Chapter 55: Psychologic Responses to Illness

Chapter 55: Psychologic Responses to Illness

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. How should a nurse describe a patient who has a functional interaction of the cognitive, affective, behavioral, and social dimensions of his personality?

a.	Effectively organized
b.	Personally satisfied
c.	Well rounded
d.	Mentally healthy

 

 

ANS:  D

Mental health depends on the functional integration of the four dimensions of the personality.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1272           OBJ:   1

TOP:   Definition of Mental Health             KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

2. A nurse assesses that a 42-year-old patient lives with her parents and is dependent on them for decisions about her life. Which mental health characteristic is this patient lacking?

a.	Reality orientation
b.	Autonomous behavior
c.	Spontaneity
d.	Ethical decision making

 

 

ANS:  B

Autonomy is a mark of mental health.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1273           OBJ:   1

TOP:   Definition of Mental Health             KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

3. What is an example of a positive stressor?

a.	Test anxiety
b.	Loss of a job
c.	Paying income tax
d.	Single motherhood

 

 

ANS:  A

Test anxiety can be beneficial to promote study and sharpen focus.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 1273           OBJ:   2

TOP:   Stress             KEY:  Nursing Process Step: N/A              MSC:  NCLEX: N/A

 

4. Which action is an example of a person attempting to maintain homeostasis as a newcomer in a community?

a.	Joins a local church
b.	Buys a new car
c.	Stays in his or her apartment watching television
d.	Spends hours writing e-mail messages to old friends

 

 

ANS:  A

The newcomer who attempts to balance the newcomer status with belonging is an example of homeostasis.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1274           OBJ:   2

TOP:   Homeostasis   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

5. Which behavior best exemplifies developmental activities in a 13-year-old teenager?

a.	Going out with a group of friends
b.	Reading an exciting book
c.	Volunteering for the local hospital
d.	Choosing a career

 

 

ANS:  A

Interacting in peer relationships is a major developmental task of this age group.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1274           OBJ:   3

TOP:   Growth and Development                KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development