Nursing Concepts Exam II Prep Questions With Complete Verified Solutions.
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Course
NURS 4614
Institution
NURS 4614
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prev...
Nursing Concepts Exam II Prep
Questions With Complete Verified
Solutions.
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of
prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention - Answer 3
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who
states: "Me, stop smoking? I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1
month."
3. "What do you think is the greatest reason why stopping smoking would be challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine replacement patches as
directed." - Answer 3
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop
when I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I
felt happy again." What are the best responses from the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
2. "I know several nurses who feel this way every now and then. Tell me about the patients you have
cared for recently. Did you find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you sleep at night."
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about their feelings. Would you
like for me to e-mail the schedule to you?" - Answer 2,4,5
,A patient has been laid off from his construction job and has many unpaid bills. He is going through a
divorce from his marriage of 15 years and has been praying daily to help him through this difficult time.
He does not have a primary health care provider because he has never really been sick, and his parents
never took him to a physician when he was a child. Which external variables influence the patient's
health practices? (Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider - Answer 1,5
A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse
weighs each family member and reviews their 3-day food diary. She checks the mom's blood pressure
and encourages the mom to take the children for a 15- to 30-minute walk every day. The nurse is
addressing which level of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization - Answer 1
When taking care of patients, a nurse routinely asks whether they take any vitamins or herbal
medications, encourages family members to bring in music that the patient likes to help the patient
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model?
1. Holistic
2. Health belief
3. Transtheoretical
4. Health promotion - Answer 1
Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a
lifestyle change related to physical activity.
, 1. The individual recognizes that he is out of shape when his daughter asks him to walk with her after
school.
2. Eight months after beginning walking, the individual participates with his wife in a local 5K race.
3. The individual becomes angry when the physician tells him that he needs to increase his activity to
lose 30 lb.
4. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
5. The individual visits the local running store to purchase walking shoes and obtain advice on a walking
plan. - Answer 3,1,5,4,2
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect
nurses? (Select all that apply.)
1. Regular participation in a book club
2. Lack of interest in exercise
3. Difficulty falling asleep
4. Lack of desire to go to work
5. Anxiety while working - Answer 2,3,4,5
As part of a faith community nursing program in her church, a nurse is developing a health promotion
program on breast self examination for the women's group. Which statement made by one of the
participants is related to the individual's accurate perception of susceptibility to an illness?
1. "I have a door hanging tag in my bathroom to remind me to do my breast self-examination monthly."
2. "Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer."
3. "Since I am only 25 years of age, the risk of breast cancer for me is very low."
4. "I participate every year in our local walk/run to raise money for breast cancer research." - Answer 2
The nurse assesses the risk factors for coronary artery disease (CAD) in a female patient. Which of these
factors are classified as genetic and physiological? (Select all that apply.)
1. Sedentary lifestyle
2. Mother died from CAD at age 48
3. History of hypertension
4. Eats diet high in sodium
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