NUR-111 Unit 5 Test Study Questions and Correct Answers

A nurse and a primary care provider inform a client that chemotherapy is recommended for a diagnosis of cancer. Which nursing action is most representative of the concept of holism? A. Offer to come to the client's home to provide needed physical care. B. Contact the client's spiritual adviser. C. Inquire how this will affect other aspects of the client's life. D. Provide the client with information about how to join a support group. C A nurse is planning a workshop on health promotion for older adults. Which topic will be included? A. Prevention of falls B. Cardiovascular risk factors C. Adequate sleep D. How to stop smoking C While hospitalized, a client is very worried about business activities. The client spends a great deal of time on the phone and with colleagues instead of resting. Which principle of need therapy applies to this client? A. His higher-level need cannot be met unless the lower-level physiologic need is met. B. His lower-level physiologic needs are being deferred while higher needs are addressed. C. The higher need takes precedence, and the lower need no longer must be met. D. It is necessary for someone else to meet his higher-level needs so that he can focus on the lower-level needs. B Which statement by the client best represents the contemplation stage of the stages of behavior change? A. "I currently do not need to exercise and do not intend to start in the next 6 months." B. "I have tried several times to exercise 30 minutes three times a week but am seriously thinking of trying again in the next month." C. "I currently do not exercise 30 minutes three times a week, but I am thinking about starting to do so within the next 6 months." D. "I have exercised 30 minutes three times a week regularly for more than 6 months." C A client who is 46 pounds overweight tells you, "I was just born to be fat. I don't have the willpower." Although weight loss occurred while attending two previous programs that "guaranteed" weight loss, the weight returned, along with extra pounds, after each program. According to the Health Promotion Model, the nurse is most likely to focus on which behavior-specific cognition and affect variable for this client? A. Perceived barriers to action B. Perceived self-efficacy C. Interpersonal influences D. Situational influences B Which of the following are overarching goals of Healthy People 2020? Select all that apply. A. Raise the education and literacy level. B. Increase quality and years of healthy life. C. Eliminate health disparities. D. Distribute health-related information. E. Promote healthy behaviors. B, C, E The nurse who is assisting a client in the action stage of change would use which strategy? A. Reinforce the importance of providing rewards for positive behavior. B. Ask the client if he or she would like information. C. Guide the client to create a plan of action. D. Remind the client of previous successes. A Which is the best response by the nurse if a client fails to follow the information or teaching provided? A. Give up because the client doesn't want to change. B. Develop a tough approach. C. Reteach the information because the nurse is the expert. D. Reassess the importance the client gives to the behavior and the client's readiness to change it. D A client is admitted for heart failure. The nurse assesses that the client's blood pressure is below the normal range, and the apical pulse is 110 beats/min. The nurse knows that the increase in the client's pulse illustrates which aspect of the client's homeostatic mechanism? A. Compensation B. Decompensation C. Self-regulation D. Equilibrium A