Nursing Concepts Exam II
1. A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and reg- istered
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 Ans: 3
2. Based on the Transtheoretical Model of Change, what is the most appropri- ate
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." Ans: 3
,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?" Ans: 2,4,5
4. 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 Ans: 1,5
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 tak
the children for a 15- to 30-minute walk every day. The nurse is addressing which leve
of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization Ans: 1
6. 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
1. A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and reg- istered
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 Ans: 3
2. Based on the Transtheoretical Model of Change, what is the most appropri- ate
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." Ans: 3
,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?" Ans: 2,4,5
4. 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 Ans: 1,5
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 tak
the children for a 15- to 30-minute walk every day. The nurse is addressing which leve
of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization Ans: 1
6. 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
