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A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of
prevention is the patient participating in?
a.Primary prevention
b.Secondary prevention
c.Tertiary prevention
d.Transtheoretical prevention - Answer c. Tertiary Prevention
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient that
states: "Me, stop smoking? I've been smoking since I was 16!"
a."That's fine. Some people who smoke live a long life."
b."OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1
month."
c."What do you think is the greatest reason why stopping smoking would be challenging for you?"
d."I'd like you to attend a smoking-cessation class this week and use nicotine replacement patches as
directed." - Answer c."What do you think is the greatest reason why stopping smoking would be
challenging for you?"
A nurse working on a medical patient 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.
a."I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
b."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?"
, c."You can take diphenhydramine over the counter to help you sleep at night."
d."Describe for me what you do with your time when you are not working."
e."The hospital just started a group where nurses get together to talk about their feelings. Would you
like me to e-mail the schedule to you?" - Answer b,d,e
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.)
a.Difficulty paying his bills
b.Praying daily
c.Age of patient (46 years)
d.Stress from the divorce and the loss of a job
e.Family practice of not routinely seeing a health care provider - Answer a,e
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 take the children for a 30-minute walk every day. The nurse is addressing
which level of need, according to Maslow's Hierarchy of Needs?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization - Answer a. Physiological
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 patients like to help the patients
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model?
a. Holistic