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Test Bank: Journey Across The Life Span:
Human Development and Health Promotion,
6th Edition Polan
Chapters 1 - 14
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Test Bank: Journey Across The Life Span: Human Development and Health
Promotion, 6th Edition Polan
Table of Contents:
Chapter 1. Healthy Lifestyles
Chapter 2. Communication
Chapter 3. Culture
Chapter 4. The Family
Chapter 5. Theories of Growth and Development
Chapter 6. Prenatal Period to 1 Year
Chapter 7. Toddlerhood
Chapter 8. Preschool
Chapter 9. School Age
Chapter 10. Puberty and Adolescence
Chapter 11. Early Adulthood
Chapter 12. Middle Adulthood
Chapter 13. Late Adulthood
Chapter 14. Death and Dying
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Chapter 1: Healthy Lifestyles
1. In early civilization, the cause of illness was attributed to:
a.
b.
c.
d.
Infectious disease
Microorganisms
Contaminated food and water
Natural and supernatural forces
Answer: d
Rationale: In early civilization, illness was attributed to natural and supernatural forces.
Nursing Process: Assessment
Client Needs: Physiological Integrity
2. The first understanding of disease processes occurred in (the):
a.
b.
c.
d.
Earlycivilization
21st century
19th century
Middle Ages
Answer: c
Rationale: In the 19th century, the development of bacteriology helped in the understanding of
disease processes.
Nursing Process: Assessment
3. Despite all of the improvements and advancements in health care, several infectious
diseases have recently resurfaced, including:
a.
b.
c.
d.
Strep throat
Tuberculosis
Polio
Mononucleosis
Answer: b
Rationale: Tuberculosis is one of several diseases that have recently resurfaced.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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4. Healthy People 2020 identifies two major goals—eliminating health disparities and:
a.
b.
c.
d.
Increasing peace and prosperity
Eliminating all diseases
Increasing the quality and years of healthy living
Limiting population growth
Answer: c
Rationale: Increasing the quality and years of healthy living is one major goal set by Healthy
People 2020.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
5. An external force that can affect one’s health is (the):
a.
b.
c.
d.
Mind
Culture
Heredity
Hormones
Answer: b
Rationale: Culture is an external force that can have many influences on an individual,
including effects on health.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
6. Health promotion is:
a.
b.
c.
d.
Goal oriented
Natural
Unplanned
Special
Answer: a
Rationale: Health promotion sets goals leading toward optimal wellness.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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7. Mrs. Jackson brings her 6-month-old infant to the clinic for immunization. This action
demonstrates which of the following levels of disease prevention?
a.
b.
c.
d.
Primary
Secondary
Tertiary
Rehabilitative
Answer: a
Rationale: Primary prevention is aimed at disease prevention.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
8. A future national goal for health care is the:
a.
b.
c.
d.
Reduction of services
Decrease in managed care
Increase in Medicaid contribution
Elimination of disparities in health care
Answer: d
Rationale: The national goal for the next decade is health care for all.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
9. Inadequate nutrition contributes to diseases such as:
a.
b.
c.
d.
Arthritis
Lupus
Cancer
Hearing loss
Answer: c
Rationale: Cancer has been linked to poor nutritional practices.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
10. In health promotion, the most important nursing role is:
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a.
b.
c.
d.
Teaching safe health practices
Assessing the individual’s health needs
Reducing potential health risk factors
Changing established lifestyle
Answer: a
Rationale: An important goal of health promotion is helping individuals learn to make safe
health choices.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
11. A healthy person generally:
a.
b.
c.
d.
Lacks stability
Lacks energy
Is in denial
Is in harmony
Answer: d
Rationale: Being in harmony, or homeostasis, means that the body can balance healthy and
unhealthy forces.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
12. In a health model, the nurse, as a collaborator, is responsible for:
a.
b.
c.
d.
Teaching patients about their disease process
Sharing and exchanging information with other health professionals
Demonstrating desired health behavior
Performing daily care needs
Answer: b
Rationale: The nurse acts as a collaborator with other health professionals to promote positive
patient outcomes.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
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13. Jennifer Joseph, a 60-year-old client, has been instructed by the public health nurse to
begin a program of exercise. You can further explain to Mrs. Joseph that the benefits of
exercise are:
a.
b.
c.
d.
An increase in blood supply to muscles and nerves
An increase in heart rate and rhythm
A decrease in the size of the heart muscle
A decrease in blood volume and oxygen demands
Answer: a
Rationale: Exercise helps stimulate increased blood supply, which nourishes muscles and
nerves.
Nursing Process: Implementation
Client Needs: Physiological Integrity
14. Holistic health:
a.
b.
c.
d.
Excludes one’s physical well-being
Limits consideration of one’s social standing
Excludes environmental impact
Considers one’s me nNt aUl R
wS
elI
l-N
b eGinTgB.COM
Answer: d
Rationale: Holistic practices consider the whole person’s well-being.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
15. Which of the following is an example of health restoration?
a.
b.
c.
d.
Rehabilitation after surgery to replace a knee joint
Immunization against the hepatitis B virus
Surgical excision of a breast cyst
Closure of an abdominal stoma
Answer: a
Rationale: Health restoration implies rehabilitation to one’s optimal functioning.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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16. A major objective of health promotion is:
a.
b.
c.
d.
Decreasing one’s stress level
Challenging health practices
Attaining one’s level of optimal health
Providing self-actualization
Answer: c
Rationale: The focus of health promotion is individualized to bring the person to his or her
best potential.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
17. The most important goal in health restoration is:
a.
b.
c.
d.
Regaining losses
Compensating for losses
Attaining acceptance
Providing sympathy
Answer: b
Rationale: Health restoration assists the person in learning to cope with losses.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
18. Which of the following forces has no impact on changing one’s health behavior?
a.
b.
c.
d.
Family
Social pressures
Role models
Inherited traits
Answer: d
Rationale: Inherited traits are those transmitted by genes and are out of a person’s control.
Nursing Process: Assessment
Client Needs: Physiological Integrity
19. The stressor most commonly associated with adolescence is:
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a.
b.
c.
d.
The search for self-worth
The search for identity
Separation anxiety
Birth of a new sibling
Answer: b
Rationale: Adolescents struggle to find out who they are.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
20. Based on the Social Readjustment Rating Scale, the most stressful event for an adult is:
a.
b.
c.
d.
Changing careers
Changing residence
Divorce
Childbirth
Answer: c
Rationale: Divorce has been identified as one of life’s major stressors, in that it breaks up the
family unit.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
21. Virgil Grant, a patient recently diagnosed with AIDS, is having a healthy response to the
stress in his life if he demonstrates which of the following behaviors?
a.
b.
c.
d.
Denial
Withdrawal
Acceptance
Aggression
Answer: c
Rationale: The stage known as acceptance indicates that the individual has progressed to the
final stage of the grieving process.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
22. Gary Byrd, a 24-year-old college student, tells the nurse that he sometimes uses various
illegal drugs. The nurse can characterize Gary as a substance abuser if he:
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a.
b.
c.
d.
Continues to be active in college affairs
Maintains his self-esteem
Begins to lose interest in his relationships
Has heightened interest in the opposite sex
Answer: c
Rationale: Substance abuse is characterized by a history of personal problems.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
23. The highest percentage of accidents resulting from alcohol use involve:
a.
b.
c.
d.
Homicides
Drowning
Fires
Motor vehicles
Answer: d
Rationale: Statistics show that alcohol use is a major cause of motor vehicle accidents.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
24. Sandra Gooden has just been told by the doctor that she is pregnant with her first
baby. Which of the following factors will have a negative impact on Sandra’s ability to
maintaingood health during her pregnancy?
a.
b.
c.
d.
Poor relationship with her in-laws
Community recognition
Effective stress management
Economic well-being
Answer: a
Rationale: The nuclear family and extended family play an important role in the well-being of
the pregnant woman.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
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25. The level of health prevention that concentrates on retraining and educating to maximize
the use of remaining capacities is:
a.
b.
c.
d.
Primary prevention
Secondary prevention
Tertiary prevention
Disability prevention
Answer: c
Rationale: Tertiary prevention minimizes the effects of long-term disease or disability. With
rehabilitation, clients can reach their highest level of functioning.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
26. Preventive care, including immunizations and yearly physical examinations, is classified
as what type of health care service?
a.
b.
c.
d.
Primary
Secondary
Tertiary
Collaborative
Answer: a
Rationale: Primary health care services are aimed at disease prevention.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
27. National health insurance for persons 65 years and older is known as:
a.
b.
c.
d.
Medicaid
Medicare
Socialized medicine
Palliative care
Answer: b
Rationale: Medicare offers health insurance coverage to seniors aged 65 years and older.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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28. The nurse recognizes that physiological responses to emotional stress are the result of:
a.
b.
c.
d.
Mental illness
Autonomic nervous stimulation
Powerlessness
Shame
Answer: b
Rationale: The brain and autonomic nervous system have a role in the physical changes that
occur during an emotional reaction.
Nursing Process: Assessment
Client Needs: Physiological Integrity
29. The nurse is teaching a community group about disease prevention. She is giving
instructions regarding secondary prevention and correctly includes:
a.
b.
c.
d.
Risk factors for heart disease
Limiting disability after injury
The importance of colorectal screening
The use of vitamins and a balanced diet
Answer: c
Rationale: Secondary prevention includes screening for diseases.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
30. One of the goals of the Affordable Care Act is:
a.
b.
c.
d.
Placing an emphasis on illness
Improving the quality of care
Focusing on curing rare diseases
Holding the client responsible for tending to his or her own health care needs
Answer: b
Rationale: The Affordable Care Act focuses on improving the quality of health care and
making it available to all Americans.
Nursing Process: Planning
Client Needs: Health Promotion
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31. The organization that coordinates global health care issues, such as outbreaks of
infection, is:
a.
b.
c.
d.
Healthy People 2020
Centers for Disease Control and Prevention
World Health Organization
AARP
Answer: c
Rationale: The World Health Organization is concerned about health issues that occur
throughout the world as well as any emerging and reemerging infections that are a threat to
people worldwide.
Nursing Process: Planning
Client Needs: Health Promotion
32. The most important goal the nurse must meet today in the delivery of health care is:
a.
b.
c.
d.
Fostering the client’s recovery from illness
Providing the individual rehabilitation from illness
Promoting self-care
Assisting the ind iv idN
uaUl RinSaIt tN
aiGniTn gB .
t hCe O
hiMghest level of health
Answer: d
Rationale The nurse has many goals in the delivery of care, but the most important is allowing
the individual to achieve his or her highest level of health.
Nursing Process: Planning
Client Needs: Health Promotion
33. The student nurse is providing follow-up teaching to a group of clients on how to maintain
a healthy diet. The student nurse must first understand that which of the following factors can
affect the selection of a healthy diet? (Select all that apply.)
a.
b.
c.
d.
Cultural preferences
Client’s knowledge level
Economic status
Access to foods
Answer: a, b, c, d
Rationale: Many factors affect a client’s ability to maintain a healthy diet, including the
availability of stores, types of food available, financial ability to purchase healthy food,
cultural practices, and education level.
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Nursing Process: Assessment
Client Needs: Health Promotion
34. The plan of care states that an increase in food intake is needed to rebuild and repair cells.
The nurse would increase the client’s intake of:
a.
b.
c.
d.
Fish
Fruits
Cereals
Olive oil
Answer: a
Rationale: Foods that are the building blocks for cell repair and growth are proteins. Examples
of proteins include fish, meats, and legumes.
Nursing Process: Implementation
Client Needs: Health Promotion
35. The MyPlate guidelines help the individual:
a.
b.
c.
d.
Understand that food intake must match energy output
Focus on the value of certain foods
Use his or her weight to determine food intake
Focus on a child’s nutritional needs
Answer: a
Rationale: MyPlate guidelines include portion size, food groups, and the need for exercise in
controlling weight and sustaining a healthy diet.
Nursing Process: Planning
Client Needs: Health Promotion
36. Which of the following describe(s) a type of determinant behavior? (Select all that apply.)
a. Poor diet
b. Unsafe sex
c. Smoking and drug use
Answer: a, b, c
Rationale: There are a number of behaviors that are determinants to health, including lack of
exercise, smoking, drug use, poor nutrition, and unsafe sexual practices.
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Nursing Process: Assessment
Client Needs: Psychological Integrity
37. During a postconference, there is an open discussion on the health-promoting goals of
Healthy People 2020. When the nurse instructor summarizes the key points, she is correct if
she states (select all that apply):
f.
g.
h.
i.
j.
Economical support for all
Elimination of health care disparities
Access to preventive health services
Free nutritional programs for elderly adults
Counseling services for the elderly population
Answer: b, c
Rationale: The overarching goals of Healthy People 2020 are to improve quality of health care
for all Americans and eliminate health care disparities.
Nursing Process: Evaluation
Client Needs: Health Promotion
38. The nurse is participating in a health promotion workshop at the community church. She
must include which of the following topics? (Select all that apply.)
f.
g.
h.
i.
j.
Stress management
Regular exercise
Limiting nutritional intake
Medication support for sleep and rest
Sedentary lifestyle to decrease cardiac workload
Answer: a, b
Rationale: Health promotion emphasizes exercise, nutrition, mental health, physical health,
and avoidance of substance abuse.
Nursing Process: Plan
Client Needs: Health Promotion
39. Healthy ways of adapting to stress include:
e.
f.
g.
Alcohol
Humor
Drugs
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h.
Smoking
Answer: b
Rationale: Healthy ways of adapting to stress include relaxation, exercise, and humor.
Nursing Process: Assessment
Client Needs: Health Promotion
40. The parent of a 6-year-old who is having problems in school shares with the school nurse
that she took her child to the pediatrician, and he said he is suffering from PTSD. She tells the
nurse she does not understand because she has only heard of PTSD in association with
soldiers after combat. The nurse would best reply:
e.
f.
g.
h.
Your son is always fighting when he comes to school
PTSD can occur if your son has had a traumatic experience
Yes, PTSD only occurs in people who have been in combat
This is caused by extreme anxiety and should pass in a few days
Answer: b
Rationale: PTSD can occur in anyone who has experienced a traumatic event, including
violent crimes, motor vehicle accidents, sexual abuse, and combat.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
41. A mother is questioning her 2-year-old child’s emotional development. Identify emotions
that are normal in this age group (select all that apply):
f.
g.
h.
i.
j.
Frustration
Pleasure
Anger
Anxiety
Fear
Answer: a, b
Rationale: A newborn’s emotions are centered around needs for food and comfort, but as a
child gets older, other emotions are seen, including anger, jealousy, happiness, and anxiety.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
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WTB-02-1
Chapter 2. Communication – Test Questions
1. Communication is the:
a.
b.
c.
d.
Last step in the nursing process
Most vital link between diagnosis and disease
Exchange of information and ideas
Basis for all thinking processes
Answer:
2. Part of the communication process is:
a.
b.
c.
d.
Emotional
Mental
Physical
Feedback
Answer:
.
3. The person who interprets the message is called the:
a.
b.
c.
d.
Sender
Receiver
Method
Process
Answer:
4. A form of verbal communication is:
a.
b.
c.
d.
Body language
Gestures
Appearance
Words
Answer:
5. A professional appearance by the health care worker can communicate:
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a.
b.
c.
d.
WTB-02-2
Incompetence
Uncaring
Pride
Acceptance
Answer:
6. Which of the following behaviors by your patient indicates a willingness to communicate?
a.
b.
c.
d.
Downcast eyes
Face toward you
Legs tightly crossed
Slumping posture
Answer:
7. Which of the following describes nonverbal behavior? Select all that apply.
a.
b.
c.
d.
Gestures
Spoken word
Tone of voice
Aggressive style
.
Answer:
8. Periods of silence during the communication process allow the health care worker to:
a.
b.
c.
d.
Redirect the patient
Observe nonverbal behavior
Relieve the patient’s anxiety
Minimize rejection
Answer:
9. The communication style that serves to empower the individual is:
a.
b.
c.
d.
Assertive
Unassertive
Aggressive
Passive
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WTB-02-3
Answer:
10. Therapeutic communication:
a.
b.
c.
d.
Serves the needs of both participants
Involves equal sharing of thoughts and feelings
Is light and superficial in nature
Promotes trust and a good rapport
Answer:
11. Active listening requires an active mind and:
a.
b.
c.
d.
Closed posture
Leaning forward toward the patient
Staring intently at the patient
Sitting alongside the patient
Answer:
.
12. Being yourself as well as being open and truthful describes:
a.
b.
c.
d.
Warmth
Listening
Genuineness
Positive regard
Answer:
13. Understanding the patient’s feelings and viewing the world as the patient does describe:
a.
b.
c.
d.
Sympathy
Empathy
Positive regard
Congruence
Answer:
14. Agreement between spoken words and body language describes:
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a.
b.
c.
d.
WTB-02-4
Congruence
Empathy
Positive regard
Validation
Answer:
15. Gaining insight into your personal feelings is an example of:
a.
b.
c.
d.
Empathy
Biases
Proxemics
Self-awareness
Answer:
16. You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The
technique used is satisfactory if Sally:
a.
b.
c.
d.
Speaks to Gerry from his doorway
.
Speaks to Gerry in a loud tone
Speaks with Gerry in a darkened room
Asks Gerry for feedback verbally or in writing
Answer:
17. You overhear Jane telling her mother that she is afraid to ride over the bridge, and Jane’s
mother responds, “Don’t be silly. Let’s go.” This is an example of:
a.
b.
c.
d.
Stereotyping
Belittling
Giving advice
Giving false reassurance
Answer:
18. Mary, an elderly patient in the nursing home, states, “They are not doing anything to help
me.” Your best response would be:
a. “Don’t worry. You will feel better soon.”
b. “What do you want us to do?”
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WTB-02-5
c. “We are taking good care of you.”
d. “Describe when you began feeling this way.”
Answer:
19. John, age 54, is admitted for day surgery and is anxious and tense prior to the procedure.
How would you respond?
a.
b.
c.
d.
“Calm down. You will be fine.”
“You will only need light anesthesia.”
“You’re not dying. Why are you thinking this way?”
“You seem to be concerned about the surgery.”
Answer:
20. After completing morning care for Sarah, an 83-year-old patient in the nursing home, she
states, “You are the only one who takes the time to care for me.” Your best response would
be:
a.
b.
c.
d.
“You are still complaining, Sarah.”
“You feel others don’t take the t i me ?N
” URSINGTB.COM
“You are such a worrier.”
“Sarah, you know that’s not true.”
Answer:
21. Which of the following questions is open-ended and would best help a person describe his
or her pain?
a. “Do you have a lot of pain?”
b. “Does it hurt when you walk?”
c. “Is your pain sharp?”
d. “Describe what your pain is like.”
Answer:
22. The caregiver notices that one of her patients is in her room crying. The caregiver’s best
response is:
a. “I’m sure things will get better.”
b. “A good cry will make you feel better.”
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c. “It may help to talk about what is upsetting you.”
d. “Crying is just a waste of time.”
Answer:
23. Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The
best caregiver action is to:
a.
b.
c.
d.
Allow the patient to have privacy and time alone.
Attempt to offer light, superficial conversation.
State that “you need to talk about your problems.”
Spend time with her and continue to observe her behavior.
Answer:
24. The caregiver says, “I’m not sure of the answer to your question.” This response indicates
that the caregiver is:
a.
b.
c.
d.
Evasive
Uninformed
Genuine
Nontherapeutic
.
Answer:
25. Touching a client suddenly without warning may be interpreted as:
a.
b.
c.
d.
Affectionate
Invasive
Empathic
Comforting
Answer:
26. Telling a client that you know exactly what the client is going through is an example of:
a.
b.
c.
d.
False reassurance
Giving advice
Stereotyping
Agreeing
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Answer:
27. When a health care worker changes the subject during a patient interaction, the result may:
a.
b.
c.
d.
Foster support of the client
Reduce the health care worker’s anxiety
Add emphasis to the message
Build trust
Answer:
28. Which of the following influence(s) how a message is interpreted when a nurse is
communicating with a patient? (Select all that apply.)
a. Age
b. Feelings
c. Gender
d. Attitude
e. Past experience
Answer:
.
29. Which of the following comments would be nontherapeutic? (Select all that apply.)
a.
b.
c.
d.
e.
“You should stop smoking.”
“Why are you always complaining?”
“I think you are making the right decision.”
“How are you feeling about this?”
“Let’s talk about happier times.”
Answer:
30. A nurse promotes effective communication with patients by using principles of:
a.
b.
c.
d.
Empathy
Submissiveness
Power
Control
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Answer:
31. A nurse is utilizing the best techniques of therapeutic communication with a patient
experiencing a stressful event when she:
a.
b.
c.
d.
Asks her to explain why she is behaving like that
Sits with the client in quiet support
Asks her to be quiet and thoughtful
Isolates the patient from others
Answer:
32. A nurse has achieved the highest level of practice in the art of therapeutic communication
when he (select all that apply):
a.
b.
c.
d.
Supports the client’s coping skills
Explores his feelings
Asks family members to keep the patient calm
Shares his feelings with the patient
e.
Feels his goals and needs are met.Answer:
33. Touch is a powerful tool that a nurse can use in many situations; it can be used to (select
all that apply):
a.
b.
c.
d.
e.
Complement verbal communication
Demonstrate caring
Show empathy
Offer reassurance
Restrain an anxious patient
Answer:
Chapter 2. Communication – Test Questions With Answers and Rationales
1. Communication is the:
a. Last step in the nursing process
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b. Most vital link between diagnosis and disease
c. Exchange of information and ideas
d. Basis for all thinking processes
Answer: c
Rationale: Communication is the basic exchange of ideas and information between
individuals.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
2. Part of the communication process is:
a.
b.
c.
d.
Emotional
Mental
Physical
Feedback
Answer: d
Rationale: Feedback is the part of the communication process in which a response is given to
the message.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
.
3. The person who interprets the message is called the:
a.
b.
c.
d.
Sender
Receiver
Method
Process
Answer: b
Rationale: The receiver is the person to whom the message is sent.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
4. A form of verbal communication is:
a. Body language
b. Gestures
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c. Appearance
d. Words
Answer: d
Rationale: Verbal communication uses words in speech or in writing.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
5. A professional appearance by the health care worker can communicate:
a.
b.
c.
d.
Incompetence
Uncaring
Pride
Acceptance
Answer: c
Rationale: A person’s appearance sends a message about how one feels about oneself.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
.
6. Which of the following behaviors by your patient indicates a willingness to communicate?
a.
b.
c.
d.
Downcast eyes
Face toward you
Legs tightly crossed
Slumping posture
Answer: b
Rationale: Facing a person when communicating with him or her indicates that you are
listening and focused on the person you are speaking to.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
7. Which of the following describes nonverbal behavior?
a.
b.
c.
d.
Gestures
Spoken word
Tone of voice
Aggressive style
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Answer: a, c
Rationale: Nonverbal behavior uses gestures, and body language, and tone of voice to convey
thoughts or feelings.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
8. Periods of silence during the communication process allow the health care worker to:
a.
b.
c.
d.
Redirect the patient
Observe nonverbal behavior
Relieve the patient’s anxiety
Minimize rejection
Answer: a
Rationale: Periods of silence during communication can be useful, in that theyallow the
person to think over what was said or what he or she is feeling.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
9. The communication style that serves to empower the individual is:
a.
b.
c.
d.
Assertive
Unassertive
Aggressive
Passive
Answer: a
Rationale: Assertive individuals are able to express their feelings with confidence.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
10. Therapeutic communication:
a.
b.
c.
d.
Serves the needs of both participants
Involves equal sharing of thoughts and feelings
Is light and superficial in nature
Promotes trust and a good rapport
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Answer: d
Rationale: Therapeutic communication promotes trust by using honesty.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
11. Active listening requires an active mind and:
a.
b.
c.
d.
Closed posture
Leaning forward toward the patient
Staring intently at the patient
Sitting alongside the patient
Answer: b
Rationale: Active listening requires a posture indicating that you are focused on the patient
and on what he or she is saying.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
12. Being yourself as well as being open N
anU
d tR
ruS
t hfI
ulN
deG
scT
ribB
es.
: COM
a.
b.
c.
d.
Warmth
Listening
Genuineness
Positive regard
Answer: c
Rationale: Genuineness implies that the person is honest and sincere.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
13. Understanding the patient’s feelings and viewing the world as the patient does describe:
a.
b.
c.
d.
Sympathy
Empathy
Positive regard
Congruence
Answer: b
Rationale: Empathy suggests that you can put yourself in the other person’s shoes.
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Nursing Process: Implementation
Client Needs: Psychosocial Integrity
14. Agreement between spoken words and body language describes:
a.
b.
c.
d.
Congruence
Empathy
Positive regard
Validation
Answer: a
Rationale: Congruence occurs when the verbal and nonverbal messages are in harmony.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
15. Gaining insight into your personal feelings is an example of:
a.
b.
c.
d.
Empathy
Biases
Proxemics
Self-awareness
.
Answer: d
Rationale: Self-awareness, or insight, allows a person to understand the ways in which he or
she feels, thinks, or acts.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
16. You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The
technique used is satisfactory if Sally:
a.
b.
c.
d.
Speaks to Gerry from his doorway
Speaks to Gerry in a loud tone
Speaks with Gerry in a darkened room
Asks Gerry for feedback verbally or in writing
Answer: d
Rationale: Seeking clarification, or feedback, makes certain that the person understood what
was said.
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Nursing Process: Implementation
Client Needs: Psychosocial Integrity
17. You overhear Jane telling her mother that she is afraid to ride over the bridge, and Jane’s
mother responds, “Don’t be silly. Let’s go.” This is an example of:
a.
b.
c.
d.
Stereotyping
Belittling
Giving advice
Giving false reassurance
Answer: b
Rationale: Belittling tends to make light of a person’s fears or beliefs.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
18. Mary, an elderly patient in the nursing home, states, “They are not doing anything to help
me.” Your best response would be:
.
a.
b.
c.
d.
“Don’t worry. You will feel better soon.”
“What do you want us to do?”
“We are taking good care of you.”
“Describe when you began feeling this way.”
Answer: d
Rationale: The technique that uses clarification attempts to seek information necessary to
better understand what is said.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
19. John, age 54, is admitted for day surgery and is anxious and tense during the procedure.
How would you respond?
a.
b.
c.
d.
“Calm down. You will be fine.”
“You will only need light anesthesia.”
“You’re not dying. Why are you thinking this way?”
“You seem to be concerned about the surgery.”
Answer: d
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Rationale: Using reflection, you can state your perception of the patient’s message.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
20. After completing morning care for Sarah, an 83-year-old patient in the nursing home, she
states, “You are the only one who takes the time to care for me.” Your best response would
be:
a.
b.
c.
d.
“You are still complaining, Sarah.”
“You feel others don’t take the time?”
“You are such a worrier.”
“Sarah, you know that’s not true.”
Answer: b
Rationale: Communication is the best when it attempts to clarify what the person is really
saying.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
21. Which of the following questions is open-ended and would best help a person describe his
or her pain?
a.
b.
c.
d.
“Do you have a lot of pain?”
“Does it hurt when you walk?”
“Is your pain sharp?”
“Describe what your pain is like.”
Answer: d
Rationale: Open-ended questions help individuals describe their feelings.
Nursing Process: Evaluation
Client Needs: Physiological Integrity
22. The caregiver notices that one of her patients is in her room crying. The caregiver’s best
response is:
a.
b.
c.
d.
“I’m sure things will get better.”
“A good cry will make you feel better.”
“It may help to talk about what is upsetting you.”
“Crying is just a waste of time.”
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Answer: c
Rationale: Listening is a valuable tool that helps individuals express their feelings.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
23. Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The
best caregiver action is to:
a.
b.
c.
d.
Allow the patient to have privacy and time alone.
Attempt to offer light, superficial conversation.
State that “you need to talk about your problems.”
Spend time with her and continue to observe her behavior.
Answer: d
Rationale: Observation while spending time with an individual values the person.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
24. The caregiver says, “I’m not sure of the answer to your question.” This response indicates
that the caregiver is:
a.
b.
c.
d.
Evasive
Uninformed
Genuine
Nontherapeutic
Answer: c
Rationale: Genuineness is being open and truthful.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
25. Touching a client suddenly without warning may be interpreted as:
a.
b.
c.
d.
Affectionate
Invasive
Empathic
Comforting
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Answer: b
Rationale: Sudden, unexpected touch may be interpreted as invasive or aggressive.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
26. Telling a client that you know exactly what the client is going through is an example of:
a.
b.
c.
d.
False reassurance
Giving advice
Stereotyping
Agreeing
Answer: c
Rationale: Stereotyping offers an insincere, superficial statement that is based on the belief
that all individuals have the same feelings.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
27. When a health care worker changes t hNe U
s uR
bj eSc tId N
u riG
n gTa B
pa.
t i eC
n tOi nM
t e r a c ti o n, the result may:
a.
b.
c.
d.
Foster support of the client
Reduce the health care worker’s anxiety
Add emphasis to the message
Build trust
Answer: b
Rationale: Changing the subject during a client interaction may block communication and
reduce the caregiver’s anxiety.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
28. Which of the following influence(s) how a message is interpreted when a nurse is
communicating with a patient? (Select all that apply.)
a. Age
b. Feelings
c. Gender
d. Attitude
e. Past experience
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Answer: a, b, c, d, e
Rationale: A message is best interpreted when all these factors are used.
Nursing Process: Assessment
Client Needs: Psychological Integrity
29. Which of the following comments would be nontherapeutic? (Select all that apply.)
a.
b.
c.
d.
e.
“You should stop smoking.”
“Why are you always complaining?”
“I think you are making the right decision.”
“How are you feeling about this?”
“Let’s talk about happier times.”
Answer: a, b, c, e
Rationale: Belittling, changing the subject, agreeing, and asking closed-ended questions are
all considered blocks or nontherapeutic techniques.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
30. A nurse promotes effective communication with patients by using principles of:
a.
b.
c.
d.
Empathy
Submissiveness
Power
Control
Answer: a
Rationale: For communication to be effective, the health care worker must show warmth,
empathy, and interest and be attentive to what the patient is saying and feeling.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
31. A nurse is utilizing the best techniques of therapeutic communication with a patient
experiencing a stressful event when she:
a.
b.
c.
d.
Asks her to explain why she is behaving like that
Sits with the client in quiet support
Asks her to be quiet and thoughtful
Isolates the patient from others
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Answer: b
Rationale: In a stressful event where words are not enough, a nurse supports a patient by
offering themselves.
Nursing Process: Evaluation
Client Needs: Psychosocial Integrity
32. A nurse has achieved the highest level of practice in the art of therapeutic communication
when he (select all that apply):
a.
b.
c.
d.
e.
Supports the client’s coping skills
Explores his feelings
Asks family members to keep the patient calm
Shares his feelings with the patient
Feels his goals and needs are met
Answer: a, b
Rationale: A nurse has attained the highest level of communication when they follow the six
principles of therapeutic communication: Listening, attentiveness, warmth, genuineness,
empathy, and positive regard.
.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
33. Touch is a powerful tool that a nurse can use in many situations; it can be used to (select
all that apply):
a.
b.
c.
d.
e.
Complement verbal communication
Demonstrate caring
Show empathy
Offer reassurance
Restrain an anxious patient
Answer: a, b, c, d
Rationale: Touch can evoke positive responses and can be used to place emphasis on the
verbal message, demonstrate caring, show empathy, and offer reassurance.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
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Chapter 3. Culture – Test Questions
1. Which of the following is not a function of culture?
a.
b.
c.
d.
Guides the way we communicate
Determines our selection of health care options
Determines what we can achieve
Guides our interpretation of illness
Answer:
2. The purpose of transcultural nursing is to:
a.
b.
c.
d.
Decrease the need for hospitalization
Promote patient satisfaction
Increase home care effectiveness
Promote dependency
Answer:
.
3. The way we view social concerns and problems in the culture is termed cultural:
a.
b.
c.
d.
Beliefs
Values
Clarification
Sensitivity
Answer:
4. The way we greet each other within a culture is an example of:
a.
b.
c.
d.
Folkways
Mores
Laws
Sanctions
Answer:
5. Race categorizes a person by:
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a.
b.
c.
d.
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Religion
Physical characteristics
Disease susceptibility
Financial status
Answer:
6. Learning about a patient’s ancestry is termed cultural:
a.
b.
c.
d.
Awareness
Sensitivity
Mores
Diversity
Answer:
7. The health care worker who believes that his or her values and ways of life are superior to
those of the patient is practicing:
a.
b.
c.
d.
Ethnocentrism
Cultural awareness .
Cultural sensitivity
Cultural mores
Answer:
8. When a person migrates to another country and takes on the practices of the dominant
culture, this is considered:
a.
b.
c.
d.
Assimilation
Individualism
Paternalism
Ethnocentrism
Answer:
9. A 70-year-old patient admitted to the nursing home speaks with a distinct accent. To
determine his cultural or ethnic origin, you would:
a. Assume this based on his accent
b. Assume this based on his name
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c. Assume this based on his religion
d. Ask him directly
Answer:
10. In caring for patients from different cultures, a nurse must understand that culture is:
a.
b.
c.
d.
A learned pattern of behavior
The motivating principle behind all our thinking
Less dominant as we age
Irrelevant in planning a person’s health needs
Answer:
11. Failure to understand and develop cultural awareness may lead to:
a.
b.
c.
d.
A misperception of a person’s feelings and responses
Culturally congruent care
Effective cultural communication
Adaptation of a new culture
.
Answer:
12. Deeply embedded feelings that help individuals determine what is good or bad and right
or wrong are referred to as:
a.
b.
c.
d.
Mores
Norms
Folkways
Values
Answer:
13. Differences in skin color, as seen in different races, are thought to be the result of
differences in:
a.
b.
c.
d.
Climate and skin pigmentation
Diet and genetics
Exercise and skin pigmentation
Gender and genetics
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Answer:
14. The best time to introduce racial and ethnic tolerance is:
a.
b.
c.
d.
Adulthood
Adolescence
Early childhood
Middle age
Answer:
15. Mrs. Gonzales is 10 weeks pregnant, and she tells the nurse that she has not had a visit to a
medical doctor. She explains that her people prefer to use a partera for pregnancy and
delivery. Which of the following responses is most culturally sensitive?
a. “You should have more confidence in our physicians on staff.”
b. “I would strongly suggest you consider using a medical doctor who has specialized
in pregnancy.”
c. “It is your decision, and please let me know if there is anything I can do to assist
you.”
d. “The maternal and inNfaUnR
tS
mI
orN
taGliT
t yBr.
atC
esOaM
re lower in the United States compared
with other countries that do not use trained medical doctors.”
Answer:
16. A nurse notices that a Jewish patient on her unit is in his room lighting a Shabbat candle
on Friday night. The culturally sensitive response by the nurse would be:
a.
b.
c.
d.
“You are not permitted to have lit candles in this facility.”
“The fire code prohibits anyone from doing this in his or her room.”
“Didn’t you realize you could cause a serious fire in the facility?”
“Let me find out if you can light this candle in the chapel downstairs.”
Answer:
17. When caring for a patient from a different culture, the health care worker should respect
the fact that:
a. An individual’s decisions are always determined by his or her culture.
b. Culture totally defines one’s health care needs.
c. Food habits are always controlled by culture.
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d. Male and female roles are often influenced by culture.
Answer:
18. The theory of transcultural nursing was proposed by:
a.
b.
c.
d.
Jean Watson
Abraham Maslow
Jean Piaget
Madeleine Leininger
Answer:
19. A client refuses to have any chemotherapy to treat his confirmed malignancy. He tells the
nurse that his family is bringing him an herbal potion that is used in his home country. He is
convinced this will cure him. The nurse’s best response is:
a.
b.
c.
d.
“This is the 21st century; we have better medicines here.”
“Do you really want to die?”
“Can you describe what this potion is made of?”
“I doubt that some olNdUreRmSeI
d G
caTnBre.aC
llyOM
heal you.”
Answer:
20. A nurse understands that cultural values and practices:
a.
b.
c.
d.
Change as the individual ages
Never change over time
Are inherited, genetic characteristics
Are passed down through generations
Answer:
21. The key to understanding how a client responds to illness is understanding his or her:
a.
b.
c.
d.
Birth order
Response to stress
Culture
Response to aging
Answer:
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22. Learning one’s culture through observation or instructions from elders within the culture
is called:
a.
b.
c.
d.
Diffusion
Acculturation
Enculturation
Globalization
Answer:
23. An individual is able to learn about the culture he or she is born into because humans have
the ability to think:
a.
b.
c.
d.
Constructively
Reflectively
Individually
Symbolically
Answer:
.
24. Which of the following is a similarity found in all cultures?
a.
b.
c.
d.
Political organization
Health practices
Social controls
Family size
Answer:
25. A nurse would expect that the greatest amount of change seen within a culture is the result
of:
a.
b.
c.
d.
Borrowed cultural practice
War
Peace
Famine
Answer:
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26. The most important symbol in a culture is:
a.
b.
c.
d.
Language
Art
Food
Dress
Answer:
27. Which of the following gives a culture stability and security over time?
a.
b.
c.
d.
Learned behavior
Integrated social patterns
Shared traditions
Adaptation
Answer:
28. The ability to learn a language is based on a person’s:
a.
b.
c.
d.
.
Culture
Biological makeup
Socialization
Religious practice
Answer:
29. Cultural competence requires that the health care worker (select all that apply):
a.
b.
c.
d.
Learn about diverse cultures
Take on and practice the client’s culture
Be critical of all aspects of minority cultural groups
Engage in continuous self-evaluation
Answer:
30. A nursing student asks the nurse instructor to explain the goal of transcultural nursing. The
instructor correctly states:
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a.
b.
c.
d.
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The nurse supports the patient’s lifestyle changes
Care must include the key values of the patient’s culture
The nurse’s assumption of the patient’s needs is primary
The patient must be able to interpret their own health care needs
Answer:
31. The process of borrowing cultural elements from another culture and incorporating them
into your own culture best describes:
a.
b.
c.
d.
Acculturation
Enculturation
Diffusion
Adaptation
Answer:
32. A health care worker is caring for a patient who is visiting the United States for the first
time. The patient sustained internal injuries after an accident and was hospitalized. To deliver
competent care, it would be most appropriate to (select all that apply):
.
a. Tell the patient she will be all right because you share similar beliefs
b. Ask the patient if she has any special needs
c. Be aware that the patient’s nonverbal cues may be different from your own
d. Understand that the patient’s pain tolerance may differ from your own
e. Tell the patient the faster she tries to learn this culture, the easier her hospitalization will
be
Answer:
33. When teaching a new Hispanic mother how to change the diaper of and provide skin care
to her newborn, the nurse finds a copper coin placed on the umbilicus. Which of the following
should the nurse do next?
a.
b.
c.
d.
Remove the coin and remain silent
Leave the coin in place and remove it in the nursery
Ask the mother about the meaning of the coin on the umbilicus
Tell the mother that her baby can develop a serious infection from a dirty copper coin
Answer:
Chapter 2. Culture – Test Questions With Answers and Rationales
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1. Which of the following is not a function of culture?
a.
b.
c.
d.
Guides the way we communicate
Determines our selection of health care options
Determines what we can achieve
Guides our interpretation of illness
Answer: c
Rationale: Individual achievement is based on many factors, culture being one of them.
Nursing Process: Assessment
Client Needs: Psychosocial Integrity
2. The purpose of transcultural nursing is to:
a.
b.
c.
d.
Decrease the need for hospitalization
Promote patient satisfaction
Increase home care effectiveness
Promote dependency
.
Answer: b
Rationale: Transcultural nursing reaches globally, in that it promotes the concept of “one
world, many cultures.”
Nursing Process: Planning
Client Needs: Psychosocial Integrity
3. The way we view social concerns and problems in the culture is termed cultural:
a.
b.
c.
d.
Beliefs
Values
Clarification
Sensitivity
Answer: d
Rationale: To correctly view social concerns and problems, one must be sensitive to the
cultural dynamics of the people.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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4. The way we greet each other within a culture is an example of:
a.
b.
c.
d.
Folkways
Mores
Laws
Sanctions
Answer: a
Rationale: Different cultures use different methods to greet one another. These methods are
called folkways.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
5. Race categorizes a person by:
a.
b.
c.
d.
Religion
Physical characteristics
Disease susceptibility
Financial status
.
Answer: b
Rationale: There are distinctive physical characteristics common to each race.
Nursing Process: Assessment
Client Needs: Physiological Integrity
6. Learning about a patient’s ancestry is termed cultural:
a.
b.
c.
d.
Awareness
Sensitivity
Mores
Diversity
Answer: a
Rationale: Cultural awareness refers to becoming familiar with another person’s ancestry and
history. This helps one understand—not offend—another individual.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
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7. The health care worker who believes that his or her values and ways of life are superior to
those of the patient is practicing:
a.
b.
c.
d.
Ethnocentrism
Cultural awareness
Cultural sensitivity
Cultural mores
Answer: a
Rationale: Tolerance and understanding of someone’s culture and practices avoid
ethnocentrism.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
8. When a person migrates to another country and takes on the practices of the dominant
culture, this is considered:
a.
b.
c.
d.
Assimilation
Individualism
Paternalism
Ethnocentrism
.
Answer: a
Rationale: Assimilation is the practice of adopting new cultural practices common to other
cultures.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
9. A 70-year-old patient admitted to the nursing home speaks with a distinct accent. To
determine his cultural or ethnic origin, you would:
a.
b.
c.
d.
Assume this based on his accent
Assume this based on his name
Assume this based on his religion
Ask him directly
Answer: d
Rationale: To be sure of a person’s cultural background, one should ask and not assume.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
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10. In caring for patients from different cultures, a nurse must understand that culture is:
a.
b.
c.
d.
A learned pattern of behavior
The motivating principle behind all our thinking
Less dominant as we age
Irrelevant in planning a person’s health needs
Answer: a
Rationale: Understanding different cultures helps the health care worker better understand
how the patient views health and illness.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
11. Failure to understand and develop cultural awareness may lead to:
a.
b.
c.
d.
A misperception of a person’s feelings and responses
Culturally congruent care
Effective cultural communication
Adaptation of a new NcuUltRuS
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Answer: a
Rationale: A lack of cultural awareness may result in a misunderstanding of a patient’s
feelings and responses.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
12. Deeply embedded feelings that help individuals determine what is good or bad and right
or wrong are referred to as:
a.
b.
c.
d.
Mores
Norms
Folkways
Values
Answer: d
Rationale: Values are deeply embedded feelings that form the foundation and direction of
one’s actions and feelings.
Nursing Process: Assessment
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Client Needs: Psychosocial Integrity
13. Differences in skin color, as seen in different races, are thought to be the result of
differences in:
a.
b.
c.
d.
Climate and skin pigmentation
Diet and genetics
Exercise and skin pigmentation
Gender and genetics
Answer: a
Rationale: Theorists ascribe differences in skin color to adaptation to physical elements, such
as climate, that either increase or decrease skin pigmentation.
Nursing Process: Assessment
Client Needs: Physiological Integrity
14. The best time to introduce racial and ethnic tolerance is:
a.
b.
c.
d.
Adulthood
Adolescence
Early childhood
Middle age
.
Answer: c
Rationale: To foster racial and ethnic tolerance, prejudice education should be introduced at
an early age.
Nursing Process: Planning
Client Needs: Psychosocial Integrity
15. Mrs. Gonzales is 10 weeks pregnant, and she tells the nurse that she has not had a visit to a
medical doctor. She explains that her people prefer to use a partera for pregnancy and
delivery. Which of the following responses is most culturally sensitive?
a. “You should have more confidence in our physicians on staff.”
b. “I would strongly suggest you consider using a medical doctor who has specialized
in pregnancy.”
c. “It is your decision, and please let me know if there is anything I can do to assist
you.”
d. “The maternal and infant mortality rates are lower in the United States compared
with other countries that do not use trained medical doctors.”
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Answer: c
Rationale: The nurse is correct to support the decision of the patient.
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance
16. A nurse notices that a Jewish patient on her unit is in his room lighting a Shabbat candle
on Friday night. The culturally sensitive response by the nurse would be:
a.
b.
c.
d.
“You are not permitted to have lit candles in this facility.”
“The fire code prohibits anyone from doing this in his or her room.”
“Didn’t you realize you could cause a serious fire in the facility?”
“Let me find out if you can light this candle in the chapel downstairs.”
Answer: d
Rationale: The nurse tries to support the needs and practices of her patient.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
17. When caring for a patient from a different culture, the health care worker should respect
the fact that:
a.
b.
c.
d.
An individual’s decisions are always determined by his or her culture.
Culture totally defines one’s health care needs.
Food habits are always controlled by culture.
Male and female roles are often influenced by culture.
Rationale: d
Rationale: Male and female roles are influenced by cultural beliefs.
Nursing Process: Assessment
Client Needs: Health Promotion and Maintenance
18. The theory of transcultural nursing was proposed by:
a.
b.
c.
d.
Jean Watson
Abraham Maslow
Jean Piaget
Madeleine Leininger
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Answer: d
Rationale: Madeleine Leininger is credited with the theory of transcultural nursing.
Nursing Process: Assessment
Client Needs: Health Promotion and Maintenance
19. A client refuses to have any chemotherapy to treat his confirmed malignancy. He tells the
nurse that his family is bringing him an herbal potion that is used in his home country. He is
convinced this will cure him. The nurse’s best response is:
a.
b.
c.
d.
“This is the 21st century; we have better medicines here.”
“Do you really want to die?”
“Can you describe what this potion is made of?”
“I doubt that some old remedy can really heal you.”
Answer: c
Rationale: Caregivers must take into account a client’s specific cultural remedies.
Nursing Process: Implementation
Client Needs: Psychosocial Integrity
.
20. A nurse understands that cultural values and practices:
a.
b.
c.
d.
Change as the individual ages
Never change over time
Are inherited, genetic characteristics
Are passed down through generations
Answer: d
Rationale: Cultural values and practices are learned and passed down through generations.
Nursing Process: Assessment
Client Needs: Psychological Integrity
21. The key to understanding how a client responds to illness is understanding his or her:
a.
b.
c.
d.
Birth order
Response to stress
Culture
Response to aging
Answer: c
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