ch 3, 4, 9, & 23
A nurse is teaching a group of middle adults about health promotion. What statement by one of the participants indicates the need for additional teaching?
"I should eat a diet high in fats but low in fiber."
Which of the following nursing interventions are examples of health promotion and preventive care on the primary level? Select all that apply.
-A nurse counsels a teenager to stop smoking. -A nurse devises a low-calorie diet for an obese teenager.
The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the "Ask Me 3" tool. Which of the following is an "Ask Me 3" question? Select all that apply.
What is my main problem? -What do I need to do? -Why is it important for me to do this?
A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best illustrates the effect of her self-concept on health and illness?
Why should I lose weight? I'll still be fat.
Which of the following statements illustrates the effect of the sociocultural dimension on health and illness?
Why shouldn't I drink and drive? Everyone else does.
A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first?
Review information available in writing and on the Internet.
A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners?
a focus on the immediate application of new material
A 75-year-old man is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?
protection from potential harm
What is the purpose of the affective and coping function of the family?
providing emotional comfort and identity
During a health assessment, a 49-year-old woman tells the nurse that she is "just so tired and has been having mood swings and hot flashes." Based on this information, the nurse would conduct a more thorough history and assessment of what body system?
reproductive
What action by a nurse will help a patient meet self-esteem needs?
respect the patient's values and belief systems
Mrs. Ash, an 88-year-old woman who lives alone, has deficits in vision and hearing. Her blood pressure medicine is making her dizzy. What response to these health problems would the home health nurse identify?
risk for accidental injury
Mrs. Dunn has cared for her husband with Alzheimer's disease for 2 years. She comes to a local health center because she is feeling worn out and stressed. What might be an appropriate nursing diagnosis for Mrs. Dunn?
risk for caregiver burden
A nurse documents the following assessment on an elderly patient's chart: "dry, thin skin." Which of the following nursing diagnosis would be appropriate for this patient?
risk for infection
An 80-year-old woman states, I have successfully raised my family and had a good life. This statement illustrates meeting which basic human need?
self-actualization
An elderly patient is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip and hospitalization. What type of counseling would the nurse conduct?
short-term
An older adult, newly widowed, has been unable to adjust to her change in roles or form new relationships. What is this experience called?
social isolation
A mother teaches her son to respect his elders. This is an example of which of the following family functions?
socialization
A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted into the hospital. Which one of the following stages of illness is this patient experiencing?
stage 3
A nurse refers a 67-year-old male patient to group counseling for alcohol cessation. According to Rosenstock's health belief model, the patient's knowledge of the diseases that may occur with alcoholism is a:
structural variable
The daughter of an older adult calls the nurse practitioner to report that her mother is becoming very confused after dark. What is this type of confusion named?
sundowning syndrome
A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patient's intellectual dimension?
teaching her how to care for the stump and explaining the rehabilitation program
Nurses use new resources for healthcare practices to promote health and serve as an advocate for patients and families in all settings. Which one of the following resources has been most instrumental in improving access to care for people living in rural or underserved areas of the nation?
telehealth practice
Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health?
the health promotion model
A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching?
to help the patient develop self-care abilities
A middle adult requests visits by the hospital chaplain and reads the Bible each day while hospitalized for treatment of heart problems. What is the individual illustrating?
trust in spiritual strength
A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic illness:
It requires special patient education for rehabilitation.
A nurse provides health promotion and accident prevention programs for a family with adolescents and young adults. Which of the following is a task of a family at this stage
Maintain supportive home base.
A nurse is developing a plan of care for an older adult with chronic heart disease. Which of the following factors must be considered?
Medications, hospitalizations, and medical supplies increase economic difficulties.
Which of the following statements is true for nursing care of older adults?
Most older adults are functional, benefiting from health-oriented interventions.
Which of the following statements accurately describes how Maslow's theory can be applied to nursing practice?
Nurses can apply this theory to the nursing process.
According to Rosenstock, which of the following are health beliefs critical for patient motivation? Select all that apply.
Patients view themselves as susceptible to the disease in question. -Patients view the disease as a serious threat. -Patients believe there are actions they can take to reduce the probability of contracting the disease.
A baby is born with Down syndrome, which influences his healthillness status. This is an example of which of the following human dimensions?
Physical
A nurse says to an older adult who is being cared for at home, "Tell me what your life was like when you were first married." What does this statement encourage the patient to do?
Practice life review or reminiscence.
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient?
Readiness for Enhanced Parenting
A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?
facilitating coping
Which of the following groups involves all parts of a person's life and is concerned with meeting basic human needs to promote health?
family
Developing a teaching plan is comparable to what other nursing activity?
formulating a nursing care plan
According to Erikson, the middle adult is in a period of generativity versus stagnation. What happens if developmental tasks are not achieved?
health needs become a major concern
According to the free radical theory of aging, what substance is affected by aging and causes damage?
lipids
Which of the following factors may be a barrier to healthcare services for those living in rural areas?
living long distances from services
What patient characteristic is important to assess when using the health belief model as the framework for teaching?
motivation to learn
David and Susan are in a committed relationship and live together with their adopted twin boys. Which of the following best describes this type of family?
nucelar family
A nurse caring for a patient in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslow's hierarchy of needs?
physiologic
A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs?
preventing illness
A camp nurse is teaching a group of adolescent girls about the importance of monthly breast self-examination. What level of preventive care does this activity represent?
primary
Which of the following statements accurately describe how risk factors may increase a person's chances for illness or injury? Select all that apply.
-An increase in risk factors increases the possibility of illness -A family history of breast cancer is not a modifiable risk factor. -School-aged children are at high risk for communicable diseases. -Multiple sexual relationships increase the risk for sexually transmitted diseases.
Which of the following statements explain why models of health promotion and illness prevention are useful when planning healthcare? Select all that apply.
-They help healthcare providers understand health-related behaviors. -They are useful for adapting care to people from diverse backgrounds. -They help overcome barriers related to increased number of people without healthcare. -They overcome barriers to care for low-income and rural populations.
Which of the following factors constitute the environment component of the agenthostenvironment model of health and illness (Leavell and Clark, 1965)? Select all that apply.
-cultural factors -biologic factors
On which of the following components is Rosenstock's health belief model based? Select all that apply.
-perceived susceptibility to a disease -perceived seriousness of a disease -perceived benefits of action
Which of the following is an example of a characteristic of the Stage 2 of illness?
A person tells his family that he is sick and allows them to take care of him.
Which of the following is an example of the sociocultural dimension influencing a person's healthillness status?
A single mother of two applies for food stamps in order to feed her family.
Friedman, Bowden, and Jones (2003) identified the importance of family-centered nursing care, based on four rationales. Which of the following is one of these rationales?
A strong relationship exists between the family and health status of members.
According to Havighurst, which of the following are developmental tasks of middle adulthood?
Accept and adjust to physical changes. -Maintain a satisfactory occupation. -Assist children to become responsible adults. -Relate to one's spouse or partner as a person..
Which of the following are physical changes that occur in middle adulthood? Select all that apply.
Body fat is redistributed. -Muscle mass gradually decreases. -Hormone production increases.
Which of the following is a tenant of Maslow's basic human needs hierarchy?
Certain needs are more basic than others and must be met first.
Which of the following statements accurately describes a characteristic of a community?
Communities are formed by the characteristics of people and other factors
A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent patient teaching?
Develop written materials in the patient's native language.
A nurse teaching a new mother how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply.
Edit patient information. -Act on every teaching moment. -Clarify often.
A 42-year-old male patient recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurse's best response to this patient?
Ignore the behavior and recommend a behavior modification program.
When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action?
Illness in one family member affects all family members.
Which of the following strategies might a nurse use to increase compliance with teaching?
Include the patient and family as partners.
While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger patients. What should the nurse do?
Slow the pace and allow extra time for answers.
A nurse is using motivational interviewing to find out why a patient refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this patient?
So, you feel that you are not ready to start a program this week...?
A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
The disease is present, but symptoms are not experienced.
Which of the following statements accurately describes the concepts of disease and illness?
The focus of nurses is the person with an illness.
While caring for an elderly man, the nurse observes that his skin is dry and wrinkled, his hair is gray, and he needs glasses to read. Based on these observations, what would the nurse conclude?
These are normal physiologic changes of aging.
Which of the following is an example of a community factor that may affect health?
air and water quality
Which of the following individuals would the nurse assess as being most at risk for altered family health?
an unmarried adolescent with a newborn
A nurse is writing learning outcomes for a patient recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply.
assembles -demonstrates
A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?
assessing respirations and administering oxygen
An older adult lives in a facility that provides, housing, group meals, personal care and support, social activities, and minimal healthcare services. What type of facility does this describe?
assisted living
In general, what is the focus of care for nurses who work with older adults?
assisting patients to function as independently as possible
Family members of older adults with limitations from chronic illnesses have many psychological stressors. Which of the following is not considered a change?
assisting the older family member to function independently
A patient makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that help a person know who and what he or she is?
befitting
Jim and Alice were recently married. Each has previously been married and had two children. What name is given to this type of family?
blended family
Which of the following is an essential component of the definition of learning?
can be measured
A nurse teaches adults preventive measures to avoid problems of middle adult years. Which of the following are the major health problems during the middle adult years?
cardiovascular disease, cancer
Which of the following definitions best describes community-based nursing?
care centered on individual and family healthcare needs
What word or phrase best describes an effective counselor?
caring
What is the major effect of a health crisis on family structure?
change in roles of family members
What may happen to the family when an illness occurs in one of the family members?
changes in roles for the patient and family
A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating?
cognitive
Which aging theory describes a chemical reaction that produces damage to the DNA and cell death?
cross-linkage theory
What is one reason for the "middle-aged spread" often seen in middle adults?
decreased physical activity
A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn?
demonstration
A nurse caring for a female patient with TB who is in isolation is aware that the patient's love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs?
encouraging family to visit and help in the care of the patient
What is the most critical element of documentation of teaching?
evidence that learning has occurred