Exam 3 Flashcards
Which of the listed basic needs identified by Maslow must be addressed first when providing nursing care?
a. Self-esteem
b. Love and belonging
c. Self-actualization
d. Nutrition and elimination
D
Which activity best illustrates the use of the Health Promotion Model (HPM) by the nurse to increase the level of well- being for a patient immediately after surgery?
a. Holding a pillow across his chest when coughing and deep breathing
b. Encouraging the patient to eat his entire evening meal
c. Changing his surgical dressing daily as ordered by the physician
d. Asking his family to step out of the room during dressing changes
A
A nurse providing preventive care to an overweight patient with a family history of diabetes should engage in which priority care-planning activity for this patient?
a. Calculating the patient’s body mass index (BMI) and recommending a daily exercise routine
b. Instructing the patient to perform blood glucose monitoring once daily
c. Giving the patient a month’s supply of insulin needles and syringes
d. Participating in diabetes education classes offered at a local health facility
A
An active, older patient has been frequently evaluated for minor problems at the clinic since the death of her husband 3 months earlier. During one of her visits, she states that she has no energy to get through the day and no desire to keep up with her Tuesday night bridge club. Which type of holistic health model intervention should the nurse employ to help the patient cope with the loss of her husband?
a. Encouraging use as needed of a drug for anxiety ordered by her provider
b. Teaching the value of music therapy to address anxiety about her loss
c. Explaining that she will be over the loss of her husband in a few months
d. Encouraging a gradual reentry into social interaction and activities with friends
B
An 8-year-old girl is newly diagnosed with type 1 diabetes. The nurse may expect fear and crying when teaching the child how to self-administer insulin injections due to which influencing factor?
a. Self-concept
b. Self-esteem
c. Developmental level
d. Hierarchy of needs
C
Three weeks after delivery, a patient started a diet of 800 calories per day and started jogging 2 miles twice per day. The nurse recognizes the patient’s behavior may be influenced by which motivating factor?
a. Body image
b. Family roles
c. Illness behavior
d. Chronic illness
A
A 65-year-old male patient has been a one-pack-per-day smoker for 40 years. He was recently diagnosed with early- stage chronic obstructive pulmonary disease (COPD) and would like to attend a smoking cessation class. The nurse recognizes smoking cessation as which level of prevention for this patient?
a. Primary prevention
b. Secondary prevention
c. Statutory prevention
d. Tertiary prevention
B
A patient diagnosed with an aggressive cancer is estimated to have 6 months to live. Two months later, the patient’s wife calls the nurse’s office because she is upset that her husband has taken up motorcycle racing and has already been injured twice. The nurse knows that the patient is experiencing a behavioral change in which factor due to the prognosis of his illness?
a. Spirituality
b. Physical attributes
c. Self-concept
d. Personal affect
C
The nurse enters a patient’s room to deliver a dinner tray and notices that the patient has not been out of bed since the previous day. The patient states that his condition has made him bed-ridden, although the nurse knows that he is capable of independent ambulation. Which type of reaction is the patient exhibiting?
a. Ambivalence to symptoms
b. Illness behavior
c. Diminished functional ability
d. Overreaction to illness
B
A patient is seeking information about leading indicators that show the importance of health promotion and illness prevention in the United States. To which government-sponsored program would the nurse refer the patient for the best source of information?
a. The American Cancer Society website
b. The Healthy People 2020 website
c. The Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report
d. The American Association of Hospitals home page
B
According to Maslow’s hierarchy of needs, the nurse understands that which element(s) must be maintained before a patient can reach self-actualization?
a. Self-esteem
b. Safety
c. Love and belonging
d. Nutrition
D
When a patient recognizes that a family history of a terminal disease predisposes him to illness, the nurse can identify this realization as which component of the Health Belief Model?
a. Perception of susceptibility
b. Likelihood of action
c. Modification of factors
d. Adherence to factors
A
A patient undergoing chemotherapy for bone cancer states that she uses guided imagery in conjunction with pain medications to tolerate bone marrow aspirations. The nurse recognizes guided imagery as a component of which health promotion model?
a. The Health Function Model
b. Lifestyle Fatality Model
c. Model for Human Disease Progression
d. Holistic Health Model
D
A 20-year-old patient is concerned that he may have the same illness (acute myeloid leukemia [AML]) as a 65-year-old male relative. Which influencing factor about which the nurse is aware may alleviate this patient’s concern?
a. Developmental level
b. Environmental factors
c. Lifestyle choices
d. Age
D
- When a nurse approaches an overweight patient about lifestyle modifications that will reduce the risk for heart disease, the patient shows that he does not perceive susceptibility to disease when stating
a. “I’m only a little overweight; there is no way I can have a heart attack.”
b. “I should lose a few pounds and try to exercise more often.”
c. “It would be helpful to speak to the nutritionist before I leave the hospital.”
d. “I will investigate the online Weight Watchers programs that helped me in the past.”
A
The last concept to be added to the Health Belief Model (HBM) is defined as the confidence in one’s ability to take action. What is this concept is called?
a. Perceived benefits
b. Cues to action
c. Perceived severity
d. Self-efficacy
D
Which factor(s) should be considered by the public health nurse before scheduling community infant immunization clinics? (Select all that apply.)
a. Individual infant allergies
b. Transportation availability
c. Cost of immunization services
d. Local attitudes toward immunization
e. Personal feelings about immunization effectiveness
B, C, D
Which intervention should the college health clinic nurse implement as a secondary prevention strategy to identify students at risk for diabetes?
a. Nutrition education on high-protein food availability
b. Promotion of registration in fitness classes
c. Blood glucose screening at the health fair
d. Administration of prescribed insulin
C
What action would be most appropriate for the home care nurse to take if an intrinsic factor appears to be contributing to a client’s illness?
a. Report the presence of multiple insects in the home to the health department.
b. Document the intrinsic factor in the client’s electronic health record.
c. Explore the possible impact of changing jobs for stress reduction.
d. Discuss the danger of having multiple throw rugs with the client.
B
When developing treatment plans, which assumption should the nurse make about individual clients within vulnerable populations?
a. Educational levels are minimal.
b. Economic resources are strong.
c. Personal beliefs are important.
d. Support systems are extensive.
C
When the nurse is establishing goals for a community health initiative, which strategy is most important to incorporate in the planning process?
a. Collaboration with key stakeholders
b. Help from professional interpreters
c. Location of schools and businesses
d. Gender of primary care providers
A
What is the best method for the public health nurse to determine whether community members are involved in outdoor physical activity?
a. Meet with the parents of high school children.
b. Complete a windshield survey of the community.
c. Evaluate the number of community health club members.
d. Check the local health statistics for the incidence of obesity.
B
Which intrinsic factor(s) would be of major concern to the nurse when the community has an outbreak of pertussis? (Select all that apply.) a. Age b. Gender c. Ethnic group d. Cultural background e. Immunization status
A, E
Whom should the school nurse engage in discussion when conducting a needs assessment related to the high incidence of obesity in the school system? (Select all that apply.)
a. Parents
b. Students
c. School staff
d. Community members
e. Firefighters and police
A, B, C, D
The outpatient clinic nurse develops a plan of care focusing on diet, exercise, and glucose monitoring for a preteen recently diagnosed with early-onset type 2 diabetes. On what type of interventions has the nurse based the client’s care plan?
a. Primary
b. Progressive
c. Secondary
d. Tertiary
D
A client with metastatic cancer shares with the clinic nurse that he has only days or weeks to live. What type of community service would be most appropriate for the nurse to suggest to this client?
a. Home health care
b. Hospice care
c. Forensic care
d. Acute care
B
End-of-life care for terminally ill clients in their homes is described as which type of nursing?
a. Hospice and palliative care b. Public health
c. Community health
d. Home health care
A
The school nurse drives or walks through the community to observe if people are walking or engaged in physical activity. This is called a
a. windshield survey.
b. health walk.
c. walk through.
d. community tour
A
Strategies introduced at the first detection that a health problem may be evident is called
a. tertiary intervention.
b. primary intervention. c. early intervention.
d. secondary intervention
C
An example of a primary prevention strategy to prevent obesity is to
a. hold an education event about healthy eating habits and exercise. Make this a mandatory part of a fun education day for students and families.
b. screen for BMI and send letters home to parents of identified at-risk children.
c. instruct an obese child with type 2 diabetes about diabetes medication and blood glucose monitoring.
d. instruct an obese child with type 2 diabetes about blood glucose monitoring; children should not handle their own
medications.
A
T/F-Clients who receive home health care are elderly as only Medicare reimburses this health care service.
F
Which statement best serves as a guide for nurses seeking to learn more about ethnicity? a. Ethnicity, like culture, generally is based on genetics.
b. A patient’s ethnic background is determined by skin color.
c. Ethnicity is based on cultural similarities and differences in a society.
d. Culture and socialization are unrelated to the concept of ethnic origin.
C
Which action taken by a nurse would reflect application of an appropriate generalization in a patient care setting?
a. Assigning same-gender nurses to all patients admitted to the unit
b. Sharing with unlicensed assistive personnel that typically Muslim patients do not eat pork
c. Telling the radiology technician that every Latino family is late for appointments
d. Assuming that Asians share financial responsibility for medical bills
B
Which statement(s) reflect/s the practice of transcultural nursing? (Select all that apply.)
a. May be considered a general and specialty practice area
b. Focuses on the world view rather than patient needs
c. Challenges traditional ethnocentric nursing practice
d. Aims to identify individual patient care preferences
e. Focuses patient care on the nurse’s cultural norms
A, C, D
Which of the following questions is/are appropriate to ask during a transcultural assessment? (Select all that apply.) a. How do you act when you are angry?
b. What is your role in your extended family?
c. Why do you continue to speak German at home?
d. When communicating with friends, how close do you stand?
e. What is the purpose of not preparing beef with milk products?
A, B, D
How best can a nurse evaluate goal attainment for a patient with a culturally diverse background?
a. Assume that gender roles will be a challenge to overcome regardless of the patient’s ethnicity.
b. Base decisions on feedback from the patient and the nurse’s professional judgment.
c. Collaborate with future community care providers to determine patient strengths.
d. Seek input from members of the patient’s support system to avoid biased patient responses.
B
