NUR 352 EXAM 3 NEWEST 2025/2026 COMPLETE ALL 200
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
You receive a doctor's order to administer a medication to your patient at 0900.
You become very busy because of the overload of patients in the unit and forget
to administer the medication to your patient within the allowed time. Which
consequence of non adherence does this situation most closely relate to?
a. Patient related
b. Health professional-related
c. Health care system-related
d. Family orientated-related - ANSWER-B (This is an example of a health
professional-related consequence because YOU, the HCP, forgot to give your
patient the medication at the correct time, which violates the 'Right Time'
medication rule.)
You have administered a high blood pressure medication to your patient who has
a BP of 190/100. A half an hour later, you check on your patient and find that their
blood pressure is still 190/100. You are too busy to seek an alternate plan based
on evaluation and to call the health care provider for assistance, so you continue
to administer the medication that is failing to reduce the patient's blood pressure.
Which consequence of health professional non adherence does this situation
represent?
a. Avoidance
b. Ambivalence
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c. Misinterpretation
d. Empathy - ANSWER-A (Avoidance occurs when a nurse fails to seek/make
alternate plans based on evaluation. Ambivalence is when the nurse feels that
he/she did all they could for the patient. Misinterpretation occurs when the nurse
does not fully assess/understand the client rationales. Empathy occurs when the
nurse understand the clients financial constraints.)
The patient tells the nurse that he knows the dose of his antidepressant is 20 mg
daily, but he has decided that he only needs to take 10 mg daily because he says
he no longer feels depressed. The nurse knows that this type of behavior is
described as:
a. Nonadherence
b. Total adherence
c. Partial adherence: nonintentional
d. Partial adherence: intentional - ANSWER-D (The scope of adherence ranges
from a total lack of adherence to complete adherence. The patient in this scenario
is displaying partial adherence: intentional, because he has decided to adjust his
medication dose on his own. He is partially adhering to treatment, yet
intentionally changing his medication dose. Option A is incorrect; nonadherence is
complete omission from any adherence. The patient is choosing to partially
adhere to his medication dose. Option B is incorrect; total adherence is complete
adherence to a medication dose or regimen. Option C is incorrect; this would
imply that the patient nonpurposefully neglects or misses a dose.)
A nurse is teaching a group of patients about the concepts of compliance versus
adherence. The nurse knows that the patients understand the meaning of
compliance as opposed to adherence when one of the patients states:
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a."My doctor and I have decided on the best dose for my blood pressure
medicine. We have worked out an every-other-day dosing regimen because of my
schedule."
b. "I will continue taking my blood pressure medication on a regular schedule
because I felt like the nurse was upset with me when said I missed multiple doses
of my medication this week."
c. "I've decided my blood pressure medication is no longer working for me. I'm
just going to stop taking it and hope for the best."
d. "I want to become healthier. I'm going to research the best food choices for me
and start a fitness regimen three times per week." - ANSWER-B (The concept of
compliance has underlying tones of obedience expected of the patient and blame
toward the patient when the behavior does not meet with the health
professionals' expectations. Option A is incorrect; this is an example of
concordance. Concordance suggests the patient's agreement to a prescribed
regimen as a mutual agreement with the health care provider, rather than a
passive compliance. Option C is incorrect; this is an example of noncompliance or
behavior that fails to coincide with the therapeutic plan of care. Option D is
incorrect; this statement is an example of a health-seeking behavior, in which the
patient is stable and seeking an active way to achieve better health.)
The nurse is creating a care plan for a patient newly diagnosed with diabetes
mellitus. The nurse knows that the best nursing diagnosis to promote the concept
of adherence as an anticipated outcome is:
a. Individual Management of Therapeutic Regimen, Ineffective
b. Noncompliance
c. Individual Management of Therapeutic Regimen, Effective
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d. Obedience management of Therapeutic Regimen - ANSWER-C (The diagnosis
that best promotes the concept of adherence is based on the concept of
integrating treatment into a daily regimen in which the outcome is the meeting of
specific health goals. Adherence behavior is the outcome of this nursing diagnosis.
Option A is incorrect. An ineffective outcome related to individual management of
a therapeutic regimen does not promote the concept of adherence. Option B is
incorrect. Although Noncompliance could be used as a nursing diagnosis with an
outcome of adherence, it is not the best choice because the term imposes a
paternalistic obligation to follow orders. Option C is incorrect; this is not a nursing
diagnosis.)
A patient is being treated for tuberculosis (TB) with a standard four-drug regimen
but continues to have positive sputum smears for acid-fast bacilli. Which actions
should the nurse implement? (Select all that apply.)
a. Assist the patient with short-term goals and plan teaching according to these
goals.
b. Provide the patient with all the educational materials about drug-resistant TB.
c. Refer the patient to a pulmonary specialist, who can assist the patient with the
treatment regimen.
d. Ask the patient about any barriers to obtaining medications.
e. Ask the patient whether medications have been taken as directed. - ANSWER-A
B D E (The first action should be to determine whether the patient has been
compliant or encountered any barriers with completing the drug therapy regimen;
because negative sputum smears would be expected if the TB bacillus is
susceptible to the medications and if the medications have been taken correctly.
Obtaining medications may be a factor in whether the client is taking medications
as prescribed. Depending on whether the patient has been compliant or not, goals
should be established and different medications or directly observed therapy may
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