Test Bank Unit 3: Understanding Medical-Surgical
Nursing 6th Edition Linda S. Williams Paula D. Hopper
Chapter 14. Developmental Considerations and Chronic Illness in the Nursing
Care of Adults
MULTIPLE CHOICE
1. The nurse is caring for a group of patients. Which patient is at highest risk for the nursing
diagnosis of risk for caregiver role strain?
1. A 20-year-old who attends college and works nights
2. A 30-year-old who recently got married and switched jobs
3. A 45-year-old with three children who is caring for his older father with cancer
4. A 65-year-old who is living with her daughter and son-in-law
ANS: 3
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 3. Describe special needs that caregivers have.
Page: 229
Heading: Roles
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis (Analyzing)
Concept: Family Dynamics
Difficulty: Moderate
Feedback
1 This patient is not at risk for caregiver role strain.
2 This patient is not at risk for caregiver role strain.
3 This patient is at high risk for caregiver role strain because he is caring for
children and a parent.
4 This patient is not at risk for caregiver role strain.
PTS: 1 CON: Family Dynamics
2. The nurse is caring for a patient with a chronic illness. What should the nurse encourage the
patient to use as a coping resource?
1. Empower caregivers.
2. Develop a power base.
3. Be hopeful for a disease cure.
4. Develop a realistic, hopeful attitude.
ANS: 4
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan interventions for a patient who is chronically ill.
Page: 227
Heading: Nursing Care
Integrated Process: Caring
Client Need: Physiological Integrity
Cognitive Level: Application (Applying)
, Concept: Stress
Difficulty: Moderate
Feedback
1 Empowering caregivers and developing a power base are not strategies to cope
with a chronic illness.
2 Empowering caregivers and developing a power base are not strategies to cope
with a chronic illness.
3 Hope should not be directed toward a cure that may not be possible, but rather
at living a quality life with the functional capacity that the patient has.
4 Before coping resources can be used, hope must be established by the patient.
False hope is not beneficial and should be replaced with realistic hope.
Providing patients with accurate knowledge regarding his or her fears helps do
this.
PTS: 1 CON: Stress
3. The nurse is teaching an older adult about avoidance of risky behaviors. Which statement
made by the patient would be of most concern to the nurse?
1. “I exercise after work to help alleviate stress.”
2. “My husband and I go to a meditation class every week.”
3. “I drink two or three beers after work to help me relax.”
4. “I play the piano a few times every week to unwind.”
ANS: 3
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 4. Explain health promotion methods.
Page: 223
Heading: Common Health Concerns
Integrated Process: Communication and Documentation
Client Need: Health Promotion and Maintenance
Cognitive Level: Evaluation (Evaluating)
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 Exercise is a healthy way to relax.
2 Meditation is a good way to relax.
3 Drinking alcohol daily can lead to chronic illness.
4 Music is a healthy way to relax.
PTS: 1 CON: Health Promotion
4. The nurse is assessing an older adult. The nurse would expect to classify the patient in
which Erikson’s stage of development?
1. Trust versus mistrust
2. Industry versus inferiority
3. Identity versus role confusion
4. Integrity versus despair
, ANS: 4
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 1. List Erikson’s eight stages of psychosocial development.
Page: 222
Heading: Erikson’s Stages of Psychosocial Development (Table 14.1)
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis (Analyzing)
Concept: Self
Difficulty: Moderate
Feedback
1 An infant is in trust versus mistrust stage.
2 A school-age child is in the industry versus inferiority stage.
3 An adolescent is in the identity versus role confusion stage.
4 The patient is in integrity versus despair stage of development.
PTS: 1 CON: Self
5. The nurse is discussing sexual intimacy with an older patient. Which statement made by the
patient requires correction by the nurse?
1. “Getting my hair and nails done boosts my self-esteem.”
2. “Sexual intimacy is only achieved by sexual intercourse.”
3. “I may need to discuss medication to help with impotence with my doctor.”
4. “I am going to meet with a sexual counselor this week.”
ANS: 2
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan nursing interventions for a patient who is chronically ill.
Page: 228
Heading: Sexuality
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation (Evaluating)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 This statement does not require correction.
2 Sexual intimacy can be achieved by hugging, touching, or spending time
together.
3 This statement does not require correction.
4 This statement does not require correction.
PTS: 1 CON: Sexuality
6. The nurse is caring for a patient with a chronic illness who no longer works and does not
qualify for disability. To whom should the nurse refer the patient?
1. The physician
, 2. A social worker
3. A pharmacist
4. A dietitian
ANS: 2
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan nursing interventions for a patient who is chronically ill.
Page: 229
Heading: Finances
Integrated Process: Caring
Client Need: Health Promotion and Maintenance
Cognitive Level: Application (Applying)
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 A physician does not help the patient and family with finding financial
resources.
2 A social worker can assist the patient and family with finding financial
resources.
3 A pharmacist does not assist the patient and family with finding financial
resources.
4 A dietitian does not assist the patient and family with finding financial
resources.
PTS: 1 CON: Health Promotion
7. The nurse is caring for a patient who just received a diagnosis of terminal cancer. Which
might the nurse observe in this patient?
1. Despair
2. Hopefulness
3. Gratitude
4. Serenity
ANS: 1
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 2. Identify the effects of chronic illness.
Page: 226
Heading: Health, Wellness, and Illness
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation (Evaluating)
Concept: Stress
Difficulty: Moderate
Feedback
1 This patient is likely experiencing despair.
2 This patient is likely not experiencing hopefulness.
3 This patient is likely not experiencing gratitude.
Nursing 6th Edition Linda S. Williams Paula D. Hopper
Chapter 14. Developmental Considerations and Chronic Illness in the Nursing
Care of Adults
MULTIPLE CHOICE
1. The nurse is caring for a group of patients. Which patient is at highest risk for the nursing
diagnosis of risk for caregiver role strain?
1. A 20-year-old who attends college and works nights
2. A 30-year-old who recently got married and switched jobs
3. A 45-year-old with three children who is caring for his older father with cancer
4. A 65-year-old who is living with her daughter and son-in-law
ANS: 3
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 3. Describe special needs that caregivers have.
Page: 229
Heading: Roles
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis (Analyzing)
Concept: Family Dynamics
Difficulty: Moderate
Feedback
1 This patient is not at risk for caregiver role strain.
2 This patient is not at risk for caregiver role strain.
3 This patient is at high risk for caregiver role strain because he is caring for
children and a parent.
4 This patient is not at risk for caregiver role strain.
PTS: 1 CON: Family Dynamics
2. The nurse is caring for a patient with a chronic illness. What should the nurse encourage the
patient to use as a coping resource?
1. Empower caregivers.
2. Develop a power base.
3. Be hopeful for a disease cure.
4. Develop a realistic, hopeful attitude.
ANS: 4
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan interventions for a patient who is chronically ill.
Page: 227
Heading: Nursing Care
Integrated Process: Caring
Client Need: Physiological Integrity
Cognitive Level: Application (Applying)
, Concept: Stress
Difficulty: Moderate
Feedback
1 Empowering caregivers and developing a power base are not strategies to cope
with a chronic illness.
2 Empowering caregivers and developing a power base are not strategies to cope
with a chronic illness.
3 Hope should not be directed toward a cure that may not be possible, but rather
at living a quality life with the functional capacity that the patient has.
4 Before coping resources can be used, hope must be established by the patient.
False hope is not beneficial and should be replaced with realistic hope.
Providing patients with accurate knowledge regarding his or her fears helps do
this.
PTS: 1 CON: Stress
3. The nurse is teaching an older adult about avoidance of risky behaviors. Which statement
made by the patient would be of most concern to the nurse?
1. “I exercise after work to help alleviate stress.”
2. “My husband and I go to a meditation class every week.”
3. “I drink two or three beers after work to help me relax.”
4. “I play the piano a few times every week to unwind.”
ANS: 3
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 4. Explain health promotion methods.
Page: 223
Heading: Common Health Concerns
Integrated Process: Communication and Documentation
Client Need: Health Promotion and Maintenance
Cognitive Level: Evaluation (Evaluating)
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 Exercise is a healthy way to relax.
2 Meditation is a good way to relax.
3 Drinking alcohol daily can lead to chronic illness.
4 Music is a healthy way to relax.
PTS: 1 CON: Health Promotion
4. The nurse is assessing an older adult. The nurse would expect to classify the patient in
which Erikson’s stage of development?
1. Trust versus mistrust
2. Industry versus inferiority
3. Identity versus role confusion
4. Integrity versus despair
, ANS: 4
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 1. List Erikson’s eight stages of psychosocial development.
Page: 222
Heading: Erikson’s Stages of Psychosocial Development (Table 14.1)
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis (Analyzing)
Concept: Self
Difficulty: Moderate
Feedback
1 An infant is in trust versus mistrust stage.
2 A school-age child is in the industry versus inferiority stage.
3 An adolescent is in the identity versus role confusion stage.
4 The patient is in integrity versus despair stage of development.
PTS: 1 CON: Self
5. The nurse is discussing sexual intimacy with an older patient. Which statement made by the
patient requires correction by the nurse?
1. “Getting my hair and nails done boosts my self-esteem.”
2. “Sexual intimacy is only achieved by sexual intercourse.”
3. “I may need to discuss medication to help with impotence with my doctor.”
4. “I am going to meet with a sexual counselor this week.”
ANS: 2
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan nursing interventions for a patient who is chronically ill.
Page: 228
Heading: Sexuality
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation (Evaluating)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 This statement does not require correction.
2 Sexual intimacy can be achieved by hugging, touching, or spending time
together.
3 This statement does not require correction.
4 This statement does not require correction.
PTS: 1 CON: Sexuality
6. The nurse is caring for a patient with a chronic illness who no longer works and does not
qualify for disability. To whom should the nurse refer the patient?
1. The physician
, 2. A social worker
3. A pharmacist
4. A dietitian
ANS: 2
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 5. Plan nursing interventions for a patient who is chronically ill.
Page: 229
Heading: Finances
Integrated Process: Caring
Client Need: Health Promotion and Maintenance
Cognitive Level: Application (Applying)
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 A physician does not help the patient and family with finding financial
resources.
2 A social worker can assist the patient and family with finding financial
resources.
3 A pharmacist does not assist the patient and family with finding financial
resources.
4 A dietitian does not assist the patient and family with finding financial
resources.
PTS: 1 CON: Health Promotion
7. The nurse is caring for a patient who just received a diagnosis of terminal cancer. Which
might the nurse observe in this patient?
1. Despair
2. Hopefulness
3. Gratitude
4. Serenity
ANS: 1
Chapter: Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care
of Adults
Objective: 2. Identify the effects of chronic illness.
Page: 226
Heading: Health, Wellness, and Illness
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation (Evaluating)
Concept: Stress
Difficulty: Moderate
Feedback
1 This patient is likely experiencing despair.
2 This patient is likely not experiencing hopefulness.
3 This patient is likely not experiencing gratitude.
