NUR 266- Exam Two Review Questions
Questions and Correct Answers
A patient discharged a week ago following a stroke is currently
participating in rehabilitation sessions provided by nurses,
physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention Ans: 3. Tertiary prevention
Based on the Transtheoretical Model of Change, what is the most
appropriate response to a patient who states: "Me, stop smoking?
I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke
by one each day, and I'll see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking
would be challenging for you?"
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4. "I'd like you to attend a smoking-cessation class this week and
use nicotine replacement patches as directed." Ans: 3. "What do
you think is the greatest reason why stopping smoking would be
challenging for you?"
A nurse working on a medical patient care unit states, "I am having
trouble sleeping, and I eat nonstop when I get home. All I can
think of when I get to work is how I can't wait for my shift to be
over. I wish I felt happy again." What are the best responses from
the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in
there. You'll feel better soon."
2. "I know several nurses who feel this way every now and then.
Tell me about the patients you have cared for recently. Did you
find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you
sleep at night."
4. "Describe for me what you do with your time when you are not
working."
5. "The hospital just started a group where nurses get together to
talk about their feelings. Would you like for me to e-mail the
schedule to you?" Ans: 2. "I know several nurses who feel this way
every now and then. Tell me about the patients you have cared for
recently. Did you find it difficult to care for them?"
4. "Describe for me what you do with your time when you are not
working."
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5. "The hospital just started a group where nurses get together to
talk about their feelings. Would you like for me to e-mail the
schedule to you?"
A 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 praying daily 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 a physician when he was a child. Which external variables
influence the patient's health practices? (Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider
Ans: 1. Difficulty paying his bills
5. Family practice of not routinely seeing a health care provider
A nurse is conducting a home visit with a new mom and her three
children. While in the home the nurse weighs each family member
and reviews their 3-day food diary. She checks the mom's blood
pressure and encourages the mom to take the children for a 30-
minute walk every day. The nurse is addressing which level of
need, according to Maslow's Hierarchy of Needs?
1. Physiological
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