Harrison's Internal Medicine Nursing
MCQ Study Guide |
20 Chapters
1. A nurse is caring for a patient with newly diagnosed
hypertension. Applying the biopsychosocial model,
which assessment priority best reflects the principles
outlined in Chapter 1: The Practice of Medicine?
• A) Scheduling a consultation with a cardiologist for
advanced diagnostic testing.
• B) Obtaining a detailed 24-hour dietary recall to
evaluate sodium intake.
• C) Assessing the patient's understanding of the
diagnosis, health beliefs, and potential socioeconomic
barriers to treatment.
• D) Ordering an immediate renal ultrasound to rule out
secondary causes of hypertension.
,Answer: C
Rationale: The biopsychosocial model is a cornerstone of
modern medical practice, emphasizing that patient care
must integrate biological, psychological, and social factors.
A comprehensive nursing assessment that includes the
patient's understanding, beliefs, and social context is
essential for developing an individualized and effective care
plan, aligning with the "art" of medicine (Harrison's 22nd
ed., Ch. 1: The Practice of Medicine).
2. A public health nurse is designing a program to reduce
the incidence of type 2 diabetes in a high-risk community.
Which action best exemplifies the principles of health
promotion as defined in Chapter 2?
• A) Establishing a free clinic for diabetes management
and medication distribution.
• B) Implementing a community-based program that
encourages lifestyle modifications such as healthy
eating and physical activity.
• C) Conducting annual hemoglobin A1c screenings for
all community members.
• D) Creating a referral system for patients diagnosed with
diabetes to see an endocrinologist.
, Answer: B
Rationale: Health promotion and primary prevention focus
on encouraging positive lifestyle changes and reducing risk
factors to prevent disease from occurring in the first place.
Programs that foster healthy behaviors are a core
component of "Promoting Good Health" (Harrison's 22nd
ed., Ch. 2: Promoting Good Health).
3. A nurse is providing education to a parent who is
hesitant to vaccinate their child. The parent states, "I've
read that vaccines can cause autism." Which action is
most consistent with the recommendations for
addressing vaccine hesitancy in Chapter 3?
• A) Respectfully acknowledging the parent's concern,
providing clear, evidence-based information, and
offering a strong recommendation for vaccination.
• B) Immediately dismissing the concern and informing
the parent that their information is from unreliable
sources.
• C) Refusing to continue the conversation until the
parent agrees to the vaccine schedule.
• D) Referring the parent to a different healthcare provider
who specializes in vaccine education.
MCQ Study Guide |
20 Chapters
1. A nurse is caring for a patient with newly diagnosed
hypertension. Applying the biopsychosocial model,
which assessment priority best reflects the principles
outlined in Chapter 1: The Practice of Medicine?
• A) Scheduling a consultation with a cardiologist for
advanced diagnostic testing.
• B) Obtaining a detailed 24-hour dietary recall to
evaluate sodium intake.
• C) Assessing the patient's understanding of the
diagnosis, health beliefs, and potential socioeconomic
barriers to treatment.
• D) Ordering an immediate renal ultrasound to rule out
secondary causes of hypertension.
,Answer: C
Rationale: The biopsychosocial model is a cornerstone of
modern medical practice, emphasizing that patient care
must integrate biological, psychological, and social factors.
A comprehensive nursing assessment that includes the
patient's understanding, beliefs, and social context is
essential for developing an individualized and effective care
plan, aligning with the "art" of medicine (Harrison's 22nd
ed., Ch. 1: The Practice of Medicine).
2. A public health nurse is designing a program to reduce
the incidence of type 2 diabetes in a high-risk community.
Which action best exemplifies the principles of health
promotion as defined in Chapter 2?
• A) Establishing a free clinic for diabetes management
and medication distribution.
• B) Implementing a community-based program that
encourages lifestyle modifications such as healthy
eating and physical activity.
• C) Conducting annual hemoglobin A1c screenings for
all community members.
• D) Creating a referral system for patients diagnosed with
diabetes to see an endocrinologist.
, Answer: B
Rationale: Health promotion and primary prevention focus
on encouraging positive lifestyle changes and reducing risk
factors to prevent disease from occurring in the first place.
Programs that foster healthy behaviors are a core
component of "Promoting Good Health" (Harrison's 22nd
ed., Ch. 2: Promoting Good Health).
3. A nurse is providing education to a parent who is
hesitant to vaccinate their child. The parent states, "I've
read that vaccines can cause autism." Which action is
most consistent with the recommendations for
addressing vaccine hesitancy in Chapter 3?
• A) Respectfully acknowledging the parent's concern,
providing clear, evidence-based information, and
offering a strong recommendation for vaccination.
• B) Immediately dismissing the concern and informing
the parent that their information is from unreliable
sources.
• C) Refusing to continue the conversation until the
parent agrees to the vaccine schedule.
• D) Referring the parent to a different healthcare provider
who specializes in vaccine education.
