Nokea
Set in motion and continue the trajectory projection and scheme' is a goal of management in which of the following trajectory phases?
- A. Pretrajectory
- B. Onset
- C. Comeback
- D. Downward
Correct Answer: C
Rationale: Set in motion and continue the trajectory projection and scheme' is a goal of management in the trajectory phase of comeback. Pretrajectory goal is to prevent the onset of chronic illness. The onset goal of management is to form an appropriate trajectory projection and scheme. The goal of the downward phase is to adapt to increasing disability.
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Which of the following patient statements reflect an outcome expectancy statement?
- A. I am not able to exercise.
- B. Exercise helps people lose weight.
- C. Exercise is too hard on my arthritis.
- D. Dietary restrictions work better than exercise to lose weight.
Correct Answer: B
Rationale: An outcome expectancy is the individual's belief that a specific behaviour will lead to certain outcomes. For example, the patient who tells the nurse that exercising helps people to lose weight is voicing an outcome expectancy.
According to the World Health Organization's ICF Bio-Psycho-Social Model, which of the following factors is an environmental contextual factor?
- A. Social background
- B. Behaviour pattern
- C. Social attitudes
- D. Coping style
Correct Answer: C
Rationale: Contextual factors are composed of external environmental factors (e.g. social attitudes, architectural characteristics, and legal and social structures, as well as climate, terrain, and so forth). The other choices represent internal personal factors (e.g. gender, age, coping styles, social background, education, profession, past and current experience, overall behaviour pattern, character, and other factors that influence how disability is experienced by the individual.
Which of the following is a characteristic of health-related hardiness known as 'challenge'?
- A. Confidence to appraise a health stressor
- B. Ability to modify responses to health stressors
- C. Viewing a health stressor as an opportunity for growth
- D. Optimal psychosocial adaptation to a health stressor
Correct Answer: C
Rationale: Challenge is the anticipation of change. The person with health-related hardiness, when confronted with a health stressor, possesses sufficient self-mastery and confidence to appraise and modify responses appropriately (control) and cognitively reappraises the health stressor so it is viewed as stimulating and beneficial or an opportunity for growth (challenge).
Which of the following types of cancers has a genetic predisposition to its occurrence?
- A. Lung
- B. Breast
- C. Cervix
- D. Testicles
Correct Answer: B
Rationale: Genetic testing can also show an inherited predisposition to several different types of cancer, including breast and ovarian cancer, melanoma, and colon cancer.
Which of the following levels are part of the patient response to health care recommendations based on a continuum of self-care?
- A. Compliance
- B. Adherence
- C. Self-care
- D. Denial
- E. Acceptance
Correct Answer: A,B,C
Rationale: Compliance, adherence, and self-care make up the three levels of patient response to health care recommendations on a continuum of self-care. Compliance reflects coercion of the patient to engage in particular recommendations, whereas adherence implies conformity of the patient with the recommendations. Self-care connotes a therapeutic alliance between the patient and the provider. Adherence is now the term most widely accepted because it incorporates the notion of the patient agreeing with the treatment plan presented by the health care provider.