.
Implementing dimensional care plans enhances communication between interprofessional team members.
Answer: True
Rationale: Multidimensional care requires collaboration, improving communication channels.
Assessment of social determinants of health is not part of multidimensional care.
Answer: False
Rationale: Social determinants like housing and income are key to providing comprehensive care.
Addressing only biomedical needs is sufficient in managing chronic illnesses effectively.
Answer: False
Rationale: Chronic illnesses require attention to psychological, social, and sometimes spiritual aspects.
Early palliative care can improve the quality of life even during active treatment phases.
Answer: True
Rationale: Early integration of palliative care manages symptoms and supports emotional needs.
Short Answer Questions
Name three key dimensions evaluated during a comprehensive patient assessment in multidimensional care.
Answer: Physical, psychological, social (and optionally spiritual).
Rationale: These dimensions cover the core areas affecting patient well-being.
Describe one nursing intervention addressing the psychological dimension of care.
Answer: Providing active listening and counseling support to reduce anxiety.
Rationale: Emotional support interventions help manage psychological distress.
, Explain why family involvement is important in multidimensional care planning.
Answer: Because families influence the patient’s environment and can provide emotional and practical support.
Rationale: Family-centered care improves adherence and outcomes.
Identify one common barrier to delivering multidimensional care and suggest a solution.
Answer: Barrier: Time constraints; Solution: Use of team-based care to distribute workload.
Rationale: Leveraging interdisciplinary teams improves efficiency.
What role does patient education play in multidimensional care?
Answer: It empowers patients to participate actively in their care, improving outcomes.
Rationale: Education addresses cognitive and behavioral aspects of health.
Fill in the Blank Questions
The __________ dimension in care addresses physical symptoms, mobility, and functional status.
Answer: physical
Rationale: The physical dimension focuses on body health and function.
__________ care integrates treatments to improve quality of life for patients with serious illness.
Answer: Palliative
Rationale: Palliative care focuses on symptom management and holistic support.
The use of ___________ tools, such as pain scales, helps quantify subjective symptoms for better intervention.
Answer: assessment
Rationale: Assessment tools aid in evaluating patients’ reported experiences.
Social determinants of health include factors like socioeconomic status, education, and ______________.
Answer: housing
Rationale: Housing impacts health access and stability.
Multidimensional Care I
Final Exam Prep
2026
(With Solutions)
Multiple Choice Questions
A patient with chronic heart failure has progressive fatigue, edema, and dyspnea. Which dimension of care should be
prioritized to address both physical and psychosocial needs?
A) Physical only
B) Psychological only
C) Holistic multidisciplinary care
D) Pharmacological only
Answer: C
Rationale: Holistic multidisciplinary care addresses multiple dimensions including physical symptoms and
psychosocial support, essential for chronic heart failure management.
During a care conference, a nurse suggests involving a social worker for a patient newly diagnosed with terminal
cancer. What is the primary reason?
A) To provide symptom management
B) To support patient and family psychosocial needs
C) To administer medication
D) To perform physical assessments
Answer: B
Rationale: Social workers primarily provide psychosocial support and assist with coordination of services, crucial in
terminal illness.
,In pain management, which multidimensional approach is most effective?
A) Only opioids for severe pain
B) Combining pharmacologic, physical, and psychological strategies
C) Relying on patient willpower to cope
D) Using herbal remedies exclusively
Answer: B
Rationale: Effective pain management integrates physical treatments, medications, and psychological support.
What is the first step when developing a care plan for a patient with multiple chronic conditions?
A) Prescribe medications
B) Perform a comprehensive multidimensional assessment
C) Discharge planning
D) Referral to specialty care only
Answer: B
Rationale: A thorough assessment including physical, emotional, social, and spiritual needs is needed before planning
interventions.
Which factor most influences a nurse’s ability to deliver culturally competent multidimensional care?
A) Clinical knowledge alone
B) Personal biases and cultural awareness
C) Routine task completion
D) Following only physician orders
Answer: B
Rationale: Awareness of one's biases and knowledge about different cultures enhances culturally competent care.
True/False Questions
A patient’s spiritual distress can affect their overall physical recovery outcomes.
,Answer: True
Rationale: Spiritual well-being is linked to emotional resilience and physical healing processes.
Implementing dimensional care plans enhances communication between interprofessional team members.
Answer: True
Rationale: Multidimensional care requires collaboration, improving communication channels.
Assessment of social determinants of health is not part of multidimensional care.
Answer: False
Rationale: Social determinants like housing and income are key to providing comprehensive care.
Addressing only biomedical needs is sufficient in managing chronic illnesses effectively.
Answer: False
Rationale: Chronic illnesses require attention to psychological, social, and sometimes spiritual aspects.
Early palliative care can improve the quality of life even during active treatment phases.
Answer: True
Rationale: Early integration of palliative care manages symptoms and supports emotional needs.
Short Answer Questions
Name three key dimensions evaluated during a comprehensive patient assessment in multidimensional care.
Answer: Physical, psychological, social (and optionally spiritual).
Rationale: These dimensions cover the core areas affecting patient well-being.
Describe one nursing intervention addressing the psychological dimension of care.
Answer: Providing active listening and counseling support to reduce anxiety.
Rationale: Emotional support interventions help manage psychological distress.
, Explain why family involvement is important in multidimensional care planning.
Answer: Because families influence the patient’s environment and can provide emotional and practical support.
Rationale: Family-centered care improves adherence and outcomes.
Identify one common barrier to delivering multidimensional care and suggest a solution.
Answer: Barrier: Time constraints; Solution: Use of team-based care to distribute workload.
Rationale: Leveraging interdisciplinary teams improves efficiency.
What role does patient education play in multidimensional care?
Answer: It empowers patients to participate actively in their care, improving outcomes.
Rationale: Education addresses cognitive and behavioral aspects of health.
Fill in the Blank Questions
The __________ dimension in care addresses physical symptoms, mobility, and functional status.
Answer: physical
Rationale: The physical dimension focuses on body health and function.
__________ care integrates treatments to improve quality of life for patients with serious illness.
Answer: Palliative
Rationale: Palliative care focuses on symptom management and holistic support.
The use of ___________ tools, such as pain scales, helps quantify subjective symptoms for better intervention.
Answer: assessment
Rationale: Assessment tools aid in evaluating patients’ reported experiences.
Social determinants of health include factors like socioeconomic status, education, and ______________.
Answer: housing
Rationale: Housing impacts health access and stability.
