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1. A nurse is applying the biopsychosocial model when
caring for a patient with newly diagnosed heart failure.
Which assessment action best reflects this model?
a) Scheduling an echocardiogram to evaluate cardiac
function.
b) Asking the patient about their understanding of the
diagnosis and their ability to afford medications.
,c) Consulting a cardiologist for advanced treatment options.
d) Measuring the patient's daily weight and intake/output.
Correct Answer: b) Asking the patient about their
understanding of the diagnosis and their ability to afford
medications.
Rationale: The biopsychosocial model emphasizes that
illness is influenced by biological, psychological, and social
factors. A comprehensive nursing assessment must explore
all three domains to plan effective, individualized care, not
just the pathophysiology. This includes evaluating the
patient's health beliefs and socioeconomic barriers.
Source: Harrison's Principles of Internal Medicine, 22nd ed.,
Ch. 1: The Practice of Medicine.
2. The modern patient-clinician relationship is best
characterized by which model, as advocated in the
foundational texts of clinical medicine?
a) The paternalistic model, where the clinician makes
decisions for the patient.
b) The informative model, where the clinician provides all
data and the patient decides alone.
c) The deliberative model, where the clinician helps the
patient elucidate and apply their values to the clinical
situation.
, d) The interpretive model, where the clinician helps the
patient determine their values but does not offer advice.
Correct Answer: c) The deliberative model, where the
clinician helps the patient elucidate and apply their
values to the clinical situation.
Rationale: Harrison's describes the ideal modern
relationship as a "deliberative interaction." This model
moves beyond purely paternalistic or purely informative
frameworks to a partnership where the clinician guides the
patient in understanding and applying their own values to
make a decision.
Source: Harrison's Principles of Internal Medicine, 22nd ed.,
Ch. 1: The Practice of Medicine.
Chapter 2: Promoting Good Health
3. A 45-year-old patient with no significant past medical
history asks the nurse about the most important lifestyle
changes for long-term health. Based on the leading
modifiable contributors to mortality, the nurse should
prioritize counseling on:
a) Annual comprehensive serum biomarker testing.
b) Smoking cessation and maintaining a healthy weight.
c) Initiating a daily low-dose aspirin regimen.
d) Undergoing an annual stress echocardiogram.
listings, structured for immediate use on
platforms like Stuvia, Docsity, and
Docmerit.
1. A nurse is applying the biopsychosocial model when
caring for a patient with newly diagnosed heart failure.
Which assessment action best reflects this model?
a) Scheduling an echocardiogram to evaluate cardiac
function.
b) Asking the patient about their understanding of the
diagnosis and their ability to afford medications.
,c) Consulting a cardiologist for advanced treatment options.
d) Measuring the patient's daily weight and intake/output.
Correct Answer: b) Asking the patient about their
understanding of the diagnosis and their ability to afford
medications.
Rationale: The biopsychosocial model emphasizes that
illness is influenced by biological, psychological, and social
factors. A comprehensive nursing assessment must explore
all three domains to plan effective, individualized care, not
just the pathophysiology. This includes evaluating the
patient's health beliefs and socioeconomic barriers.
Source: Harrison's Principles of Internal Medicine, 22nd ed.,
Ch. 1: The Practice of Medicine.
2. The modern patient-clinician relationship is best
characterized by which model, as advocated in the
foundational texts of clinical medicine?
a) The paternalistic model, where the clinician makes
decisions for the patient.
b) The informative model, where the clinician provides all
data and the patient decides alone.
c) The deliberative model, where the clinician helps the
patient elucidate and apply their values to the clinical
situation.
, d) The interpretive model, where the clinician helps the
patient determine their values but does not offer advice.
Correct Answer: c) The deliberative model, where the
clinician helps the patient elucidate and apply their
values to the clinical situation.
Rationale: Harrison's describes the ideal modern
relationship as a "deliberative interaction." This model
moves beyond purely paternalistic or purely informative
frameworks to a partnership where the clinician guides the
patient in understanding and applying their own values to
make a decision.
Source: Harrison's Principles of Internal Medicine, 22nd ed.,
Ch. 1: The Practice of Medicine.
Chapter 2: Promoting Good Health
3. A 45-year-old patient with no significant past medical
history asks the nurse about the most important lifestyle
changes for long-term health. Based on the leading
modifiable contributors to mortality, the nurse should
prioritize counseling on:
a) Annual comprehensive serum biomarker testing.
b) Smoking cessation and maintaining a healthy weight.
c) Initiating a daily low-dose aspirin regimen.
d) Undergoing an annual stress echocardiogram.
