Ch. 4 Coursepoint
The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed? A. Use several different colors to emphasize special dates. B. Highlight or shade important dates and times with contrasting colors. C. Type out the information on the computer. D. Print directions in large, bold type, preferably using black ink.
D
A nurse developed a program of increased ambulation for a patient with an orthopedic disorder. This goal setting is a component of the nursing process known as: A. Planning B. Assessment C. Evaluation D. Implementation
A
A nurse knows that the use of a learning contract increases motivation and increases the likelihood of patient compliance with the treatment regimen. Which client goal best exemplifies a well-designed learning contract? A. The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment. B. The client who wants to begin an exercise program agrees to participate in a 10-km run 6 months after starting the new exercise regimen. C. The client seeking alcohol treatment agrees to stop drinking all forms of alcohol immediately and plans to chew a stick of gum when they experience the urge to have a drink. D. The client who wishes to lose weight immediately reduces caloric intake to 1000 calories a day and agrees to keep to this diet plan until a 9-kg weight loss has been achieved.
A
The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age? A. Lipid panel B. Colonoscopy C. Hemoccult screening D. Electrocardiogram
A
The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about A. Parenting issues B. Values training C. Bone-density screening D. Mammography
A
The nurse is preparing a learning contract for a client to adhere to a prescribed activity schedule. Which content will the nurse include in the contract to motivate the client? A. Series of short, measurable goals B. List of exercises to complete C. Time needed to complete the exercises D. Actions to take if unable to perform an exercise
A
The nurse is preparing to teach a client about a newly prescribed medication. The client lacks insurance. The medication costs approximately $100 per month. The client states, "I can't afford it." The nurse assesses a variable to successful education and health promotion for this client based on the Health Belief Model is A. Resources B. Perceptual factors C. Demographic and disease factors D. Barriers
A
The nurse is teaching an elderly client about heart failure. What action will the nurse do to enhance learning? A. frequently repeat the provided information B. look at notes to ensure all information is covered C. provide the necessary information in one teaching session D. sit in a chair a few feet away from the client
A
A nurse is caring for a client who wants to quit smoking. The client tells the nurse he has thrown out all of his cigarettes. Which stage is the client in, according to the transtheoretical model of change? A. Precontemplative B. Action C. Contemplative D. Decision-making
B
Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse needs to place extra emphasis on adherence to the treatment plan? A. The nurse planning to teach a group of children about healthy eating B. The nurse planning to teach adults aged 65 about congestive heart failure management C. The nurse planning to teach middle-aged adults about stress management D. The nurse planning to teach teenagers about mononucleosis
B
Health education of a client by the nurse A. requires a physician's order. B. is an independent function of nursing practice. C. must be approved by the physician. D. must focus on wellness issues.
B
In many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior? A. Anecdotal notes B. Direct observation of behavior C. Use of checklists D. Use of rating scales
B
The nurse is providing discharge instructions to an elderly client. The nurse hands the client a paper about a new medication. The client cannot read. Learning does not occur. In this situation the nurse has failed to assess the A. Client's social and cultural patterns B. Appropriateness of teaching techniques C. Past experiences of the client D. Physical readiness of the client
B
When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen? A. The client with kidney failure who requires hemodialysis B. The client with pneumonia who requires 1 week of oral antibiotics C. The patient with newly diagnosed type 2 diabetes who requires nutritional counseling D. The client with a positive tuberculosis skin test who requires 9 months of isoniazid
B
The nurse determines that a client would benefit from changing a lifestyle factor that adversely affects health. Which statement indicates to the nurse that the client takes responsibility for the health problem created by the lifestyle factor? A. "My health was predetermined by my parents through genetics." B. "I get enough exercise by taking care of the house and cooking my family dinner." C. "No one in my family developed lung cancer from smoking, so why should I?" D. "Having a cocktail every night after work has contributed to my liver disease."
D
The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client A. With her spouse and children present B. During the headache recovery phase C. Immediately following a headache experience D. In a quiet room
D
Which action would be incorporated in a teaching strategy for a hearing-impaired client? A. Having the person perform a return demonstration B. Use of slow, directed, and deliberate speech C. Arrangement of materials in a clockwise pattern D. Use of large-print materials
B
Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate? A. Achieving Health for All Model B. Health Belief Model C. Social Learning Theory Model D. Resource Model of Preventive Health
B
Which phase of the nursing process encompasses the establishment of expected outcomes? A. Implementation B. Planning C. Evaluation D. Assessment
B
The leaders of an urban health care organization are meeting to discuss the needs of the staff. For which reason(s) will the leaders plan to offer health promotion activities for the staff? Select all that apply. A. enhancing care at the bedside B. absenteeism C. lost productivity D. continuing education E. cost of health insurance
B C E
Which of the following is accurate regarding wellness? Select all that apply. A. It is a specific health status with the absence of disease. B. It requires a conscious commitment. C. It is the result of adopting lifestyle behaviors for the attainment of one's highest potential. D. Is the same for every person. E. One tries to maximize one's own health.
B C E
The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is A. How do I evaluate client learning? B. What teaching aids do I need? C. Is the client ready to learn? D. What is the expected outcome?
C
There are many goals for health teaching. Which of the following is the primary goal of family and patient education? A. Establish trust B. Motivate people to learn C. Improve patient outcomes D. Increase knowledge
C
A nurse has been assigned to care for a client with newly diagnosed insulin-dependent diabetes mellitus. When teaching the client proper injection techniques, which statement will the nurse use to promote emotional readiness in the client? A. "How do you feel about needles?" B. "Do you feel comfortable with injections?" C. "What scares you the most about this?" D. "Can you teach me what I just showed you?"
D
