Chapter 19 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 19 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A nurse is helping a hospice client who has had difficulty with making end-of-life decisions. The nurse has encouraged the client to focus on her self-worth, her accomplishments, and having positive self-esteem in order to process through some of these decisions. The nurse is helping the client to achieve balance in which component?

1. Environmental
2. Physical
3. Mental
4. Spiritual

Correct Answer: 3

Rationale 1: Environmental aspects include physical, biologic, economic, social, and political conditions.

Rationale 2: Physical aspects include optimal functioning of all body systems.

Rationale 3: Mental aspects include feelings of self-worth, a positive identity, a sense of accomplishment, and the ability to appreciate and create. In terms of optimal wellness, balance consists of mental, physical, emotional, spiritual, and environmental components. Each component needs to be balanced, and a sense of equality among the components is needed.

Rationale 4: Spiritual aspects involve moral values, a meaningful purpose in life, and a feeling of connectedness to others and a divine source.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 17. Develop a beginning understanding of complementary and alternative modalities and their role in health care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Give examples of healing environments.

MNL Learning Outcome: 1.3.4. Consider complementary and alternative therapy in the promotion of health.

Page Number: 296

 

Question 2

Type: MCSA

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain. The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned. What is an appropriate nursing diagnosis for this client?

1. Body Image Disturbance
2. Health-Seeking Behavior
3. Altered Family Processes
4. Spiritual Distress

Correct Answer: 4

Rationale 1: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one’s biological and psychosocial nature. The feelings the client expresses have little to do with his body image.

Rationale 2: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one’s biological and psychosocial nature. The client is not expressing the desire to increase his level of well-being.

Rationale 3: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one’s biological and psychosocial nature. The feelings the client expresses have little to do with family processes.

Rationale 4: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one’s biological and psychosocial nature. The feelings the client expresses have little to do with his body image or family processes, and he is not expressing the desire to increase his level of well-being.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 17. Develop a beginning understanding of complementary and alternative modalities and their role in health care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 1. Describe the basic concepts of alternative practices.

MNL Learning Outcome: 1.3.4. Consider complementary and alternative therapy in the promotion of health.

Page Number: 296

 

Question 3

Type: MCSA

The nurse is working with a client who, during her interview, expresses feelings of groundedness. The nurse interprets this to mean that the client

1. is full of energy.
2. feels connected to her reality.
3. is focused on her center of energy.
4. feels “down in the dumps.”

Correct Answer: 2

Rationale 1: Energy is viewed as the force that integrates the body, mind, and spirit and doesn’t relate to groundedness.

Rationale 2: Grounding relates to one’s connection with reality. Being grounded suggests stability, security, independence, having a solid foundation, and living in the present.

Rationale 3: Centering refers to the process of bringing oneself to the center or middle and doesn’t relate to groundedness.

Rationale 4: This relates more closely with sadness or depression than groundedness.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 17. Develop a beginning understanding of complementary and alternative modalities and their role in health care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 2. Give examples of healing environments.

MNL Learning Outcome: 1.3.4. Consider complementary and alternative therapy in the promotion of health.

Page Number: 296

 

Question 4

Type: MCSA

After having a difficult time saying “no” when asked to work yet another overtime shift, the nurse begins to feel overwhelmed and irritable. As a method to most effectively promote self-healing, what should this nurse do?

1. Clarify values and beliefs.
2. Set realistic goals.
3. Learn to manage stress.
4. Challenge the belief that others always come first.

Correct Answer: 4

Rationale 1: Identification of things that are important, meaningful, and valuable is part of clarifying values and beliefs and may help, but there is a more specific option available.

Rationale 2: Identifying and setting goals may help, but there is a more specific option available.

Rationale 3: Stress management may help, but there is a more specific option available.

Rationale 4: Overwork and overinvolvement leave little time for fulfillment of personal needs. Nurses need to learn to ask for what they need and avoid feelings of selfishness when not responding to someone else’s needs.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 17. Develop a beginning understanding of complementary and alternative modalities and their role in health care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 2. Give examples of healing environments.

MNL Learning Outcome: 1.3.4. Consider complementary and alternative therapy in the promotion of health.

Page Number: 296