EAQ's Unit 4:1

Which factor can affect body image in a 15-year-old female patient? Select all that apply. One, some, or all responses may be correct. 1 Cognitive and physical growth 2 Cultural and societal attitudes 3 Role performance 4 Fulfillment of role expectations 5 Achievement of identity

1 Cognitive and physical growth 2 Cultural and societal attitudes

After assessing a 2-year-old child, the nurse observes that the child is in the psychosocial development stage of autonomy versus shame and doubt, according to Erikson's theory of self-concept. Which developmental task does the nurse observe in the child? Select all that apply. One, some, or all responses may be correct. 1 Communication of likes and dislikes 2 Appreciation of body appearance and function 3 Increased independence in thoughts and actions 4 Incorporation of feedback from peers and teachers 5 Increased language skills, including identification of feelings

1 Communication of likes and dislikes 2 Appreciation of body appearance and function 3 Increased independence in thoughts and actions

A 20-year-old woman who lives with her parents gives birth to a baby. Around the same time, her parents adopt a 5-year-old child. The young woman is overwhelmed and has difficulty balancing her role as a mother with her role as a sister. Which role performance stressor is the woman experiencing? 1 Conflict 2 Ambiguity 3 Strain 4 Overload

1 Conflict

Which stressor would a patient be likely to experience in an acute care setting? Select all that apply. One, some, or all responses may be correct. 1 Diagnostic tests and results 2 Family's response to the patient's condition 3 Altered body image 4 Lifestyle modifications 5 Socialization

1 Diagnostic tests and results 3 Altered body image 4 Lifestyle modifications

Which factor would influence an 80-year-old patient's current self-concept? Select all that apply. One, some, or all responses may be correct. 1 Living conditions 2 Adjustment to a role change 3 Adjustment to the loss of a spouse 4 Assurance of sexual intimacy 5 Behaviors of relatives providing care

2 Adjustment to a role change 3 Adjustment to the loss of a spouse

Self-esteem stressors vary with developmental stages. In children, which stressor affects self-esteem and self-worth? Select all that apply. One, some, or all responses may be correct. 1 Unsuccessful relationships 2 An inability to meet parents' expectations 3 Sibling rivalry 4 Late onset of education 5 Loss of companionship

2 An inability to meet parents' expectations 3 Sibling rivalry

A patient underwent six cycles of chemotherapy for her cancer. She lost all her hair because of drug effects. She is very worried and says, "My children may find me ugly. I will not be able to tolerate that." Which stressor is most affecting her self-concept? 1 Chemotherapy 2 Body image 3 Role performance 4 Identity

2 Body image

Which action would the nurse take to address the "F" portion of the FICA assessment tool during an assessment of a patient's spiritual needs? 1 Establish overall life satisfaction. 2 Determine the patient's belief in a higher power. 3 Ask about the impact of the illness on work. 4 Evaluate the impact of the patient's family on health and illness.

2 Determine the patient's belief in a higher power.

The nurse finds that the patient's body language is suggestive of altered self-concept. Which behavior suggests low self-esteem? Select all that apply. One, some, or all responses may be correct. 1 Normal speech 2 Frequent crying 3 Hesitant speech 4 Avoidance of eye contact 5 Maintaining good eye contact

2 Frequent crying 3 Hesitant speech 4 Avoidance of eye contact

Which chief factor determines the self-concept of an individual? Select all that apply. One, some, or all responses may be correct. 1 Age 2 Identity 3 Body image 4 Gender 5 Role performance

2 Identity 3 Body image 5 Role performance

Which primary developmental task would the nurse consider for a 9-year-old patient? 1 Communication of likes and dislikes 2 Mastery of new skill 3 Acceptance of body changes 4 Distinguishing self from environment

2 Mastery of new skill

A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient's family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply. One, some, or all responses may be correct. 1 Ask the family to wait in the waiting room and not visit the patient. 2 Motivate the family to chant religious prayers beside the patient. 3 Talk to the children and instill hope about the patient's condition. 4 Deny religious rituals in the hospital because they are not allowed. 5 Make sure a female health care provider is treating the patient.

2 Motivate the family to chant religious prayers beside the patient. 3 Talk to the children and instill hope about the patient's condition.

When treating a patient who is Muslim, which factor would the nurse keep in mind? Select all that apply. One, some, or all responses may be correct. 1 Muslims consume alcohol in moderation. 2 Muslims do not eat pork. 3 Muslims do not pray 5 times a day. 4 Muslims do not eat meat on Fridays. 5 During Ramadan, Muslims eat only after sunset.

2 Muslims do not eat pork. 5 During Ramadan, Muslims eat only after sunset.

An emergency department nurse is caring for a patient who was severely injured in a car accident. The patient's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're feeling. What can I do to help you feel more at peace right now?" Which concept is the nurse demonstrating in this example? 1 Prayer 2 Presence 3 Coaching 4 Instilling hope

2 Presence

Which altered self-concept might be observed in a patient who has psychosis? 1 Making direct eye contact during conversation with the health care provider 2 Relying on others for making decisions and going to extreme lengths to obtain support 3 Showing interest in learning more about the side effects that can occur from medications 4 Requesting written handouts regarding the disease process and associated information

2 Relying on others for making decisions and going to extreme lengths to obtain support

The nurse asks the patient, "How do you feel about yourself?" Which aspect is the nurse assessing? 1 Identity 2 Self-esteem 3 Body image 4 Role performance

2 Self-esteem

A patient is scheduled for colon resection with colostomy and is anxious. The patient asks, "How am I going to live with a bag on my belly for the rest of my life?" Which nursing action addresses the patient's self-concept and altered body image? Select all that apply. One, some, or all responses may be correct. 1 Showing the patient a colostomy bag and where it is fitted on the abdomen 2 Showing the patient a video about a healthy functioning body after a colostomy 3 Teaching the patient to do relaxation exercises to deal with anxiety 4 Informing the surgeon about the patient's stress and anxiety 5 Discussing the availability of support groups for patients with colostomies

2 Showing the patient a video about a healthy functioning body after a colostomy 5 Discussing the availability of support groups for patients with colostomies

Which statement made by a patient with cancer reflects positive thoughts about personal health? 1 "I will not get better soon." 2 "I am a burden to my family." 3 "I have the ability to get well quickly." 4 "I can't stand to look at myself anymore."

3 "I have the ability to get well quickly."

Which statement by a patient with end-stage cancer indicates the need for spiritual intervention? 1 "I am not afraid of dying." 2 "I will be in a better place after I die." 3 "I would like to ask my pastor about a final blessing." 4 "I know that my family will be okay."

3 "I would like to ask my pastor about a final blessing."

A nursing student is listing nursing assessment questions that are used to understand the nature of a psychosis patient's problem. Which question indicates a need for further education? 1 "How would you describe yourself?" 2 "Which aspects of your appearance do you like?" 3 "When did you start to think or feel differently about yourself?" 4 "Tell me about the things you do that make you feel good about yourself."

3 "When did you start to think or feel differently about yourself?"

How is a self-concept stressor defined? 1 The inability of an individual to distinguish self-concept from self-esteem. 2 An individual's belief that establishes that he or she is unworthy. 3 A real or perceived change that threatens a person's identity and body image. 4 The inability of an individual to reach an age-appropriate developmental stage.

3 A real or perceived change that threatens a person's identity and body image.

The nurse is caring for a patient who is an atheist. The nurse identifies a need for spiritual intervention. Which action would be inappropriate for the nurse to perform to meet the spiritual needs of this patient? 1 Talking to the patient about enrolling in a nonreligious group meeting 2 Asking the family about what is important in the patient's life 3 Arranging for a clergy person to visit the patient 4 Teaching the patient meditation and relaxation techniques

3 Arranging for a clergy person to visit the patient

A patient diagnosed with major depressive disorder has long-term low self-esteem related to a negative view of the self. Which action would be the most appropriate cognitive intervention by the nurse? 1 Promote active socialization with other patients. 2 Role play to increase assertiveness skills. 3 Focus on identifying strengths and accomplishments. 4 Encourage journaling of underlying feelings.

3 Focus on identifying strengths and accomplishments.

Which belief does an atheist profess? 1 A supernatural power governs the universe. 2 God is the ultimate being in the universe. 3 God does not exist. 4 Sins from the past have to be faced in the current life.

3 God does not exist.

When caring for a patient who is suffering from a serious illness, the nurse encourages the patient to follow his or her spiritual practices. How does spirituality help in healing? Select all that apply. One, some, or all responses may be correct. 1 Decreases the risk of infection in the patient. 2 Helps treat without any medication. 3 Increases the pain threshold of the patient. 4 Decreases stress and increases the immune response. 5 Reduces perception of pain and anxiety.

3 Increases the pain threshold of the patient. 4 Decreases stress and increases the immune response. 5 Reduces perception of pain and anxiety.

A person tries to meet the strenuous demands of employment while taking care of a family of six and manages to fulfill these responsibilities with great difficulty. Which role performance stressor is affecting this person? 1 Conflict 2 Ambiguity 3 Overload 4 Strain

3 Overload

During a spiritual assessment, which question asked by the nurse assesses connectedness? 1 "How do you feel after you've prayed?" 2 "What gives you energy during difficult times?" 3 "How happy or satisfied are you with your life?" 4 "How do these changes affect what you need to do?"

1 "How do you feel after you've prayed?"

Which statement made by the patient indicates that the patient's self-concept is improving after treatment? Select all that apply. One, some, or all responses may be correct. 1 "I am pretty comfortable with my crutches." 2 "It is easier to administer insulin than I had imagined." 3 "The prosthesis hurts; I cannot endure it." 4 "Physical therapy is going well. I'm going to be on my feet soon." 5 "I don't find the social gathering very interesting."

1 "I am pretty comfortable with my crutches." 2 "It is easier to administer insulin than I had imagined." 4 "Physical therapy is going well. I'm going to be on my feet soon."

A 62-year-old male patient has just been told he has a terminal illness. Which statement indicates that the patient is spiritually distressed because of the diagnosis of terminal illness? 1 "I have nothing to live for now." 2 "What will happen to my wife when I die?" 3 "How much longer do I have to live?" 4 "I need to go to church and pray for a miracle."

1 "I have nothing to live for now."

Which question would the nurse ask a patient with low self-esteem to assess the nature of the problem? 1 "What do you like about your appearance?" 2 "Can you remember a time when you felt good about yourself?" 3 "What effect does your self-esteem have on your relationships?" 4 "When did you start thinking or feeling differently about yourself?"

1 "What do you like about your appearance?"

In the FICA assessment tool for evaluating spirituality, what does the letter A stand for? 1 Address 2 Ambition 3 Adherence 4 Accessibility

1 Address

The nurse is obtaining a spiritual history from a patient admitted with renal failure. Which factor influences a patient's spirituality? Select all that apply. One, some, or all responses may be correct. 1 Age 2 Gender 3 Culture 4 Religion 5 Education

1 Age 2 Gender 3 Culture 4 Religion 5 Education

A 50-year-old female patient with breast cancer is admitted to the hospital for surgical management. On the second postoperative day, the nurse finds the patient crying. She tells the nurse that she had agreed to take care of her 8-month-old granddaughter but knows she will be unable to do so. The patient also expresses concern about her looks and that she feels worthless. Which aspect of the patient's self-concept is affected? Select all that apply. One, some, or all responses may be correct. 1 Body image 2 Self-esteem 3 Concentration 4 Role performance 5 Memory and recall

1 Body image 2 Self-esteem 4 Role performance

A 30-year-old patient suffering from osteoarthritis is unable to move without using a splint and lives with his or her mother. The patient no longer has a job and refuses to meet anyone and feels worthless. Which factor is responsible for this change in self-concept? Select all that apply. One, some, or all responses may be correct. 1 Chronic illness 2 Dependency on others 3 Physical impairment 4 Loss of job identity 5 Self-absorption

1 Chronic illness 2 Dependency on others 3 Physical impairment 4 Loss of job identity

Which belief would an agnostic person profess? Select all that apply. One, some, or all responses may be correct. 1 Discovering meaning in what he or she do or how he or she lives 2 Not believing in the existence of God 3 Not finding ultimate meaning for the way things are 4 Believing that people bring meaning to what they do 5 Searching for meaning in life through work and relationships with others

1 Discovering meaning in what he or she do or how he or she lives 3 Not finding ultimate meaning for the way things are 4 Believing that people bring meaning to what they do

A patient is suffering from spiritual distress. Of which patient feeling would the nurse be aware? Select all that apply. One, some, or all responses may be correct. 1 Doubt 2 Being cheated 3 Loneliness 4 Loss of faith 5 Desire to kill others

1 Doubt 3 Loneliness 4 Loss of faith

A patient was diagnosed with stomach cancer. Which health-promoting measure would the nurse adopt? Select all that apply. One, some, or all responses may be correct. 1 Establish a presence. 2 Mobilize hope for the patient. 3 Solve the patient's problems with quick remedies. 4 Help the patient to use social and spiritual resources. 5 Misinterpret the illness to make it acceptable to the patient.

1 Establish a presence. 2 Mobilize hope for the patient. 4 Help the patient to use social and spiritual resources.

Which concept related to spiritual health is a patient experiencing when she states that she knows her husband loves her even when he cannot be by her side? 1 Faith 2 Hope 3 Transcendence 4 Connectedness

1 Faith

How can the nurse increase a patient's self-awareness? Select all that apply. One, some, or all responses may be correct. 1 Help the patient define his or her problems clearly. 2 Allow the patient to openly explore thoughts and feelings. 3 Reframe the patient's thoughts and feelings in a more positive way. 4 Have family members assume more responsibility during times of stress. 5 Arrange for the patient to work with an occupational therapist.

1 Help the patient define his or her problems clearly. 2 Allow the patient to openly explore thoughts and feelings. 3 Reframe the patient's thoughts and feelings in a more positive way.

The nurse is teaching a 10-year-old patient about personal hygiene. Which observation would indicate that the child has not reached an age-appropriate developmental stage? 1 His inability to understand and master brushing technique 2 The inability to accept age-related body changes 3 An inability to assess life goals 4 His inability to decide on a future career

1 His inability to understand and master brushing technique

A patient is brought to the emergency department with multiple burn injuries. Which nursing action builds trust and establishes a caring presence? Select all that apply. One, some, or all responses may be correct. 1 Holding the patient's hand while talking to provide emotional support 2 Informing the patient that the injuries can be treated but will take time 3 Remaining calm and calls for the appropriate health care team to treat the patient 4 Focusing on the patient's treatment and does not waste time talking to his or her family 5 Calling the family to be with the patient and leaves the patient with them

1 Holding the patient's hand while talking to provide emotional support 2 Informing the patient that the injuries can be treated but will take time 3 Remaining calm and calls for the appropriate health care team to treat the patient

A patient hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. Of which concept is this an example? 1 Hope 2 Faith 3 Values 4 Connectedness

1 Hope

A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I have yet to tour the world." Which kind of spiritual belief does this patient exhibit? 1 Hope 2 Self-transcendence 3 Transcendence 4 Agnosticism

1 Hope

In assessing a patient for self-concept and self-esteem, on which component would the nurse focus? Select all that apply. One, some, or all responses may be correct. 1 Identity 2 Body image 3 Role performance 4 Physical condition 5 Medical condition

1 Identity 2 Body image 3 Role performance

Based on knowledge of the developmental tasks of Erikson's industry versus inferiority stage, the nurse emphasizes proper technique for use of an inhaler with a 10-year-old boy. Why does the nurse do this? 1 Increase the patient's self-esteem with the mastery of a new skill. 2 Help him accept changes in his appearance and physical endurance. 3 Allow him to experience success in role transitions and increased responsibilities. 4 Assist him in appreciating his body appearance and function.

1 Increase the patient's self-esteem with the mastery of a new skill.

The nurse is assessing a patient who lost his fingers in an accident. Which patient behavior would suggest an altered self-concept? Select all that apply. One, some, or all responses may be correct. 1 Not making eye contact while talking 2 Discussing prosthetics with the nurse 3 Still cannot believing he was so careless 4 Stating that he wants to be left alone 5 Informing a co-worker that he will be back to work in a few days

1 Not making eye contact while talking 3 Still cannot believing he was so careless 4 Stating that he wants to be left alone

For which factor would the nurse look when assessing the emotional development of a 15-year-old patient? Select all that apply. One, some, or all responses may be correct. 1 Positive feelings of self 2 Maturation 3 Goals for the future 4 Acceptance of bodily changes 5 Enhanced self-awareness

1 Positive feelings of self 2 Maturation 3 Goals for the future 4 Acceptance of bodily changes

A patient experienced asystole because of an acute heart attack but recovered because of resuscitative measures. Which observation made by the patient suggests the patient had a near-death experience (NDE)? Select all that apply. One, some, or all responses may be correct. 1 Seeing a bright light 2 Meeting her dead parents 3 Hearing her spouse calling 4 Feeling as if she slept for too long 5 Feeling as if she was pulled out of her body

1 Seeing a bright light 2 Meeting her dead parents 3 Hearing her spouse calling 5 Feeling as if she was pulled out of her body

For which manifestation would the nurse look when assessing an altered self-concept in a patient? Select all that apply. One, some, or all responses may be correct. 1 Slumped posture 2 Overly apologetic 3 Well-groomed appearance 4 Hesitant speech 5 Avoidance of eye contact

1 Slumped posture 2 Overly apologetic 4 Hesitant speech 5 Avoidance of eye contact

In cases in which a patient is experiencing stress and anxiety, which meditation techniques would the nurse teach the patient to help healing? Select all that apply. One, some, or all responses may be correct. 1 Teach the patient to sit with his or her back straight and breathe slowly. 2 Identify a quiet room in the home that has minimal interruptions. 3 Refer the patient to a teacher who offers personal meditation classes. 4 Instruct the patient to switch off all the fans in the house. 5 Provide a printed teaching guide that explains how to meditate.

1 Teach the patient to sit with his or her back straight and breathe slowly. 2 Identify a quiet room in the home that has minimal interruptions. 5 Provide a printed teaching guide that explains how to meditate.

The nurse is examining a patient who just had a spontaneous abortion. Which observation suggests to the nurse that the patient has good self-esteem postincident and is coping well? Select all that apply. One, some, or all responses may be correct. 1 The patient's husband stays by her side and holds her hand. 2 She seems depressed but is asking the health care provider about conceiving again. 3 The patient does not want to conceive another child. 4 She does not talk to anybody about the incident. 5 The patient asks the health care provider about permanent contraception methods.

1 The patient's husband stays by her side and holds her hand. 2 She seems depressed but is asking the health care provider about conceiving again.

The nurse wants to include spiritual care when planning care for a sick patient. Which action would the nurse allow? Select all that apply. One, some, or all responses may be correct. 1 Time for religious readings 2 Slow, religious music 3 Family members to plan a prayer session 4 Reading of religious books all the time 5 Fasting and missing medication occasionally

1 Time for religious readings 2 Slow, religious music 3 Family members to plan a prayer session

A senior nurse is talking with student nurses about spirituality. Which conceptual element is included in spirituality? Select all that apply. One, some, or all responses may be correct. 1 Transcendence 2 Faith and hope 3 Inner strength and peace 4 Meaning and purpose in life 5 Connectedness 6 Culture

1 Transcendence 2 Faith and hope 3 Inner strength and peace 4 Meaning and purpose in life 5 Connectedness

A patient was diagnosed with cervical cancer and underwent a hysterectomy. During assessment in the recovery room, the patient tells the nurse, "I don't believe in God anymore. I can't believe I can never have a child. Why me? I can never be the same person again." Which concept does this reaction suggest? 1 Atheism because of illness 2 Spiritual distress because of loss of purpose in life 3 Awareness about loss of uterus 4 Risk of spiritual distress because of surgery

2 Spiritual distress because of loss of purpose in life

Which statement is true regarding spirituality? 1 Spirituality is a simple concept. 2 Spirituality has five overlapping constructs. 3 Spirituality has the same meaning for every individual. 4 Spirituality has scientific relations to one's health outcomes.

2 Spirituality has five overlapping constructs.

The nurse is assigned to care for a patient who has low self-esteem after right leg amputation. The goal for the patient is that self-esteem will improve in 2 weeks. Which expected outcome would achieve this goal? Select all that apply. One, some, or all responses may be correct. 1 Having difficulty making eye contact 2 Verbalizing acceptance of the prosthetic leg 3 Becoming less depressed 4 Interacting in a social setting 5 Talking about his or her feelings

2 Verbalizing acceptance of the prosthetic leg 4 Interacting in a social setting 5 Talking about his or her feelings

A patient suffers from situational low self-esteem after the death of her dog. Which question is appropriate for the nurse to ask during assessment of her self-esteem? 1 "What recreational activities do you like?" 2 "What is your favorite food?" 3 "What are the three activities that you used to do with your dog?" 4 "How do you feel about yourself?"

4 "How do you feel about yourself?"

A Muslim patient is scheduled for transplant surgery. The patient asks the nurse to postpone the operation for an hour so that the evening prayers can be completed before the operation. How would the nurse respond to such a request? 1 Ask the patient to finish his or her prayers early. 2 Offer to pray on his or her behalf so the operation is on time. 3 Ask the family to persuade the patient to be on time for surgery. 4 Agree to the patient's request and postpone surgery.

4 Agree to the patient's request and postpone surgery.

A nurse is providing spiritual care to a patient. Which aspect does the nurse consider during the planning phase of the nursing process? 1 Reviewing if the patient practices a religion and rituals 2 Assessing the extent of the patient's fellowship and community 3 Reviewing the patient's view of his or her purpose in life 4 Consulting with pastoral care or other spiritual leaders as appropriate

4 Consulting with pastoral care or other spiritual leaders as appropriate

Which dietary practice is followed by a Hindu patient? 1 Fasting on holy days 2 Abstaining from alcohol and caffeine 3 Refraining from eating meat products on Fridays 4 Not eating any meat

4 Not eating any meat

A patient states, "My religion does not permit me to bathe today." Which nursing action would be most appropriate? 1 Tell the patient that the health care provider has prescribed a bath today. 2 Insist that a bath be taken because it is the patient's scheduled bath day. 3 Call an appropriate cleric and ask whether the patient is telling the truth. 4 Request clarification of the patient's beliefs and adapt a plan for bathing accordingly.

4 Request clarification of the patient's beliefs and adapt a plan for bathing accordingly.

Which dimension of spirituality includes "a sense of authentically connecting to one's inner self?" 1 Faith 2 Hope 3 Connectedness 4 Self-transcendence

4 Self-transcendence

A tearful parent of a 10-year-old boy diagnosed with cancer is in the hospital lobby. The nurse comforts the parent, who says that life would be meaningless without the child. Which trait is the parent exhibiting? 1 Loss of belief in religion 2 Fear of death 3 Transcendence 4 Spiritual distress

4 Spiritual distress

A 38-year-old patient who is a Jehovah's Witness is involved in a major motor vehicle accident. The patient was brought to the emergency department and was found to have lost too much blood, thus requiring a blood transfusion. Which nursing action would be taken in such a situation? 1 An immediate blood transfusion should be started. 2 The patient's family should be notified of the situation. 3 Only red blood cells should be transfused. 4 The patient should be asked to decide about the transfusion.

4 The patient should be asked to decide about the transfusion.