NSG 300 EXAM 4 FROM GRAND CANYON UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS SUCH AS THE NURSING
PROCESS, CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION, AND EVIDENCE BASED PRACTICE
The nurse feels uncomfortable discussing the topic of sexuality with their patient. What should
the nurse do?
A explore their own discomfort and develop a plan to address it
B ask the patient about their concerns related to sexuality and then find another nurse to
discuss it with the patient
C tell the patient they are uncomfortable discussing this topic and recommend asking the
provider
D ignore the patient and pretend you didn't hear them - ANSWER-A explore their own
discomfort and develop a plan to address it
Sometimes nurses avoid discussing sexual issues with patients because they lack information or
have different values than their patients. Nurses need to explore their personal level of
discomfort and develop a plan to address it. If you are uncomfortable discussing topics related
to sexuality, the patient is unlikely to share sexual concerns with you. You need to be aware of
your personal beliefs before discussing sexuality with your patients.
A nurse conducted an assessment of a new patient who came to the medical clinic. The patient
is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is
alert but becomes easily distracted during the assessment. He recently moved to a new
apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A Dementia
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,B Delirium
C Depression
D Anxiety - ANSWER-C Depression
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss of a spouse, friend, or beloved pet). Patients are alert but easily
distracted in conversation.
A nurse is working with an older adult who recently moved to an assisted-living center because
of declining physical capabilities and socialization. Which nursing interventions are directed at
promoting self-esteem in this patient? Select all that apply.
A Commending the patient's efforts at completing self-care tasks
B Assuming that the patient's physical complaints are attention-seeking measures
C Encouraging the patient to add personal items to the residence
D Minimizing time discussing memories and past achievements with the patient
E Providing decision-making opportunities to join the center's daily activities program -
ANSWER-A Commending the patient's efforts at completing self-care tasks
C Encouraging the patient to add personal items to the residence
E Providing decision-making opportunities to join the center's daily activities program
Reinforce efforts to complete self-care tasks, allowing additional time to complete tasks.
Personalizing the residence provides choice and familiarity to a new area. This patient is an
adult and needs opportunities to make care and social decisions. Focusing on the center's daily
activities provides decision making and opportunities for more socialization. Each of these
interventions maintains or promotes independence, which also fosters self-esteem and
confidence. It is important to refrain from making assumptions, as in assuming that physical
complaints are attention seeking. Time should be allocated to review past accomplishments and
memories. Minimizing discussion of past memories and achievements reduces the importance
of these events and in turn may affect self-esteem.
2|Page
,Two 50-year-old men are discussing their Saturday activities. The first man describes how he
tutors children as a volunteer at a community center. The other man says that he would never
work with children and that he prefers to work out at the gym to meet young women to date.
Which developmental stage is the second man exhibiting?
A Mistrust
B Inferiority
C Generativity
D Self-absorption - ANSWER-D Self-absorption
The development of self-concept is a complex lifelong process that involves many factors.
Erikson's psychosocial theory of development (Erikson, 1963) remains beneficial in
understanding key tasks that individuals face at various stages of development. Each stage
builds on the tasks of the previous stage. Successful mastery of each stage leads to a solid sense
of self (Box 33.1). Reivew Box 33.1 Self-concept: Developmental Tasks on page 725.
You are assigned to care for a patient who retired months ago. While providing care, you
identify that this patient is struggling emotionally with change. This situation is most likely
associated with which self-concept component?
A identity stressor
B sexuality stressor
C body image stressor
D role performance stressor - ANSWER-D role performance stressor
Retirement is a role-performance stressor, as it is related to a lifetime of working, then a sudden
change of no longer being employed.
Fig. 33.3 p. 728
3|Page
, You are assigned to care for a patient who has just undergone a mastectomy for a malignant
tumor. How would you most appropriately classify this self-concept stressor?
A identity stressor
B sexuality stressor
C body image stressor
D role performance stressor - ANSWER-C body image stressor
A self-concept stressor is any real or perceived change that threatens identity, body image, or
role performance (Fig. 33.3). An individual's perception of the stressor is the most important
factor in determining his or her response. The ability to reestablish balance following a stressor
is related to numerous factors, including the number of stressors, duration of the stressor, and
health status (see Chapter 37). Stressors challenge a person's adaptive capacities. Changes that
occur in physical, spiritual, emotional, sexual, familial, and sociocultural health affect self-
concept. Being able to successfully adapt to stressors is likely to lead to a positive sense of self,
whereas failure to adapt often leads to a negative self-concept.
A mastectomy is the removal of the breast, which would affect one's body image. Therefore, it is
a body image stressor.
Fig. 33.3 p. 728
A nurse is completing a health history with the daughter of a newly admitted patient who is
confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer
disease 1 year ago but became extremely confused last evening and was hallucinating. She was
unable to calm her, and her mother thought she was a stranger. On the basis of this history, the
nurse suspects that the patient is experiencing:
A Normal aging
B Delirium
C Depression
4|Page
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS SUCH AS THE NURSING
PROCESS, CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION, AND EVIDENCE BASED PRACTICE
The nurse feels uncomfortable discussing the topic of sexuality with their patient. What should
the nurse do?
A explore their own discomfort and develop a plan to address it
B ask the patient about their concerns related to sexuality and then find another nurse to
discuss it with the patient
C tell the patient they are uncomfortable discussing this topic and recommend asking the
provider
D ignore the patient and pretend you didn't hear them - ANSWER-A explore their own
discomfort and develop a plan to address it
Sometimes nurses avoid discussing sexual issues with patients because they lack information or
have different values than their patients. Nurses need to explore their personal level of
discomfort and develop a plan to address it. If you are uncomfortable discussing topics related
to sexuality, the patient is unlikely to share sexual concerns with you. You need to be aware of
your personal beliefs before discussing sexuality with your patients.
A nurse conducted an assessment of a new patient who came to the medical clinic. The patient
is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is
alert but becomes easily distracted during the assessment. He recently moved to a new
apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A Dementia
1|Page
,B Delirium
C Depression
D Anxiety - ANSWER-C Depression
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss of a spouse, friend, or beloved pet). Patients are alert but easily
distracted in conversation.
A nurse is working with an older adult who recently moved to an assisted-living center because
of declining physical capabilities and socialization. Which nursing interventions are directed at
promoting self-esteem in this patient? Select all that apply.
A Commending the patient's efforts at completing self-care tasks
B Assuming that the patient's physical complaints are attention-seeking measures
C Encouraging the patient to add personal items to the residence
D Minimizing time discussing memories and past achievements with the patient
E Providing decision-making opportunities to join the center's daily activities program -
ANSWER-A Commending the patient's efforts at completing self-care tasks
C Encouraging the patient to add personal items to the residence
E Providing decision-making opportunities to join the center's daily activities program
Reinforce efforts to complete self-care tasks, allowing additional time to complete tasks.
Personalizing the residence provides choice and familiarity to a new area. This patient is an
adult and needs opportunities to make care and social decisions. Focusing on the center's daily
activities provides decision making and opportunities for more socialization. Each of these
interventions maintains or promotes independence, which also fosters self-esteem and
confidence. It is important to refrain from making assumptions, as in assuming that physical
complaints are attention seeking. Time should be allocated to review past accomplishments and
memories. Minimizing discussion of past memories and achievements reduces the importance
of these events and in turn may affect self-esteem.
2|Page
,Two 50-year-old men are discussing their Saturday activities. The first man describes how he
tutors children as a volunteer at a community center. The other man says that he would never
work with children and that he prefers to work out at the gym to meet young women to date.
Which developmental stage is the second man exhibiting?
A Mistrust
B Inferiority
C Generativity
D Self-absorption - ANSWER-D Self-absorption
The development of self-concept is a complex lifelong process that involves many factors.
Erikson's psychosocial theory of development (Erikson, 1963) remains beneficial in
understanding key tasks that individuals face at various stages of development. Each stage
builds on the tasks of the previous stage. Successful mastery of each stage leads to a solid sense
of self (Box 33.1). Reivew Box 33.1 Self-concept: Developmental Tasks on page 725.
You are assigned to care for a patient who retired months ago. While providing care, you
identify that this patient is struggling emotionally with change. This situation is most likely
associated with which self-concept component?
A identity stressor
B sexuality stressor
C body image stressor
D role performance stressor - ANSWER-D role performance stressor
Retirement is a role-performance stressor, as it is related to a lifetime of working, then a sudden
change of no longer being employed.
Fig. 33.3 p. 728
3|Page
, You are assigned to care for a patient who has just undergone a mastectomy for a malignant
tumor. How would you most appropriately classify this self-concept stressor?
A identity stressor
B sexuality stressor
C body image stressor
D role performance stressor - ANSWER-C body image stressor
A self-concept stressor is any real or perceived change that threatens identity, body image, or
role performance (Fig. 33.3). An individual's perception of the stressor is the most important
factor in determining his or her response. The ability to reestablish balance following a stressor
is related to numerous factors, including the number of stressors, duration of the stressor, and
health status (see Chapter 37). Stressors challenge a person's adaptive capacities. Changes that
occur in physical, spiritual, emotional, sexual, familial, and sociocultural health affect self-
concept. Being able to successfully adapt to stressors is likely to lead to a positive sense of self,
whereas failure to adapt often leads to a negative self-concept.
A mastectomy is the removal of the breast, which would affect one's body image. Therefore, it is
a body image stressor.
Fig. 33.3 p. 728
A nurse is completing a health history with the daughter of a newly admitted patient who is
confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer
disease 1 year ago but became extremely confused last evening and was hallucinating. She was
unable to calm her, and her mother thought she was a stranger. On the basis of this history, the
nurse suspects that the patient is experiencing:
A Normal aging
B Delirium
C Depression
4|Page
