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An adult patient will be receiving outpatient intravenous antibiotic therapy for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the patients adherence to the course of treatment. Which of the following assessments should be the nurses immediate priority?
- A. Patients understanding of the teaching plan
- B. Quality of the patients relationships
- C. Patients previous medical history
- D. Characteristics of the patients culture
Correct Answer: D
Rationale: Before beginning health teaching, nurses must conduct an individual cultural assessment instead of relying only on generalized assumptions about a particular culture. This is likely a priority over previous medical history and relationships, though these are relevant variables. The teaching plan would not be created at this early stage in the teaching process.
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The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced nurses abilities to play this vital role?
- A. Nurses are seen as nurturing professionals.
- B. Nurses possess a baccalaureate degree as the entry to practice.
- C. Nurses possess an authentic desire to help others.
- D. Nurses have long-established credibility with the public.
Correct Answer: D
Rationale: Nurses, by virtue of their expertise in health and health care and their long-established credibility with consumers, play a vital role in health promotion. The other options are incorrect because they are not the most influential when it comes to health promotion by nursing and nurses.
A public health nurse is planning educational interventions that are based on Beckers Health Belief Model. When identifying the variables that affect local residents health promotion behaviors, what question should the nurse seek to answer?
- A. Do residents believe that they have ready access to health promotion resources?
- B. Why have previous attempts at health promotion failed?
- C. How much funding is available for health promotion in the community?
- D. Who is available to provide health promotion education in the local area?
Correct Answer: A
Rationale: Barriers, Beckers second variable, are defined as factors leading to unavailability or difficulty in gaining access to a specific health promotion alternative. The other listed questions do not directly relate to the four variables that Becker specified.
The nurse is working with a male patient who has diagnoses of coronary artery disease and angina pectoris. During a clinic visit, the nurse learns that he has only been taking his prescribed antiplatelet medication when he experiences chest pain and fatigue. What nursing diagnosis is most relevant to this assessment finding?
- A. Acute pain related to myocardial ischemia
- B. Confusion related to mismanagement of drug regimen
- C. Ineffective health maintenance related to inappropriate medication use
- D. Ineffective role performance related to inability to manage medications
Correct Answer: C
Rationale: This patients actions suggest that by taking his medications incorrectly he is not adequately maintaining his health. Role performance is not directly applicable to the patients actions and confusion suggests a cognitive deficit. Pain is not central to the essence of the problem.
A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health?
- A. Health is an outcome systematically maximizing wellness.
- B. Health is a state that is characterized by a lack of disease.
- C. Health is a condition that enables people to function at their optimal potential.
- D. Health is deliberate attempt to mitigate the effects of disease.
Correct Answer: C
Rationale: Health is viewed as a dynamic, ever-changing condition that enables people to function at an optimal potential at any given time. Health does not necessarily denote the absence of disease, an effort to maximize wellness, or mitigate the effects of disease.
Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the nurse prioritize in an effort to promote health, longevity, and weight control in patients?
- A. Good nutrition
- B. Stress reduction
- C. Use of vitamins
- D. Screening for health risks
Correct Answer: A
Rationale: It has been suggested that good nutrition is the single most significant factor in determining health status, longevity, and weight control. A balanced diet that uses few artificial ingredients and is low in fat, caffeine, and sodium constitutes a healthy diet. Stress reduction and screening for health risks are correct answers, just not the most significant factors. Vitamin use is not normally necessary when an individual eats a healthy diet, except in specific circumstances.