ramont2e rev tif ch16

8/20/2019 Ramont2e Rev TIF Ch16

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 16Question 1

Type: MCSA

The wife of a client who was in an MVA reports that she has started running every day, sometimes twice a daysince her husband was hospitalized. This is an eample of!

1. Sublimation

2. "egression

. #ntellectualization

!. Compensation

Corre"t #ns$er: $

Rationa%e 1! %isplacement of energy associated with more primitive seual or aggressive drives into socially

acceptable activities is &now as sublimation.

Rationa%e 2! "esorting to an earlier level of functioning that is characteristically less demanding when faced with

an aniety producing situation is &nown as regression.

Rationa%e ! 'vading an emotional response that would normally accompany an uncomfortable or painfulsituation by using rational eplanations that remove any personal significance and feelings is &nown as

intellectualization.

Rationa%e !! Compensation is covering up wea&nesses by overachievement in a more comfortable area.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying

C%ient Need: (sychosocial #ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing (rocess! %iagnosis

)earning -ut"ome:

Question 2

Type: MCMA

The nurse is assessing the family of a pediatric client who has been confined to bed after an accident. Adaptation

is epressed by!

"amont, )iedringhous, Comprehensive Nursing Care *nd 'dition +pdate Test an&

Copyright *-$* by (earson 'ducation, #nc.



*tandard Tet: Select all that apply.

1. 'ffective coping

2. #neffective coping

. Appropriate behavior

!. Minimization

/. +ndoing

Corre"t #ns$er: $,

Rationa%e 1! 'ffective coping is a an epression of adaptive behavior.

Rationa%e 2! #neffective coping s&ills cause maladaptation to a health change.

Rationa%e ! Appropriate behavior is a result of adaptation to a health change.

Rationa%e !! Minimization is an eample of maladaptation to a health concern.

Rationa%e /! +ndoing is an eample of a maladaptive coping s&ill.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA

The nurse is caring for the parents of a newborn and eplaining that many new parents feel stress at this time.

/hen the parents epress surprise at the use of the term stress, the nurse eplains that the birth of a child can be

categorized as a0n1!

1. #nternal source of stress

2. An eternal source of stress

. %evelopmental

!. Situational

Corre"t #ns$er: 2





Rationa%e 1! %epression is an eample of an internal source of stress.

Rationa%e 2! Moving from one state to another is an eample of an eternal source of stress.

Rationa%e ! (eer pressure is an eample of developmental stress.

Rationa%e !! The birth of a child, or a divorce, are eamples of situational stress.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing (rocess! Assessment

)earning -ut"ome:

Question !

Type: MCMA

The nurse is interviewing a female client who is being admitted to a psychiatric facility for evaluation. /hile

assessing the client, the nurse evaluates the client3s self concept by identifying!


1. 4ow she views herself

2. "ole epectations

. eliefs and values

!. 4er standards and performance in comparison to those of others and her ideal self

/. 4er family structure

Corre"t #ns$er: $,*,

Rationa%e 1! The nurse will identify the client3s body image5 the image of the physical self that a client perceivesthe size and functioning of the body and its parts.

Rationa%e 2! "ole performance relates to what a person does in a particular role, in relation to the behaviors

epected of that role.

Rationa%e ! The client3s personal identity is the conscious sense of individuality and uni6ueness that evolvescontinually throughout life.

Rationa%e !! Self esteem is one3s 7udgment of one3s own worth.

Rationa%e /! The family structure is involved in personal identity, self esteem, body image, and role performance





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question /Type: MCMA

The nurse is collecting data about an adolescent3s self8concept. The following are developmental factors that

affect the client3s self concept!


1. irth order

2. irth family

. 9reedom to eplore

!. Stereotyping

/. Supportive environment

Corre"t #ns$er: $,*,2,:

Rationa%e 1! irth order is a family and cultural factor that affects the client3s self concept.

Rationa%e 2! The culture of the birth family is a cultural;family factor that affects the client3s self concept.

Rationa%e ! eing allowed the freedom to eplore as an infant, as well as throughout childhood and adolescence

is a developmental factor

Rationa%e !! Stereotyping by others of the client3s culture is a cultural;family factor that affects the client3s self

concept.

Rationa%e /! 4aving a supportive environment, physically, as an infant, as well as emotionally through

adolescence and on is a developmental factor that influences self8concept.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question 6

Type: MCSA

A mother of three toddlers who has 7ust been told she needs surgery. She begins calling neighbors to arrange for

carpools. This is an eample of

1. 'motion8focused coping

2. Maladaptive coping

. (roblem8focused coping

!. #neffective coping

Corre"t #ns$er:

Rationa%e 1! 'motion focused coping involves using thoughts and actions to relieve emotional distress.

Rationa%e 2! Maladaptive coping results in unnecessary distress5 this action is not maladaptive.

Rationa%e ! This is an eample of problem8focused coping5 the client is ta&ing action to improve a situation.

Rationa%e !! The coping mechanism has 7ust been initiated5 efficacy has yet to be determined.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 0

Type: MCMA

The nurse is caring for a single client who is scheduled for another surgery. The nurse realizes that!


1. The client3s coping s&ills are influenced by age

2. The client may have difficulty coping due to the number of surgeries eperienced

. A generally anious client may have difficulty coping with the additional stressor

!. The duration of the illness has minimal effect on the client3s coping s&ills





/. The client may use adaptive mechanisms unconsciously

Corre"t #ns$er: *,,:

Rationa%e 1! The client3s coping s&ills are influenced by many factors, including eperience, but not specificallyage.

Rationa%e 2! The additional surgery may be a stressor that the client is unable to manage.

Rationa%e ! The personal 6ualities of the client impact the ability to cope with stressors.

Rationa%e !! The duration and intensity of stressors influences the coping s&ills of the client.

Rationa%e /! The client may use adaptive mechanisms consciously or unconsciously.

&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: )ursing (rocess! %iagnosis

)earning -ut"ome:

Question

Type: MCSA

The visiting nurse is tal&ing to the wife of a client, who reports eperiencing sleep difficulties recently. The nurse

identifies the client3s wife as developing

1. Caregiver burden

2. Self8esteem reaction to stress

. %epression

!. %isplacement

Corre"t #ns$er: $

Rationa%e 1! 9amily members who underta&e the care of a person in the home for a long period develop long8

term stress called caregiver burden, with responses such as chronic fatigue, sleep difficulties, and high blood pressure.

Rationa%e 2! Clients who are under stress may have a decrease in self esteem, manifested by isolation, becominga wor&aholic.

Rationa%e ! Sleep difficulties may be an indicator of depression but with the information given, this is not the

best response.





Rationa%e !! The transferring of emotional reactions from one ob7ect or person to another is not the reactiondescribed.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing (rocess! %iagnosis)earning -ut"ome:

Question

Type: MCSA

The school nurse observes behavior in the school cafeteria, and identifies students with a positive self concept as

one who

1. ullies other students

2. 4as a stable relationship with several groups of friends

. Spends much of the lunch period alone, loo&ing at other students

!. 9inishes the lunches of other students

Corre"t #ns$er: *

Rationa%e 1! Students who bully others often have low self esteem.

Rationa%e 2! The student with a stable relationship with several groups of friends shows the ability to give andreceive love, as well as treating others with respect.

Rationa%e ! The student who is unable to ta&e action and change things may have a negative self concept.

Rationa%e !! The student who finishes others3 lunches may have a negative self concept5 more information is

needed in this scenario.

&%o'a% Rationa%e:


C%ient Need: (sychosocial #ntegrityC%ient Need *u':


)earning -ut"ome:

Question 13

Type: MCMA





The nurse who collects data for the admission assessment as&s 6uestions about self8concept, including those that

deal with


1. Career

2. #<

. (ersonal appearance

!. Coping abilities

/. Self care

Corre"t #ns$er: $,2,:

Rationa%e 1! The nurse as&s the client about career development and performance.

Rationa%e 2! The nurse would not as& 6uestions about a client3s #<5 rather the client3s ability to answer 6uestionsand follow directions would be noted.

Rationa%e ! The nurse would not as& 6uestions about a client3s personal appearance, rather person appearance

would be noted if deficits were apparent.

Rationa%e !! The admission assessment would include 6uestions regarding a client3s ability to cop with andresolve problems they have faced in the past.

Rationa%e /! The client3s ability to meet self care needs is an important admission 6uestion.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Analyzing


C%ient Need *u':


)earning -ut"ome:

Question 11

Type: MCMA

The nurse is caring for an = year old client who needs surgery. The client3s self concept may be affected by

which of the following identity stressors>


1. Seuality concerns





2. %eclining physical abilities

. (oor coping ability

!. Change in physical appearance

/. "elationship concerns

Corre"t #ns$er: $,*,2,:

Rationa%e 1! The = year8old client may have concerns about ability to function after surgery.

Rationa%e 2! The client may be concerned about the ability to function independently after surgery.

Rationa%e ! This is a potential self8esteem stressor.

Rationa%e !! The client may be concerned about scarring.

Rationa%e /! The client may be concerned about changes in relationships or .

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 12

Type: MCSA

)urses in the long8term care facility understand that residents

1. Are unable to have se

2. Are incapable of orgasm

. Continue to need seual epression

!. )ot at ris& for ST#s

Corre"t #ns$er:

Rationa%e 1! ?lder adults may need increased time to achieve erection and lubrication, but are able to have seua

intercourse.

Rationa%e 2! ?lder adults are capable of orgasm, but may ta&e longer to achieve.





Rationa%e ! Seuality refers to all aspects of being seual, and is sub7ect to lifelong dynamic change.

Rationa%e !! Anyone with multiple se partners is at ris& for ST#s.

&%o'a% Rationa%e:

Cogniti(e )e(e%: "emembering


C%ient Need *u':Nursing+ntegrated Con"epts: )ursing (rocess! Assessment

)earning -ut"ome:

Question 1

Type: MCMA

The pediatric nurse identifies the following pediatric and adolescent considerations about se and seuality!


1. #nfants begin to develop a gender identity

2. 9emale children are at ris& for seual abuse

. Adolescent seual behaviors are influenced by culture and peers

!. TS' and S' are unnecessary until young adulthood

/. (regnancy prevention should be addressed


Rationa%e 1! @ender identity begins by three years of age.

Rationa%e 2! 9emale children are at higher ris& for seual abuse than male children.

Rationa%e ! Attitudes about seuality are highly influence by cultural rules and epectations.

Rationa%e !! TS' and S' should be taught and practiced starting in adolescence.

Rationa%e /! (regnancy prevention should be addressed with the adolescent and young adult.

&%o'a% Rationa%e:

Cogniti(e )e(e%: +nderstanding


C%ient Need *u':


)earning -ut"ome:





Question 1!

Type: MCSA

The prenatal client will need information regarding

1. Seuality and body image changes

2. #nfertility and body image

. Contraception

!. Avoiding intercourse

Corre"t #ns$er: $

Rationa%e 1! ody image changes constantly during pregnancy and can affect one3s seuality.

Rationa%e 2! #nfertility is not an issue for the currently pregnant client.

Rationa%e ! Contraception is not an issue for the currently pregnant client.

Rationa%e !! #ntercourse may continues in a normal, uncomplicated pregnancy, until the amniotic sac brea&s or

the client goes into labor.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1/

Type: MCMA

/hile conducting an assessment interview regarding stress and coping patterns, the nurse identifies 6uestions tha

will encourage the client to communicate information!


1. 4ow do you usually handle stressful situations>

2. 4ow would you describe yourself as a person>

. %o you li&e your wor&>





!. /hat are your strengths in relationships>

/. Are you having any stress at wor&>

Corre"t #ns$er: $,*,2

Rationa%e 1! This open ended 6uestion encourages the client to describe behaviors with more than a one or two

word answer.

Rationa%e 2! This open ended 6uestion encourages the client to be introspective.

Rationa%e ! This closed8ended 6uestion does not invite the client to epand on li&es and disli&es regarding wor&

Rationa%e !! This open ended 6uestion invited the client to be introspection, and evaluate the 6uality ofrelationships.

Rationa%e /! This closed8ended 6uestion does not invite the client to epand on li&es and disli&es regarding wor&

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 16

Type: MCSA

/hen discussing seuality with the older adult, the nurse remembers that

1. ?lder men are infertile

2. ?lder women lose interest in seual activity after menopause

. The phases of seual response may ta&e longer to occur

!. Seual activity is to be avoided after heart surgery

Corre"t #ns$er:

Rationa%e 1! ?lder men remain fertile into old age.

Rationa%e 2! ?lder women may eperience an increase in desire after menopause.

Rationa%e ! The phases of seual response in older women and men may ta&e longer to occur.

Rationa%e !! Seual activity may be resumed based on reactions to eercise.





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 10Type: MCSA

The wife of a client who was in an MVA reports that she has started running every day, sometimes twice a day,since her husband was hospitalized. This is an eample of!

1. Sublimation.

2. "egression.

. #ntellectualization.

!. Compensation.

Corre"t #ns$er: $

Rationa%e 1! %isplacement of energy associated with more primitive seual or aggressive drives into socially

acceptable activities is &nown as sublimation.

Rationa%e 2! "esorting to an earlier level of functioning that is characteristically less demanding when faced withan aniety8producing situation is &nown as regression.

Rationa%e ! 'vading an emotional response that would normally accompany an uncomfortable or painful

situation by using rational eplanations that remove any personal significance and feelings is &nown asintellectualization.

Rationa%e !! Compensation is covering up wea&nesses by overachievement in a more comfortable area.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

The nurse is assessing the family of a pediatric client who has been confined to bed after an accident. Adaptation

is epressed by!






1. 'ffective coping.

2. #neffective coping.

. Appropriate behavior.

!. Minimization.

/. +ndoing.

Corre"t #ns$er: $,

Rationa%e 1! 'ffective coping is an epression of adaptive behavior.

Rationa%e 2! #neffective coping s&ills cause maladaptation to a health change.

Rationa%e ! Appropriate behavior is a result of adaptation to a health change.

Rationa%e !! Minimization is an eample of maladaptation to a health concern.

Rationa%e /! +ndoing is an eample of a maladaptive coping s&ill.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCSA

The nurse is caring for the parents of a newborn and eplaining that many new parents feel stress at this time./hen the parents epress surprise at the use of the term stress, the nurse eplains that the birth of a child can be

categorized as!

1. An internal source of stress.

2. An eternal source of stress.

. %evelopmental.

!. Situational.

Corre"t #ns$er: 2





Rationa%e 1! %epression is an eample of an internal source of stress.

Rationa%e 2! Moving from one state to another is an eample of an eternal source of stress.

Rationa%e ! (eer pressure is an eample of developmental stress.

Rationa%e !! The birth of a child or a divorce is an eample of situational stress.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 23

Type: MCMA

The nurse is interviewing a female client who is being admitted to a psychiatric facility for evaluation. /hile

assessing the client, the nurse evaluates the client3s self8concept by identifying!


1. 4ow she views herself.

2. "ole epectations.

. eliefs and values.

!. 4er standards and performance in comparison to those of others and of her ideal self.

/. 4er family structure.

Corre"t #ns$er: $,*,

Rationa%e 1! The nurse will identify the client3s body image5 the image of the physical self that a client perceives

and the size and functioning of the body and its parts.

Rationa%e 2! "ole performance relates to what a person does in a particular role, in relation to the behaviors

epected of that role.

Rationa%e ! The client3s personal identity is the conscious sense of individuality and uni6ueness that evolvescontinually throughout life.

Rationa%e !! Self8esteem is one3s 7udgment of one3s own worth.

Rationa%e /! The family structure is involved in personal identity, self8esteem, body image, and role performance





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 21Type: MCSA

The nurse is collecting data about an adolescent3s self8concept. The following are developmental factors thataffect the client3s self8concept!

1. irth order

2. irth family

. 9reedom to eplore

!. Stereotyping

/. Supportive environment

Corre"t #ns$er: :

Rationa%e 1! irth order is a family and cultural factor that affects the client3s self8concept.

Rationa%e 2! The culture of the birth family is a cultural;family factor that affects the client3s self8concept.

Rationa%e ! eing allowed the freedom to eplore as an infant, as well as throughout childhood and adolescence

is a developmental factor.

Rationa%e !! Stereotyping by others of the client3s culture is a cultural;family factor that affects the client3s self8

concept.

Rationa%e /! 4aving a supportive environment physically as an infant, as well as emotionally throughadolescence and on, is a developmental factor that influences self8concept.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 22

Type: MCSA





A mother of three toddlers has 7ust been told she needs surgery. She begins calling neighbors to arrange forcarpools. This is an eample of!

1. 'motion8focused coping.

2. Maladaptive coping.

. (roblem8focused coping.

!. #neffective coping.

Corre"t #ns$er:

Rationa%e 1! 'motion8focused coping involves using thoughts and actions to relieve emotional distress.

Rationa%e 2! Maladaptive coping results in unnecessary distress5 this action is not maladaptive.

Rationa%e ! This is an eample of problem8focused coping5 the client is ta&ing action to improve a situation.

Rationa%e !! The coping mechanism has 7ust been initiated5 efficacy has yet to be determined.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCMAThe nurse is caring for a single client who is scheduled for another surgery. The nurse realizes that!


1. The client3s coping s&ills are influenced by age.

2. The client might have difficulty coping due to the number of surgeries eperienced.

. A generally anious client might have difficulty coping with the additional stressor.

!. The duration of the illness has minimal effect on the client3s coping s&ills.

/. The client might use adaptive mechanisms unconsciously.






Rationa%e 1! The client3s coping s&ills are influenced by many factors, including eperience, but not specificallyage.

Rationa%e 2! The additional surgery can be a stressor that the client is unable to manage.

Rationa%e ! The personal 6ualities of the client impact the ability to cope with stressors.

Rationa%e !! The duration and intensity of stressors influence the coping s&ills of the client.

Rationa%e /! The client might use adaptive mechanisms consciously or unconsciously.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2!Type: MCSA

The visiting nurse is tal&ing to the wife of a client. She reports eperiencing sleep difficulties recently. The nurseidentifies the client3s wife as developing!

1. Caregiver burden.

2. Self8esteem reaction to stress.

. %epression.

!. %isplacement.

Corre"t #ns$er: $

Rationa%e 1! 9amily members who underta&e the care of a person in the home for a long period develop long8

term stress called caregiver burden, with responses such as chronic fatigue, sleep difficulties, and high blood pressure.

Rationa%e 2! Clients who are under stress can have a decrease in self8esteem, manifested by isolation, becoming

wor&aholics.

Rationa%e ! Sleep difficulties can be an indicator of depression, but with the information given, this is not the best response.

Rationa%e !! The transferring of emotional reactions from one ob7ect or person to another is not the reaction

described.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 2/

Type: MCSAThe school nurse observes behavior in the school cafeteria, and identifies the student with a positive self8concept

as the one who!

1. ullies other students.

2. 4as a stable relationship with several groups of friends.

. Spends much of the lunch period alone, loo&ing at other students.

!. 9inishes the lunches of other students.

Corre"t #ns$er: *

Rationa%e 1! Students who bully others often have low self8esteem.

Rationa%e 2! The student with a stable relationship with several groups of friends shows the ability to give and

receive love, as well as treat others with respect.

Rationa%e ! The student who is unable to ta&e action and change things might have a negative self8concept.

Rationa%e !! The student who finishes others3 lunches might have a negative self8concept5 more information is

needed in this scenario.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 26Type: MCMA

The nurse who collects data for the admission assessment as&s 6uestions about self8concept, including those that

deal with!


1. Career.





2. #<.

. (ersonal appearance.

!. Coping abilities.

/. Self8care.

Corre"t #ns$er: $,2,:

Rationa%e 1! The nurse as&s the client about career development and performance.

Rationa%e 2! The nurse would not as& 6uestions about a client3s #<5 rather, the client3s ability to answer 6uestions

and follow directions would be noted.

Rationa%e ! The nurse would not as& 6uestions about a client3s personal appearance5 rather, personal appearancewould be noted if deficits were apparent.

Rationa%e !! The admission assessment would include 6uestions regarding a client3s ability to cope with and

resolve problems she has faced in the past.

Rationa%e /! The client3s ability to meet self8care needs is an important admission assessment.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Analyzing


C%ient Need *u':


)earning -ut"ome:

Question 20

Type: MCMA

The nurse is caring for an =8year8old client who needs surgery. The client3s self8concept could be affected by

which of the following identity stressors>


1. Seuality concerns

2. %eclining physical abilities

. (oor coping ability

!. Change in physical appearance

/. "elationship concerns





Corre"t #ns$er: *,2,:

Rationa%e 1! The =8year8old client might have concerns about ability to function after surgery.

Rationa%e 2! The client might be concerned about the ability to function independently after surgery.

Rationa%e ! This is a potential self8esteem stressor.

Rationa%e !! The client might be concerned about scarring.

Rationa%e /! The client might be concerned about changes in relationships..

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCSA

)urses in the long8term care facility understand that residents!

1. Are unable to have se.

2. Are incapable of orgasm.

. Continue to need seual epression.

!. Are not at ris& for ST#s.

Corre"t #ns$er:

Rationa%e 1! ?lder adults might need increased time to achieve erection and lubrication, but are able to haveseual intercourse.

Rationa%e 2! ?lder adults are capable of orgasm, but might ta&e longer to achieve it.

Rationa%e ! Seuality refers to all aspects of being seual, and is sub7ect to lifelong dynamic change.

Rationa%e !! Anyone with multiple se partners is at ris& for ST#s.

&%o'a% Rationa%e:

Cogniti(e )e(e%: "emembering


C%ient Need *u':






)earning -ut"ome:

Question 2

Type: MCMA

The pediatric nurse identifies the following pediatric and adolescent considerations about se and seuality!


1. #nfants begin to develop a gender identity.

2. 9emale children are at ris& for seual abuse.

. Adolescent seual behaviors are influenced by culture and peers.

!. TS' and S' are unnecessary until young adulthood.

/. (regnancy prevention should be addressed.


Rationa%e 1! @ender identity begins by years of age.

Rationa%e 2! 9emale children are at higher ris& for seual abuse than male children.

Rationa%e ! Attitudes about seuality are highly influenced by cultural rules and epectations.

Rationa%e !! TS' and S' should be taught and practiced starting in adolescence.

Rationa%e /! (regnancy prevention should be addressed with the adolescent and young adult.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 3

Type: MCSAThe prenatal client will need information regarding!

1. Seuality and body image changes.

2. #nfertility and body image.

. Contraception.





!. Avoiding intercourse.

Corre"t #ns$er: $

Rationa%e 1! ody image changes constantly during pregnancy, and can affect one3s seuality.

Rationa%e 2! #nfertility is not an issue for the currently pregnant client.

Rationa%e ! Contraception is not an issue for the currently pregnant client.

Rationa%e !! #ntercourse may continue in a normal, uncomplicated pregnancy, until the amniotic sac brea&s or th

client goes into labor.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

/hile conducting an assessment interview regarding stress and coping patterns, the nurse identifies the following

6uestions that will encourage the client to communicate information!


1. 4ow do you usually handle stressful situations>

2. 4ow would you describe yourself as a person>

. %o you li&e your wor&>

!. /hat are your strengths in relationships>

/. Are you having any stress at wor&>

Corre"t #ns$er: $,*,2

Rationa%e 1! This open8ended 6uestion encourages the client to describe behaviors with more than a one8 or two8

word answer.

Rationa%e 2! This open8ended 6uestion encourages the client to be introspective.

Rationa%e ! This closed8ended 6uestion does not invite the client to epand on li&es and disli&es regarding wor&





Rationa%e !! This open8ended 6uestion invites the client to be introspective, and evaluate the 6uality ofrelationships.

Rationa%e /! This closed8ended 6uestion does not invite the client to epand on li&es and disli&es regarding wor&

&%o'a% Rationa%e:


C%ient Need: (sychosocial #ntegrityC%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCSA

/hen discussing seuality with the older adult, the nurse remembers that!

1. ?lder men are infertile.

2. ?lder women lose interest in seual activity after menopause.

. The phases of seual response can ta&e longer to occur.

!. Seual activity is to be avoided after heart surgery.

Corre"t #ns$er:

Rationa%e 1! ?lder men remain fertile into old age.

Rationa%e 2! ?lder women can eperience an increase in desire after menopause.

Rationa%e ! The phases of seual response in older women and men can ta&e longer to occur.

Rationa%e !! Seual activity may be resumed based on reactions to eercise.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:


Copyright *-$* by (earson 'ducation #nc

ramont2e rev tif ch16

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