Quiz Ch 5

An immigrant form Guatemala, age 47, is admitted to the coronary care unit with congestive heart failure. This is the fourth admission for this client, and the healthcare provider believes that the client's inability to adhere to his diet and medication regimen is the reason for his frequent admissions. The healthcare provider refers the client to the local community health nurse, on discharge from the hospital. Which would be most appropriate for the nurse to include n this client's plan of care? a. Assessing the client's financial needs and obtaining financial assistance as needed b. Teaching the family to adapt their cultural dietary plans to the client's diagnosis c. Insisting that the client adhere to his diet d. Developing culturally relevant and gender sensitive interventions

d. Developing culturally relevant and gender sensitive interventions

The nurse decided to use a learning model based on Skinner with a client with diabetes to improve compliance with dietary and blood glucose assessment requirements. Which would be the best way to implement this program? a. Demonstrate positive reinforcement by decreasing dietary guidelines and blood sugar parameters b. Institute a strict timeline to accomplish goals c. Eliminate the reward and punish the client when she fails to comply with dietary guidelines d. Give rewards for a lower blood sugar level and a food diary that reflects moderate dietary compliance

d. Give rewards for a lower blood sugar level and a food diary that reflects moderate dietary compliance

The committee has established the need for a sick child clinic in an impoverished neighborhood. The demographic data have been collected and the committee is ready to meet with a group of local business people who are willing to support the project financially. The plan is for the committee and group to combine to facilitate the establishment of the clinic. Using a transtheoretical model, which level of readiness has the committee achieved? a. Contemplation b. Action c. Relapse d. Preparation

d. preparation

A woman arrives at the clinic for a routine appointment. She has been HIV positive for three years and states she is doing well. She currently is involved in a relationship with a man who is HIV positive. She states that she is not consistent with safe sex practices due to her significant other's preferences and feels uncomfortable asking him to wear a condom. Which is the nurse's best response to promote the client's health? a. "You will not be protected against other strains of HIV or sexually transmitted infections (STIs)" b. "You will both be safe because you both already have HIV ." c. "You won't become pregnant as long as you are taking your drug cocktail d. "Let;s have you both tested for STIs."

a. "You will not be protected against other strains of HIV or sexually transmitted infections (STIs)"

A 34 year old client is recovering from a below the knee amputation secondary to a motor vehicle accident. The nurse meets with the client to update the care plan, and client states that he knows he will walk again. He asks for physical therapy schedules and timeliness for prosthetics. Which attitude will the nurse determine the client is exhibiting by his behavior when considering the theory of reasoned action? a. An enhanced ability to meet his goals on the basis of is intention and behaviors b. A depression that will complicate the healing process c. Denial of the injury and part of the healing process d. Goal setting that is unrealistic and irrational based on the client's diagnoses and behaviors

a. An enhanced ability to meet his goals on the basis of is intention and behaviors

The Ask Me 3 question strategy that patients can use when talking with their doctor includes all of the following EXCEPT: a. Who should I get a second opinion from? b. What is my main problem? c. Why is it important for me to do this? d. What do I need to do?

a. Who should I get a second opinion from?

The local clinic is dedicated to the well adult and child. It has evening hours and offers varied programs for the community. The programs include immunizations and classes on fire safety, health education, and car safety, to name a few. How would the nurse best explain the level of prevention used in this setting to your colleagues? a. Secondary Prevention b. Quaternary Prevention c. Primary Prevention d. Tertiary Prevention

c. primary prevention