1. A patient has been newly diagnosed with hypertension. The
nurse assesses the need to develop a collaborative plan of care
that includes a goal of adhering to the prescribed regimen. When
the nurse is planning teaching for the patient, which is the most
important initial learning goal?
a.
The patient will select the type of learning materials they prefer.
b.
The patient will verbalize an understanding of the importance of
following the regimen.
c.
The patient will demonstrate coping skills needed to manage
hypertension.
d.
The patient will verbalize the side effects of treatment. Correct
Answers ANS: A
Adults learn best when given information they can understand
that is tailored to their learning styles and needs. Verbalizing an
understanding is important; however, the nurse will first need to
teach the patient.
1. The nurse is assessing a patients functional ability. Which
activities most closely match the definition of functional ability?
a.
Healthy individual, works outside the home, uses a cane, well
groomed
b.
Healthy individual, college educated, travels frequently, can
balance a checkbook
,c.
Healthy individual, works out, reads well, cooks and cleans
house
d.
Healthy individual, volunteers at church, works part time, takes
care of family and house Correct Answers ANS: D
Functional ability refers to the individuals ability to perform the
normal daily activities required to meet basic needs; fulfill usual
roles in the family, workplace, and community; and maintain
health and well-being. The other options are good; however,
each option has advanced or independent activities in the
context of the option.
1. The nurse is assessing a patients personal traits using the
Influential Characteristics on Motivation tool. What assessment
parameters will be included in this assessment?
a.
Developmental, cognitive, and educational levels; emotional
readiness; actual or perceived state of health or illness
b.
Psychologic availability, readiness of health care system, and
level of difficulty and ambiguity of task
c.
Cultural expectations and customs and emotional ties such as
love, intimacy, and sexual gratification
d.
Available human and physical resources and accessibility of
health care facility Correct Answers ANS: A
Developmental, cognitive, and educational levels; emotional
readiness; and actual or perceived state of health or illness are
all personal motivational traits. Psychologic availability,
, readiness of health care system, and level of difficulty and
ambiguity of task are environmental factors. Cultural
expectations and customs and emotional ties such as love,
intimacy, and sexual gratification are relationship motivators.
Available human and physical resources and accessibility of
health care facility are environmental motivators.
10. A 73-year-old male patient is seen in the home setting for a
routine physical. The nurse notes which behavior as the most
reassuring sign that the patient has been following the treatment
plan for the diagnoses of hypertension, diabetes, and
hyperlipidemia?
a.
The patient has a list of glucose readings for the past 10 days.
b.
The patient has a list of medications along with newly refilled
meds.
c.
The patient has a list of all foods and beverages for a 3-day
period.
d.
The patient verbalizes the side effects of all his medications.
Correct Answers ANS: B
Confirming how often a patient renews or refills his/her
prescriptions is a measurement of the patients persistence with
continuation of the treatment. Having a list of glucose readings
or verbalizing side effects does not necessarily mean that the
patient is compliant unless the readings were all normal, which
is not indicated. Listing foods may not indicate the patient is
following the treatment plan.