chapter 54 - Chapter 54 Psychological Responses to Illness...

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Chapter 54: Psychological Responses to Illness MULTIPLE CHOICE 1. The nurse would describe a patient who has a functional interaction of his cognitive, affect- ive, behavioral, and social dimensions of his personality as: 1. effectively organized. 2. personally satisfied. 3. well rounded. 4. mentally healthy. ANS: 4 Mental health depends on the functional integration of the four dimensions of the personal- ity. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1235 OBJ: 1 TOP: Definition of Mental Health KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 2. The nurse assesses that the 42-year-old patient who still lives with her parents and is de- pendent on them for decisions about her life is lacking in the mental health characteristic of: 1. reality orientation. 2. autonomous behavior. 3. spontaneity. 4. ethical decision making. ANS: 2 Autonomy is a mark of mental health. PTS: 1 DIF: Cognitive Level: Application REF: 1235 OBJ: 1 TOP: Definition of Mental Health KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 3. The nurse recognizes that mild stress can be a positive force that stimulates the patient to: 1. deny a problem. 2. identify a problem. 3. solve a problem. 4. avoid a problem. ANS: 3 Mild stress can cause a person to focus and be able to solve a problem. PTS: 1 DIF: Cognitive Level: Application REF: 1236 OBJ: 2 TOP: Mild Stress KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 4. Which of these items is an example of a positive stressor? 1. Test anxiety 2. Loss of a job
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3. Paying income tax 4. Single motherhood ANS: 1 Test anxiety can be beneficial to promote study and sharpen focus. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1236 OBJ: 2 TOP: Stress KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 5. The nurse gives an example of a person who is attempting to maintain homeostasis as the newcomer who: 1. joins a local church. 2. buys a new car. 3. stays in his or her apartment watching TV. 4. spends hours writing e-mail to old friends. ANS: 1 The newcomer who attempt to balance the newcomer status with belonging is an example of homeostasis. PTS: 1 DIF: Cognitive Level: Analysis REF: 1236 OBJ: 2 TOP: Homeostasis KEY: Nursing Process Step: Evaluation MSC: NCLEX: Psychosocial Integrity 6. The behavior that best exemplifies developmental activities in a 13-year-old is: 1. going out with a group of friends. 2. reading an exciting book. 3. volunteering for the local hospital. 4. choosing a career. ANS: 1 Teenagers interacting in peer relationships is a major developmental task of this age. PTS: 1 DIF: Cognitive Level: Application REF: 1236 OBJ: 3 TOP: Growth and Development KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 7. Which developmental stage is best identified with introspection? 1.
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chapter 54 - Chapter 54 Psychological Responses to Illness...

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