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NUR 352 Exam 3 Questions And Correct Answers
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NUR 352 Exam 3 Questions And Correct AnswersA nursing student is discussing the concept of the Theory of Planned Behavior with their
colleagues. Which of the following statements made by the nursing student should be
corrected?
a. "The theory of planned behavior proposes a model about how human action is
guided."
b. "The variables of the model include attitude (behavioral beliefs), subjective norms
(normative beliefs and motivation) and perceived behavioral control (confidence and
influence on control beliefs). These all product the intention to perform the behavior."
c. "The variables of the model include patient's perceived susceptibility, perceived
severity and perceived benefits."
d. "As nurses, we can influence or improve these three "predictors" to increase the
likelihood that the individual will intend to proceed with a recommended or prescribed
treatment and then actually do it." - ANSWER C (A is correct because the Theory of
Planned Behavior proposes a model about how human action is guided. In other words,
it predicts the occurrence of a specific behavior if that behavior is intentional by using
three variables: Behavioral beliefs, normative beliefs and motivation, and confidence
and influence on control beliefs, which means that B is correct. C is incorrect because
this statement describes the variables of the Health Belief Model. D is correct because it
is possible for nurses to influence each of the variables in the Theory of Planned
Behavior to increase the chances that the patient will adhere to the prescribed
treatment.)
Which of the following is/are considered to be a consequence of patient-related
nonadherence?
a. Increased mortality and morbidity rates
b. Patient gains control of their treatment plan
c. Conflict with staff, family or providers.
d. Attributional uncertainty
e. Embarrassment
,f. Quality of life changes - ANSWER A C D E F These are all listed in the powerpoint, the
results of patient-related non adherence include Increased mortality and morbidity
rates, conflict with staff, family or providers, attributional uncertainty, embarrassment,
and changes in the quality of life.
This is the case of a patient who has recently been diagnosed with Type II Diabetes and
is being put onto several anti-diabetic medications, which the patient cannot afford but
says nothing to the provider. The patient also feels that this might not be the right
course of action for them and that they want to try improving their diet and losing weight
to perhaps reverse the insulin resistance. For which of the following is this a
consequence of patient-related nonadherence? (Select all that apply).
a. Increased mortality and morbidity rates
b. Conflict with staff, family, or providers
c. Attributional uncertainty
d. Embarrassment
e. Improvements in quality of life - ANSWER C D Explanation: The patient may be
embarrassed about not being able to afford their medications, so this would result in
nonadherence. Because the patient is not confident in their course of action prescribed
by the provider, the patient will most likely be non-adherent because of the differing
opinions.
A female patient has just received her diagnosis, which is cancer of the breast, and a
treatment consisting of several surgeries to remove the tissue of the breast along with
several medications to be taken daily by the patient in order to combat the cancer and
to prevent it from returning. She has seen this kind of cancer in action numerous times
throughout her life, as her mother and grandmother both died from it. She, therefore
does not feel that there is much likelihood of success with this type of cancer, so she
does not feel adhering to the doctor's orders is warranted. Which of the following
attributes relating to adherence apply to this particular situation? (Select all that apply.)
a. Decisional conflict
b. Predictability
c. Personal experience
d. Power conflict
,e. Agreement
f. Alliance - ANSWER B C (Because this patient has had personal experience with breast
cancer - with her mother and grandmother dying from it, she already has a bad
connotation about the likelihood of success - predictability with her treatment plan.)
A 46-year-old female has a new diagnosis of breast cancer. She is presented with two
different treatment options and is unsure which would be the best course to take. The
patient's family thinks she should choose one of the alternatives while the patient
perceives the health care provider is supporting the other alternative. The patient lacks
a great deal of confidence in the health care system. Which of the following
characteristics about compliance apply to this specific case? Choose all that apply.
a. Decisional conflict
b. Predictability
c. Personal experience
d. Power conflict
e. Agreement
f. Alignment - ANSWER A D The above scenario illustrates two of the following attributes
quite clearly: i) The patient faces a decisional conflict - that is, a choice between the two
treatments. ii) A power conflict does exist in that she perceives the health care provider,
the power figure here, as favoring one treatment whereas her family favors the other.
She does not even trust the healthcare system, therefore creating conflict too.
For the next question, prioritize the nurse's actions when discharging a hospitalized
patient to the home care setting in order of priority. Separate letters by a space as
follows: A B C D
a. Arrange for a physical therapy visit to take place prior to the patient's discharge from
the hospital.
b. Assess the patient's ability to perform activities of daily living prior to discharge.
c. The end of the teaching session should allow the patient an opportunity to practice
the learned skills. d. Determine if the patient received home visits previously and their
disposition towards this service. ANSWER D B C A To begin the compliance
assessment, first and foremost it is essential to inform the client about his perception
, and view regarding his health risk status, evaluation of his ability to perform ADLs will
help in determining how many visits he needs or does he need other therapies too. Skill
demonstration prior to discharge will ensure that the patient has picked up what he was
taught. A physical therapist can assist the patient in adhering to a prescribed treatment
program, as well as determine whether adaptive equipment is needed in the home.
While listening to this athlete's heart sounds, the nurse picks up S3 or a ventricular
gallop. Which of the following is the appropriate interpretation for the above scenario?
a. The presence of S3 indicates coronary artery disease for this patient.
b. This is a normal finding in an athlete.
c. This could be an indication of congestive heart failure for this patient.
d. The S3 sound is normal to hear in anyone. - ANSWER B (Even though S3 is considered
to be abnormal and representative of congestive heart failure in older adults, since this
patient is an athlete, it is considered normal to auscultate an S3 sound.)
The nurse is performing an assessment of the heart and neck vessels on a patient and
auscultates an S3 sound, also known as a ventricular gallop, in an older adult patient.
Which of the following reflects the correct interpretation for this finding?
a. An S3 may be indicative of coronary artery disease in this patient.
b. This is a normal finding in an older adult.
c. The S3 may be indicative of congestive heart failure in this patient.
d. The S3 sound is normal to hear in anyone. - ANSWER C (The presence of an S3 in an
older adult is indicative of congestive heart failure.)
While auscultating a patient's heart, the nurse detects the presence of an S4, also
known as an atrial gallop. This indicates what?
a. Coronary artery disease
b. Congestive heart failure
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