Deck 27: Self-Actualization,Spirituality,and Transcendence

Question 1

A 90-year-old resident of an assisted living facility states,"I want to donate my brain to science." This is an example of a:

A) living legacy.
B) last will and testament.
C) postmortem obligation.
D) postmortem legacy.

Answer 1

living legacy.

Question 2

Your elderly client is experiencing pain and incomplete pain relief from the medications offered to him.Reluctantly,he expresses a desire to learn about meditation to augment the pharmacological mechanisms employed.What should you explain as you provide information about meditation?

A) It is efficient,taking less than 5 minutes.
B) It has been shown to decrease anxiety and depression,as well as normalize blood pressure.
C) It decreases short-term and long-term memory.
D) It cures all diseases.

Answer 2

It has been shown to decrease anxiety and depression,as well as normalize blood pressure.

Question 3

You are admitting a new resident to your long-term care facility.In attempting to give you some background information on his wife,the resident's husband describes his wife as a "very spiritual" person.From this,you understand that:

A) a highly spiritual person has a specific religious affiliation.
B) she probably will prefer spiritual healing methods over modern medicine.
C) spiritual needs are much broader and more personal than any particular religious persuasion.
D) an important nursing role for the resident will be to make certain she attends church services on the unit weekly.

Answer 3

spiritual needs are much broader and more personal than any particular religious persuasion.

Question 4

You are caring for an elder who is experiencing severe chronic pain and suffering from a terminal illness despite your best nursing interventions to reduce the pain.Your patient has verbalized a desire to find "some sort of meaning to all of this." Which intervention would be most appropriate at this time?

A) Change the subject and introduce a distraction,such as television.
B) Reassure the elder that this is normal and that everyone experiences it.
C) Listen and facilitate expression of feelings about life and death.
D) Ask the doctor to order a psychiatric consult.

Question 5

A 77-year-old client recently lost her husband to a chronic progressive neurological disease.She has a history of osteoarthritis and hypertension and was newly diagnosed with metastatic gastric cancer.She sold her home and moved to another state to be closer to her children,but she misses her many close friends.What makes her most at risk for spiritual distress? (Choose all that apply.)

A) Metastatic cancer
B) Age 77
C) Moving to another state
D) Loss of husband
E) Chronic conditions: hypertension and arthritis

Question 6

You are the nurse manager of the geriatric unit in a large teaching hospital.You partner with the nurse manager of the pediatric unit to arrange an intergenerational holiday party.Your rationale for doing this includes the following except:

A) intergenerational activities can help older adults establish new relationships.
B) intergenerational activities are required by state and local regulatory agencies.
C) intergenerational activities can increase self-esteem of the younger people.
D) intergenerational activities are beneficial for older adults because they can decrease isolation and foster a sense of meaning and purpose.

Question 7

Which refers to the highest level of human functioning,according to Maslow?

A) Biological or physiological integrity
B) Safety and security
C) Self-esteem
D) Self-actualization

Question 8

What is the role of the nurse in assisting older adults with travel interests?

A) Making their arrangements
B) Addressing potential problems and assisting in planning ahead for contingencies
C) Offering to provide pet-sitting services
D) Reassuring the client that altitude and climate are minor considerations in travel

Question 9

Which description would be most characteristic of a self-actualized individual?

A) An economically disadvantaged older black man who regularly checks out books from the local library to read to neighborhood children
B) A wealthy white older woman who is constantly searching for a better laxative
C) A middle-class white man who was forced into an early retirement and is living in fear of being evicted from his apartment
D) The elderly wife of a famous celebrity who travels the world but starves herself and seeks plastic surgery in her quest to fight the physical signs of aging

Question 10

A 92-year-old client of an adult day care center has Alzheimer's disease.The recreation therapist recommends a painting class for the client.Her daughter attends a team meeting and begins to laugh when she hears that her mother is attending a painting class and states: "Are you talking about my mother? Did you forget that she has Alzheimer's disease?" The nurse bases her response on the knowledge that:

A) creative activities are not limited to cognitively intact elders; even individuals with dementia can benefit from creative activities.
B) individuals with dementia who have rational language skills can benefit from creative activities.
C) cognitively impaired elders cannot benefit from creative activities due to altered brain processes.
D) cognitively impaired elders are usually too agitated to participate in creative arts.