Journey Across the Life Span 6th Edition Polan Test Bank

Chapter 1. Healthy Lifestyles – Test Questions 1. In early civilization, the cause of illness was attributed to: a. Infectious disease b. Microorganisms c. Contaminated food and water d. Natural and supernatural forces Answer: 2. The first understanding of disease processes occurred in (the): a. Early civilization b. 21st century c. 19th century d. Middle Ages Answer: GRADESMORE.COM 3. Despite all of the improvements and advancements in health care, several infectious diseases have recently resurfaced, including: a. Strep throat b. Tuberculosis c. Polio d. Mononucleosis Answer: 4. Healthy People 2020 identifies two major goals—eliminating health disparities and: a. Increasing peace and prosperity b. Eliminating all diseases c. Increasing the quality and years of healthy living d. Limiting population growth Answer: 5. An external force that can affect one’s health is (the): Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e a. Mind b. Culture c. Heredity d. Hormones Answer: 6. Health promotion is: a. Goal oriented b. Natural c. Unplanned d. Special Answer: 7. Mrs. Jackson brings her 6-month-old infant to the clinic for immunization. This action demonstrates which of the following levels of disease prevention? a. Primary b. Secondary c. Tertiary d. Rehabilitative Answer: 8. A future national goal for health care is the: a. Reduction of services b. Decrease in managed care c. Increase in Medicaid contribution d. Elimination of disparities in health care Answer: 9. Inadequate nutrition contributes to diseases such as: a. Arthritis b. Lupus c. Cancer d. Hearing loss Journey Across the Life Span 6th Edition Polan Test Bank Answer: 10. In health promotion, the most important nursing role is: a. Teaching safe health practices b. Assessing the individual’s health needs c. Reducing potential health risk factors d. Changing established lifestyle Answer: 11. A healthy person generally: a. Lacks stability b. Lacks energy c. Is in denial d. Is in harmony Answer: GRADESMORE.COM 12. In a health model, the nurse, as a collaborator, is responsible for: a. Teaching patients about their disease process b. Sharing and exchanging information with other health professionals c. Demonstrating desired health behavior d. Performing daily care needs Answer: 13. Jennifer Joseph, a 60-year-old client, has been instructed by the public health nurse to begin a program of exercise. You can further explain to Mrs. Joseph that the benefits of exercise are: a. An increase in blood supply to muscles and nerves b. An increase in heart rate and rhythm c. A decrease in the size of the heart muscle d. A decrease in blood volume and oxygen demands Answer: Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 14. Holistic health: a. Excludes one’s physical well-being b. Limits consideration of one’s social standing c. Excludes environmental impact d. Considers one’s mental well-being Answer: 15. Which of the following is an example of health restoration? a. Rehabilitation after surgery to replace a knee joint b. Immunization against the hepatitis B virus c. Surgical excision of a breast cyst d. Closure of an abdominal stoma Answer: 16. A major objective of health promotion is: GRADESMORE.COM a. Decreasing one’s stress level b. Challenging health practices c. Attaining one’s level of optimal health d. Providing self-actualization Answer: 17. The most important goal in health restoration is: a. Regaining losses b. Compensating for losses c. Attaining acceptance d. Providing sympathy Answer: 18. Which of the following forces has no impact on changing one’s health behavior? a. Family b. Social pressures Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e c. Role models d. Inherited traits Answer: 19. The stressor most commonly associated with adolescence is: a. The search for self-worth b. The search for identity c. Separation anxiety d. Birth of a new sibling Answer: 20. Based on the Social Readjustment Rating Scale, the most stressful event for an adult is: a. Changing careers b. Changing residence c. Divorce d. Childbirth Answer: GRADESMORE.COM 21. Virgil Grant, a patient recently diagnosed with AIDS, is having a healthy response to the stress in his life if he demonstrates which of the following behaviors? a. Denial b. Withdrawal c. Acceptance d. Aggression Answer: 22. Gary Byrd, a 24-year-old college student, tells the nurse that he sometimes uses various illegal drugs. The nurse can characterize Gary as a substance abuser if he: a. Continues to be active in college affairs b. Maintains his self-esteem c. Begins to lose interest in his relationships d. Has heightened interest in the opposite sex Journey Across the Life Span 6th Edition Polan Test Bank Answer: 23. The highest percentage of accidents resulting from alcohol use involve: a. Homicides b. Drowning c. Fires d. Motor vehicles Answer: 24. Sandra Gooden has just been told by the doctor that she is pregnant with her first baby. Which of the following factors will have a negative impact on Sandra’s ability to maintain good health during her pregnancy? a. Poor relationship with her in-laws b. Community recognition c. Effective stress management d. Economic well-being Answer: GRADESMORE.COM 25. The level of health prevention that concentrates on retraining and educating to maximize the use of remaining capacities is: a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Disability prevention Answer: 26. Preventive care, including immunizations and yearly physical examinations, is classified as what type of health care service? a. Primary b. Secondary c. Tertiary d. Collaborative Answer: Journey Across the Life Span 6th Edition Polan Test Bank WWW.NURSYLAB.COM Polan, Journey Across the Life Span, 6e 27. National health insurance for persons 65 years and older is known as: a. Medicaid b. Medicare c. Socialized medicine d. Palliative care Answer: 28. The nurse recognizes that physiological responses to emotional stress are the result of: a. Mental illness b. Autonomic nervous stimulation c. Powerlessness d. Shame Answer: 29. The nurse is teaching a comGRmAunDitEySgMroOuRpEab.oCutOdMisease prevention. She is giving instructions regarding secondary prevention and correctly includes: a. Risk factors for heart disease b. Limiting disability after injury c. The importance of colorectal screening d. The use of vitamins and a balanced diet Answer: 30. One of the goals of the Affordable Care Act is: a. Placing an emphasis on illness b. Improving the quality of care c. Focusing on curing rare diseases d. Holding the client responsible for tending to his or her own health care needs Answer: 31. The organization that coordinates global health care issues, such as outbreaks of infection, is: Journey Across the Life Span 6th Edition Polan Test Bank WWW.NURSYLAB.COM Polan, Journey Across the Life Span, 6e a. Healthy People 2020 b. Centers for Disease Control and Prevention c. World Health Organization d. AARP Answer: 32. The most important goal the nurse must meet today in the delivery of health care is: a. Fostering the client’s recovery from illness b. Providing the individual rehabilitation from illness c. Promoting self-care d. Assisting the individual in attaining the highest level of health Answer: 33. The student nurse is providing follow-up teaching to a group of clients on how to maintain a healthy diet. The student nurse must first understand that which of the following factors can affect the selection of a healthy diet? (Select all that apply.) GRADESMORE.COM a. Cultural preferences b. Client’s knowledge level c. Economic status d. Access to foods Answer: 34. The plan of care states that an increase in food intake is needed to rebuild and repair cells. The nurse would increase the client’s intake of: a. Fish b. Fruits c. Cereals d. Olive oil Answer: 35. The MyPlate guidelines help the individual: a. Understand that food intake must match energy output Journey Across the Life Span 6th Edition Polan Test Bank WWW.NURSYLAB.COM Polan, Journey Across the Life Span, 6e b. Focus on the value of certain foods c. Use his or her weight to determine food intake d. Focus on a child’s nutritional needs Answer: 36. Which of the following describe(s) a type of determinant behavior? (Select all that apply.) a. Poor diet b. Unsafe sex c. Smoking and drug use Answer: 37. During a postconference, there is an open discussion on the health-promoting goals of Healthy People 2020. When the nurse instructor summarizes the key points, she is correct if she states (select all that apply): a. Economical support for all b. Elimination of health care disparities c. Access to preventive hGeaRltAhDseErvSiMceOsRE.COM d. Free nutritional programs for elderly adults e. Counseling services for the elderly population Answer: 38. The nurse is participating in a health promotion workshop at the community church. She must include which of the following topics? (Select all that apply.) a. Stress management b. Regular exercise c. Limiting nutritional intake d. Medication support for sleep and rest e. Sedentary lifestyle to decrease cardiac workload Answer: 39. Healthy ways of adapting to stress include: a. Alcohol b. Humor Journey Across the Life Span 6th Edition Polan Test Bank WWW.NURSYLAB.COM Polan, Journey Across the Life Span, 6e c. Drugs d. Smoking Answer: 40. The parent of a 6-year-old who is having problems in school shares with the school nurse that she took her child to the pediatrician, and he said he is suffering from PTSD. She tells the nurse she does not understand because she has only heard of PTSD in association with soldiers after combat. The nurse would best reply: a. Your son is always fighting when he comes to school b. PTSD can occur if your son has had a traumatic experience c. Yes, PTSD only occurs in people who have been in combat d. This is caused by extreme anxiety and should pass in a few days Answer: 41. A mother is questioning her 2-year-old child’s emotional development. Identify emotions that are normal in this age group (select all that apply): a. Frustration b. Pleasure c. Anger d. Anxiety e. Fear Answer: GRADESMORE.COM Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e Chapter 1. Healthy Lifestyles – Questions With Answers and Rationales 1. In early civilization, the cause of illness was attributed to: a. Infectious disease b. Microorganisms c. Contaminated food and water d. Natural and supernatural forces Answer: d Rationale: In early civilization, illness was attributed to natural and supernatural forces. Nursing Process: Assessment Client Needs: Physiological Integrity 2. The first understanding of disease processes occurred in (the): a. Early civilization b. 21st century c. 19th century d. Middle Ages GRADESMORE.COM Answer: c Rationale: In the 19th century, the development of bacteriology helped in the understanding of disease processes. Nursing Process: Assessment 3. Despite all of the improvements and advancements in health care, several infectious diseases have recently resurfaced, including: a. Strep throat b. Tuberculosis c. Polio d. Mononucleosis Answer: b Rationale: Tuberculosis is one of several diseases that have recently resurfaced. Nursing Process: Planning Client Needs: Psychosocial Integrity Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 4. Healthy People 2020 identifies two major goals—eliminating health disparities and: a. Increasing peace and prosperity b. Eliminating all diseases c. Increasing the quality and years of healthy living d. Limiting population growth Answer: c Rationale: Increasing the quality and years of healthy living is one major goal set by Healthy People 2020. Nursing Process: Planning Client Needs: Psychosocial Integrity 5. An external force that can affect one’s health is (the): a. Mind b. Culture c. Heredity d. Hormones Answer: b GRADESMORE.COM Rationale: Culture is an external force that can have many influences on an individual, including effects on health. Nursing Process: Planning Client Needs: Psychosocial Integrity 6. Health promotion is: a. Goal oriented b. Natural c. Unplanned d. Special Answer: a Rationale: Health promotion sets goals leading toward optimal wellness. Nursing Process: Planning Client Needs: Psychosocial Integrity Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 7. Mrs. Jackson brings her 6-month-old infant to the clinic for immunization. This action demonstrates which of the following levels of disease prevention? a. Primary b. Secondary c. Tertiary d. Rehabilitative Answer: a Rationale: Primary prevention is aimed at disease prevention. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance 8. A future national goal for health care is the: a. Reduction of services b. Decrease in managed care c. Increase in Medicaid contribution d. Elimination of disparities in health care Answer: d GRADESMORE.COM Rationale: The national goal for the next decade is health care for all. Nursing Process: Planning Client Needs: Psychosocial Integrity 9. Inadequate nutrition contributes to diseases such as: a. Arthritis b. Lupus c. Cancer d. Hearing loss Answer: c Rationale: Cancer has been linked to poor nutritional practices. Nursing Process: Planning Client Needs: Psychosocial Integrity 10. In health promotion, the most important nursing role is: Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e a. Teaching safe health practices b. Assessing the individual’s health needs c. Reducing potential health risk factors d. Changing established lifestyle Answer: a Rationale: An important goal of health promotion is helping individuals learn to make safe health choices. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance 11. A healthy person generally: a. Lacks stability b. Lacks energy c. Is in denial d. Is in harmony Answer: d Rationale: Being in harmony, or homeostasis, means that the body can balance healthy and unhealthy forces. GRADESMORE.COM Nursing Process: Planning Client Needs: Psychosocial Integrity 12. In a health model, the nurse, as a collaborator, is responsible for: a. Teaching patients about their disease process b. Sharing and exchanging information with other health professionals c. Demonstrating desired health behavior d. Performing daily care needs Answer: b Rationale: The nurse acts as a collaborator with other health professionals to promote positive patient outcomes. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 13. Jennifer Joseph, a 60-year-old client, has been instructed by the public health nurse to begin a program of exercise. You can further explain to Mrs. Joseph that the benefits of exercise are: a. An increase in blood supply to muscles and nerves b. An increase in heart rate and rhythm c. A decrease in the size of the heart muscle d. A decrease in blood volume and oxygen demands Answer: a Rationale: Exercise helps stimulate increased blood supply, which nourishes muscles and nerves. Nursing Process: Implementation Client Needs: Physiological Integrity 14. Holistic health: a. Excludes one’s physical well-being b. Limits consideration of one’s social standing c. Excludes environmental impact d. Considers one’s mental wGelRl-AbeDinEgSMORE.COM Answer: d Rationale: Holistic practices consider the whole person’s well-being. Nursing Process: Planning Client Needs: Psychosocial Integrity 15. Which of the following is an example of health restoration? a. Rehabilitation after surgery to replace a knee joint b. Immunization against the hepatitis B virus c. Surgical excision of a breast cyst d. Closure of an abdominal stoma Answer: a Rationale: Health restoration implies rehabilitation to one’s optimal functioning. Nursing Process: Planning Client Needs: Psychosocial Integrity Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 16. A major objective of health promotion is: a. Decreasing one’s stress level b. Challenging health practices c. Attaining one’s level of optimal health d. Providing self-actualization Answer: c Rationale: The focus of health promotion is individualized to bring the person to his or her best potential. Nursing Process: Planning Client Needs: Psychosocial Integrity 17. The most important goal in health restoration is: a. Regaining losses b. Compensating for losses c. Attaining acceptance d. Providing sympathy Answer: b GRADESMORE.COM Rationale: Health restoration assists the person in learning to cope with losses. Nursing Process: Planning Client Needs: Psychosocial Integrity 18. Which of the following forces has no impact on changing one’s health behavior? a. Family b. Social pressures c. Role models d. Inherited traits Answer: d Rationale: Inherited traits are those transmitted by genes and are out of a person’s control. Nursing Process: Assessment Client Needs: Physiological Integrity 19. The stressor most commonly associated with adolescence is: Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e a. The search for self-worth b. The search for identity c. Separation anxiety d. Birth of a new sibling Answer: b Rationale: Adolescents struggle to find out who they are. Nursing Process: Planning Client Needs: Psychosocial Integrity 20. Based on the Social Readjustment Rating Scale, the most stressful event for an adult is: a. Changing careers b. Changing residence c. Divorce d. Childbirth Answer: c Rationale: Divorce has been identified as one of life’s major stressors, in that it breaks up the family unit. GRADESMORE.COM Nursing Process: Evaluation Client Needs: Psychosocial Integrity 21. Virgil Grant, a patient recently diagnosed with AIDS, is having a healthy response to the stress in his life if he demonstrates which of the following behaviors? a. Denial b. Withdrawal c. Acceptance d. Aggression Answer: c Rationale: The stage known as acceptance indicates that the individual has progressed to the final stage of the grieving process. Nursing Process: Evaluation Client Needs: Psychosocial Integrity 22. Gary Byrd, a 24-year-old college student, tells the nurse that he sometimes uses various illegal drugs. The nurse can characterize Gary as a substance abuser if he: Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e a. Continues to be active in college affairs b. Maintains his self-esteem c. Begins to lose interest in his relationships d. Has heightened interest in the opposite sex Answer: c Rationale: Substance abuse is characterized by a history of personal problems. Nursing Process: Evaluation Client Needs: Psychosocial Integrity 23. The highest percentage of accidents resulting from alcohol use involve: a. Homicides b. Drowning c. Fires d. Motor vehicles Answer: d Rationale: Statistics show that alcohol use is a major cause of motor vehicle accidents. GRADESMORE.COM Nursing Process: Planning Client Needs: Psychosocial Integrity 24. Sandra Gooden has just been told by the doctor that she is pregnant with her first baby. Which of the following factors will have a negative impact on Sandra’s ability to maintain good health during her pregnancy? a. Poor relationship with her in-laws b. Community recognition c. Effective stress management d. Economic well-being Answer: a Rationale: The nuclear family and extended family play an important role in the well-being of the pregnant woman. Nursing Process: Assessment Client Needs: Psychosocial Integrity Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 25. The level of health prevention that concentrates on retraining and educating to maximize the use of remaining capacities is: a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Disability prevention Answer: c Rationale: Tertiary prevention minimizes the effects of long-term disease or disability. With rehabilitation, clients can reach their highest level of functioning. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance 26. Preventive care, including immunizations and yearly physical examinations, is classified as what type of health care service? a. Primary b. Secondary c. Tertiary d. Collaborative GRADESMORE.COM Answer: a Rationale: Primary health care services are aimed at disease prevention. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance 27. National health insurance for persons 65 years and older is known as: a. Medicaid b. Medicare c. Socialized medicine d. Palliative care Answer: b Rationale: Medicare offers health insurance coverage to seniors aged 65 years and older. Nursing Process: Planning Client Needs: Psychosocial Integrity Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 28. The nurse recognizes that physiological responses to emotional stress are the result of: a. Mental illness b. Autonomic nervous stimulation c. Powerlessness d. Shame Answer: b Rationale: The brain and autonomic nervous system have a role in the physical changes that occur during an emotional reaction. Nursing Process: Assessment Client Needs: Physiological Integrity 29. The nurse is teaching a community group about disease prevention. She is giving instructions regarding secondary prevention and correctly includes: a. Risk factors for heart disease b. Limiting disability after injury c. The importance of colorectal screening d. The use of vitamins and a balanced diet GRADESMORE.COM Answer: c Rationale: Secondary prevention includes screening for diseases. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance 30. One of the goals of the Affordable Care Act is: a. Placing an emphasis on illness b. Improving the quality of care c. Focusing on curing rare diseases d. Holding the client responsible for tending to his or her own health care needs Answer: b Rationale: The Affordable Care Act focuses on improving the quality of health care and making it available to all Americans. Nursing Process: Planning Client Needs: Health Promotion Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e 31. The organization that coordinates global health care issues, such as outbreaks of infection, is: a. Healthy People 2020 b. Centers for Disease Control and Prevention c. World Health Organization d. AARP Answer: c Rationale: The World Health Organization is concerned about health issues that occur throughout the world as well as any emerging and reemerging infections that are a threat to people worldwide. Nursing Process: Planning Client Needs: Health Promotion 32. The most important goal the nurse must meet today in the delivery of health care is: a. Fostering the client’s recovery from illness b. Providing the individual rehabilitation from illness c. Promoting self-care d. Assisting the individual inGaRttAaiDniEnSg MthOeRhiECstOlMevel of health Answer: d Rationale The nurse has many goals in the delivery of care, but the most important is allowing the individual to achieve his or her highest level of health. Nursing Process: Planning Client Needs: Health Promotion 33. The student nurse is providing follow-up teaching to a group of clients on how to maintain a healthy diet. The student nurse must first understand that which of the following factors can affect the selection of a healthy diet? (Select all that apply.) a. Cultural preferences b. Client’s knowledge level c. Economic status d. Access to foods Answer: a, b, c, d Rationale: Many factors affect a client’s ability to maintain a healthy diet, including the availability of stores, types of food available, financial ability to purchase healthy food, cultural practices, and education level. Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e Nursing Process: Assessment Client Needs: Health Promotion 34. The plan of care states that an increase in food intake is needed to rebuild and repair cells. The nurse would increase the client’s intake of: a. Fish b. Fruits c. Cereals d. Olive oil Answer: a Rationale: Foods that are the building blocks for cell repair and growth are proteins. Examples of proteins include fish, meats, and legumes. Nursing Process: Implementation Client Needs: Health Promotion 35. The MyPlate guidelines help the individual: GRADESMORE.COM a. Understand that food intake must match energy output b. Focus on the value of certain foods c. Use his or her weight to determine food intake d. Focus on a child’s nutritional needs Answer: a Rationale: MyPlate guidelines include portion size, food groups, and the need for exercise in controlling weight and sustaining a healthy diet. Nursing Process: Planning Client Needs: Health Promotion 36. Which of the following describe(s) a type of determinant behavior? (Select all that apply.) a. Poor diet b. Unsafe sex c. Smoking and drug use Answer: a, b, c Rationale: There are a number of behaviors that are determinants to health, including lack of exercise, smoking, drug use, poor nutrition, and unsafe sexual practices. Journey Across the Life Span 6th Edition Polan Test Bank Polan, Journey Across the Life Span, 6e Nursing Process: Assessment Client Needs: Psychological Integrity 37. During a postconference, there is an open discussion on the health-promoting goals of Healthy People 2020. When the nurse instructor summarizes the key points, she is correct if she states (select all that apply): f. Economical support for all g. Elimination of health care disparities h. Access to preventive health services i. Free nutritional programs for elderly adults j. Counseling services for the elderly population Answer: b, c Rationale: The overarching goals of Healthy People 2020 are to improve quality of health care for all Americans and eliminate health care disparities. Nursing Process: Evaluation Client Needs: Health Promotion GRADESMORE.COM 38. The nurse is participating in a health promotion workshop at the community church. She must include which of the following topics? (Select all that apply.) f. Stress management g. Regular exercise h. Limiting nutritional intake i. Medication support for sleep and rest j. Sedentary lifestyle to decrease cardiac workload Answer: a, b Rationale: Health promotion emphasizes exercise, nutrition, mental health, physical health, and avoidance of substance abuse. Nursing Process: Plan Client Needs: Health Promotion 39. Healthy ways of adapting to stress include: e. Alcohol f. Humor g. Drugs WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e h. Smoking Answer: b Rationale: Healthy ways of adapting to stress include relaxation, exercise, and humor. Nursing Process: Assessment Client Needs: Health Promotion 40. The parent of a 6-year-old who is having problems in school shares with the school nurse that she took her child to the pediatrician, and he said he is suffering from PTSD. She tells the nurse she does not understand because she has only heard of PTSD in association with soldiers after combat. The nurse would best reply: e. Your son is always fighting when he comes to school f. PTSD can occur if your son has had a traumatic experience g. Yes, PTSD only occurs in people who have been in combat h. This is caused by extreme anxiety and should pass in a few days Answer: b Rationale: PTSD can occur in anyone who has experienced a traumatic event, including violent crimes, motor vehicle accidents, sexual abuse, and combat. GRADESMORE.COM Nursing Process: Implementation Client Needs: Psychosocial Integrity 41. A mother is questioning her 2-year-old child’s emotional development. Identify emotions that are normal in this age group (select all that apply): f. Frustration g. Pleasure h. Anger i. Anxiety j. Fear Answer: a, b Rationale: A newborn’s emotions are centered around needs for food and comfort, but as a child gets older, other emotions are seen, including anger, jealousy, happiness, and anxiety. Nursing Process: Assessment Client Needs: Psychosocial Integrity WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-1 Chapter 2. Communication – Test Questions 1. Communication is the: a. Last step in the nursing process b. Most vital link between diagnosis and disease c. Exchange of information and ideas d. Basis for all thinking processes Answer: 2. Part of the communication process is: a. Emotional b. Mental c. Physical d. Feedback Answer: GRADESMORE.COM 3. The person who interprets the message is called the: a. Sender b. Receiver c. Method d. Process Answer: 4. A form of verbal communication is: a. Body language b. Gestures c. Appearance d. Words Answer: 5. A professional appearance by the health care worker can communicate: WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-2 a. Incompetence b. Uncaring c. Pride d. Acceptance Answer: 6. Which of the following behaviors by your patient indicates a willingness to communicate? a. Downcast eyes b. Face toward you c. Legs tightly crossed d. Slumping posture Answer: 7. Which of the following describes nonverbal behavior? Select all that apply. Formatted: Font: Italic a. Gestures b. Spoken word c. Tone of voice d. Aggressive style Answer: 8. Periods of silence during the communication process allow the health care worker to: a. Redirect the patient b. Observe nonverbal behavior c. Relieve the patient’s anxiety d. Minimize rejection Answer: 9. The communication style that serves to empower the individual is: a. Assertive b. Unassertive c. Aggressive d. Passive WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-3 Answer: 10. Therapeutic communication: a. Serves the needs of both participants b. Involves equal sharing of thoughts and feelings c. Is light and superficial in nature d. Promotes trust and a good rapport Answer: 11. Active listening requires an active mind and: a. Closed posture b. Leaning forward toward the patient c. Staring intently at the patient d. Sitting alongside the patient Answer: GRADESMORE.COM 12. Being yourself as well as being open and truthful describes: a. Warmth b. Listening c. Genuineness d. Positive regard Answer: 13. Understanding the patient’s feelings and viewing the world as the patient does describe: a. Sympathy b. Empathy c. Positive regard d. Congruence Answer: 14. Agreement between spoken words and body language describes: WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-4 a. Congruence b. Empathy c. Positive regard d. Validation Answer: 15. Gaining insight into your personal feelings is an example of: a. Empathy b. Biases c. Proxemics d. Self-awareness Answer: 16. You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The technique used is satisfactory if Sally: a. Speaks to Gerry from his doorway b. Speaks to Gerry in a loud tone c. Speaks with Gerry in a darkened room GRADESMORE.COM d. Asks Gerry for feedback verbally or in writing Answer: 17. You overhear Jane telling her mother that she is afraid to ride over the bridge, and Jane’s mother responds, ―Don’t be silly. Let’s go.‖ This is an example of: a. Stereotyping b. Belittling c. Giving advice d. Giving false reassurance Answer: 18. Mary, an elderly patient in the nursing home, states, ―They are not doing anything to help me.‖ Your best response would be: a. ―Don’t worry. You will feel better soon.‖ b. ―What do you want us to do?‖ WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-5 c. ―We are taking good care of you.‖ d. ―Describe when you began feeling this way.‖ Answer: 19. John, age 54, is admitted for day surgery and is anxious and tense prior to the procedure. How would you respond? a. ―Calm down. You will be fine.‖ b. ―You will only need light anesthesia.‖ c. ―You’re not dying. Why are you thinking this way?‖ d. ―You seem to be concerned about the surgery.‖ Answer: 20. After completing morning care for Sarah, an 83-year-old patient in the nursing home, she states, ―You are the only one who takes the time to care for me.‖ Your best response would be: a. ―You are still complaining, Sarah.‖ b. ―You feel others don’t take the time?‖ c. ―You are such a worrier.‖ d. ―Sarah, you know that’s not true.‖ Answer: GRADESMORE.COM 21. Which of the following questions is open-ended and would best help a person describe his or her pain? a. ―Do you have a lot of pain?‖ b. ―Does it hurt when you walk?‖ c. ―Is your pain sharp?‖ d. ―Describe what your pain is like.‖ Answer: 22. The caregiver notices that one of her patients is in her room crying. The caregiver’s best response is: a. ―I’m sure things will get better.‖ b. ―A good cry will make you feel better.‖ WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-6 c. ―It may help to talk about what is upsetting you.‖ d. ―Crying is just a waste of time.‖ Answer: 23. Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The best caregiver action is to: a. Allow the patient to have privacy and time alone. b. Attempt to offer light, superficial conversation. c. State that ―you need to talk about your problems.‖ d. Spend time with her and continue to observe her behavior. Answer: 24. The caregiver says, ―I’m not sure of the answer to your question.‖ This response indicates that the caregiver is: a. Evasive b. Uninformed c. Genuine d. Nontherapeutic Answer: GRADESMORE.COM 25. Touching a client suddenly without warning may be interpreted as: a. Affectionate b. Invasive c. Empathic d. Comforting Answer: 26. Telling a client that you know exactly what the client is going through is an example of: a. False reassurance b. Giving advice c. Stereotyping d. Agreeing WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-7 Answer: 27. When a health care worker changes the subject during a patient interaction, the result may: a. Foster support of the client b. Reduce the health care worker’s anxiety c. Add emphasis to the message d. Build trust Answer: 28. Which of the following influence(s) how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.) a. Age b. Feelings c. Gender d. Attitude e. Past experience Answer: GRADESMORE.COM 29. Which of the following comments would be nontherapeutic? (Select all that apply.) a. ―You should stop smoking.‖ b. ―Why are you always complaining?‖ c. ―I think you are making the right decision.‖ d. ―How are you feeling about this?‖ e. ―Let’s talk about happier times.‖ Answer: 30. A nurse promotes effective communication with patients by using principles of: a. Empathy b. Submissiveness c. Power d. Control WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-8 Answer: 31. A nurse is utilizing the best techniques of therapeutic communication with a patient experiencing a stressful event when she: a. Asks her to explain why she is behaving like that b. Sits with the client in quiet support c. Asks her to be quiet and thoughtful d. Isolates the patient from others Answer: 32. A nurse has achieved the highest level of practice in the art of therapeutic communication when he (select all that apply): a. Supports the client’s coping skills b. Explores his feelings c. Asks family members to keep the patient calm d. Shares his feelings with the patient e. Feels his goals and needs are met Answer: GRADESMORE.COM 33. Touch is a powerful tool that a nurse can use in many situations; it can be used to (select all that apply): a. Complement verbal communication b. Demonstrate caring c. Show empathy d. Offer reassurance e. Restrain an anxious patient Answer: Chapter 2. Communication – Test Questions With Answers and Rationales 1. Communication is the: a. Last step in the nursing process WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-9 b. Most vital link between diagnosis and disease c. Exchange of information and ideas d. Basis for all thinking processes Answer: c Rationale: Communication is the basic exchange of ideas and information between individuals. Nursing Process: Assessment Client Needs: Psychosocial Integrity 2. Part of the communication process is: a. Emotional b. Mental c. Physical d. Feedback Answer: d Rationale: Feedback is the part of the communication process in which a response is given to the message. Nursing Process: Planning Client Needs: Psychosocial Integrity GRADESMORE.COM 3. The person who interprets the message is called the: a. Sender b. Receiver c. Method d. Process Answer: b Rationale: The receiver is the person to whom the message is sent. Nursing Process: Assessment Client Needs: Psychosocial Integrity 4. A form of verbal communication is: a. Body language b. Gestures WWW.GRADESMORE.COM S - The Marketplace to Buy and Sell your Study Material Polan, Journey Across the Life Span, 6e WTB-02-1