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Chapter 16 (275-278, 287-295, 276-277, 280-287)

Question 1 of 10

1

A nurse and a primary care provider inform a client that chemotherapy is recommended for a diagnosis of cancer. Which nursing action is most representative of the concept
of holism?

Select one of the following:

  • Offer to come to the client’s home to provide needed physical care.

  • Contact the client’s spiritual adviser

  • Inquire how this will affect other aspects of the client’s life.

  • Provide the client with information about how to join a support group

Explanation

Question 2 of 10

1

A nurse is planning a workshop on health promotion for older adults. Which topic will be included?

Select one of the following:

  • Prevention of falls

  • Cardiovascular risk factors

  • Adequate sleep

  • How to stop smoking

Explanation

Question 3 of 10

1

While hospitalized, a client is very worried about business activities. The client spends a great deal of time on the phone and with colleagues instead of resting. Which principle of need therapy applies to this client?

Select one of the following:

  • His higher level need cannot be met unless the lower level physiological need is met.

  • His lower level physiological needs are being deferred while higher needs are addressed.

  • The higher need takes precedence and the lower need no longer must be met.

  • It is necessary for someone else to meet his higher level needs so he can focus on the lower level needs.

Explanation

Question 4 of 10

1

Which statement by the client best represents the contemplation stage of the stages of behavior change?

Select one of the following:

  • “I currently do not need to exercise and do not intend to start in the next 6 months.”

  • “I have tried several times to exercise 30 minutes three times a week but am seriously thinking of trying again in the next month.”

  • “I currently do not exercise 30 minutes three times a week, but I am thinking about starting to do so within the next 6 months.”

  • “I have exercised 30 minutes three times a week regularly for more than 6 months.”

Explanation

Question 5 of 10

1

A client who is 46 pounds overweight tells you, “I was just born to be fat. I don’t have the willpower.” Although weight loss occurred while attending two previous programs that “guaranteed” weight loss, the weight returned along with extra pounds after each program. According to the Health Promotion Model, the nurse is most likely to focus on which behavior-specific cognition and affect variable for this client?

Select one of the following:

  • Perceived barriers to action

  • Perceived self-efficacy

  • Interpersonal influences

  • Situational influences

Explanation

Question 6 of 10

1

Based on the Life-Change Index, which individual would have an increased possibility of illness in the near future?

Select one of the following:

  • A 25-year-old man who recently married his high school sweetheart

  • A 35-year-old man fired from his job

  • A 40-year-old woman beginning a nursing program

  • A 50-year-old woman whose husband died a month ago

Explanation

Question 7 of 10

1

The nurse who is assisting a client in the action stage of change would use which strategy?

Select one of the following:

  • Reinforce the importance of providing rewards for positive behavior.

  • Ask the client if he or she would like information.

  • Guide the client to create a plan of action.

  • Remind the client of previous successes

Explanation

Question 8 of 10

1

Which is the best response by the nurse if a client fails to follow the information or teaching provided?

Select one of the following:

  • Give up, because the client doesn’t want to change

  • Develop a tough approach.

  • Reteach the information, because the nurse is the expert.

  • Reassess the client’s importance given to the behavior and readiness to change it.

Explanation

Question 9 of 10

1

A client is admitted for heart failure. The nurse assesses that the client’s blood pressure is below normal range and the apical pulse is 110. The nurse knows that the increase in the client’s pulse illustrates which aspect of the client’s homeostatic mechanism?

Select one of the following:

  • Compensation

  • Decompensation

  • Self-regulation

  • Equilibrium

Explanation

Question 10 of 10

1

Using Maslow’s framework, which statement characterizes the highest level of need?

Select one of the following:

  • “Nurse, my pain is severe . . . is it time for my shot?”

  • “I felt welcomed when I first joined the group and I look forward to the monthly meetings.”

  • “I’m very proud of receiving the Employee of the Month award.”

  • “There have been home break-ins with burglary in our neighborhood. We are thinking of moving.”

Explanation

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