. A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?
C. Tertiary prevention
Tertiary prevention involves minimizing the eff...
NR 222 Actual exam 1 verified questions with
accurate answers with explanations updated |
golden tips to pass your midterm
. A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness center. In
what level of prevention is the patient participating?
C. Tertiary prevention
Tertiary prevention involves minimizing the effects of long-term disease or disability by
interventions directed at preventing complications and deterioration following the
myocardial infarction. Tertiary-prevention activities are directed at rehabilitation rather
than diagnosis and treatment. Care at this level aims to help patients achieve as high a
level of functioning as possible, despite the limitations caused by illness or impairment.
This level of care is called preventive care because it involves preventing further
disability or reduced functioning.
.
Based on the transtheoretical model of change, what is the most appropriate response
to a patient who states: "Me, exercise? I haven't done that since junior high gym class,
and I hated it then!"
C. "I understand. Can you think of one reason why being more active would be helpful
for you?"
The patient's response indicates that the patient is in the precontemplation stage and
does not intend to change his behavior in the next 6 months. In this stage the patient is
not interested in information about the behavior and may be defensive when confronted
with it. Asking an open-ended question may stimulate the patient to identify a reason to
begin a behavior change. Nurses are challenged to motivate and facilitate change in
health behavior when working with individuals.
A patient comes to the local health clinic and states: "I've noticed how many people are
out walking in my neighborhood. Is walking good for you?" What is the best response to
help the patient through the stages of change for exercise?
,NR 222 Actual exam 1 verified questions with
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B. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next
week?"
The patient's response indicates that the patient is in the contemplative state, possibly
intending to make a behavior change within the next 6 months. The nurse's statement
reinforces the behavior and provides a specific goal for the patient to begin a walking
plan.
.
A male 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 seeing his pastor
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 the physician
when he was a child. Which external variables influence the patient's health practices?
(Select all that apply.)
A. Difficulty paying his bills
C. Family practice of not routinely seeing a health care provider
D. Stress from the divorce and the loss of a job
External factors impacting health practices include family beliefs and economic impact.
How patients; families use health care services generally affects their health practices.
Their perceptions of the serious nature of diseases and their history of preventive care
behaviors (or lack of them) influence how patients will think about health. Economic
variables may affect a patient;s level of health by increasing the risk for disease and
influencing how or at what point the patient enters the health care system
The individual's perceived health and well-being and how health is managed describes
the:
C. health perception-health management pattern.
The health perception-health management pattern provides an overview of the
individual's health status and the health practices that are used to reach the current
level of health or wellness. The focus is on perceived health status and the meaning of
health, along with the individual's level of commitment to maintaining health. The
,NR 222 Actual exam 1 verified questions with
accurate answers with explanations updated |
golden tips to pass your midterm
cognitive-perceptual pattern focuses on sensory perceptual and cognitive patterns. The
coping-stress tolerance pattern identifies the general coping pattern and effectiveness
on stress tolerance. The self-perception-self-concept pattern describes the individual's
perception of self to include body comfort, body image, and feeling state as well as self-
conception and self-esteem.
In assessing the nutritional-metabolic pattern, the nurse performs an examination of:
C. mucous membranes.
Assessment of the mucous membranes determines hydration status, which is part of
the nutrition-metabolic pattern. Other specific assessment findings for the nutritional-
metabolic pattern may point to an individual who is overweight, underweight, overly
hydrated, dehydrated, or experiencing difficulties in skin integrity, such as skin
breakdown or delayed healing. The attention span is part of the self-perception-self-
concept pattern. Measurement of blood pressure is part of the activity-exercise pattern.
Urine color is part of the elimination pattern.
When teaching about proper nutrition to a person with congestive heart failure, which
affective component should be included in the educational plan?
D. Values of adhering to the diet
The affective component of education addresses the attitudes and values the person
believes regarding the education and how it will apply to his or her life beliefs. If the
person values the education, it will be more likely to be followed as opposed to if the
person finds that the education is not congruent with his or her values. Even when the
person possesses the knowledge base, assessment of whether the individual also values
the importance of adhering to the modifications in lifestyle is vital.
The nurse is preparing education on prevention of urinary tract infections. A principle
emphasized in the teaching plan would be:
, NR 222 Actual exam 1 verified questions with
accurate answers with explanations updated |
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B. Empty the bladder at the first sensation of fullness.
The nurse uses evidence-based practice to guide his or her practice. Emptying the
bladder as soon as bladder sensation of fullness occurs is a practice that decreases the
time the urine remains in the bladder, thus decreasing the chance for bacterial growth
to occur. Decreasing oral intake will cause the urine to become concentrated. Urinary
frequency is a symptom seen with urinary tract infections. Research indicates that
delayed time between urinations is associated with increased incidence of urinary tract
infection.
A person reports his exercise pattern is one golf game per week. The nurse evaluates
this pattern and teaches the individual that:
B. exercises should be repetitive.
Exercise is a type of physical activity that is planned, structured, and repetitive, and
performed to improve or maintain physical fitness. Active social activities such as
backyard softball or golf would be considered physical activity. Activities such as
jogging, walking, or gym workouts would be considered exercise. Sedentary social
activities such as bingo, reading, knitting, stamp collection, cards, or participation in
discussion groups would not be considered physical activity.
When assessing the older adult for sleep quality, the nurse expects to find that the
person will state:
B. "I experience difficulty returning to sleep."
Most difficulties associated with sleep are amenable to nursing therapies. Frequent
awakenings do not necessarily imply sleep interruption. Many individuals may awaken
numerous times during the night but return to sleep within seconds. This may be
especially true of older adults who generally spend most of the night in stages of light
sleep. Their normal developmental pattern does not include deep sleep; therefore,
awakenings may not affect the sleep cycles and resultant feelings after awakening in
the morning. More commonly, older adult individuals experience difficulty returning to
sleep because they experience discomfort, fears, or other variables.
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