21 Jan Pain and fatigue

NUR3805 Dimensions of Professional Practice

Chapter 13 Quiz

Question 1 Which illness has the characteristics of a chronic illness?

Gastroenteritis

Chickenpox

Bronchitis

Lupus

Lupus requires long-term treatment and impacts a person for his or her entire life. Previously, the life expectancy was as short as a few months after diagnosis.

Question 2 What is the primary difference between acute illness and chronic illness?

In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.

In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly.

In acute illness, symptoms begin suddenly, progress gradually, and do not subside.

In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

Acute illness is defined as severe symptoms that appear suddenly, progress steadily, and subside quickly.

Question 3 A patient states, “I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago.” In which stage of illness is the patient?

Disbelief and denial

Attempting to gain control

Irritability and anger

Irritability and anger is the second stage of illness acceptance. It is characterized by anger at the body for not functioning properly or by anger at self or others.

Depression and despair

Question 4 A patient states, “There is no hope. They’re going to keep me here until I die. Can’t you give me my medication more often? I’m going to die anyway.” In which stage of illness is this patient?

Depression and grief

Depression and grief is the fourth stage in the adjustment to an illness. The person at this stage may experience many losses, and depression is the response.

Attempting to gain control

Disbelief and denial

Irritability and anger

Question 5 A contemporary view of the sick role includes

patient as submissive to the health care provider.

patient as partner with the health care provider.

A contemporary view of the sick role includes partnering with patients in making health care decisions.

moving away from cultural values when making health care decisions.

patient noncompliant with the health care provider.

Question 6 A patient diagnosed with breast cancer responded by gathering information about treatment options and becoming involved in a self-help group. The nurse assesses that the patient is demonstrating which personality characteristic?

Independence

Tolerance

Hardiness

Hardiness is the ability to feel capable of handling stressful life events. Hardy people are likely to perceive themselves as having some control over a situation even when they are ill.

Self-control

Question 7 A patient in whom metastatic cancer is diagnosed tells the nurse, “God has never let me down before. I’ll pray for strength.” This patient’s illness behavior is being influenced by

sense of control.

depression.

resiliency.

spirituality.

Spirituality is an inner strength related to a belief in and connectedness to a higher power.

Question 8 Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?

Reassure patients that they should not blame God for their illness.

Never pray with patients or share readings that can have a religious connection.

Consider patients’ religious beliefs when planning care.

Helping patients engage spiritually assures holistic care.

Inform patients of the prevalent religious beliefs that exist in the locale where they are being treated.

Question 9 The best definition of ethnocentrism is

a tendency to view your own culture as superior to others.

Ethnocentrism describes a tendency to view your own culture as superior to others.

a tendency to compare the behavior of others with your own cultural values.

an astute awareness of your own personal biases regarding other cultures.

the ability to incorporate patients’ cultural beliefs and values into health teaching.

Question 10 When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?

Patient autonomy

Pain and fatigue

Pain and fatigue create barriers to learning.

Mild anxiety

Family presence