Chapter 17 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 17

Question 1

Type: MCSA

A client is attending classes on building positive relationships with significant others as well as learning skills to be open-minded and respectful to those whose opinions are different. This client is focusing on which component of wellness?

1. Physical

2. Social

3. Emotional

4. Environment

Correct Answer: 2

Rationale 1: The social component of wellness focuses on the ability to interact successfully with people and within the environment of which each person is a part, to develop and maintain intimacy with significant others, and to develop respect and tolerance for those with different opinions and beliefs. The physical component of wellness is the ability to carry out daily tasks, achieve fitness of all body systems, and practice positive lifestyle habits. The emotional component deals with the ability to manage stress and express emotions appropriately. The environmental component focuses on the health measures that improve the standard of living and quality of life in the community.

Rationale 2: The social component of wellness focuses on the ability to interact successfully with people and within the environment of which each person is a part, to develop and maintain intimacy with significant others, and to develop respect and tolerance for those with different opinions and beliefs. The physical component of wellness is the ability to carry out daily tasks, achieve fitness of all body systems, and practice positive lifestyle habits. The emotional component deals with the ability to manage stress and express emotions appropriately. The environmental component focuses on the health measures that improve the standard of living and quality of life in the community.

Rationale 3: The social component of wellness focuses on the ability to interact successfully with people and within the environment of which each person is a part, to develop and maintain intimacy with significant others, and to develop respect and tolerance for those with different opinions and beliefs. The physical component of wellness is the ability to carry out daily tasks, achieve fitness of all body systems, and practice positive lifestyle habits. The emotional component deals with the ability to manage stress and express emotions appropriately. The environmental component focuses on the health measures that improve the standard of living and quality of life in the community.

Rationale 4: The social component of wellness focuses on the ability to interact successfully with people and within the environment of which each person is a part, to develop and maintain intimacy with significant others, and to develop respect and tolerance for those with different opinions and beliefs. The physical component of wellness is the ability to carry out daily tasks, achieve fitness of all body systems, and practice positive lifestyle habits. The emotional component deals with the ability to manage stress and express emotions appropriately. The environmental component focuses on the health measures that improve the standard of living and quality of life in the community.

Global Rationale: Page Reference: 301

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe five components of wellness.

Question 2

Type: MCSA

The nurse is assisting a client and his family after the client had a stroke and is no longer able to return to his previous employment. The nurse has made a referral to vocational rehabilitation for assistance in retraining the client in a different occupation. Which component of wellness is the nurse assisting in for this client?

1. Intellectual

2. Environmental

3. Occupational

4. Emotional

Correct Answer: 3

Rationale 1: Occupational components deal with a balance between work and leisure time. A persons beliefs about education, employment, and home influence personal satisfaction and relationships with others. Assisting a client in retraining to find gainful employment and to attain satisfaction in his work is part of the occupational component of wellness. The intellectual component focuses on learning and using information effectively for personal, family, and career development. It also involves striving for continued growth and learning to deal with new challenges effectively. Because the client requires retraining, he must learn anew those aspects of a job that allow for growth, which would better fit under the occupational component of wellness. Environmental components focus on standards of living and quality of life in the community and include basic human needs such as water, air, and food. Emotional components of wellness involve the ability to manage stress and express emotions appropriately.

Rationale 2: Occupational components deal with a balance between work and leisure time. A persons beliefs about education, employment, and home influence personal satisfaction and relationships with others. Assisting a client in retraining to find gainful employment and to attain satisfaction in his work is part of the occupational component of wellness. The intellectual component focuses on learning and using information effectively for personal, family, and career development. It also involves striving for continued growth and learning to deal with new challenges effectively. Because the client requires retraining, he must learn anew those aspects of a job that allow for growth, which would better fit under the occupational component of wellness. Environmental components focus on standards of living and quality of life in the community and include basic human needs such as water, air, and food. Emotional components of wellness involve the ability to manage stress and express emotions appropriately.

Rationale 3: Occupational components deal with a balance between work and leisure time. A persons beliefs about education, employment, and home influence personal satisfaction and relationships with others. Assisting a client in retraining to find gainful employment and to attain satisfaction in his work is part of the occupational component of wellness. The intellectual component focuses on learning and using information effectively for personal, family, and career development. It also involves striving for continued growth and learning to deal with new challenges effectively. Because the client requires retraining, he must learn anew those aspects of a job that allow for growth, which would better fit under the occupational component of wellness. Environmental components focus on standards of living and quality of life in the community and include basic human needs such as water, air, and food. Emotional components of wellness involve the ability to manage stress and express emotions appropriately.

Rationale 4: Occupational components deal with a balance between work and leisure time. A persons beliefs about education, employment, and home influence personal satisfaction and relationships with others. Assisting a client in retraining to find gainful employment and to attain satisfaction in his work is part of the occupational component of wellness. The intellectual component focuses on learning and using information effectively for personal, family, and career development. It also involves striving for continued growth and learning to deal with new challenges effectively. Because the client requires retraining, he must learn anew those aspects of a job that allow for growth, which would better fit under the occupational component of wellness. Environmental components focus on standards of living and quality of life in the community and include basic human needs such as water, air, and food. Emotional components of wellness involve the ability to manage stress and express emotions appropriately.

Global Rationale: Page Reference: 301

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Describe five components of wellness.

Question 3

Type: MCSA

A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury. This educator is interpreting health according to which model?

1. Health-illness continua

2. Eudemonistic

3. Adaptive

4. Clinical

Correct Answer: 4

Rationale 1: The narrowest interpretation of health occurs in the clinical model, where people are viewed as physiologic systems with related functions and health is defined by the absence of signs and symptoms of disease or injury. The health-illness continua is often used to measure a persons perceived level of wellness in which health and illness are at opposite ends of a health continuum. The eudemonistic model incorporates a comprehensive view of health, where health is seen as a condition of actualization or realization of a persons potential. In the adaptive model, health is seen as a creative process and disease is seen as a failure in adaptation or maladaptation.

Rationale 2: The narrowest interpretation of health occurs in the clinical model, where people are viewed as physiologic systems with related functions and health is defined by the absence of signs and symptoms of disease or injury. The health-illness continua is often used to measure a persons perceived level of wellness in which health and illness are at opposite ends of a health continuum. The eudemonistic model incorporates a comprehensive view of health, where health is seen as a condition of actualization or realization of a persons potential. In the adaptive model, health is seen as a creative process and disease is seen as a failure in adaptation or maladaptation.

Rationale 3: The narrowest interpretation of health occurs in the clinical model, where people are viewed as physiologic systems with related functions and health is defined by the absence of signs and symptoms of disease or injury. The health-illness continua is often used to measure a persons perceived level of wellness in which health and illness are at opposite ends of a health continuum. The eudemonistic model incorporates a comprehensive view of health, where health is seen as a condition of actualization or realization of a persons potential. In the adaptive model, health is seen as a creative process and disease is seen as a failure in adaptation or maladaptation.

Rationale 4: The narrowest interpretation of health occurs in the clinical model, where people are viewed as physiologic systems with related functions and health is defined by the absence of signs and symptoms of disease or injury. The health-illness continua is often used to measure a persons perceived level of wellness in which health and illness are at opposite ends of a health continuum. The eudemonistic model incorporates a comprehensive view of health, where health is seen as a condition of actualization or realization of a persons potential. In the adaptive model, health is seen as a creative process and disease is seen as a failure in adaptation or maladaptation.

Global Rationale: Page Reference: 301

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 4

Type: MCSA

A nurse is working in a rehabilitation center with a client who had a serious injury. Part of the clients care plan includes working on coping with her current limitations since the injury. This nurse is working within which of the following models of health?

1. Role performance

2. Adaptive

3. Eudemonistic

4. Clinical

Correct Answer: 2

Rationale 1: In the adaptive model, health is a creative process; disease is a failure in adaptation or maladaptation. The aim of treatment is to restore the ability of the person to adapt and cope, as in a rehabilitation setting. The role performance model defines health in terms of the individuals ability to fulfill societal roles or to perform work. According to this model, people who fulfill their roles are healthy, even though they may have an illness. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The clinical model is a narrow interpretation of health, which is defined by the absence of disease.

Rationale 2: In the adaptive model, health is a creative process; disease is a failure in adaptation or maladaptation. The aim of treatment is to restore the ability of the person to adapt and cope, as in a rehabilitation setting. The role performance model defines health in terms of the individuals ability to fulfill societal roles or to perform work. According to this model, people who fulfill their roles are healthy, even though they may have an illness. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The clinical model is a narrow interpretation of health, which is defined by the absence of disease.

Rationale 3: In the adaptive model, health is a creative process; disease is a failure in adaptation or maladaptation. The aim of treatment is to restore the ability of the person to adapt and cope, as in a rehabilitation setting. The role performance model defines health in terms of the individuals ability to fulfill societal roles or to perform work. According to this model, people who fulfill their roles are healthy, even though they may have an illness. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The clinical model is a narrow interpretation of health, which is defined by the absence of disease.

Rationale 4: In the adaptive model, health is a creative process; disease is a failure in adaptation or maladaptation. The aim of treatment is to restore the ability of the person to adapt and cope, as in a rehabilitation setting. The role performance model defines health in terms of the individuals ability to fulfill societal roles or to perform work. According to this model, people who fulfill their roles are healthy, even though they may have an illness. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The clinical model is a narrow interpretation of health, which is defined by the absence of disease.

Global Rationale: Page Reference: 301

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 5

Type: MCSA

A nurse is conducting a community assessment to determine which diseases are prevalent and most likely to occur. The nurse is basing the assessment on which model of health?

1. Role performance

2. Eudemonistic

3. Ecological

4. Adaptive

Correct Answer: 3

Rationale 1: The ecological modelalso called the agent-host-environment model of health and illnessis used primarily in predicting illness rather than promoting wellness. Identification of risk factors results from interactions between agent, host, and environment, and is helpful in promoting and maintaining health. The role performance model defines health according to how individuals are able to fulfill their roles or perform their work. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The adaptive model defines health as a creative process and disease as a maladaptation. The aim of treatment is restoration of the persons ability to cope.

Rationale 2: The ecological modelalso called the agent-host-environment model of health and illnessis used primarily in predicting illness rather than promoting wellness. Identification of risk factors results from interactions between agent, host, and environment, and is helpful in promoting and maintaining health. The role performance model defines health according to how individuals are able to fulfill their roles or perform their work. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The adaptive model defines health as a creative process and disease as a maladaptation. The aim of treatment is restoration of the persons ability to cope.

Rationale 3: The ecological modelalso called the agent-host-environment model of health and illnessis used primarily in predicting illness rather than promoting wellness. Identification of risk factors results from interactions between agent, host, and environment, and is helpful in promoting and maintaining health. The role performance model defines health according to how individuals are able to fulfill their roles or perform their work. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The adaptive model defines health as a creative process and disease as a maladaptation. The aim of treatment is restoration of the persons ability to cope.

Rationale 4: The ecological modelalso called the agent-host-environment model of health and illnessis used primarily in predicting illness rather than promoting wellness. Identification of risk factors results from interactions between agent, host, and environment, and is helpful in promoting and maintaining health. The role performance model defines health according to how individuals are able to fulfill their roles or perform their work. The eudemonistic model incorporates a comprehensive view of health, which is seen as a condition of actualization or realization of a persons potential. The adaptive model defines health as a creative process and disease as a maladaptation. The aim of treatment is restoration of the persons ability to cope.

Global Rationale: Page Reference: 301

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 6

Type: MCSA

A nurse is assessing a client who practices yoga for relaxation, is following a nutritionally sound diet, and has supportive, sound relationships with her spouse and children. According to Dunns high-level wellness grid, this client would exemplify which of the following?

1. Emergent high-level wellness in a favorable environment

2. Emergent high-level wellness in an unfavorable environment

3. Protected health in a favorable environment

4. High-level wellness in a favorable environment

Correct Answer: 4

Rationale 1: Dunn describes a health grid in which a health axis and an environmental axis intersect. The intersection of the two axes forms four quadrants of health and wellness. High-level wellness in a favorable environment involves biopsychosocial, spiritual, and economic resources that support healthy lifestyles. Emergent high-level wellness and protected health are not part of Dunns four quadrants of health and wellness. Emergent high-level wellness in an unfavorable environment would be exemplified by a client who has the knowledge to implement healthy lifestyles, but does not implement them because of family responsibilities, job demands, or other factors.

Rationale 2: Dunn describes a health grid in which a health axis and an environmental axis intersect. The intersection of the two axes forms four quadrants of health and wellness. High-level wellness in a favorable environment involves biopsychosocial, spiritual, and economic resources that support healthy lifestyles. Emergent high-level wellness and protected health are not part of Dunns four quadrants of health and wellness. Emergent high-level wellness in an unfavorable environment would be exemplified by a client who has the knowledge to implement healthy lifestyles, but does not implement them because of family responsibilities, job demands, or other factors.

Rationale 3: Dunn describes a health grid in which a health axis and an environmental axis intersect. The intersection of the two axes forms four quadrants of health and wellness. High-level wellness in a favorable environment involves biopsychosocial, spiritual, and economic resources that support healthy lifestyles. Emergent high-level wellness and protected health are not part of Dunns four quadrants of health and wellness. Emergent high-level wellness in an unfavorable environment would be exemplified by a client who has the knowledge to implement healthy lifestyles, but does not implement them because of family responsibilities, job demands, or other factors.

Rationale 4: Dunn describes a health grid in which a health axis and an environmental axis intersect. The intersection of the two axes forms four quadrants of health and wellness. High-level wellness in a favorable environment involves biopsychosocial, spiritual, and economic resources that support healthy lifestyles. Emergent high-level wellness and protected health are not part of Dunns four quadrants of health and wellness. Emergent high-level wellness in an unfavorable environment would be exemplified by a client who has the knowledge to implement healthy lifestyles, but does not implement them because of family responsibilities, job demands, or other factors.

Global Rationale: Page Reference: 302

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 7

Type: MCSA

A nurse has volunteered to go on a health mission to rural Haiti, where the majority of the people do not have access to health care and live in poverty. According to Dunns high-level wellness grid, the nurse will be working with clients in which quadrant?

1. Emergent high-level wellness in an unfavorable environment

2. Protected poor health in a favorable environment

3. Poor health in an unfavorable environment

4. Protected poor health in an unfavorable environment

Correct Answer: 3

Rationale 1: According to Dunns grid, the health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunns quadrants.

Rationale 2: According to Dunns grid, the health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunns quadrants.

Rationale 3: According to Dunns grid, the health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunns quadrants.

Rationale 4: According to Dunns grid, the health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunns quadrants.

Global Rationale: Page Reference: 302

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 8

Type: MCSA

A nurse educator is reviewing internal variables that affect peoples health status. Among them are which of the following?

1. Genetic makeup

2. Age

3. Developmental level

4. Environment

5. Spiritual and religious beliefs

Correct Answer: 1,2,3,5

Rationale 1: Internal variables that affect peoples health include biologic, psychologic, and cognitive dimensions. Biologic dimensions include genetic makeup, gender, age, and developmental level. Psychologic dimensions include the mind-body interactions. Cognitive dimensions include lifestyle choices and spiritual and religious beliefs. Environment is an example of an external variable that affects a persons health.

Rationale 2: Internal variables that affect peoples health include biologic, psychologic, and cognitive dimensions. Biologic dimensions include genetic makeup, gender, age, and developmental level. Psychologic dimensions include the mind-body interactions. Cognitive dimensions include lifestyle choices and spiritual and religious beliefs. Environment is an example of an external variable that affects a persons health.

Rationale 3: Internal variables that affect peoples health include biologic, psychologic, and cognitive dimensions. Biologic dimensions include genetic makeup, gender, age, and developmental level. Psychologic dimensions include the mind-body interactions. Cognitive dimensions include lifestyle choices and spiritual and religious beliefs. Environment is an example of an external variable that affects a persons health.

Rationale 4: Internal variables that affect peoples health include biologic, psychologic, and cognitive dimensions. Biologic dimensions include genetic makeup, gender, age, and developmental level. Psychologic dimensions include the mind-body interactions. Cognitive dimensions include lifestyle choices and spiritual and religious beliefs. Environment is an example of an external variable that affects a persons health.

Rationale 5: Internal variables that affect peoples health include biologic, psychologic, and cognitive dimensions. Biologic dimensions include genetic makeup, gender, age, and developmental level. Psychologic dimensions include the mind-body interactions. Cognitive dimensions include lifestyle choices and spiritual and religious beliefs. Environment is an example of an external variable that affects a persons health.

Global Rationale: Page Reference: 303

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 9

Type: MCSA

An occupational health nurse is surveying employees. Which of the following employees would be predisposed to develop an illness?

1. An employee who is in a middle-management position and takes stress from administration as well as the employees

2. An employee who works in the janitorial department

3. An employee who works 12-hour days, 3 days a week

4. An employee who works 4 days on and 3 days off

Correct Answer: 1

Rationale 1: Some industrial workers may be exposed to carcinogenic agents. People who hold management positions are in stressful occupational roles that predispose them to stress-related diseases. Working as a custodian or longer shifts would not pose the same type of stress as the management position.

Rationale 2: Some industrial workers may be exposed to carcinogenic agents. People who hold management positions are in stressful occupational roles that predispose them to stress-related diseases. Working as a custodian or longer shifts would not pose the same type of stress as the management position.

Rationale 3: Some industrial workers may be exposed to carcinogenic agents. People who hold management positions are in stressful occupational roles that predispose them to stress-related diseases. Working as a custodian or longer shifts would not pose the same type of stress as the management position.

Rationale 4: Some industrial workers may be exposed to carcinogenic agents. People who hold management positions are in stressful occupational roles that predispose them to stress-related diseases. Working as a custodian or longer shifts would not pose the same type of stress as the management position.

Global Rationale: Page Reference: 304-306

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 Identify variables affecting health status, beliefs, and practices.

Question 10

Type: MCSA

A community health nurse is testing the theory of locus of control (LOC). Which of the following clients demonstrates the internal control concept of this theory?

1. A client who takes an active role in all health decisions

2. A client who allows the primary care provider to make all the decisions

3. A client who does not make any decisions without his or her spouses input

4. A client who relies on information from the local hospital for his or her health needs

Correct Answer: 1

Rationale 1: Locus of control (LOC) is a concept from social learning theory. People who exercise internal control are more likely than others to take the initiative on their own health care and to be more knowledgeable about their health. They are also more likely to adhere to prescribed health care regimens such as taking medication, making and keeping appointments with physicians, maintaining diets, and giving up smoking. People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.

Rationale 2: Locus of control (LOC) is a concept from social learning theory. People who exercise internal control are more likely than others to take the initiative on their own health care and to be more knowledgeable about their health. They are also more likely to adhere to prescribed health care regimens such as taking medication, making and keeping appointments with physicians, maintaining diets, and giving up smoking. People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.

Rationale 3: Locus of control (LOC) is a concept from social learning theory. People who exercise internal control are more likely than others to take the initiative on their own health care and to be more knowledgeable about their health. They are also more likely to adhere to prescribed health care regimens such as taking medication, making and keeping appointments with physicians, maintaining diets, and giving up smoking. People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.

Rationale 4: Locus of control (LOC) is a concept from social learning theory. People who exercise internal control are more likely than others to take the initiative on their own health care and to be more knowledgeable about their health. They are also more likely to adhere to prescribed health care regimens such as taking medication, making and keeping appointments with physicians, maintaining diets, and giving up smoking. People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.

Global Rationale: Page Reference: 307

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Compare the various models of health outlined in this chapter.

Question 11

Type: MCSA

The nurse case manager is concerned about a particular client being discharged from the hospital. Which of the following factors, if present for this client, would alert the nurse to possible problems with treatment adherence?

1. The prescribed therapy is costly and of unknown duration.

2. The therapy will require no lifestyle changes of the client.

3. The client has not had difficulty understanding the regimen.

4. The clients culture is supportive of Western medicine.

Correct Answer: 1

Rationale 1: Adherence to a particular therapy can be compromised if the therapy is expensive or if the complexity, side effects, and duration of the proposed therapy are large. Other factors influencing adherence include client motivation to become well; degree of lifestyle change necessary; perceived severity of the health care problem; value placed on reducing the threat of illness; difficulty in understanding and performing basic behaviors; degree of inconvenience of the illness itself or of the regimen; beliefs that the prescribed therapy or regimen will or will not help; complexity, side effects, and duration of the proposed therapy; specific cultural heritage that may make adherence difficult; and degree of satisfaction with the quality and type of relationship with the health care providers.

Rationale 2: Adherence to a particular therapy can be compromised if the therapy is expensive or if the complexity, side effects, and duration of the proposed therapy are large. Other factors influencing adherence include client motivation to become well; degree of lifestyle change necessary; perceived severity of the health care problem; value placed on reducing the threat of illness; difficulty in understanding and performing basic behaviors; degree of inconvenience of the illness itself or of the regimen; beliefs that the prescribed therapy or regimen will or will not help; complexity, side effects, and duration of the proposed therapy; specific cultural heritage that may make adherence difficult; and degree of satisfaction with the quality and type of relationship with the health care providers.

Rationale 3: Adherence to a particular therapy can be compromised if the therapy is expensive or if the complexity, side effects, and duration of the proposed therapy are large. Other factors influencing adherence include client motivation to become well; degree of lifestyle change necessary; perceived severity of the health care problem; value placed on reducing the threat of illness; difficulty in understanding and performing basic behaviors; degree of inconvenience of the illness itself or of the regimen; beliefs that the prescribed therapy or regimen will or will not help; complexity, side effects, and duration of the proposed therapy; specific cultural heritage that may make adherence difficult; and degree of satisfaction with the quality and type of relationship with the health care providers.

Rationale 4: Adherence to a particular therapy can be compromised if the therapy is expensive or if the complexity, side effects, and duration of the proposed therapy are large. Other factors influencing adherence include client motivation to become well; degree of lifestyle change necessary; perceived severity of the health care problem; value placed on reducing the threat of illness; difficulty in understanding and performing basic behaviors; degree of inconvenience of the illness itself or of the regimen; beliefs that the prescribed therapy or regimen will or will not help; complexity, side effects, and duration of the proposed therapy; specific cultural heritage that may make adherence difficult; and degree of satisfaction with the quality and type of relationship with the health care providers.

Global Rationale: Page Reference: 309-310

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe factors affecting health care adherence.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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