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LAST QUIZ 1. Kirby was born in an abusive family. The most common factors that lead to domestic violence is due to: a. Single parent b. Orphans c. Poverty d. Broken homes 2. The family life cycle where the new couple joins through marriage or living tog...

LAST QUIZ 1. Kirby was born in an abusive family. The most common factors that lead to domestic violence is due to: a. Single parent b. Orphans c. Poverty d. Broken homes 2. The family life cycle where the new couple joins through marriage or living together is called: a. Independence b. Empty nest c. Coupling stage d. Parenting 3. Spiritual needs can include all of the following, EXCEPT: a. Need to love and feel loved b. Need for meaning and purpose in life c. Need for belonging d. Need to isolate and meditate 4. The present situation among Filipino family nowadays are the strong family ties that binds them together. What are the most basic and fundamentals in their beliefs, practice, and culture? a. Gratitude b. Respect c. Appreciation d. Develop Spirituality 5. The spirituality in a child’s health has three phases of morality as introduced by: a. Burkhardt b. Kohlberg c. Erickson d. Fowler 6. Baby Shen was delivered to a family with negligence to baby’s health. The mother was an alcoholic and a smoker. A nurse has to provide spiritual care through health teaching in the community. The first priority include: a. Respect and acceptance b. Maintain Spiritual Foundation c. Values service to others d. Communicate and listen 7. Spiritual needs of children start from toddlerhood to adulthood. a. True b. False 8. The Child's moral development was proposed by James Fowler. a. True b. False 9.. The child's spirituality according to Burkardt, in 1991 lives in the spirits more than an adult. a. True b. False 10. Pediatric nursing care focuses on helping children and families and communities to achieve optimum health potentials. a. True b. False 11. Negative physiological and psychosocial changes accompany the aging process. a. True b. False 12. Aging curtails the discovery of life treasures. a. True b. False 13. The family code of the Philippines is based on EO 209. Which of the articles of the family code speaks about family relations stating that “no custom, practice or agreement destructive of the family shall be recognized or given effect,” with the family, being the foundation of the nation and a basic social institution which public policy cherishes and protects? a. Article 209 b. Article 150 c. Article 149 d. Article 50 14. Violence is one of the many factors that greatly affect the Filipino families. Which of the following circumstances results from violence? a. Favoritism b. Insult and verbal abuse c. Physical and sexual abuse d. All of the above 15. As a result of this particular factor affecting many of the Filipino families, many families become single-parent families with the children become seasonal orphans. a. Political Instability b. Global and Urban Migration c. Changing Role of Women and Violence d. Media and Technology 16. In the Family Life Cycle Theory of Carter and McGoldrick, this stage is one of the transitions that can be most emotionally difficult for parents as they now need to accept a multitude of exits from and entries into the family system. a. Stage 5 (Empty Nest) b. Stage 6 (Retirement or Senior Stage of Life) c. Stage 4 (Parenting: Families with Adolescents) d. Stage 3 (Parenting: Families with Young Children) 17. The ultimate goal at this stage of the Family Life Cycle Theory is to achieve interdependence, which occurs when family members are able to fully enter into a relationship with another person. a. Stage 3 (Parenting: Families with Young Children) b. Stage 2 (Coupling Stage) c. Stage 1 (Stage of Independence) d. Stage 4 (Parenting: Families with Adolescents) 18. Ninfa, a 60 year- old female, known diabetic, hypertensive, and recently had a stroke was forced into resigning from work as a public school teacher, earlier than expected due to declining physiological functions and increasing disabilities while her husband Eric, who is aged 64 years, working as a janitor of a private firm is retiring in 4 months time. They have a 23-year-old son who just graduated from college and is having difficulty finding a job. Their family is going through some financial crisis and has to deal with the shift of generational roles with Ninfa’s medication needs. You recognize and understand that based on Carter’s and McGoldrick’s Family Life Cycle Theory, this family is experiencing what particular stage? a. Stage 7 (Older Adult and End-Stage Life Cycle) b. Stage 5 (Empty Nest) c. Stage 4 (Parenting: Families with Adolescents) d. Stage 6 (Retirement or Senior Stage of Life) 19. A strong family is characterized by: A. Commitment and Rhythmic Family Pattern B. Spends time together and develops spiritually C. Express Appreciation for each other and are grateful D. Manage their resources wisely and plan ahead E. Deal effectively with conflict, stress, and crisis a. A, B, C, D, only b. A, C, D, E only c. A, B, C, D, E d. B, C, D, E only 20.. The following statements are true of admitting an ill child and family in an ambulatory or hospital setting, EXCEPT: a. Whether an ambulatory or inpatient hospital unit admission, children and parents need to be admitted as a single entity to encourage parents to feel they are true partners in care. b. When introducing yourself to children, stoop down so that your face is level with the child’s. c. The nurse should take the time to meet and greet the parents and child and find a comfortable place for the family to wait until someone is available. The nurse should take the time to meet and greet the parents and child and find a comfortable place for the family to wait until someone is available. d. When admitting children to the hospital, parents should not intervene at all with the delivery of care, much more in knowing about other prescribed interventions for the child. 21. The following statements are true of principles of caring for children with a life-threatening condition, EXCEPT: a. The health and well-being of the family are maintained and enhanced by improved access to appropriate respite care, education facilities, and support services. b. Community awareness about the needs of children with a life-threatening condition is enhanced through community promotion and education. c. Children and their families are consulted about who is informed about their care and who makes decisions about their care. d. Children and their families do not necessarily need to have a key contact person who assists in the management of their care since patient management is the primary responsibility of the attending physician and his/ her team. 22. The following group of older adults are considered to be the most fragile: a. Those living with other family members inside their residential homes b. Those residing in nursing homes or continuing care retirement communities c. Those who just retired from their jobs d. Those who are admitted to a hospital yet receive the best possible care 23. Which of the following elder residential populations is the most challenging for nurses and other caregivers? a. Elders living with a chronic illness b. Nursing home residents with physical handicaps and physiological disabilities c. Elders experiencing dementia symptoms d. Homebound elders living with children 24. Which of the following statements is true of the definition of older adults, senior, or elderly? a. Definitions of an older adult based on chronological age are changing as a result of the increasing longevity and functional ability of contemporary men and women. b. The older adult stage refers to a group of individuals between 60 and 75 years old with declining physiological abilities and faced with cognitive and physical challenges. c. Individuals between 60-70 years old are classified as the “young-old” group while those aged between 70-80 years are considered as “older elderly” based on contemporary society’s perception. d. Past demographic profiles have identified persons as older adults if they had passed the age of 60. 25. Promoting spiritual well-being for an older adult may involve spiritual support and active listening. Active listening will involve activities such as the following, EXCEPT: a. Presence b. Forgiveness c. Reminiscence d. Touch 26. For the elderly, the following religious activities are important to the quality of life, EXCEPT: a. Retirement Plan b. Use of religious-oriented videos c. Church membership d. Prayer and Meditation 27. The following are the developmental tasks of older adults, EXCEPT: a. Promote and maintain a high quality of life b. Adhere and stick to an old self-image c. Learning to adjust and find meaning in life despite physical impairments d. Find a sense of identity and worth in relationship 28. Relates to the dying person’s peace and trust in his or her concept of an afterlife: a. To seek relief from pain & suffering b. To die appropriately c. To identify the meaning of life d. To find hope that extends beyond the grave 29. A nursing diagnosis of Spiritual Distress in an elderly may be related to which of the following: a. A positive attitude toward his /her condition b. A positive self–image c. Anger and frustration over the illness d. A very strong support system 30. An elderly who experience restriction in ambulation that hinders the attendance at church may lead to a feeling of: a. Hopelessness b. Guilt c. Loneliness d. Uncertainty of the future 31. Autonomy is one of the central concerns of an older adult, the following reasons may contribute to this, EXCEPT: a. Not being able to care for oneself b. Fears associated with the possibility of future loneliness and cognitive impairments c. Not having some control over the kind of care received d. Lack of financial security in the later stages of life 32. A spiritual concern of the elderly that results from an impairment in sight and hearing, fatigue, and depression that may cause them to be sensitive about participating in faith group activities: a. Uncertainty of the future b. Autonomy c. Loneliness d. Financial Security 33. Cynthia, a 65-year-old female patient verbalizes her concern over not being able to care for herself in illness. This central concern of old age is referred to: a. Spiritual Distress b. Autonomy c. Frustrations d. Spiritual anxiety 34. Cathy, a physically able elderly, verbalizes her feelings of loneliness. The following action by the nurse is most appropriate to alleviate the patient’s loneliness, EXCEPT: a. Accept the fact that Cathy is better off by herself b. Refer Cathy to elderly clubs and charitable organizations c. Encourage Cathy to get involved in church volunteer activities d. Restrict ambulation to avoid injury due to physical deficits 35. The most difficult task of aging in the face of multiple physical, psychological, social, and financial losses: a. The ability to find meaning in the aging process b. The ability to maintain a positive self–concept c. The prospect of Coping with the dying process d. The need to confront the prospect of death 36. A spiritual need of an older adult that denotes an expectation of a positive outcome in the future: a. Forgiveness b. Love c. Trust d. Hope 37. Encouraging an elderly patient to remember and reidentify past coping skills to deal with the present stressful situation is addressing which of the following spiritual need? a. Faith b. Trust c. Reminiscence d. Hope 38. Long term health care for an elderly include various health care setting , EXCEPT: a. Mission Field b. Elder's Home c. Retirement Community d. Assisted Care Facility 39. A reflection of spiritual well–being of an elderly which is achieved in facing death, associated with his /her perception of having lived a ”good life”. a. Joy b. Acceptance c. Peace d. Comfort 40. The quality of life among residents of a long–term care facility are described by the following, EXCEPT: a. Ability to communicate with others b. Ability to find financial resources c. Ability to help others d. Ability to care for self 41. A person’s faith beliefs, religious denominations can influence his/her positive coping with illness and disability. a. True b. False 42. For a dying person who believes in an afterlife, the dying process can be a joyful transition to a better state. a. True b. False 43. Refers to dying in a manner that the individual finds most acceptable. a. To find hope that extends beyond the grave b. To seek relief from loneliness c. To identify the meaning of life d. The need to die appropriately 44. Feelings of no longer being loved by God, are often related to a decrease in former spiritual peace. a. Spiritual anxiety b. Spiritual anger c. Spiritual alienation d. Spiritual loss 45. Symptoms of spiritual distress may not be openly displayed and thus may be neglected in the planning of care for a dying patient. a. True b. False 46. A spiritual need of a patient with a chronic illness that is described by having perceptions of distance from God, of feelings of lack of peace in terms of God’s care and comfort. a. Spiritual alienation b. Spiritual peace c. Spiritual anger d. Spiritual anxiety 47. Ted is suffering from the debilitating symptoms of a chronic illness and as a nurse performing an assessment for Ted, you observed that he repeatedly expressed a sense of frustration or outrage at God because of the pain and suffering that he is currently going through. You identify what is reflected in Ted's behavior as: a. Spiritual loss b. Spiritual alienation c. Spiritual anger d. Spiritual anxiety 48. Comfort care measures appropriate at the end of life include the following, EXCEPT: a. Shared decision making b. Interpersonal relationships c. Symptom management d. Family Care 49. The process of experiencing psychological, social, and reactions to one’s perception of loss. a. Mental Condition b. Mourning c. Grief d. Bereavement 50. You are assigned to a Stage 3 breast cancer patient who verbalizes she wants to reconcile with his long-estranged brother before she dies. What spiritual need is evident? a. The need for relief from loneliness and isolation b. The need to express anger c. The need for forgiveness and love d. The need to feel useful

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