Solutions - Chapter 16 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. Using Maslow’s framework, which statement characterizes the highest level of need?
1.  “Nurse, my pain is severe ... is it time for my shot?”
2.  “I felt welcomed when I first joined the group and I look forward to the monthly meetings.”
3.  “I’m very proud of receiving the Employee of the Month award.”
“There have been home break-ins with burglary in our neighborhood. We are thinking of moving.”
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1CTC. Mr. W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, “I’ve Med everything and nothing works. The longest I last is about one month.” He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight.
What information/knowledge is important for the nurse to remember when assisting a client to advance to the next stage of change?
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1TYK. A nurse and a primary care provider inform a client that chemotherapy is recommended for a diagnosis of cancer. Which nursing action is most representative of the concept of holism?
1.  Offer to come to the client's home to provide needed physical care.
2.  Contact the client’s spiritual adviser.
3.  Inquire how this will affect other aspects of the client’s life.
4.  Provide the client with information about how to join a support group.
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2CTC. Mr. W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, “I’ve Med everything and nothing works. The longest I last is about one month.” He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight.
Each contact between a nurse and a client is an opportunity for health promotion. Based on the knowledge or key concepts listed above, what question(s) would you ask Mr. W.?
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2TYK. A nurse is planning a workshop on health promotion for older adults. Which topic will be included?
1.  Prevention of falls
2.  Cardiovascular risk factors
3.  Adequate sleep
4.  How to stop smoking
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3CTC. Mr. W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, “I’ve Med everything and nothing works. The longest I last is about one month.” He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight.
Mr. W. is in which stage of change relating to his cigarette smoking? What strategies could you, the nurse, consider?
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4TYK. Which statement by the client best represents the contemplation stage of the stages of behavior change?
1.  “I currently do not need to exercise and do not intend to start in the next six months.”
2.  “I have tried several times to exercise 30 minutes three times a week but am seriously thinking of trying again in the next month.”
3.  “I currently do not exercise 30 minutes three times a week, but I am thinking about starting to do so within the next six months.”
4.  “I have exercised 30 minutes three times a week regularly for more than six months.”
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5TYK. A client who is 46 pounds oven/veight tells you, “I was just born to be fat. I don’t have the willpower.” Although weight loss occurred while attending two previous programs that “guaranteed" weight loss, the weight returned along with extra pounds after each program. According to the Health Promotion Model, the nurse is most likely to focus on which behavior- specific cognition and affect variable for this client?
1.  Perceived barriers to action
2.  Perceived self-efficacy
3.  Interpersonal influences
Situational influences
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6TYK. Which of the following are overarching goals of Healthy People 2020? Select all that apply.
1.  Raise the education and literacy level.
2.  Increase quality and years of healthy life.
3.  Eliminate health disparities.
4.  Distribute health-related information.
5.  Promote healthy behaviors.
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7TYK. The nurse who is assisting a client in the action stage of change would use which strategy?
1.  Reinforce the importance of providing rewards for positive behavior.
2.  Ask the client if he or she would like information.
3.  Guide the client to create a plan of action.
4.  Remind the client of previous successes.
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8TYK. Which is the best response by the nurse if a client fails to follow the information or teaching provided?
1.  Give up, because the client doesn’t want to change.
2.  Develop a tough approach.
3.  Reteach the information, because the nurse is the expert.
4.  Reassess the client’s importance given to the behavior and readiness to change it.
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9TYK. A client is admitted for heart failure. The nurse assesses that the client’s blood pressure is below normal range and the apical pulse is 110 beats/min. The nurse knows that the increase in the client’s pulse illustrates which aspect of the client’s homeostatic mechanism?
1.  Compensation
2.  Decompensation
3.  Self-regulation
4.  Equilibrium
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

  1Q . Develop an expected outcome for this client related to chapters in this unit including activity and exercise, pain management, feca...