NUR2356 Multidimensional Care I
Midterm Exam Review
(Questions & Solutions)
2025
©2025
,1. Case Study: A 52-year-old patient with type II diabetes struggles with
dietary compliance, depression, and financial hardship. Which
intervention best addresses this patient’s multidimensional needs?
a) Refer only to a dietitian.
b) Begin antidepressant therapy immediately.
c) Collaborate with a multidisciplinary team that includes a dietitian,
mental health counselor, and social worker.
d) Provide standardized diabetic education materials without further
intervention.
- Correct ANS: c) Collaborate with a multidisciplinary team that
includes a dietitian, mental health counselor, and social worker.
- Rationale: Multidimensional care requires addressing physical,
psychological, and socioeconomic aspects of health through
interdisciplinary collaboration.
2. Case Study: A patient recovering from heart surgery reports physical
fatigue, spiritual distress, and anxiety. Which comprehensive intervention
is most appropriate?
a) Prescribe anti-anxiety medication and schedule physical therapy
sessions.
b) Initiate chaplaincy services, provide emotional support, and
coordinate physical rehabilitation.
c) Advise extra rest and offer a list of spiritual readings.
d) Focus solely on post-operative pain management.
- Correct ANS: b) Initiate chaplaincy services, provide emotional
support, and coordinate physical rehabilitation.
- Rationale: This approach ensures all dimensions (physical,
emotional, and spiritual) are addressed, which is essential in
multidimensional care.
3. Case Study: A patient with chronic pain from arthritis demonstrates
reluctance to accept opioid therapy due to cultural beliefs. Which nursing
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, intervention best incorporates multidimensional care principles?
a) Insist on standard pain protocols regardless of personal beliefs.
b) Discuss the risks and benefits of opioids, respecting cultural
concerns, and integrate alternative non-pharmacological strategies.
c) Avoid discussing alternative treatment options to simplify care.
d) Transfer the patient to another service.
- Correct ANS: b) Discuss the risks and benefits of opioids, respecting
cultural concerns, and integrate alternative non‐pharmacological
strategies.
- Rationale: Respecting cultural values while offering a variety of
evidence-based interventions demonstrates multidimensional and
culturally competent care.
4. Case Study: In planning care for a terminally ill patient, which
element is pivotal in a multidimensional care plan?
a) Focusing only on aggressive pain management.
b) Incorporating advanced directives, palliative care, and emotional–
spiritual support.
c) Prioritizing continued curative treatments.
d) Excluding the patient’s family from discussions to reduce conflict.
- Correct ANS: b) Incorporating advanced directives, palliative care,
and emotional–spiritual support.
- Rationale: A holistic palliative care plan demands attention to the
patient’s physical comfort, emotional needs, spiritual concerns, and end-
of-life preferences.
5. Case Study: When caring for a post-operative patient, which
assessment method best captures the multidimensional nature of
recovery?
a) A detailed physical exam and laboratory review only.
b) A bio–psycho–social–spiritual assessment tool.
c) A focus solely on pain and mobility assessments.
d) A brief interview emphasizing medication adherence.
- Correct ANS: b) A bio–psycho–social–spiritual assessment tool.
- Rationale: Comprehensive assessment tools ensure that all
©2025
Midterm Exam Review
(Questions & Solutions)
2025
©2025
,1. Case Study: A 52-year-old patient with type II diabetes struggles with
dietary compliance, depression, and financial hardship. Which
intervention best addresses this patient’s multidimensional needs?
a) Refer only to a dietitian.
b) Begin antidepressant therapy immediately.
c) Collaborate with a multidisciplinary team that includes a dietitian,
mental health counselor, and social worker.
d) Provide standardized diabetic education materials without further
intervention.
- Correct ANS: c) Collaborate with a multidisciplinary team that
includes a dietitian, mental health counselor, and social worker.
- Rationale: Multidimensional care requires addressing physical,
psychological, and socioeconomic aspects of health through
interdisciplinary collaboration.
2. Case Study: A patient recovering from heart surgery reports physical
fatigue, spiritual distress, and anxiety. Which comprehensive intervention
is most appropriate?
a) Prescribe anti-anxiety medication and schedule physical therapy
sessions.
b) Initiate chaplaincy services, provide emotional support, and
coordinate physical rehabilitation.
c) Advise extra rest and offer a list of spiritual readings.
d) Focus solely on post-operative pain management.
- Correct ANS: b) Initiate chaplaincy services, provide emotional
support, and coordinate physical rehabilitation.
- Rationale: This approach ensures all dimensions (physical,
emotional, and spiritual) are addressed, which is essential in
multidimensional care.
3. Case Study: A patient with chronic pain from arthritis demonstrates
reluctance to accept opioid therapy due to cultural beliefs. Which nursing
©2025
, intervention best incorporates multidimensional care principles?
a) Insist on standard pain protocols regardless of personal beliefs.
b) Discuss the risks and benefits of opioids, respecting cultural
concerns, and integrate alternative non-pharmacological strategies.
c) Avoid discussing alternative treatment options to simplify care.
d) Transfer the patient to another service.
- Correct ANS: b) Discuss the risks and benefits of opioids, respecting
cultural concerns, and integrate alternative non‐pharmacological
strategies.
- Rationale: Respecting cultural values while offering a variety of
evidence-based interventions demonstrates multidimensional and
culturally competent care.
4. Case Study: In planning care for a terminally ill patient, which
element is pivotal in a multidimensional care plan?
a) Focusing only on aggressive pain management.
b) Incorporating advanced directives, palliative care, and emotional–
spiritual support.
c) Prioritizing continued curative treatments.
d) Excluding the patient’s family from discussions to reduce conflict.
- Correct ANS: b) Incorporating advanced directives, palliative care,
and emotional–spiritual support.
- Rationale: A holistic palliative care plan demands attention to the
patient’s physical comfort, emotional needs, spiritual concerns, and end-
of-life preferences.
5. Case Study: When caring for a post-operative patient, which
assessment method best captures the multidimensional nature of
recovery?
a) A detailed physical exam and laboratory review only.
b) A bio–psycho–social–spiritual assessment tool.
c) A focus solely on pain and mobility assessments.
d) A brief interview emphasizing medication adherence.
- Correct ANS: b) A bio–psycho–social–spiritual assessment tool.
- Rationale: Comprehensive assessment tools ensure that all
©2025
