Exam 8: Spiritual, Self-Concept, Sexuality, Grief

A patient's father died a week ago. Both the patient and the patient's spouse talk about the death. The patient's spouse is experiencing headaches and fatigue. The patient is having trouble sleeping, had no appetite, and gets choked up most of the time. How should the nurse interpret these findings as the basis for a follow-up assessment? A) Both the patient and spouse are likely grieving. B) Both the patient and the spouse are likely in denial. C) The patient is dying and the spouse is angry. D) The patient is ill and the spouse is malingering.

A) Both the patient and spouse are likely grieving.

A woman who was sexually assaulted a month ago presents to the emergency department with reports of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Which medical problem will the nurse expect to see documented in the chart. A) Post-traumatic stress disorder B) General adaptation syndrome C) Acute stress disorder D) Alarm reaction

A) Post-traumatic stress disorder

Despite working in a highly stressful nursing unit and accepting additional shifts, a new has a strategy to prevent burnout. Which strategy will be best for the nurse to use? A) Strengthen friendships outside the workplace. B) Use progressive muscle relaxation. C) Delegate complex nursing tasks to nursing assistive personnel. D) Write for 10 minutes in a journal every day

A) Strengthen friendships outside the workplace.

A verbally abusive partner has told a significant other many negative comments over the years. In the crisis center, the nurse would anticipate that the patient may have which self-concept deficits? A. Identifying local self-help groups before being discharged from the program. B. Recognizing personal areas of weakness to grow stronger. C. Stating a plan to never be tempted by illicit substances after discharge. D. Staying away from all triggers that cause substance abuse.

A. Identifying local self-help groups before being discharged from the program.

A nurse grimaces while changing a patient's colostomy bag. Which effect will the nurse's behavior most likely have on the patient? A. Self-concept is how a person thinks about oneself. B. Self-concept is how a person feels about oneself. C. No answer text provided. D. Self-concept is how a person feels about others

A. Self-concept is how a person thinks about oneself.

The mother of a child who died recently keeps the child's room intact. Family members are encouraging her to redecorate and move forward in life. Which type of grief will the home health nurse recognize the mother is experiencing? A) Abnormal B) Normal C) End-of-life D) Complicated

B. Normal

A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect? Correct Answer Physical aggression and sleep disturbances. Many peers and no drug usage Anxiety and depression Panic attacks and anorexia

Correct Answer Physical aggression and sleep disturbances.

An 18-year-old male patient informs the nurse that he isn't sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship? "Don't worry. It's just a phase you will grow out of." "Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop." Correct! "At your age, it s normal to be curious about both genders." "Those are abnormal impulses. You should seek therapy."

Correct! "At your age, it s normal to be curious about both genders."

The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best? "If you have the virus, you will have flu-like symptoms in 6 months." "I will set you up with a support group to help you cope with dying within the next 10 years." "You should have our blood drawn today to see if you were infected." Correct! "Highly active antiretroviral therapy has been shown effective in slowing the disease process."

Correct! "Highly active antiretroviral therapy has been shown effective in slowing the disease process."

A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and female sexual partners. Which response by the nurse will be most effective? "I think it's best to notify your parents. They know what's best for you and can help make sure you practice safe sex." Correct! "Sexually transmitted infections and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself?" "Your current friends are leading you to make poor choices. You should find new friends to hang out with." "Having sexual interaction with both males and females places you at higher risk for STIs. To protect yourself, you need to decide which orientation you are."

Correct! "Sexually transmitted infections and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself?"

A female nurse is called into the supervisor's office regarding her deteriorating work performance since the loss of her spouse 2 years ago. The woman is sobbing and says that she is "falling apart" at home as well. Which type of grief is the female nurse experiencing? Perceived grief Normal grief Disenfranchised grief Correct! Complicated grief

Correct! Complicated grief

A nurse is providing postmortem care. Which action will the nurse take? Lower the head of the bed Cover the body with a sterile sheet Correct! Leave dentures in the mouth Remove all tubes for an autopsy

Correct! Leave dentures in the mouth

A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious and ethical values are strongly opposed. How should the nurse best handle this situation? Correct! Refer the patient to a family planning center or another health professional. Attempt to educate the patient about the consequences of abortion. Continue to care for the patient and limit conversation as much as possible. Inform the patient that, because of immoral issues, another nurse will have to care for her.

Correct! Refer the patient to a family planning center or another health professional.

In a natural disaster relief facility, the nurse observes than an older-adult male has a recovery plan, while a 25-year old male is still overwhelmed by the disaster situation. A nurse is planning care for both patients. Which factors will the nurse consider about the different coping reactions? A) Strong financial resource factors B) Immaturity and intelligence factors C) Restorative care factors D) Maturational and situational factors

D) Maturational and situational factors

A previously toilet trained toddler has started wetting again. A nurse is gathering a health history from the grandparent. Which health history finding will the nurse most likely consider as the cause of the wetting? A) Sibling was sick 2 days B) Playmate moved away C) Dietary changes D) Recent parental death

D) Recent parental death

While gathering an adolescent's health history, the nurse recognizes that the patient began to act out behaviorally and engaged in risky behavior when the patient's parents divorced. Which information will the nurse gather to determine situational low self-esteem? Motivate the patient to increase physical activity. Develop a kind nickname for the colostomy bag. Assist recovery by using honest communication. Correct! Promote development of a negative body image.

Promote development of a negative body image.