NUR 352 Exam 3 Questions With Correct
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."
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."
