Solutions - Chapter 17 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. A married mother of three small children has frequent immobi­lizing headaches of unknown cause. The nurse anticipates that the woman may have which of the following possible reactions? Select all that apply.
1.  She feels guilty when unable to perform her usual activities.
2.  She is angry and acting out.
3.  She shifts some responsibilities to the spouse.
4.  She takes on a job to help pay for the medical expenses.
She has fewer social interactions with her friends.
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1CTC. Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his primary care provider, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well." Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”
How does Jerry’s psychological dimension of health status differ from Joe’s?
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1TYK. Which one of the following is an example of the emotional component of wellness?
1.  The client chooses healthy foods.
2.  A new father decides to take parenting classes.
3.  A client expresses frustration with her partner's substance abuse.
4.  A widow with no family decides to join a bowling league.
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2CTC. Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his primary care provider, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well." Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”
Both Jerry and Joe have heart disease. Jerry considers himself “well,” whereas Joe considers himself “ill.” Explain this phenomenon based on the health locus of control model.
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2TYK. Which individual appears to have "taken on’’ the sick role?
1.  A client who is obese states, “I deserve to have a heart attack.”
2.  A mother is ill and says, “I won’t be able to make your lunch today.”
3.  A man with low back pain misses several physical therapy appointments.
4.  An older adult states, “My horoscope says I will be well again.”
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3CTC. Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his primary care provider, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well." Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”
What external factors may have influenced Jerry’s decision to implement positive health behaviors?
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4CTC. Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his primary care provider, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well." Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”
What external factors may have influenced Jerry’s decision to implement positive health behaviors?
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4TYK. Because a client with human immunodeficiency virus (HIV) is scheduled to begin several medications to manage the infection, the nurse will need to provide client education. Which client characteristics are most likely to predict adherence with the treatment program? Select all that apply.
1.  Educational level
2.  A trusting relationship with the health care provider
3.  An expectation that the medications will be helpful
4.  Being able to take the medications twice daily instead of four times daily
5.  Sex
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5CTC. Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his primary care provider, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well." Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”
What nursing interventions would be most beneficial to Joe concerning his smoking problem?
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5TYK. Which one of the following might be the BEST way to measure adherence to a prescribed medication regime?
1.  Direct observation of medication administration
2.  Evidence of illness complications or exacerbations
3.  Monitoring laboratory values of elements influenced by the medication
4.  Questioning the client about his or her medication routine
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6TYK. Which of the following is least likely to influence a client’s personal definition of health/wellness?
1.  The client’s ability to perform his or her usual activities
2.  The cultural traditions the client uses in everyday life
3.  The availability and accessibility of health care services appropriate for the client’s health condition
4.  The medical diagnostic terminology used to describe the client’s signs and symptoms
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7TYK. Which of the following is an internal variable affecting health status, beliefs, or practices?
1.  Living situation
2.  Socioeconomic status
3.  Family structure
4.  Genetics
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8TYK. A client recently diagnosed with a chronic illness asks for help in understanding the term chronic. It would be correct for the nurse to say which of the following?
1.  Symptoms are always less severe than with an acute illness.
2.  Chronic illnesses are considered incurable.
3.  Signs and symptoms of chronic illnesses tend to be stable for many years.
4.  Chronic illnesses have no effective treatments.
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9TYK. Although not every client progresses in order through each stage, what is the usual sequence in Suchman’s stages of illness?
1.  The client makes contact with medical care.
2.  The client goes into rehabilitation/recovery.
3.  Signs and symptoms appear.
4.  The client takes on the dependent role.
5.  The client takes on the sick role.
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