Fundamentals Quiz #5

15. On the basis of knowledge of the developmental tasks of Erikson's Industry versus Inferiority, the nurse emphasizes proper technique for use of an inhaler with a 10-year-old boy so he will: 1. Increase his self-esteem with mastery of a new skill. 2. Accept changes in his appearance and physical endurance. 3. Experience success in role transitions and increased responsibilities .4. Appreciate his body appearance and function.

1. Increase his self-esteem with mastery of a new skill.

Stressors that affect self concept: Role Ambiguity

Common in adolescents and employment situations

At what developmental stage is it particularly important for children reared in single-parent families to be exposed to same-sex adults? A. Infancy B. School Age C. Adolescence D. Toddlerhood and preschool years

D

Example: providing care to a family member with Alzheimer disease

that affect self concept: Role Strain

8. Which comment to a patient by a new nurse regarding palliative care needs to be corrected? 1. "Even though you're continuing treatment, palliative care is something we might want to talk about." 2. "Palliative care is appropriate for people with any diagnosis." 3. "Only people who are dying can receive palliative care." 4. "Children are able to receive palliative care."

3

9. A 17-year-old girl asks for more information about birth control methods and says that she does not want her parents to know she is using birth control. The nurse informs the patient that the most effective option for her situation would be: 1. An effective long-term method such as a subdermal implant. 2. A hormonal method such as birth control pills or the transdermal patch. 1659 3. A long-acting hormonal injection given every 12 weeks. 4. Abstinence during her most fertile time.

3

9. A patient states that he does not believe in a higher power but instead believes that people bring meaning to what they do. This patient most likely is an: 1. Academic. 2. Atheist. 3. Agnostic. 4. Anarchist.

3

5. A cardiac nurse who recently graduated from nursing school is providing discharge instructions to a patient who suffered a myocardial infarction (MI). The nurse knows that sexual issues are common after an MI but doesn't feel comfortable bringing up this topic. What is the best way for the nurse to handle this situation? (Select all that apply.) 1. Instruct the patient to discuss any sexual concerns with his or her partner after discharge 2. Avoid discussing the topic unless the patient brings it up 3. Ask a more experienced nurse to cover this with the patient and learn from the example. 4. Plan to attend conferences or training in the near future on how to discuss such issues 5. Encourage the patient to discuss any personal concerns with the cardiologist

3, 4

8. A student nurse is developing a plan of care for a 74-year-old-female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.) 1. Older adults do not routinely use complementary medicine to cope with illness. 2. Older adults dislike discussing the afterlife and what might have happened to people who have passed on. 3. Older adults achieve spiritual resilience through frequent expressions of gratitude. 4. Have the patient determine if her husband left a legacy behind. 5. Offer the patient her choice of rituals or participation in exercise.

3, 4, 5

Which developmental stage is particularly crucial for identity development? 1.) Infancy 2.) Young adult 3.) Adolescence 4.) Preschool age

3. Adolescence is a particularly critical time when many variables affect self-concept and self-esteem.

A 30-year-old patient diagnosed with major depressive disorder has a nursing diagnosis of Chronic Low Self-Esteem related to negative view of self. Which of the following would be appropriate interventions by the nurse? (Select all that apply.) 1. Encourage reconnecting with high school friends 2. Role play to increase assertiveness skills 3. Focus on identifying strengths and accomplishments 4. Provide time for journaling to explore underlying thoughts and feelings 5. Explore new job opportunities

3. Focus on identifying strengths and accomplishments 4. Provide time for journaling to explore underlying thoughts and feelings

5. On entering a room the nurse sees the patient crying softly. What is the most therapeutic response? 1. Using silence 2. Asking, "Why are you crying today?" 3. Using therapeutic touch 4. Stating, "I see that you're crying."

4

A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the patient with her hair combed and makeup applied. Which of the following is the best response from the nurse? 1. "What's the special occasion?" 2. "You must be feeling better today." 3. "This is the first time I've seen you look this good." 4. "I see that you've combed your hair and put on makeup."

4. "I see that you've combed your hair and put on makeup."

6. When caring for an 87-year-old patient, the nurse needs to understand that which of the following most directly influences the patient's current self-concept? 1. Attitude and behaviors of relatives providing care 2. Caring behaviors of the nurse and health care team 3. Level of education, economic status, and living conditions 4. Adjustment to role change, loss of loved ones, and physical energy

4. Adjustment to role change, loss of loved ones, and physical energy

Robert, who is 2 years old, is praised for using his potty instead of wetting his pants, this is an example of learning a behavior by :1.) Imitation 2.) Substitution 3.) Identification 4.) Reinforcement-extinction

4. Certain behaviors become common depending on whether they are approved and reinforced

Which of the following populations have the highest incidence of STI? (Select all that apply.) A. Hispanic women age 15 to 24 years B. African-American men age 15 to 24 years C. Caucasian men age 50 to 58 years D. Caucasian women age 42 to 53 years

A. Hispanic women age 15 to 24 years B. African-American men age 15 to 24 years

Trying questionable and experimental forms of therapy is a behavior that is characteristic of chiech stage of dying? A. Anger B. Bargaining C. Depression D. Acceptance

B

When consulting with the dietary department regarding meals for a patient of the Hindu religion, which of the following dietary items would not be included on the meal trays? A. Fruits B. Meats C. Dairy products D. Vegetable entrees

B

Which is not a primary route for human immunodeficiency virus (HIV) transmission? A. Contaminated IV needles B. Urinary Tract infections C. Anal intercourse D. Vaginal intercourse E. Oral-genital sex F. Blood transfusions

B

A hospice program emphasizes: A. Prolongation of life B. Hospital-based care C. Palliative treatment and control of symptoms D. Curative treatment and alleviation of symptoms

C

7. A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of Situational Low Self-Esteem. Which of the following nursing interventions would be appropriate to address self-esteem? (Select all that apply.) 1. Offer independent decision-making opportunities. 2. Review previously successful coping strategies. 3. Provide a quiet environment with minimal stimuli. 4. Support a dependent role throughout treatment 5. Increase calorie intake to promote weight stabilization.

1. Offer independent decision-making opportunities. 2. Review previously successful coping strategies.

All of the following are crucial needs of the dying patient except: A. Control of pain B. Love and belonging C. Freedom from decision making D. Preservation of dignity and self-worth

C

12. The nurse is gathering a sexual health history on a patient being admitted to the hospital for surgery. Which question asked by the nurse demonstrates a nonjudgmental attitude? 1. Can you tell me your sexual orientation? 2. How do you and your wife feel about intimacy? 3. Do you have sex with men, women, or both? 4. Do you have sexual intercourse at your age?

1

Factors that determine sexual activity include present health status, past and present life satisfaction, status of intimate relationships: A. Contraceptive options B. Middle adulthood C. Older adulthood D. Adolescents E. School-age children F. Sexuality

C

4. A 42-year-old sexually active female is being assessed by a nurse during her annual physical. The woman states that she has not had a period for the last 2 months. The nurse knows that the most likely cause of this occurrence is: 1. Pregnancy. 2. Illicit drug use. 3. Chlamydia infection. 4. Early-onset menopause.

1

11. When planning care for the dying patient, which interventions promote the patient's dignity? (Select all that apply.) 1. Providing respect 2. Viewing patients as a whole 3. Providing symptom management 4. Showing interest 5. Being present 6. Using a preferred name

1, 2, 4, 5, 6

5. An adult woman is recovering from a mastectomy for breast cancer and is frequently tearful when left alone. The nurse's approach should be based on an understanding of which of the following? 1. Patients need support in dealing with the loss of a body part. 2. The patient's family should take the lead role in providing support. 3. The nurse should explain that breast tissue is not essential to life. 4. The patient should focus on the cure of the cancer rather than loss of the breast.

1. Patients need support in dealing with the loss of a body part.

If an Islamic patient dies, the nurse should be aware of what religious practice? A. Last rites are mandatory. B. The body is always cremated. C. Only relatives and friends may touch the body. D. Members of a ritual burial society cleanse the body.

C

4. A depressed patient is crying and verbalizes feelings of low self-esteem and self-worth such as, "I'm such a failure ... I can't do anything right." What is the nurse's best response? 1. Remain with the patient until he or she validates feeling more stable. 2. Tell the patient that is not true and that every person has a purpose in life. 3. Review recent behaviors or accomplishments that demonstrate skill ability. 4. Reassure the patient that you know how he is feeling and that things will get better.

1. Remain with the patient until he or she validates feeling more stable.

11. A nurse is caring for a patient with a seriously advanced infection who asks to have a spiritual care provider come who can offer Blessingway, a practice that attempts to remove ill health. This patient is likely a member of which religion or culture? 1. Hinduism 2. Navajo 3. Sikhism 4. Judaism

2

14. The nurse is caring for a 50-year-old woman visiting the outpatient medicine clinic. The patient has had type 1 diabetes since age 13. She has numerous complications from her disease, including reduced vision, heart disease, and severe numbness and tingling of the extremities. Knowing that spirituality helps patients cope with their chronic illness, which of the following principles should the nurse apply in practice? (Select all that apply.) 1. Pay attention to the patient's spiritual identity throughout the course of her illness 2. Select interventions that you know scientifically support spiritual well-being 3. Listen to the patient's story each visit to the clinic and offer a compassionate presence 4. When the patient questions the reason for her long-time suffering, try to provide answers 5. Consult with a spiritual care advisor and have the advisor recommend useful interventions

1, 3

10. When developing an appropriate outcome for a 15-year-old girl, the nurse considers that a primary developmental task of adolescence is to: 1. Form a sense of identity. 2. Create intimate relationships. 3. Separate from parents and live independently. 4. Achieve positive self-esteem through experimentation.

1. Form a sense of identity.

2. Which of the following is the best intervention to help a hospitalized patient maintain some autonomy? 1. Use therapeutic techniques when communicating with the patient. 2. Allow the patient to determine timing and scheduling of interventions. 3. Encourage family to only visit for short periods of time. 4. Provide the patient with a private room close to the nurse's station.

2

9. The nurse can increase a patient's self-awareness through which of the following actions? (Select all that apply.) 1. Helping the patient define her problems clearly 2. Allowing the patient to openly explore thoughts and feelings 3. Reframing the patient's thoughts and feelings in a more positive way 4. Having family members assume more responsibility during times of stress 5. Recommending self-help reading materials

1. Helping the patient define her problems clearly 2. Allowing the patient to openly explore thoughts and feelings 3. Reframing the patient's thoughts and feelings in a more positive way

4. A family member of a dying patient talks casually with the nurse and expresses relief that she will not have to visit at the hospital anymore. Which theoretical description of grief best applies to this family member? 1. Denial 2. Anticipatory grief 3. Yearning and searching 4. Dysfunctional grief

2

11. What is an appropriate nursing diagnosis for an individual who experiences confusion in the mental picture of his physical appearance? 1. Acute Confusion 2. Disturbed Body Image 3. Chronic Low Self-Esteem 4. Situational Low Self-Esteem

2. Disturbed Body Image

1. A student nurse is telling a faculty member that her patient talked about gaining spiritual comfort from being focused on her inner self, including her values and principles. The instructor explains that this is an example of: 1. Faith. 2. Community. 3. Interpersonal connection. 4. Self-transcendence.

1

1. To best assist a patient in the grieving process, which of the following is most helpful to determine? 1. Previous experiences with grief and loss 2. Religious affiliation and denomination 3. Ethnic background and cultural practices 4. Current financial status.

1

10. A grieving patient complains of confusion, inability to concentrate, and insomnia. What do these symptoms indicate? 1. These are normal symptoms of grief. 2. There is a need for pharmacological support for insomnia. 3. The patient is experiencing complicated grief. 4. These are common complaints of the admitted patient.

1

11. The nurse is providing community education about how the sexual response changes with age. Which statement made by one of the adults indicates the need for further information? 1. "Health problems such as diabetes, chronic obstructive pulmonary disease, and hypertension have little effect on sexual functioning and desire." 2. "It usually takes longer for both sexes to reach an orgasm." 3. "Most of the normal changes in function are related to alteration in circulation and hormone levels." 4. "Many medications can interfere with sexual function."

1

14. The school nurse is counseling an adolescent male who is returning to school after attempting suicide. He denies substance abuse and has no history of treatment for depression. He says he has no friends or family who understand him. Critical thinking encourages the nurse to consider all possibilities, including which of the following? (Select all that apply.) 1. Adolescents often explore their sexual identity and expose themselves to complications such as sexually transmitted infections (STIs) or unplanned pregnancy. 2. Peer approval and acceptance are not important in this age-group. 3. Lesbian, gay, bisexual, and transgender (LGBT) youth often experience stress from identification with a sexual minority group. 4. Knowledge about normal changes associated with puberty and sexuality can decrease stress and anxiety. 5. Adolescence is a time of emotional stability and self-acceptance.

1, 3, 4

3. An adolescent who is pregnant for the first time is at her initial prenatal visit. The women's health nurse practitioner (NP) informs her that she will be screening her for sexually transmitted infections (STIs). The patient replies, "I know I don't have an STI because I don't have any symptoms." How should the NP respond? (Select all that apply.) 1. "Untreated STIs can cause serious complications in pregnancy so we routinely screen pregnant women." 2. "Bacterial STIs don't usually cause symptoms, but you could have an asymptomatic viral STI." 3. "Chlamydia screening is recommended for all sexually active women up to age 25 even if asymptomatic." 4. "People between the ages of 15 and 24 have the highest incidence of STIs." 5. "There is no need to screen for infection since you aren't having any problems or symptoms."

1, 3, 4

10. The nurse is providing education on sexually transmitted infections (STIs) to a group of older adults. The nurse knows that further teaching is needed when the participants make which statements? (Select all that apply.) 1. "I don't need to use condoms since there is no risk for pregnancy." 2. "I should be screened for an STI each time I'm with a new partner." 3. "I know I'm not infected because I don't have discharge or sores." 4. "I was tested for STIs last year so I know I'm not infected." 5. "The infection rate in older adults is low because most are not sexually active."

1, 3, 4, 5

3. Which factors influence a person's approach to death? (Select all that apply.) 1. Culture 2. Age 3. Spirituality 4. Personal beliefs 5. Previous experiences with death 6. Gender 7. Level of education 8. Degree of social support

1, 3, 4, 5, 8

15. Select the three factors that are evident when a healing relationship develops between nurse and patient. 1. The nurse being able to realistically mobilize hope for the patient 2. The patient being able to share fears of loss with significant others 3. Finding an interpretation or understanding of the patient's illness that is acceptable to the patient 4. Understanding your own beliefs about spirituality 5. Helping the patient use spiritual resources that he or she chooses

1, 3, 5

6. A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. You have cared for her for only 2 hours but have a good relationship with her. What might be the most appropriate intervention for support of her spiritual well-being at this time? 1. Make a referral to a professional spiritual care advisor 2. Sit down and talk with the patient; have her discuss her feelings and listen attentively 3. Move the patient's bible from her bedside cabinet drawer to the top of the over-bed table 4. Ask the patient if she would like to learn more about the implications of having this type of tumor

2

6. The nurse is gathering a history from a 72-year-old male patient being admitted to a nursing home. The patient requests a private room. The nurse understands that: 1. The patient cannot be sexually active since he is moving into a nursing home. 2. The patient may be requesting a private room to facilitate an intimate relationship with his partner. 3. There is no need to take a sexual history since most older adults are uncomfortable discussing intimate details of their lives. 4. Older adults in nursing homes usually do not participate in sexual activity.

2

8. The nurse is completing an admission history on a patient and says, "As a routine part of your medical history, it's important to include the sexual aspects of your life. Would it be alright if we discussed this?" This is an example of the nurse using the PLISSIT model to: 1. Place the patient in control of the situation. 2. Ask permission to discuss sexuality issues. 3. Provide the patent with limited information about sexual issues. 4. Ask the patient to provide sensitive information.

2

2. Place the following in order of sequence for condom application and usage. 1. Gently squeeze air out from the tip of the condom; leave space at the tip. 2. Check the condom package for damage, expiration date, and protection from STIs. 3. After ejaculating, hold onto condom while pulling out. 4. Place on erect penis and unroll to the base of the penis.

2, 1, 4, 3 2. Check the condom package for damage, expiration date, and protection from STIs. 1. Gently squeeze air out from the tip of the condom; leave space at the tip. 4. Place on erect penis and unroll to the base of the penis. 3. After ejaculating, hold onto condom while pulling out.

5. A 44-year-old male patient has just been told that his wife and child were killed in an auto accident while coming to visit him in the hospital. Which of the following statements are defining characteristics that support a nursing diagnosis of Spiritual Distress related to loss of family members? (Select all that apply.) 1. "I need to call my sister for support." 2. "I have nothing to live for now." 3. "Why would my God do this to me?" 4. "I need to pray for a miracle." 5. "I want to be more involved in my church."

2, 3

7. According to Healthy People 2020, certain ethnic groups in the United States are disproportionately affected by sexually transmitted infections (STIs) and human immunodeficiency virus (HIV). What are the likely causes of this issue? (Select all that apply.) 1. The large percentage of lesbian, gay, bisexual, or transgender individuals in the culture 2. Values and expectations about sexual behavior by the men or women in the culture 3. Religious beliefs and cultural attitudes toward the use of contraceptives 4. Educational background and knowledge of health risks associated with sexual behaviors 5. The higher incidence of sexual abuse in the affected ethnic groups

2, 3, 4

7. A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation. Which of the following strategies are appropriate? (Select all that apply.) 1. Encourage family members to participate in the exercise. 2. Have patient identify a quiet room in the home that has minimal interruptions. 3. Suggest use of a quiet fan running in the room. 4. Explain that it is best to meditate about 5 minutes 4 times a day. 5. Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer.

2, 3, 5

13. The nurse reviews the health history of a 48-year-old man and notes that he was started on medications for elevated blood pressure and depression at his last annual physical. He tells the nurse that over the past 6 months he is having difficulty sustaining an erection. The nurse understands that: (Select all that apply.) 1. Nurses are not expected to discuss sexual issues with male patients and the physician should address this. 2. Sexual function can be affected negatively by some medications. 3. Sexually transmitted infections (STIs) can cause complications such as erectile dysfunction and screening should be done. 4. It is not unusual for men with health issues to experience erectile dysfunction. 5. Medications used to treat hypertension and depression seldom interfere with sexual function.

2, 4

3. A nurse is caring for a 78-year-old patient with chronic multiple sclerosis. The patient has severe fatigue, muscle weakness, severe muscle spasms, and difficulties with coordination and balance. Her disease will likely worsen. The nurse has gained the patient's trust and wants to assess her life satisfaction. Which of the following questions should the nurse ask? (Select all that apply.) 1. How often are you able to attend your synagogue? 2. What about your family makes you proudest? 3. What does your husband do for you at home? 4. Looking back, what is your greatest accomplishment? 5. How has your illness affected the way you live your life spiritually at home?

2, 4

9. A patient is receiving palliative care for symptom management related to anxiety and pain. A family member asks if the patient is dying and now in "hospice." What does the nurse tell the family member about palliative care? (Select all that apply.) 1. Palliative care and hospice are the same thing. 2. Palliative care is for any patient, any time, any disease, in any setting. 3. Palliative care strategies are primarily designed to treat the patient's illness. 4. Palliative care relieves the symptoms of illness and treatment. 5. Palliative care selects home health care services.

2, 4

15. A 53-year-old female being treated for breast cancer tells the nurse that she has no interest in sex since her surgery 2 months ago. The nurse is aware that: (Select all that apply.) 1. Sexual issues are expected in a woman this age. 2. Women experience sexual dysfunction more frequently than men. 3. Hypoactive sexual desire disorder (HSDD) occurs in women over 65 years of age. 4. It is not unusual for medical conditions such as cancer to contribute to HSDD. 5. Disturbances in self-concept affect sexual functioning.

2, 4, 5.

Mrs. Watson has jsut undergone a radical mastectomy. The nurse is aware that Mrs. Watson will probably have considerable anxiety over: 1.) Self-esteem 2.) Body image 3.) Self-identity 4.) Role performance

2. Attitudes toward body image can occur as a result of situational events such as the loss of or change in a body part.

3. Several staff members complain about an adult patient's constant questions such as, "Should I have a cup of coffee or a cup of tea?" and "Should I take a shower now or wait until later?" Which interpretation of the patient's behavior helps the nurses provide optimal care? 1. Asking questions is attention-seeking behavior. 2. Inability to make decisions reflects a self-concept issue. 3. Dependence on staff must be stopped immediately. 4. Indecisiveness is aimed at testing how the staff reacts.

2. Inability to make decisions reflects a self-concept issue.

12. In planning nursing care for an 85-year-old male, what is the most important basic need that must be met? 1. Assurance of sexual intimacy 2. Preservation of self-esteem 3. Expanded socialization 4. Increase in monthly income

2. Preservation of self-esteem

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

2. Self-esteem.

13. Which of the following assessment findings suggest an altered self-concept? (Select all that apply.) 1. Uneven gait 2. Slumped posture and poor personal hygiene 3. Avoidance of eye contact when answering a question 4. Requests for visits from the chaplain 5. Frequent use of the call light

2. Slumped posture and poor personal hygiene 3. Avoidance of eye contact when answering a question

1. A 16-year-old female tells the school nurse that she doesn't need the human papillomavirus (HPV) vaccine since her partner always uses condoms. The best response by the nurse to this statement is: 1. Latex condoms are the most effective way to eliminate the risk of HPV transmission. 2. Your parents may not want you to receive the HPV vaccine since it has been shown to increase sexual risk taking and sexual activity. 3. The HPV 9-valent vaccine is recommended for males and females and targets the specific viruses that cause cancer and genital warts. 4. You are past the recommended age to receive the vaccine.

3

10. A nurse begins a night shift, assuming care for a critically ill patient who was resuscitated earlier in the day from cardiac arrest. He survived and is physically stable, alert, oriented, and responding appropriately to the nurse's questions. Knowing that the patient experienced a period when his heart stopped beating, what would be the best approach for the nurse to use with him? 1. Have family come to visit and focus discussion about their gratitude that the patient survived 2. Change the subject when the patient begins talking about entering a dark tunnel when the doctors were resuscitating him 3. Sit and encourage the patient to share what he experienced during resuscitation 4. Provide the patient the opportunity to have passages from the bible read to him

3

12. Evaluation of spiritual care is necessary to determine if a patient's level of spiritual health has changed following intervention. If the use of rituals was part of a nurse's care plan, which of the following questions is most appropriate to evaluate its efficacy? 1. Do you feel the need to forgive your wife over your loss? 2. What can I do to help you feel more at peace? 3. Were prayer or meditation helpful to you? 4. Should we plan on having your family try to visit you more often in the hospital?

3

13. A patient who is recovering from a bilateral amputation of the legs below the knee shows transcendence when she states: 1. "My pain medicine helps me feel better." 2. "I know I'll get better if I just keep trying." 3. "I see God's grace and become relaxed when I watch the sun set at night." 4. "I have had a great life and a good marriage. My husband has been so helpful in my healing."

3

4. You are caring for a hospitalized patient who is Muslim and has diabetes. Which of the following items do you need to remove from the meal tray when it is delivered to the patient? 1. Small container of vanilla ice cream 2. A dozen red grapes 3. Bacon and eggs 4. Garden salad with ranch dressing

3

6. A young mother is dying of breast cancer with bone metastasis and tells the nurse, "My body hurts so much. I can hardly move. Why is God making me suffer when I have done nothing bad in my life? I feel like giving up. How can I care for my children when I can't even care for myself?" What is the most appropriate nursing diagnosis for this patient? 1. Spiritual Distress related to questioning God 2. Hopelessness related to terminal diagnosis 3. Pain related to disease process 4. Anticipatory Grief related to impending death

3

Which of the following statements about body image is correct? 1.) Body image refers only to the external appearance of a person's body 2.) Physical changes are quickly incorporated into a person's body image 3.) Perceptions by other persons have no influence on a person's body image 4.) Body image is a combination of a person's actual and perceived body

4. Involves attitudes related to the body, including physical appearance, structure, or function, which is affected by cognitive and physical development as well as cultural and societal attitudes

7. A nurse has the responsibility of managing a deceased patient's postmortem care. What is the proper order for postmortem care? 1. Bathe the body of the deceased. 2. Collect any needed specimens. 3. Remove all tubes and indwelling lines. 4. Position the body for family viewing. 5. Speak to the family members about their possible participation. 6. Ensure that the request for organ/tissue donation and/or autopsy was completed. 7. Notify support person (e.g., spiritual care provider, bereavement specialist) for the family. 8. Accurately tag the body, including the identity of the deceased and safety issues regarding infection control. 9. Elevate the head of the bed.

6, 9, 2, 5, 7, 3, 1, 4, 8

During the nursing process, the use of the acronym BELIEF during an assessment stands for what? A. Belief system, Ethics/Values, Lifestyle, Involvement in Spiritual community, Education, and Future Events. B. Belief system, Ethics/Values, Lethargy, Inguination, Edification and Falsisms. C. Blood Pressure, Equilibrium, Lab results, Immobility, Ecmnesia and Fixation. D. Buddist, Evangelical, Lutheran, Islamic, Ethnic religions, Faith based.

A

Influenced by culture: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

A

Pill, intrauterine device, condoms, diaphragm, tubal ligation, vasectomy: A. Contraceptive options B. Middle adulthood C. Older adulthoodD. Adolescents E. School-age children F. Sexuality

A

The only 100% effective method to avoid contracting a disease through sex is: A. Abstinence B. Using condoms C. Avoiding sex with partners at risk D. Knowing the sexual partner's health history

A

Which statement about loss is accurate? A. Loss may be maturational, situational, or both. B. The degree of stress experienced is unrelated to the type of loss. C. Loss is only experienced when there is an actual absence of something valued. D. The more an individual has invested in what is lost, the less the feeling of loss.

A

An acute stress disorder that begins when a person experiences, witnesses, or is confronted with a traumatic event - May include flashbacks = Recurring and intrusive recollections of the event

Posttraumatic stress disorder

Changes in physical appearance lead to concerns about sexual attractiveness: A. Contraceptive options B. Middle adulthood C. Older adulthood D. Adolescents E. School-age children F. Sexuality

B

If a nurse were to use a nursing diagnosis to relate concerns about spiritual health, which of the following would be used? A. Lack of faith B. Spiritual distress C. Inability to adjust D. Religious dilemma

B

State of physical, emotional, mental and social well-being in relation to sexuality: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

B

Mr. Phillips was recently diagnosed with a malignant tumor. The staff had observed him crying on several occasions, and now he cries as he reads from his Bible. Interventions to help Mr. Phillips cope with his illness would include: A. Praying with Mr. Phillips as often as possible. B. Asking the hospital chaplain to visit him daily C. Supporting his use of inner resources by providing time for meditation. D. Engaging Mr. Phillips in diversional activities to reduce feelings of hopelessness.

C

The first 3 years are crucial for its development: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

C

When planning care to include spiritual needs for a patient of Islamic faith, the religious practices the nurse should understand include all of the following except: A. Strength is gained through group prayer. B. Family members are a source of comfort. C. A priest must be present to conduct rituals. D. Faith healing provides psychological support.

C

You are assigned to care for a patient who has just undergone a mastectomy for a malignant tumor. You would most appropriately classify this self-concept component as: A. identity stressor. B. sexuality stressor. C. body image stressor. D. role performance stressor.

C. body image stressor.

Lesbian, gay, bisexual, or transgender: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

D

Need accurate information on sexually transmitted infections, contraception, and pregnancy: A. Contraceptive options B. Middle adulthood C. Older adulthood D. Adolescents E. School-age children F. Sexuality

D

Which is not a commonly diagnosed STI? A. Syphilis B. Gonorrhea C. Chlamydia D. Osteoporosis E. Trichomoniasis F. HPV G. Herpes Simplex

D

Which statement about sexual response in older adults is correct? A. The resolution phase is slower. B. The orgasm phase is prolonged. C. The refractory phase is more rapid. D. Both genders experience a reduced availability of sex hormones.

D

Upon admission, when gathering a patient's sexual history, nurses should: A. focus only on physical factors that affect sexual functioning. B. discuss sexual concerns only if the patient raises questions or concerns. C. use emotionally laden terms when discussing sexual concepts. D. include questions related to sexual function.

D. include questions related to sexual function.

You are assigned to care for a patient who retired 6 months ago. While providing care, you identify that this patient is struggling emotionally with change. This situation is most likely associated with the self-concept component of: A.identity stressor. B.sexuality stressor. C. body image stressor. D. role-performance stressor.

D. role-performance stressor.

Have general questions regarding the physical and emotional aspects of sex: A. Contraceptive options B. Middle adulthood C. Older adulthood D. Adolescents E. School-age children F. Sexuality

E

Painful intercourse: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

E

Intimacy and sexuality are issues for this group: A. Gender roles B. Sexual health C. Gender identity D. Sexual minority group E. Dyspareunia F. Young Adulthood

F

Part of a person's personality and important for overall health: A. Contraceptive options B. Middle adulthood C. Older adulthood D. Adolescents E. School-age children F. Sexuality

F

General Adaptation Syndrome

Seyle's concept that the body responds to stress with alarm, resistance and exhaustion

Stressors that affect self concept: Role Performance

Situational transitions

An adolescent attempting to adjust to the physical, emotional, and mental changes of increasing maturity

Stressors that affect self concept: Identity

a middle-aged woman with teenage children assuming responsibility for the care of her older parents

Stressors that affect self concept: Role Conflict

Unsuccessfully attempting to meet the demands of work and family while carving out some personal time

Stressors that affect self concept: Role Overload

Example: perceived inability to meet parental expectations, harsh criticism, and inconsistent discipline

Stressors that affect self concept: Self-esteem Stressors

______ strress is from time-limited events that threaten a person for a relatively brief period provoke acute stres

acute

________ stress occurs in stable conditions and results from stressful ro

chronic