Question 1

The client says to the nurse, I know I can learn to cope with my family situation. By getting help here at the clinic, I'll be able to deal with them more effectively, and I won't be so stressed out all the time. This client is demonstrating a high level of

Accepted Answer

A)  hardiness. 
B)  resilience. 
C)  sense of belonging. 
D)  self-efficacy.

Question 2

The nurse is assessing the anxiety level of a young school-age child. The nurse encourages the child to express feelings through the use of toys in a play situation. The purpose for this approach to assessment is largely related to which of the following?

Accepted Answer

A)  The child has cognitive impairment and has limited vocabulary skills. 
B)  The child has not been intellectually stimulated and can only express self through play. 
C)  Children may not have developed the language to fully describe their feelings. 
D)  Children will not express themselves openly unless instructed to do so by parents.

Question 3

A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to snap out of it. A therapeutic response by the nurse would be,

Accepted Answer

A)  You have to keep trying to feel better. 
B)  What do you think could have caused your depression? 
C)  Clinical depression is not something you have brought on yourself. 
D)  It will take several weeks for your medicine to start to help you feel better.

Question 4

The nurse is preparing to administer PRN medication to a client of a Japanese descent who is anxious. The prescription reads, Alprazolam (Xanax) 0.25 to 1.0 mg PO PRN. The best dose for the nurse to give initially is

Accepted Answer

A)  0.25 mg. 
B)  0.5 mg. 
C)  0.75 mg. 
D)  1.0 mg.

Question 5

Which of the following personal characteristics influence a client's response to stressors? Select all that apply.

Accepted Answer

A)  Self-efficacy 
B)  Sense of belonging 
C)  Spirituality 
D)  Hardiness 
E)  Resilience
F) Resourcefulness

Question 6

Which of the following statements about spirituality are true? Select all that apply.

Accepted Answer

A)  Many clients with mental disorders have disturbing religious delusions. 
B)  Religious activities have been shown to be linked with better health and a sense of well-being. 
C)  Spirituality only involves religion. 
D)  Hope and faith are two critical factors in psychiatric and physical rehabilitation. 
E)  Spirituality may include a relationship with the environment.

Question 7

Which of the following individual factors can a person modify to improve mental and emotional health? Select all that apply.

Accepted Answer

A)  Serotonin deficiency 
B)  Lack of exercise 
C)  Poor nutrition 
D)  Type I diabetes 
E)  Sleeplessness

Question 8

Spirituality is especially important in helping people cope primarily for which of the following reasons?

Accepted Answer

A)  Spirituality helps people set personal goals. 
B)  Spirituality gives people meaningful daily activities in which to participate. 
C)  Spirituality provides a reliable support network. 
D)  Spirituality guides beliefs about the meaning of life events.

Question 9

A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal?

Accepted Answer

A)  The client will be free of pain and excess stress. 
B)  The client will express a feeling of balance and harmony. 
C)  The client will be free of physical symptoms of illness. 
D)  The client will express gratefulness to God for recovery.

Question 10

A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?

Accepted Answer

A)  Trust 
B)  Autonomy 
C)  Initiative 
D)  Industry

Question 11

The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?

Accepted Answer

A)  The nurse must become expert at interpreting the client's gestures. 
B)  Nonverbal signs indicative of certain mental illnesses transcend cultural differences. 
C)  Mental illnesses impair a client's ability to express nonverbal messages. 
D)  Nonverbal messages have different meanings in various cultures.

Question 12

How might the nurse best provide culturally competent care?

Accepted Answer

A)  Behave as appropriate for the nurse's culture. 
B)  Find out as much as possible about a client's cultural values, beliefs, and health practices. 
C)  Know what to expect from many cultural groups. 
D)  Validate knowledge about culture through continuing education.

Question 13

Direct eye contact is preferred by which of the following cultures?

Accepted Answer

A)  Native Americans 
B)  Cambodians 
C)  Russians 
D)  Chinese

Question 14

Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?

Accepted Answer

A)  Communication 
B)  Social organization 
C)  Environmental control 
D)  Biologic variations

Question 15

Individuals who grow up in at-risk environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?

Accepted Answer

A)  Hardiness 
B)  Resilience 
C)  Social skills 
D)  Tolerance

Exam 7: Clients Response to Illness