NURS 220 EXAM 1-4 REVIEW QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
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To evaluate a client's personal identity, the nurse should consider what
three aspects of the client's self? Ans✓✓✓-Personal identity can be
evaluated from the standpoint of three aspects of self; the ideal self, the
real self, and the public self.
Rationale: The ideal self reflects the qualities an individual believes he
or she should possess, as well as those he or she aspires to develop. The
real self represents an individual's perceived true self; it may include
observations about self or self perceived qualities that the individual
hides from others or does not readily share. The public self is formed on
the basis of how the individual wishes to be perceived by others.
Which hormone is one of the primary mediators of stress? Ans✓✓✓-
The two primary stress mediators are glucocorticoids (e.g. cortisol) and
catecholamines (e.g. epinephrine).
Rationale: Serotonin is a neurotransmitter that is involved in some mood
and anxiety disorders, but it is not a primary mediator of stress.
Somatostatin is a hormone released by the pituitary gland. It is not
involved in the stress response. Glucagon is secreted by the pancreas to
increase blood glucose levels.
The nurse is caring for a client who is hospitalized with pneumonia.
Which of the following will the nurse assess when determining the
impact of the illness on the family? Select all that apply
,A) The duration of the illness
B) The effect of the illness on future family functioning
C) The cause of the illness
D) The meaning of the illness to the family
E) The financial impact of the illness Ans✓✓✓A) The duration of the
illness
B) The effect of the illness on future family functioning
D) The meaning of the illness to the family
E) The financial impact of the illness
The impact on the family is assessed by the duration of the illness as
well as its effect on the family finances and functioning. Other factors
include residual effects of the illness, meaning of the illness to the
family, and its significance to family systems. The cause of the illness is
not a factor that determines the impact on the family.
What is the major effect of a health crisis on family structure?
Ans✓✓✓-Serious illness or injury may result in changes in family roles,
responsibilities, and functions.
Rationale: Illness may precipitate a health crisis in a family. Regardless
of how the family adapts to an illness, members of the family must
constantly adjust roles and responsibilities to manage the need of the ill
family member.
,The nurse is assessing his client's self concept. The client is status post-
myocardial infarction and is due to be discharged tomorrow. Which of
the following focuses will give the nurse the most information about the
client's self concept? select all that apply.
A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation Ans✓✓✓A) Body image
C) Self-esteem
E) Sexual orientation
The nurse assessing self-concept focuses on the client's personal
identity, body image, self-esteem, and role performance. Sexual
orientation and gender identity do not always provide information about
self-concept.
It is a religious holy day. The hospitalized client is withdrawn,
occasionally tearful, and requests a minister to see him. Family is at the
bedside. What action would the nurse take to address the client's
spiritual distress on this day? Ans✓✓✓-Contact the chaplain to request
to see the client today.
Rationale: Even on a holy day, there is usually a spiritual caregiver on
call for the hospital. Encouraging the family to talk to the client ignores
the client's request. The other options may bring some relief to the client,
but they still ignore his request for a spiritual caregiver.
, The nurse is caring for a woman who was involved in a car accident.
The client's husband was killed in the accident. The couple has two
teenage children. Which statement explains how this tragedy will be
approached by the family? Ans✓✓✓-Family disorganization may occur.
Rationale: The death of a family member often has a profound effect on
the whole family-especially if the deceased, as in this situation, was the
head of the family. Family disorganization would be common, but as the
family begins to recover, a new sense of normalcy develops and the
family reintegrates its roles and functions. Families need support from
extended family members, their community, and spiritual advisers. The
other options are not considered normal patterns of family grieving, and
the nurse should be alert for problems that may develop if these are
present.
Occupation-specific stressors that are ongoing and unmanaged can lead
to what extreme form of stress? Ans✓✓✓-Burnout
Rationale: Eustress is good stress that leads to accomplishment and
victory. Distress is bad stress that is associated with inadequacy,
insecurity, and loss. Although occupation-specific stressors can be a type
of distress, distress is not the specific term for the extreme form of stress
caused by ongoing and unmanaged stress. The term used for that form of
extreme stress us burnout. Burnout in nurses can lead to reduced quality
of care and decreased patient satisfaction. Allostasis refers to changes
necessary to achieve homeostasis
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
To evaluate a client's personal identity, the nurse should consider what
three aspects of the client's self? Ans✓✓✓-Personal identity can be
evaluated from the standpoint of three aspects of self; the ideal self, the
real self, and the public self.
Rationale: The ideal self reflects the qualities an individual believes he
or she should possess, as well as those he or she aspires to develop. The
real self represents an individual's perceived true self; it may include
observations about self or self perceived qualities that the individual
hides from others or does not readily share. The public self is formed on
the basis of how the individual wishes to be perceived by others.
Which hormone is one of the primary mediators of stress? Ans✓✓✓-
The two primary stress mediators are glucocorticoids (e.g. cortisol) and
catecholamines (e.g. epinephrine).
Rationale: Serotonin is a neurotransmitter that is involved in some mood
and anxiety disorders, but it is not a primary mediator of stress.
Somatostatin is a hormone released by the pituitary gland. It is not
involved in the stress response. Glucagon is secreted by the pancreas to
increase blood glucose levels.
The nurse is caring for a client who is hospitalized with pneumonia.
Which of the following will the nurse assess when determining the
impact of the illness on the family? Select all that apply
,A) The duration of the illness
B) The effect of the illness on future family functioning
C) The cause of the illness
D) The meaning of the illness to the family
E) The financial impact of the illness Ans✓✓✓A) The duration of the
illness
B) The effect of the illness on future family functioning
D) The meaning of the illness to the family
E) The financial impact of the illness
The impact on the family is assessed by the duration of the illness as
well as its effect on the family finances and functioning. Other factors
include residual effects of the illness, meaning of the illness to the
family, and its significance to family systems. The cause of the illness is
not a factor that determines the impact on the family.
What is the major effect of a health crisis on family structure?
Ans✓✓✓-Serious illness or injury may result in changes in family roles,
responsibilities, and functions.
Rationale: Illness may precipitate a health crisis in a family. Regardless
of how the family adapts to an illness, members of the family must
constantly adjust roles and responsibilities to manage the need of the ill
family member.
,The nurse is assessing his client's self concept. The client is status post-
myocardial infarction and is due to be discharged tomorrow. Which of
the following focuses will give the nurse the most information about the
client's self concept? select all that apply.
A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation Ans✓✓✓A) Body image
C) Self-esteem
E) Sexual orientation
The nurse assessing self-concept focuses on the client's personal
identity, body image, self-esteem, and role performance. Sexual
orientation and gender identity do not always provide information about
self-concept.
It is a religious holy day. The hospitalized client is withdrawn,
occasionally tearful, and requests a minister to see him. Family is at the
bedside. What action would the nurse take to address the client's
spiritual distress on this day? Ans✓✓✓-Contact the chaplain to request
to see the client today.
Rationale: Even on a holy day, there is usually a spiritual caregiver on
call for the hospital. Encouraging the family to talk to the client ignores
the client's request. The other options may bring some relief to the client,
but they still ignore his request for a spiritual caregiver.
, The nurse is caring for a woman who was involved in a car accident.
The client's husband was killed in the accident. The couple has two
teenage children. Which statement explains how this tragedy will be
approached by the family? Ans✓✓✓-Family disorganization may occur.
Rationale: The death of a family member often has a profound effect on
the whole family-especially if the deceased, as in this situation, was the
head of the family. Family disorganization would be common, but as the
family begins to recover, a new sense of normalcy develops and the
family reintegrates its roles and functions. Families need support from
extended family members, their community, and spiritual advisers. The
other options are not considered normal patterns of family grieving, and
the nurse should be alert for problems that may develop if these are
present.
Occupation-specific stressors that are ongoing and unmanaged can lead
to what extreme form of stress? Ans✓✓✓-Burnout
Rationale: Eustress is good stress that leads to accomplishment and
victory. Distress is bad stress that is associated with inadequacy,
insecurity, and loss. Although occupation-specific stressors can be a type
of distress, distress is not the specific term for the extreme form of stress
caused by ongoing and unmanaged stress. The term used for that form of
extreme stress us burnout. Burnout in nurses can lead to reduced quality
of care and decreased patient satisfaction. Allostasis refers to changes
necessary to achieve homeostasis
