Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

6.Intellectual and spiritual dimension

7.Intellectual and spiritual dimension

8.Physical dimension

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Disease

2.Chronic

3.Acute

4.Exacerbation

5.Environmental

MATCHING EXERCISES

1.f 2.a 3.e 4.b 5.c

6.d 7.b 8.d 9.a 10.c

11.b 12.a 13.c 14.d 15.a

16.b 17.e

SHORT ANSWER

1.Answers will vary with student’s experiences.

2. a.Acute: A temporary condition of illness in which
   patient goes through four stages: 1. symptoms,
   2. assuming sick role, 3. dependent role—accept-
   ing diagnosis and following the treatment plan,
   and 4. recovery and rehabilitation—person gives
   up dependent role and resumes normal activities
   and responsibilities.
   b.Chronic: A permanent change caused by
   irreversible alterations in normal anatomy and
   physiology; requires patient education for rehabil-
   itation; requires long period of care or support.
   Characteristics: slow onset, periods of remission.
   3.Answers will vary with student’s experiences.
   4.Sample answers:
   a.Primary: Giving immunizations, providing dental
   care teaching
   b.Secondary: Providing physical therapy, giving
   medications
   c. Tertiary: Facilitating a support system, doing
   diabetic teaching


3. a.Being: Recognizing self as separate and individual
   b.Belonging: Being part of a whole
   c. Becoming: Growing and developing
   d.Befitting: Making personal choices to benefit the
   self for the future
   REFLECTIVE PRACTICE USING CRITICAL
   THINKING SKILLS
   Sample Answers
   1.How might the nurse respond to Ms. Jacobi’s stated
   desire for a higher level of wellness?
   This is the perfect opportunity for patient teaching
   provided throughout Ms. Jacobi’s hospital stay and
   incorporated into the discharge plan. The nurse
   should present information regarding a “heart
   healthy diet,” the need for exercise, and reinforce-
   ment for smoking cessation.
   2.What would be a successful outcome for this patient?
   Ms. Jacobi describes her condition and identifies
   three factors in her lifestyle (smoking, diet, exercise)
   that can be modified for stroke prevention.

3.What intellectual, technical, interpersonal, and/or

ethical/legal competencies are most likely to bring

about the desired outcome?

Intellectual: ability to integrate knowledge of

preventive measures into the patient care plan

Interpersonal: ability to assess health-related beliefs,

goals, and practices

Ethical/Legal: ability to participate as a trusted and

effective patient advocate, including a commitment

to securing the best possible care for Ms. Jacobi

4.What resources might be helpful for Ms. Jacobi?

Smoking cessation materials, menu plans, support

groups

CHAPTER 4

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.d 2.a 3.d 4.c

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.d, f

2.a, c, f

3.b, d, e

4.b, c

Prioritization Question

1.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

330 ANSWER KEY

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DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Oxygen

2.Physiologic

3.Extended

4.Affective and coping

5.Community

MATCHING EXERCISES

1.e 2.a 3.b 4.b 5.d

6.b 7.c 8.a 9.d 10.c

11.e 12.b 13.c 14.e

SHORT ANSWER

1.Sample answers:

a.Physical: A family lives in a comfortable home

located in a safe neighborhood. This meets the

family needs of safety and comfort and enhances

growth and development of the children.

b.Economic: A family is able to afford adequate

housing, food, clothing, and community

demands. This meets the family’s need for nour-

ishment, shelter, and acceptance in society.

c. Reproductive: A family seeks family planning to

limit their offspring to three children. This meets

society’s need for more members without putting

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