Deck 7: Clients Response to Illness

Question 1

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?

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.

Answer 1

Children may not have developed the language to fully describe their feelings.

Question 2

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?

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

Answer 2

Industry

Question 3

Which one of the following statements is most accurate regarding the age at onset of a mental illness such as schizophrenia?

A) Persons who are diagnosed at a younger age will more likely have a poorer outcome.
B) Persons who are diagnosed at a younger age will more likely have a better outcome.
C) Age at diagnosis is not related to outcomes.
D) Younger clients have more experiences that will help them.

Answer 3

Persons who are diagnosed at a younger age will more likely have a poorer outcome.

Question 4

Genetics have been shown to play which of the following roles in a person's mental and emotional health?

A) Several mental disorders appear to run in families.
B) Specific genes have been linked to certain mental disorders.
C) Biologic factors can be modified to change the influence on emotional health.
D) Psychiatric treatment is effective regardless of an individual's biologic influences.

Question 5

Which one of the following statements about the roles that biologic makeup plays in a client's emotional responses is most accurate?

A) Biologic differences can affect a client's response to treatment with psychotropic drugs.
B) Biologic differences do not affect a client's response to treatment with psychotropic drugs.
C) Heredity and biologic factors are under voluntary control.
D) Persons cannot change their health status and improve the ability to cope.

Question 6

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

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

Question 7

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

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

Question 8

A client's prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?

A) The client is self-motivated and asks for help when needed.
B) The client is able to resist illness when under stress.
C) The client responds well in stressful situations.
D) The client uses good problem-solving abilities.

Question 9

A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?

A) Self-efficacy
B) Resilience
C) Resourcefulness
D) Hardiness

Question 10

It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client? Select all that apply.

A) Family members are independent of one another.
B) Family members spend time together.
C) Family members engage in recreational activities together.
D) Family members share the same personal goals.
E) Family members allow individual members to develop unique daily routines.

Question 11

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

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 12

Which of the following statements about hope and symptoms of mental illness are true? Select all that apply.

A) Hope is not realistic and therefore is not related to mental well-being.
B) Persons having more hope experienced fewer actual symptoms.
C) Hope is a cause of mental illness.
D) There is not a significant relationship between hopelessness and increased symptoms.
E) A possible way to help clients manage and decrease symptoms would be to support the development of hope.

Question 13

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

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

Question 14

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

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 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?

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

Question 16

Which of the following factors would be the most influential in determining a client's response to a particular stressor?

A) The client's experience with stress
B) The client's perception of the stressor
C) Duration of the stressor
D) Severity of the stressor

Question 17

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

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

Question 18

A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?

A) Living with a peer group often increases anxiety.
B) Peers may alienate the client from daily living activities.
C) The client will likely feel needed by his peers.
D) Peer groups often do too much for each other causing dependency.

Question 19

Which of the following situations would most likely provide social support to a client?

A) A friend who will share his or her perspective on an issue
B) The transportation service that provides access to daily rehabilitation services
C) Fellow teammates participating in a community softball league
D) The teacher assisting a client to obtain a GED

Question 20

A holistic plan of recovery would be especially important to a client from which of the following cultural groups?

A) American Indian
B) African American
C) Mexican American
D) Arab American

Question 21

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?

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 22

The nurse is preparing to conduct an admission assessment interview with a Mexican American client. During the interview, the nurse should respect the client's culture through which behavior?

A) Greet the client with a hug,
B) Encourage direct eye contact during questioning
C) Prohibiting the next of kin to remain present
D) Introduce self with a handshake

Question 23

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,

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 24

Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following?

A) Individual visits to provide the client with a calm environment
B) Group gatherings and open conversation
C) Inclusion of ritualistic health practices with the family present
D) A spiritual healer to remove the illness and protect the family

Question 25

A Filipino client meets the nurse for the first time. The client simply smiles at the nurse when introduced. The nurse interprets this behavior as

A) a display of being shy and introverted.
B) a typical greeting for a Filipino client.
C) constricted verbal skills associated with the client's illness.
D) a sign that the client may be suspicious of the nurse.

Question 26

Females from which of the following cultures are most likely to be expected to move in with husband's family?

A) African Americans
B) Mexican Americans
C) South Asians
D) Haitians

Question 27

Culture has the most influence on a person's health beliefs and practices. African Americans believe that the cause of mental illness occurs because of which of the following?

A) Lack of harmony of emotions
B) Supernatural causes
C) Heredity
D) Lack of spiritual balance

Question 28

A client from which of the following cultural groups is likely to prefer closeness in personal space?

A) Arab Americans
B) Chinese
C) Cubans
D) African Americans

Question 29

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

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

Question 30

Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to

A) economic class.
B) psychological influences.
C) physiologic causes.
D) sociocultural factors.

Question 31

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?

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 32

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

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

Question 33

Which of the following questions best encourages the client to disclose information the nurse must assess to provide culturally competent care?

A) How do you want me to help you?
B) Do you want me to contact your preacher?
C) What special dietary preferences do you have?
D) Which family members do you want to receive calls from?

Question 34

The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are

A) objective data about the culture.
B) subjective data from the client.
C) subjective data from the family.
D) subjective data from society.

Question 35

How might the nurse best provide culturally competent care?

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.