Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
Performance
Exit
Psychosocial Integrity Mastery Quiz
Incorrect (1)
Correct (546)
A client diagnosed with acquired immunodeficiency syndrome (AIDS) states, 'I’m not
worried because they have a cure for AIDS.' Which response would the nurse use?
'Repeated phlebotomies may be able to rid you of the virus.'
'You may be cured of AIDS after prolonged pharmacological therapy.'
'Perhaps you should have worn condoms to prevent contracting the virus.'
'There is no cure for AIDS, but there are medications that can slow down the virus.'
Rationale
Stating, 'There is no cure for AIDS, but there are medications that can slow down the virus,' is an honest
response that corrects the client’s misconception about the effectiveness of the current antiviral medications.
Phlebotomy is not the treatment used to remove the virus from the client’s body. Current pharmacological
1 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
treatment does not eliminate the virus from the body, but the treatment can slow the progression of the
virus. Treatment may even effect a remission (although, the medications are never discontinued), but there is
no known cure. Stating, 'Perhaps you should have worn condoms to prevent contracting the virus,' is a
nontherapeutic, judgmental response potentially alienating the client and precipitating feelings of guilt.
Test-Taking Tip: When using this program, be sure to note if you guess at an answer. This will permit you to
identify areas that need further review. Also, it will help you see how correct your guessing can be.
For a hyperactive, manic client who exhibits flight of ideas, which rationale explains why
the client is not eating?
Feels undeserving of the food
Is too busy to take time to eat
Wishes to avoid others in the dining area
Believes that the food is poisoned
Rationale
Hyperactive clients frequently will not take the time to eat because they are overinvolved with everything in
their environment. Feeling undeserving of the food is characteristic of a depressive episode. The client is
unable to sit long enough with the other clients to eat a meal; this is not conscious avoidance. The client
probably gives no thought to food because of overinvolvement with the activities in the environment.
Place the five stages of grieving identified and described by Elisabeth Kübler-Ross in order
of progression from first to last.
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
2 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
Rationale
Initially when someone is coping with grief, there is a refusal to believe that the loss has occurred or is going
to occur (denial), and individuals are in a state of shock. As awareness of the loss increases, people usually
become angry and cannot understand why this is happening. Coping then moves into the stage of
bargaining, in which the dying or grieving person attempts to avoid the loss by gaining more time. This is
followed by depression, when loss and grief become undeniable. Finally, individuals may progress to the
stage of acceptance after coming to terms with the loss.
Test-Taking Tip: Make educated guesses when necessary.
When planning for a client’s care during the detoxification phase of early alcohol
withdrawal, which action would the nurse take?
Check on the client frequently.
Keep the client’s room lights dim.
Address the client in a loud, clear voice.
Restrain the client during periods of agitation.
Rationale
The nurse would check on the client frequently. During detoxification, frequent checks help ensure safety.
Bright light is preferable to dim light because it minimizes shadows that may contribute to misinterpretation
of environmental stimuli (illusions). The client who is going through the detoxification phase of early alcohol
withdrawal usually does not lose the sense of hearing, so there is no need to shout. Restraints may upset the
client further; they should be used only if the client is a danger to self or others.
STUDY TIP: Determine whether you are a 'lark' or an 'owl.' Larks, day people, do best getting up early and
studying during daylight hours. Owls, night people, are more alert after dark and can remain up late at night
studying and catch up on needed sleep during daylight hours. It is better to work with natural biorhythms
than to try to conform to an arbitrary schedule. You will absorb material more quickly and retain it better if
you use your most alert periods of each day for study. Of course, it is necessary to work around class and
clinical schedules. Owls should attempt to register in afternoon or evening lectures and clinical sections;
larks do better with morning lectures and day clinical sections.
Which type of delusion would the nurse chart about a client who says, 'I’ve figured out how
foreign agents have infiltrated the news media. Now they want to shut me up'?
Nihilistic
Persecution
Control
3 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
Grandeur
Rationale
The nurse would chart about delusions of persecution. Thoughts of being pursued by powerful agents
because of one’s special attributes or powers are fixed false beliefs and are referred to as delusions of
persecution. There is no evidence to indicate that there are nihilistic delusions of total or partial nonexistence.
There is also no evidence to support that external forces are controlling the client (delusions of control) or
that the client has false beliefs of being a famous figure (delusions of grandeur).
Which type of group is Alcoholics Anonymous (AA)?
Social group
Self-help group
Resocialization group
Psychotherapeutic group
Rationale
AA is a self-help group of people who meet to attain and maintain sobriety. A social group centers on
building interpersonal relationships through participation in mutual activities. A resocialization group
centers on increasing social skills that may be diminished or lacking. A psychotherapeutic group treats
mental and emotional disorders with the use of psychological techniques and always has a member of the
health care profession as its leader.
According to Kübler-Ross’ theory of death and dying, which stage is a terminally ill client
displaying by gradually moving towards resolution of feelings about impending death?
Anger stage
Denial stage
Bargaining stage
Acceptance stage
Rationale
When acceptance is reached, the individual is beginning to withdraw from life; communication is simple,
concise, and most often nonverbal. Kübler-Ross’ research has shown that at this stage, verbal
communication is typically less important, and touch and presence are most important. The client has
moved past the anger, denial, and bargaining stages.
4 of 257
Performance
Exit
Psychosocial Integrity Mastery Quiz
Incorrect (1)
Correct (546)
A client diagnosed with acquired immunodeficiency syndrome (AIDS) states, 'I’m not
worried because they have a cure for AIDS.' Which response would the nurse use?
'Repeated phlebotomies may be able to rid you of the virus.'
'You may be cured of AIDS after prolonged pharmacological therapy.'
'Perhaps you should have worn condoms to prevent contracting the virus.'
'There is no cure for AIDS, but there are medications that can slow down the virus.'
Rationale
Stating, 'There is no cure for AIDS, but there are medications that can slow down the virus,' is an honest
response that corrects the client’s misconception about the effectiveness of the current antiviral medications.
Phlebotomy is not the treatment used to remove the virus from the client’s body. Current pharmacological
1 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
treatment does not eliminate the virus from the body, but the treatment can slow the progression of the
virus. Treatment may even effect a remission (although, the medications are never discontinued), but there is
no known cure. Stating, 'Perhaps you should have worn condoms to prevent contracting the virus,' is a
nontherapeutic, judgmental response potentially alienating the client and precipitating feelings of guilt.
Test-Taking Tip: When using this program, be sure to note if you guess at an answer. This will permit you to
identify areas that need further review. Also, it will help you see how correct your guessing can be.
For a hyperactive, manic client who exhibits flight of ideas, which rationale explains why
the client is not eating?
Feels undeserving of the food
Is too busy to take time to eat
Wishes to avoid others in the dining area
Believes that the food is poisoned
Rationale
Hyperactive clients frequently will not take the time to eat because they are overinvolved with everything in
their environment. Feeling undeserving of the food is characteristic of a depressive episode. The client is
unable to sit long enough with the other clients to eat a meal; this is not conscious avoidance. The client
probably gives no thought to food because of overinvolvement with the activities in the environment.
Place the five stages of grieving identified and described by Elisabeth Kübler-Ross in order
of progression from first to last.
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
2 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
Rationale
Initially when someone is coping with grief, there is a refusal to believe that the loss has occurred or is going
to occur (denial), and individuals are in a state of shock. As awareness of the loss increases, people usually
become angry and cannot understand why this is happening. Coping then moves into the stage of
bargaining, in which the dying or grieving person attempts to avoid the loss by gaining more time. This is
followed by depression, when loss and grief become undeniable. Finally, individuals may progress to the
stage of acceptance after coming to terms with the loss.
Test-Taking Tip: Make educated guesses when necessary.
When planning for a client’s care during the detoxification phase of early alcohol
withdrawal, which action would the nurse take?
Check on the client frequently.
Keep the client’s room lights dim.
Address the client in a loud, clear voice.
Restrain the client during periods of agitation.
Rationale
The nurse would check on the client frequently. During detoxification, frequent checks help ensure safety.
Bright light is preferable to dim light because it minimizes shadows that may contribute to misinterpretation
of environmental stimuli (illusions). The client who is going through the detoxification phase of early alcohol
withdrawal usually does not lose the sense of hearing, so there is no need to shout. Restraints may upset the
client further; they should be used only if the client is a danger to self or others.
STUDY TIP: Determine whether you are a 'lark' or an 'owl.' Larks, day people, do best getting up early and
studying during daylight hours. Owls, night people, are more alert after dark and can remain up late at night
studying and catch up on needed sleep during daylight hours. It is better to work with natural biorhythms
than to try to conform to an arbitrary schedule. You will absorb material more quickly and retain it better if
you use your most alert periods of each day for study. Of course, it is necessary to work around class and
clinical schedules. Owls should attempt to register in afternoon or evening lectures and clinical sections;
larks do better with morning lectures and day clinical sections.
Which type of delusion would the nurse chart about a client who says, 'I’ve figured out how
foreign agents have infiltrated the news media. Now they want to shut me up'?
Nihilistic
Persecution
Control
3 of 257
,Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/284734
Grandeur
Rationale
The nurse would chart about delusions of persecution. Thoughts of being pursued by powerful agents
because of one’s special attributes or powers are fixed false beliefs and are referred to as delusions of
persecution. There is no evidence to indicate that there are nihilistic delusions of total or partial nonexistence.
There is also no evidence to support that external forces are controlling the client (delusions of control) or
that the client has false beliefs of being a famous figure (delusions of grandeur).
Which type of group is Alcoholics Anonymous (AA)?
Social group
Self-help group
Resocialization group
Psychotherapeutic group
Rationale
AA is a self-help group of people who meet to attain and maintain sobriety. A social group centers on
building interpersonal relationships through participation in mutual activities. A resocialization group
centers on increasing social skills that may be diminished or lacking. A psychotherapeutic group treats
mental and emotional disorders with the use of psychological techniques and always has a member of the
health care profession as its leader.
According to Kübler-Ross’ theory of death and dying, which stage is a terminally ill client
displaying by gradually moving towards resolution of feelings about impending death?
Anger stage
Denial stage
Bargaining stage
Acceptance stage
Rationale
When acceptance is reached, the individual is beginning to withdraw from life; communication is simple,
concise, and most often nonverbal. Kübler-Ross’ research has shown that at this stage, verbal
communication is typically less important, and touch and presence are most important. The client has
moved past the anger, denial, and bargaining stages.
4 of 257
