The health perception-health management pattern provides an overview of the individual's
health status and the health practices that are used to reach the current level of health or
wellness. The focus is on perceived health status and the meaning of health, along with the
individual's level of commitment to maintaining health. The cognitive-perceptual pattern
focuses on sensory perceptual and cognitive patterns. The coping-stress tolerance pattern
identifies the general coping pattern and effectiveness on stress tolerance. The self-perception-
self-concept pattern describes the individual's perception of self to include body comfort, body
image, and feeling state as well as self-conception and self-esteem.
Reference: p. 131
In assessing the nutritional-metabolic pattern, the nurse performs an examination of:
A. attention span.
B. blood pressure.
C. mucous membranes.
D. urine color. - ✔✔C. mucous membranes.
Assessment of the mucous membranes determines hydration status, which is part of the
nutrition-metabolic pattern. Other specific assessment findings for the nutritional-metabolic
pattern may point to an individual who is overweight, underweight, overly hydrated,
dehydrated, or experiencing difficulties in skin integrity, such as skin breakdown or delayed
healing. The attention span is part of the self-perception-self-concept pattern. Measurement of
blood pressure is part of the activity-exercise pattern. Urine color is part of the elimination
pattern.
,Reference: p. 134
When teaching about proper nutrition to a person with congestive heart failure, which affective
component should be included in the educational plan?
A. Eating with someone
B. Food preparation techniques
C. Knowledge of dietary restrictions
D. Values of adhering to the diet - ✔✔D. Values of adhering to the diet
The affective component of education addresses the attitudes and values the person believes
regarding the education and how it will apply to his or her life beliefs. If the person values the
education, it will be more likely to be followed as opposed to if the person finds that the
education is not congruent with his or her values. Even when the person possesses the
knowledge base, assessment of whether the individual also values the importance of adhering
to the modifications in lifestyle is vital.
Reference: p. 132
The nurse is preparing education on prevention of urinary tract infections. A principle
emphasized in the teaching plan would be:
A. Decreasing oral intake facilitates urinary dilution.
B. Empty the bladder at the first sensation of fullness.
,C. Frequency is a common symptom that can be ignored.
D. Increasing time between urinations decreases the risk of infection. - ✔✔B. Empty the
bladder at the first sensation of fullness.
The nurse uses evidence-based practice to guide his or her practice. Emptying the bladder as
soon as bladder sensation of fullness occurs is a practice that decreases the time the urine
remains in the bladder, thus decreasing the chance for bacterial growth to occur. Decreasing
oral intake will cause the urine to become concentrated. Urinary frequency is a symptom seen
with urinary tract infections. Research indicates that delayed time between urinations is
associated with increased incidence of urinary tract infection.
Reference: p. 134
A person reports his exercise pattern is one golf game per week. The nurse evaluates this
pattern and teaches the individual that:
A. exercise should include jogging.
B. exercises should be repetitive.
C. golfing one time per week is adequate.
D. weekly workouts at the gym should be included. - ✔✔B. exercises should be repetitive.
Exercise is a type of physical activity that is planned, structured, and repetitive, and performed
to improve or maintain physical fitness. Active social activities such as backyard softball or golf
would be considered physical activity. Activities such as jogging, walking, or gym workouts
would be considered exercise. Sedentary social activities such as bingo, reading, knitting, stamp
collection, cards, or participation in discussion groups would not be considered physical activity.
, Reference: p. 135
When assessing the older adult for sleep quality, the nurse expects to find that the person will
state:
A. "I continue to be a night owl."
B. "I experience difficulty returning to sleep."
C. "I experience a night of deep sleep."
D. "I rarely wake up during the night." - ✔✔B. "I experience difficulty returning to sleep."
Most difficulties associated with sleep are amenable to nursing therapies. Frequent awakenings
do not necessarily imply sleep interruption. Many individuals may awaken numerous times
during the night but return to sleep within seconds. This may be especially true of older adults
who generally spend most of the night in stages of light sleep. Their normal developmental
pattern does not include deep sleep; therefore, awakenings may not affect the sleep cycles and
resultant feelings after awakening in the morning. More commonly, older adult individuals
experience difficulty returning to sleep because they experience discomfort, fears, or other
variables.
Reference: p. 137
The nurse is preparing a class on wellness and health promotion for a group of middle school
students. Developmental tasks of early adolescence include a learning focus emphasis on:
A. coping with life events and problems.
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