Quiz - Chapter 01

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1. You are caring for a patient on an inpatient psychiatric unit. He was admitted after a severe anxiety attack. He tells you he feels very out of control and does not know how to deal with these feelings. According to Maslow's hierarchy of needs, with which level of needs are you most concerned? A. B. C. D. Physiological Safety and security Love and belonging Self-actualization

The second level on the hierarchy of needs consists of safety needs, which include establishing stability and consistency. This patient feels out of control and needs stability and consistency. Points Earned: 1/1 Correct Answer: B Your Response: B 2. The nurse is working with a 16-year-old in the management of type 1 diabetes. While going through the educational process, the nurse keeps in mind that this adolescent is beginning to assert his independence and allows him to make decisions when possible. Which internal variable is the nurse recognizing? A. B. C. D. Developmental stage Intellectual background Emotional factors Spiritual factors

The age of your patient helps you to understand where the patient may be developmentally. Knowledge of developmental stages will allow you to individualize your interventions to be age appropriate, which will help with your effectiveness. Points Earned: 1/1 Correct Answer: A Your Response: A 3. Your patient tries to walk for 30 minutes on most days of the week and includes fruits and vegetables with her meals. This is an example of: A. B. C. D. Illness prevention activities Wellness education Health promotion activities Illness behavior

Routine exercise and good nutrition are examples of health promotion activities that help patients maintain or enhance their present levels of health and reduce their risks of developing certain diseases. Points Earned: 1/1 Correct Answer: C Your Response: C 4. A patient has decided to eat five fruits and vegetables a day and is exercising at least 3 days a week. What level of prevention is this patient practicing? A. B. C. D. Primary prevention Secondary prevention Tertiary prevention Rehabilitation prevention

Primary prevention precedes disease or dysfunction. Eating fruits and vegetables and exercising are examples of active strategies that decrease an individuals vulnerability to illness or dysfunction. Points Earned: 1/1 Correct Answer: A Your Response: A 5. A hospital has an influenza immunization program in which all employees are encouraged to get a yearly influenza shot. This is an example of: A. B. C. D. Primary prevention Secondary prevention Tertiary prevention Rehabilitation

Primary prevention precedes disease or dysfunction. Receiving immunizations is an example of an active strategy that decreases an individuals vulnerability to illness or dysfunction. Points Earned: 1/1 Correct Answer: A Your Response: A 6. Your patient realizes he is at risk for type 2 diabetes because his mother and brother have diabetes. Which type of risk factor is this? A. B. C. D. Genetic Age Physical environment Lifestyle

Physiological risk factors involve the physical functioning of the body. Heredity, or genetic predisposition to specific illness, such as a family history of type 2 diabetes, is a major physical risk factor. Points Earned: 1/1 Correct Answer: A Your Response: A

7. A 28-year-old male patient travels frequently with his job. He often eats meals high in fat, gets very little exercise, and smokes 1 pack of cigarettes a day. What type of risk factors for heart disease is he experiencing? A. B. C. D. Genetic Age Physical environment Lifestyle

Eating meals high in fat, getting very little exercise, and smoking cigarettes are examples of lifestyle practices and behaviors that negatively impact health. Points Earned: 1/1 Correct Answer: D Your Response: D 8. Your patient smokes 1 to 2 packs of cigarettes per day. He says to you, I know smoking isnt good for me. I think I am ready to think about quitting. According to the stages of behavior change model, which stage of change is your patient in? A. B. C. D. Precontemplation Contemplation Preparation Action

In the contemplation stage, the patient is considering a change within the next 6 months. This is different from the pre-contemplation stage, in which the patient is unaware of the problem and not intending to change, and different from the preparation stage, in which the patient intends to take action within the next month. Points Earned: 1/1 Correct Answer: B Your Response: B 9. You have been working with a patient on a smoking cessation plan for the past 3 months. At your next visit, the patient states, Even though Ive tried and havent been able to quit smoking in the past, I want to try again. My thirtieth birthday is in 2 weeks, and that is when Im going to quit. According to the stages of behavior change model, which stage of change is your patient in now? A. B. C. D. Precontemplation Contemplation Preparation Action

In the preparation stage, the patient intends to take action within the next month. In this stage the patient may also have tried to make changes in the past but without success. Points Earned: 1/1 Correct Answer: C Your Response: C 10. A female patient says to her nurse, Why should I exercise? Were all going to die of something anyway. Im too busy for exercise. According to the stages of behavior change model, the nurses best response is:

A. I want you to start walking 30 minutes a day every day of the week. B. It is hard to find time. What things are important to you now? What do you want to make sure you can do 5 years from now? Are there any activities you enjoy doing? C. Thats too bad you are so busy. Maybe youll have more time in the future. D. Thats fine. Exercise isnt that important anyway. At this point you are trying to increase the pros of exercising. You do not want to try to force her into the action stage because she is not ready for this yet. By helping her see why it is important for her, you will gradually move her through the stages of behavior change, which may ultimately make her successful with her change. Points Earned: 1/1 Correct Answer: B Your Response: B