NUR 352 EXAM 3 QUESTIONS AND ANSWERS
A patient has just been admitted to the clinic you work at with hyperglycemia and a history of Type II
diabetes. You ask your patient if they inject their insulin daily, and they say that they usually forget to
take it. Which scope of adherence does this situation represent?
a. Non-adherence
b. Total adherence
c. Partial adherence-intentional
d. Partial adherence-non intentional - CORRECT ANSWER✅✅D (Partial adherence non-intentional
includes patients who non-purposefully forgets/misses/neglects to take their medication. Intentional
would include a patient that purposefully does not take their medication or takes too much of it
knowingly.)
Which older adult populations should have a comprehensive assessment of functional ability? Select all
that apply.
a. Those with multiple coexistent health problems
b. Those older than age 75
c. Those with a change in mental status
d. Those with a demonstrated loss of ability to perform one or more instrumental activities of daily living
e. Those who live alone - CORRECT ANSWER✅✅A C D (Comprehensive functional assessment, which is
a time-intensive, interprofessional effort requiring use of multiple assessment tools, is indicated under
specific circumstances. In older adults it is indicated when an individual has demonstrated a loss of
functional ability, has experienced a change in mental status, has multiple health conditions, or is frail.)
On which basis is an alteration in functional ability categorized as a primary problem?
a. Age at onset
b. Sudden versus gradual onset
c. Duration of the problem
d. Absence as opposed to loss of function - CORRECT ANSWER✅✅D (Alterations in functional ability are
categorized as a primary problem when the ability to perform a particular function never developed.
,They are categorized as secondary problems when the functional ability developed and was
subsequently lost.)
Which of the following interventions are priorities in a plan of care for a patient who had a stroke 30
days ago and is now in home care rehabilitation? (Select all that apply.)
a. Promoting rest and sleep
b. Promoting a diet rich in protein
c. Promoting exercise and ambulation
d. Assisting the patient with ADLs
e. Limiting visitors and social contacts - CORRECT ANSWER✅✅A C (It is important to promote
independence in ADLs early in the plan of care to increase independence in general. Promoting rest and
sleep will promote well-being. Ambulation and exercise promote well-being and increase healing by
circulating oxygen to the brain. Protein promotes healing in postsurgical patients but is not a main focus
in stroke patients. Assisting the patient does not promote independence. Limiting visitors will isolate the
patient, which can lead to depression.)
The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy secondary to ovarian
cancer. The patient will need chemotherapy and irradiation on an outpatient basis. The nurse should
identify and address which barriers to healing? (Select all that apply.)
a. Can feed herself and prepare meals but cannot drive to the store
b. Lives on a fixed income and can balance her checkbook
c. Experiences stress incontinence
d. Cannot participate in activities at the senior center
e. Lives alone and has no nearby relatives
f. Has no transportation to the oncology clinic - CORRECT ANSWER✅✅C E F (The patient will not be able
to get treatment if she has no transportation or no relatives that live nearby who can help her with
recovery. Stress incontinence increases the risk of falls because of urgency and rushing to get to the
bathroom. Income and social abilities are lower priorities during this phase of recovery.)
You receive a doctor's order to administer a medication to your patient at 0900. You become very busy
because of the overload of patients in the unit and forget to administer the medication to your patient
,within the allowed time. Which consequence of non adherence does this situation most closely relate
to?
a. Patient related
b. Health professional-related
c. Health care system-related
d. Family orientated-related - CORRECT ANSWER✅✅B (This is an example of a health professional-
related consequence because YOU, the HCP, forgot to give your patient the medication at the correct
time, which violates the 'Right Time' medication rule.)
You have administered a high blood pressure medication to your patient who has a BP of 190/100. A
half an hour later, you check on your patient and find that their blood pressure is still 190/100. You are
too busy to seek an alternate plan based on evaluation and to call the health care provider for
assistance, so you continue to administer the medication that is failing to reduce the patient's blood
pressure. Which consequence of health professional non adherence does this situation represent?
a. Avoidance
b. Ambivalence
c. Misinterpretation
d. Empathy - CORRECT ANSWER✅✅A (Avoidance occurs when a nurse fails to seek/make alternate
plans based on evaluation. Ambivalence is when the nurse feels that he/she did all they could for the
patient. Misinterpretation occurs when the nurse does not fully assess/understand the client rationales.
Empathy occurs when the nurse understand the clients financial constraints.)
The patient tells the nurse that he knows the dose of his antidepressant is 20 mg daily, but he has
decided that he only needs to take 10 mg daily because he says he no longer feels depressed. The nurse
knows that this type of behavior is described as:
a. Nonadherence
b. Total adherence
c. Partial adherence: nonintentional
d. Partial adherence: intentional - CORRECT ANSWER✅✅D (The scope of adherence ranges from a total
lack of adherence to complete adherence. The patient in this scenario is displaying partial adherence:
, intentional, because he has decided to adjust his medication dose on his own. He is partially adhering to
treatment, yet intentionally changing his medication dose. Option A is incorrect; nonadherence is
complete omission from any adherence. The patient is choosing to partially adhere to his medication
dose. Option B is incorrect; total adherence is complete adherence to a medication dose or regimen.
Option C is incorrect; this would imply that the patient nonpurposefully neglects or misses a dose.)
A nurse is teaching a group of patients about the concepts of compliance versus adherence. The nurse
knows that the patients understand the meaning of compliance as opposed to adherence when one of
the patients states:
a."My doctor and I have decided on the best dose for my blood pressure medicine. We have worked out
an every-other-day dosing regimen because of my schedule."
b. "I will continue taking my blood pressure medication on a regular schedule because I felt like the
nurse was upset with me when said I missed multiple doses of my medication this week."
c. "I've decided my blood pressure medication is no longer working for me. I'm just going to stop taking
it and hope for the best."
d. "I want to become healthier. I'm going to research the best food choices for me and start a fitness
regimen three times per week." - CORRECT ANSWER✅✅B (The concept of compliance has underlying
tones of obedience expected of the patient and blame toward the patient when the behavior does not
meet with the health professionals' expectations. Option A is incorrect; this is an example of
concordance. Concordance suggests the patient's agreement to a prescribed regimen as a mutual
agreement with the health care provider, rather than a passive compliance. Option C is incorrect; this is
an example of noncompliance or behavior that fails to coincide with the therapeutic plan of care. Option
D is incorrect; this statement is an example of a health-seeking behavior, in which the patient is stable
and seeking an active way to achieve better health.)
The nurse is creating a care plan for a patient newly diagnosed with diabetes mellitus. The nurse knows
that the best nursing diagnosis to promote the concept of adherence as an anticipated outcome is:
a. Individual Management of Therapeutic Regimen, Ineffective
b. Noncompliance
c. Individual Management of Therapeutic Regimen, Effective
d. Obedience management of Therapeutic Regimen - CORRECT ANSWER✅✅C (The diagnosis that best
promotes the concept of adherence is based on the concept of integrating treatment into a daily
regimen in which the outcome is the meeting of specific health goals. Adherence behavior is the
outcome of this nursing diagnosis. Option A is incorrect. An ineffective outcome related to individual
A patient has just been admitted to the clinic you work at with hyperglycemia and a history of Type II
diabetes. You ask your patient if they inject their insulin daily, and they say that they usually forget to
take it. Which scope of adherence does this situation represent?
a. Non-adherence
b. Total adherence
c. Partial adherence-intentional
d. Partial adherence-non intentional - CORRECT ANSWER✅✅D (Partial adherence non-intentional
includes patients who non-purposefully forgets/misses/neglects to take their medication. Intentional
would include a patient that purposefully does not take their medication or takes too much of it
knowingly.)
Which older adult populations should have a comprehensive assessment of functional ability? Select all
that apply.
a. Those with multiple coexistent health problems
b. Those older than age 75
c. Those with a change in mental status
d. Those with a demonstrated loss of ability to perform one or more instrumental activities of daily living
e. Those who live alone - CORRECT ANSWER✅✅A C D (Comprehensive functional assessment, which is
a time-intensive, interprofessional effort requiring use of multiple assessment tools, is indicated under
specific circumstances. In older adults it is indicated when an individual has demonstrated a loss of
functional ability, has experienced a change in mental status, has multiple health conditions, or is frail.)
On which basis is an alteration in functional ability categorized as a primary problem?
a. Age at onset
b. Sudden versus gradual onset
c. Duration of the problem
d. Absence as opposed to loss of function - CORRECT ANSWER✅✅D (Alterations in functional ability are
categorized as a primary problem when the ability to perform a particular function never developed.
,They are categorized as secondary problems when the functional ability developed and was
subsequently lost.)
Which of the following interventions are priorities in a plan of care for a patient who had a stroke 30
days ago and is now in home care rehabilitation? (Select all that apply.)
a. Promoting rest and sleep
b. Promoting a diet rich in protein
c. Promoting exercise and ambulation
d. Assisting the patient with ADLs
e. Limiting visitors and social contacts - CORRECT ANSWER✅✅A C (It is important to promote
independence in ADLs early in the plan of care to increase independence in general. Promoting rest and
sleep will promote well-being. Ambulation and exercise promote well-being and increase healing by
circulating oxygen to the brain. Protein promotes healing in postsurgical patients but is not a main focus
in stroke patients. Assisting the patient does not promote independence. Limiting visitors will isolate the
patient, which can lead to depression.)
The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy secondary to ovarian
cancer. The patient will need chemotherapy and irradiation on an outpatient basis. The nurse should
identify and address which barriers to healing? (Select all that apply.)
a. Can feed herself and prepare meals but cannot drive to the store
b. Lives on a fixed income and can balance her checkbook
c. Experiences stress incontinence
d. Cannot participate in activities at the senior center
e. Lives alone and has no nearby relatives
f. Has no transportation to the oncology clinic - CORRECT ANSWER✅✅C E F (The patient will not be able
to get treatment if she has no transportation or no relatives that live nearby who can help her with
recovery. Stress incontinence increases the risk of falls because of urgency and rushing to get to the
bathroom. Income and social abilities are lower priorities during this phase of recovery.)
You receive a doctor's order to administer a medication to your patient at 0900. You become very busy
because of the overload of patients in the unit and forget to administer the medication to your patient
,within the allowed time. Which consequence of non adherence does this situation most closely relate
to?
a. Patient related
b. Health professional-related
c. Health care system-related
d. Family orientated-related - CORRECT ANSWER✅✅B (This is an example of a health professional-
related consequence because YOU, the HCP, forgot to give your patient the medication at the correct
time, which violates the 'Right Time' medication rule.)
You have administered a high blood pressure medication to your patient who has a BP of 190/100. A
half an hour later, you check on your patient and find that their blood pressure is still 190/100. You are
too busy to seek an alternate plan based on evaluation and to call the health care provider for
assistance, so you continue to administer the medication that is failing to reduce the patient's blood
pressure. Which consequence of health professional non adherence does this situation represent?
a. Avoidance
b. Ambivalence
c. Misinterpretation
d. Empathy - CORRECT ANSWER✅✅A (Avoidance occurs when a nurse fails to seek/make alternate
plans based on evaluation. Ambivalence is when the nurse feels that he/she did all they could for the
patient. Misinterpretation occurs when the nurse does not fully assess/understand the client rationales.
Empathy occurs when the nurse understand the clients financial constraints.)
The patient tells the nurse that he knows the dose of his antidepressant is 20 mg daily, but he has
decided that he only needs to take 10 mg daily because he says he no longer feels depressed. The nurse
knows that this type of behavior is described as:
a. Nonadherence
b. Total adherence
c. Partial adherence: nonintentional
d. Partial adherence: intentional - CORRECT ANSWER✅✅D (The scope of adherence ranges from a total
lack of adherence to complete adherence. The patient in this scenario is displaying partial adherence:
, intentional, because he has decided to adjust his medication dose on his own. He is partially adhering to
treatment, yet intentionally changing his medication dose. Option A is incorrect; nonadherence is
complete omission from any adherence. The patient is choosing to partially adhere to his medication
dose. Option B is incorrect; total adherence is complete adherence to a medication dose or regimen.
Option C is incorrect; this would imply that the patient nonpurposefully neglects or misses a dose.)
A nurse is teaching a group of patients about the concepts of compliance versus adherence. The nurse
knows that the patients understand the meaning of compliance as opposed to adherence when one of
the patients states:
a."My doctor and I have decided on the best dose for my blood pressure medicine. We have worked out
an every-other-day dosing regimen because of my schedule."
b. "I will continue taking my blood pressure medication on a regular schedule because I felt like the
nurse was upset with me when said I missed multiple doses of my medication this week."
c. "I've decided my blood pressure medication is no longer working for me. I'm just going to stop taking
it and hope for the best."
d. "I want to become healthier. I'm going to research the best food choices for me and start a fitness
regimen three times per week." - CORRECT ANSWER✅✅B (The concept of compliance has underlying
tones of obedience expected of the patient and blame toward the patient when the behavior does not
meet with the health professionals' expectations. Option A is incorrect; this is an example of
concordance. Concordance suggests the patient's agreement to a prescribed regimen as a mutual
agreement with the health care provider, rather than a passive compliance. Option C is incorrect; this is
an example of noncompliance or behavior that fails to coincide with the therapeutic plan of care. Option
D is incorrect; this statement is an example of a health-seeking behavior, in which the patient is stable
and seeking an active way to achieve better health.)
The nurse is creating a care plan for a patient newly diagnosed with diabetes mellitus. The nurse knows
that the best nursing diagnosis to promote the concept of adherence as an anticipated outcome is:
a. Individual Management of Therapeutic Regimen, Ineffective
b. Noncompliance
c. Individual Management of Therapeutic Regimen, Effective
d. Obedience management of Therapeutic Regimen - CORRECT ANSWER✅✅C (The diagnosis that best
promotes the concept of adherence is based on the concept of integrating treatment into a daily
regimen in which the outcome is the meeting of specific health goals. Adherence behavior is the
outcome of this nursing diagnosis. Option A is incorrect. An ineffective outcome related to individual
