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Test Bank - Medical Surgical Nursing
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Chapter 03: Health Education and Promotion kr kr kr kr kr
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1. A nurse has been working with Mrs. Griffin, a 71-year-
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old patient whose poorly controlled type 1 diabetes has led to numerous he
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alth problems. Over the past several years Mrs. Griffin has had several adm
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issions to the hospital medical unit, and the nurse has often carried out healt
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h promotion interventions. Who is ultimately responsible for maintaining
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and promoting Mrs. Griffins health? kr kr kr kr
A) The medical nurse
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B) The community health nurse who has also worked with Mrs. Griffin
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C) Mrs. Griffins primary care provider
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D) Mrs. Griffin kr
Ans: D
Feedback:
American society places a great importance on health and the responsibility t
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hat each of us has to maintain and promote our own health. Therefore, the oth
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er options are incorrect.
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2. An elderly female patient has come to the clinic for a scheduled follow-
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up appointment. The nurse learns from the patients daughter that the patient is
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not following the instructions she received upon discharge from the hospital la
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st month. What is the most likely factor causing the patient not to adhere to her t
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herapeutic regimen? kr
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Test Bank - Medical Surgical Nursing
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A) Ethnic background of health care provider
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B) Costs of the prescribed regimen kr kr kr kr
C) Presence of a learning disability kr kr kr kr
D) Personality of the physician kr kr kr
Ans: B
Feedback:
Variables that appear to influence the degree of adherence to a prescribed thera
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peutic regimen include gender, race, education, illness, complexity of the regi
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men, and the cost of treatments. The ethnic background of the health care prov
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ider and the personality of the physician are not considered variables that appe
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ar to influence the degree of adherence to a prescribed therapeutic regimen. A
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learning disability could greatly affect adherence, but cost is a more likely barr
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ier.
3. A gerontologic nurse has observed that patients often fail to adhere to a therape
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utic regimen. What strategy should the nurse adopt to best assist an older adu
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lt in adhering to a therapeutic regimen involving wound care?
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A) Demonstrate a dressing change and allow the patient to practice. kr kr kr kr kr kr kr kr kr
B) Provide a detailed pamphlet on a dressing change. kr kr kr kr kr kr kr
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Test Bank - Medical Surgical Nursing
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C) Verbally instruct the patient how to change a dressing and check for comp
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rehension.
D) Delegate the dressing change to a trusted family member. kr kr kr kr kr kr kr kr
Ans: A
Feedback:
The nurse must consider that older adults may have deficits in the ability to dr
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aw inferences, apply information, or understand major teaching points. Dem
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onstration and practice are essential in meeting their learning needs. The othe
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r options are incorrect because the elderly may have problems reading and/or
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understanding a written pamphlet or verbal instructions. Having a family me kr kr kr kr kr kr kr kr kr kr
mber change the dressing when the patient is capable of doing it impedes self-
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care and independence. kr kr
4. A 20-year-
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old man newly diagnosed with type 1 diabetes needs to learn how to selfadmi
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nister insulin. When planning the appropriate educational interventions and
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considering variables that will affect his learning, the nurse should prioritizekr kr kr kr kr kr kr kr kr kr kr
which of the following factors? kr kr kr kr
A) Patients expected lifespan kr kr
B) Patients gender kr
C) Patients occupation kr
D) Patients culture kr