Chapter 19: Illness and Hospitalization

Chapter 19: Illness and Hospitalization

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called:

ANS:  B

Illness is a state of imbalance that is compared with the person’s condition prior to development of the present condition. Health is when an individual experiences homeostasis, or a state of balance; recovery refers to improvement after an illness.

DIF:    Cognitive Level: Knowledge            REF:   Page 203        OBJ:   1

TOP:   The Nature of Illness                       KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

2. The client feels unwell. She knows that she would be better off if she rested today, but important matters at work are waiting. She stops at the drugstore on her way to work and purchases several over-the-counter cold remedies. Her behaviors are related to the stage of illness experience called:

ANS:  A

The first stage of the illness experience is discovering that something is wrong. The other three options are the other stages: medical care contact is stage three, seeking professional advice; assuming the sick role is stage two, seeking support for the sick role; and dependent patient role is the fourth stage, acceptance of treatment.

DIF:    Cognitive Level: Application           REF:   Page 204        OBJ:   2

TOP:   Stages of the Illness Experience       KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

3. The client has been given the diagnosis of pneumonia and requires a week of bed rest. Her sister has arrived from out of town to care for her. The client is relieved to have the help but resents having to be cared for. Which stage of the illness experience is the client exhibiting?

ANS:  D

The fourth stage of the illness experience is accepting treatment. The other options are also stages of illness: symptom experience is the first stage of the illness experience, medical care contact is stage three, and assuming the sick role is stage two.

DIF:    Cognitive Level: Comprehension     REF:   Page 205        OBJ:   2

TOP:   Stages of the Illness Experience       KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

4. The psychological defense mechanism used to ward off the painful feelings associated with illness and hospitalization is called:

ANS:  A

Denial is a psychological defense mechanism intended to ward off the painful feelings associated with problems and is commonly the first reaction to illness.

DIF:    Cognitive Level: Knowledge            REF:   Page 206        OBJ:   3

TOP:   Illness Behaviors                             KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity