Question: When talking with the family of a client who is near death, the family reports that they are planning a celebration of life ceremony for family and friends after the client has passed away. The nurse interprets this as reflecting which concept?
Answer Choices:
A mourning
B bereavement
C outcome
D idealization
Answer: A – mourning.
Question: A client is diagnosed with terminal kidney failure. The spouse demonstrates loss and grief behaviors. What type of loss is the spouse experiencing?
Answer Choices:
A dysfunctional grieving.
B bereavement
C anticipatory loss
D maturational loss
Answer: C – anticipatory loss.
Question: A nurse is talking with a client who is dying. Which statement by the client does the nurse interpret as indicating that the client has reached the stage of acceptance?
Answer Choices:
A “I have done everything so now I’m confident that all my affairs are in order.”
B “I believe that the doctors got my results mixed up with someone else’s.”
C “I have waited so long to enjoy my retirement, but now I will not be around.”
D “If I can only get to see my child graduate from high school, then I will be good.”
Answer: A – “I have done everything so now I’m confident that all my affairs are in order.”
Question: An adolescent client describes themselves as “tall, female, a student, white, a friend, and open-minded.” What part of their self-concept is the client describing?
Answer Choices:
A self-knowledge
B self-expectations
C self-esteem
D self-evaluation
Answer: A – self-knowledge.
Question: A client with an inflamed appendix is feeling pain in the stomach area. What is the term for this body response to stress?
Answer Choices:
A Local adaptation syndrome
B Fight-or-flight response
C Physiologic homeostasis
D General adaptation syndrome
Answer: A – Local adaptation syndrome.
Question: A client has noticed bright red blood in their bowel movements for over a month. The client says to themselves, “Oh, it is just my hemorrhoids.” What defense mechanism is the client using?
Answer Choices:
A rationalization
B denial
C repression
D compensation
Answer: B – denial.
Question: According to the Harvard University Medical School committee, what function must be irreversibly lost to define death?
Answer Choices:
A brain function
B reflexes
C respiratory functions
D consciousness
Answer: A – brain function.
Question: A client asks a nurse to explain a living will. What is the nurse’s best answer?
Answer Choices:
A It specifies who will inherit the client’s estate.
B It determines an individual’s quality of life.
C It lists specific instructions for health care provisions.
D It identifies a trusted person to make health care decisions.
Answer: C – It lists specific instructions for health care provisions.
Question: Which of the following persons is responsible for handling and filing a death certificate with proper authorities?
Answer Choices:
A mortician
B physician
C hospital administrator
D nurse
Answer: A – mortician.
Question: A client has had a breast removed to treat cancer. What type of loss will the client likely experience?
Answer Choices:
A maturational loss
B perceived loss
C actual loss
D anticipatory loss
Answer: C – actual loss.
Question: An infant learns that the physical self is different from the environment. What term is used to describe this stage of self-concept?
Answer Choices:
A self-recognition
B self-concept
C self-definition
D Self-awareness
Answer: D – Self-awareness.
Question: In what phase of the general adaptation syndrome (GAS) is a client who is using all of the physiologic adaptive mechanisms for dealing with stress leaving no defense against the distress?
Answer Choices:
A stage of resistance
B fight-or-flight stage
C alarm reaction stage
D stage of exhaustion
Answer: D – stage of exhaustion.
Question: What might a nurse ask during a health history to assess personal identity?
Answer Choices:
A “How do you believe others see you? Why do you believe that?”
B “How would you describe yourself to others?”
C “Tell me what you do for fun and what you do for work.”
D “Tell me how your illness has affected you in your job.”
Answer: B – “How would you describe yourself to others?”
Question: What is the name given to the evaluative and affective component of the self-concept?
Answer Choices:
A Self-esteem
B Self-knowledge
C Body image
D Ideal self
Answer: A – Self-esteem.