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NUR 256 Mental Health Exam
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NUR 256 Mental Health Exam
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NUR 201 Med Surg MidtermThe nurse is preparing a smoking cessation class for family members of patients
with lung cancer. The nurse believes that the class will convince many smokers to
quit once they realize the benefits of not smoking. Which health care model is the
nurse following? - ANSWER Health belief model
A nurse is assessing internal variables that are affecting the patient's health status.
Which area should the nurse assess? - ANSWER Perception of functioning
A patient is admitted to a rehabilitation facility following a stroke. The patient has
right-sided paralysis and is unable to speak. The patient will be receiving physical
therapy and speech therapy services. Which level of preventive care is the patient
receiving? - ANSWER Tertiary prevention
The nurse is working in a clinic that is designed to provide health education and
immunizations. Which type of preventive care is the nurse providing? - ANSWER
Primary prevention
The patient is reporting moderate incisional pain that was not relieved by the last
dose of pain medication. The patient is not due for another dose of medication for
another 2 hours. The nurse repositions the patient, asks what type of music the
patient likes, and sets the television to the channel playing that type of music. Which
health care model is the nurse using? - ANSWER Holistic health model
Upon completing a health history interview, the nurse finds that a patient has risk
factors for developing lung disease. How should the nurse interpret this finding? -
ANSWER The patient's chances of getting the disease are increased.
A nurse sets the following goals: help patient maintain health and help patient with
their illness. Which factors assist the nurse in achieving these goals? - ANSWER
Minimizing the effects of illnesses, Identifying actual and potential risk factors, and
Understanding the challenges of today's health care system.
A nurse is teaching about the Transtheoretical Model of Change. In which order will
the nurse place the model's stages from beginning to end?
1. Action
2. Preparation
3. Maintenance
4. Contemplation
5. Precontemplation - ANSWER 5, 4, 2, 1, 3
Which areas should the nurse assess to determine the effects of external variables
on a patient's illness? - ANSWER Socioeconomic status, Social support, Cultural
background
Upon assessment of a client with cirrhosis, the nurse finds that the patient has quit
drinking and has been alcohol free for the past 2 years. Which stage of the
, Transtheoretical Model of Change is the patient in based on the nurse's assessment
findings? - ANSWER Maintenance
The nurse is caring for a patient who has been quiet and withdrawn for the past 3
days. Suddenly, the patient says, "I'm really nervous about surgery tomorrow, but I'm
more worried about how it will affect my family." What should the nurse do first? -
ANSWER Listen to the patient's concerns and fears.
The patient is afraid to have a bedside surgical procedure. The nurse sits with the
patient and asks about their fears. During the procedure, the nurse stays with the
patient, explaining each step and providing encouragement. What type of caring is
the nurse displaying? - ANSWER Providing a presence
Which action indicates a nurse is using caring touch with a patient? - ANSWER The
nurse rubs the patient's back.
A nurse is caring for a patient who is an immigrant earning a low income. Which
information should the nurse consider when planning care for this patient? -
ANSWER There is an increased incidence of disease among low-income patients.
A nurse is caring for a patient in pain. Which nursing approach is priority? -
ANSWER Patient-centered
A nurse is attempting to establish a respectful relationship with a newly admitted
patient from another county. Which actions should the nurse take? - ANSWER
Consciously attempt to suspend judgment and Engage in face-to-face interactions.
A nurse is beginning to use patient-centered care and cultural competence to
improve nursing care. Which step should the nurse take first in achieving cultural
awareness? - ANSWER Assessing own biases and attitude
A nurse is caring for a patient with limited English speaking skills. What intervention
should be implemented to best assist in educating the patient about their disease
process? - ANSWER Request a trained medical interpreter.
The patient is about to undergo a surgical procedure and has voiced concern about
outcomes and recovery. The nurse caring for the patient underwent a similar
procedure and stops to listen. Which response by the nurse may be most beneficial?
- ANSWER "I had a similar procedure and I can tell you what I went through if you
want."
The nurse caring for a patient of Hispanic descent who speaks no English, is working
with an interpreter. Which action should the nurse take? - ANSWER Look at the
patient when talking.
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? - ANSWER Tertiary prevention
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