A nurse asks a patient to rate his pain on a scale of 0 to 10, with 0 being no pain and 10 being worst pain. What characteristic of pain is the nurse assessing?

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Question 1 of 5

A nurse asks a patient to rate his pain on a scale of 0 to 10, with 0 being no pain and 10 being worst pain. What characteristic of pain is the nurse assessing?

Correct Answer: D

Rationale: Pain assessment uses specific dimensions. 'Intensity' is assessed with a 0-10 scalee.g., '6' quantifies severity, guiding treatment, per Taylor's standards. 'Duration' is time-basede.g., '2 hours,' not scaled. 'Location' pinpointse.g., 'left leg,' not rated 0-10. 'Chronology' tracks onset/progressione.g., 'since yesterday,' not numeric intensity. A patient saying '8'e.g., post-optells the nurse pain's strength, not where or how long. Joint Commission mandates this for tailoring reliefe.g., 8/10 might mean morphine. Choice D is the correct characteristic.

Question 2 of 5

A teenager describes herself as tall, attractive, female, student, intelligent. What part of her self-concept is she describing?

Correct Answer: C

Rationale: Self-description reflects awareness. 'Self-knowledge' fitse.g., 'tall, attractive' shows what she knows about herself, per Taylor's components, a factual base. 'Self-expectations' are goalse.g., 'I'll be a doctor,' not current traits. 'Self-esteem' is valuee.g., 'I'm great,' not descriptors. 'Self-evaluation' judgese.g., 'I'm smart enough,' not listing. Her wordse.g., 'student'map her identity/body image, not worth or aims. Nurses use this for rapport, making Choice C correct.

Question 3 of 5

In which of the following age groups do interpersonal losses play a role in disturbances in self-concept?

Correct Answer: D

Rationale: Interpersonal losses disrupt self-concept by role loss, most in 'older adult' e.g., a 70-year-old widow redefines 'spouse,' per Taylor's aging lens, impacting global self. 'Child' feels losse.g., pet diesbut self-concept is fluid, less tied to roles. 'Teenager' focuses on peerse.g., breakup hurts, but identity's forming, not fixed. 'Adult' balances lossese.g., job shiftwith resilience, less cumulative than aging. Older adults face serial lossese.g., spouse, friendsaltering identity (70% report esteem drops post-loss). Nurses note thise.g., 'I'm nobody now'targeting support. Choice D fits this life-stage vulnerability correctly.

Question 4 of 5

Which of the following strategies can be used to help patients overcome powerlessness?

Correct Answer: B

Rationale: Powerlessness needs empowerment. 'Encourage patients to identify their strengths' helpse.g., 'I'm good at planning' boosts control, per Taylor's self-concept care, countering helplessness. Choice A, 'weaknesses,' deepens despaire.g., 'I fail,' not healing. Choice C, 'provide advice,' guidese.g., 'Try this,' but doesn't own power. Choice D, 'set goals for them,' disempowerse.g., 'I'll decide,' not patient-led. A nurse saying, 'What are you strong at?'e.g., 'I cook well'shifts a bedridden patient to agency, a key intervention. Choice B is the correct, empowering strategy.

Question 5 of 5

A patient responds to bad news regarding test results by crying uncontrollably. What is the term for this response to a stressor?

Correct Answer: C

Rationale: Crying to bad news is behavioral. 'Coping mechanism' fitse.g., tears release tension, per Taylor's stress management, a conscious response. 'Adaptation' is broadere.g., physiological shift like sweating, not just crying. 'Homeostasis' is balancee.g., BP stabilizing, not emotion. 'Defense mechanism' is unconsciouse.g., denial, not overt tears. A patient sobbinge.g., 'Cancer's too much'copes via expression, a nurse's cue for support. Coping variese.g., 60% cry, 20% withdrawmaking Choice C the correct, specific term.

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