Patients in isolation may suffer from sensory depri-
vation and loss of self-esteem may occur. The nurse
can reinforce Ms. Turheis’s self-identity by using
looks, speech, and judicious touch to communicate
worth, speaking to her respectfully, spending time
in conversations with her about her life experiences,
and allowing her to express negative feelings. The
nurse can then help Ms. Turheis to recognize her
strengths and explore other options to fulfill her
self-esteem needs.
2.What would be a successful outcome for Ms. Turheis?
By next visit, Ms. Turheis will report feeling better
about her situation and will state three positive
experiences that occurred in the last week.
3.What intellectual, technical, interpersonal, and/or
ethical/legal competencies are most likely to bring
about the desired outcome?
Intellectual: knowledge of the effects of isolation on
the self-esteem of patients and interventions to
minimize these effects
Technical: ability to use appropriate infection-con-
trol precautions and barrier techniques for infection
prevention
Interpersonal: ability to communicate care and
compassion to patients requiring infection-control
precautions
Ethical/Legal: demonstration of a commitment to
safety and quality; strong advocacy abilities
4.What resources might be helpful for Ms. Turheis?
Referral to counseling services, home healthcare
visitsCHAPTER 28
PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.a 2.c 3.b 4.c 5.a
6.d
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, b, f
2.b, c, e
3.a, b, c, f
4.c, d, e
5.b, d, f
6.a, c, dDEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Yin
2.Holism
3.Acupuncture
4.Imagery
5.Nutritional supplements
6.AromatherapyMATCHING EXERCISES
1.d 2.f 3.b 4.e 5.a
6.c
SHORT ANSWER- a.Allopathy: Generally used to describe
“traditional medicine.” Has spearheaded remark-
able advances in biotechnology, surgical
interventions, pharmaceutical approaches, and
diagnostic tools.
b.Holism: A theory and philosophy that focuses on
connections and interactions between parts of
the whole; focuses on reductionism.
c. Integrative care: Uses some combination of allo-
pathic and complementary/alternative therapies;
coordinates best possible treatment plan for
patient - a.Ayurveda: Central to this CAT is understanding
the patient’s basic constitution or “dosha.”
Nursing Considerations: May include dietary
needs, time set aside for self-care such as medi-
tation, and desire to continue an herbal/
supplement regimen
b.Yoga: A set of exercises that consist of various
physical postures practiced to promote strength
and flexibility, increase endurance, or promote
relaxation
Nursing Considerations: Encourage patients to
find a type of yoga that is compatible with their
physical condition and goals. Some positions are
contraindicated in patients with certain physical
conditions.
c. Traditional Chinese Medicine: Believes that the
interaction of people with their environment is
most significant in creating health
Nursing Considerations: Teaching about
acupuncture, diet, herbs, massage, and energy
exercises
d.Qi gong: System of posture, exercise, breathing
techniques, and visualization regulating qi
Nursing considerations: Can be learned from
videos/DVDs or in a class; encourage students
to explore background of instructor. - a.Relaxation techniques: Ultimate goal is to
increase the parasympathetic system influence in
the body–mind and reduce the effect of stress
and stress-related illness.
b.Meditation: Seeks to change one’s physiology to
a more relaxed state and alter one’s perception to
an increased acceptance of reality
c. Imagery: Involves using all five senses to imagine
an event or body process unfolding according to
a plan - a.All the life sciences agree that physically a
human being is an open energy system.
b.Anatomically, a human being is bilaterally
symmetric.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:372 ANSWER KEY
LWBK696-Ans_p327-424.qxd 9/4/10 3:09 AM Page 372 Aptara Inc.