Nokea
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.
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Which of the following models view disability as directly caused by disease or trauma?
- A. Social
- B. Nursing
- C. Medical
- D. Collaborative
Correct Answer: C
Rationale: The medical model views disability as directly caused by disease, trauma, or another health condition. Disability, from the medical model perspective, necessitates medical care provided in the form of individual treatment by providers to 'correct' the problem with the individual. The social model of disability, conversely, sees disability as a socially created problem and not an inherent attribute of an individual.
Which of the following diseases has the highest proportion of chronic illness deaths in Canada?
- A. Cancer
- B. Diabetes
- C. Cardiovascular disease
- D. Chronic respiratory disease
Correct Answer: C
Rationale: Cardiovascular diseases (37%) were responsible for the highest proportion of global deaths in 2012, followed by cancers (7%), chronic respiratory diseases (8%), and diabetes (4%).
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).
What is the most influential source of self-efficacy?
- A. Mastery
- B. Affective states
- C. Verbal persuasion
- D. Vicarious experience
Correct Answer: A
Rationale: Four primary influences shape an individual's self-efficacy beliefs: mastery; vicarious experience; verbal persuasion and other social influences; and physiological and affective states that help us judge our capability and our vulnerability to dysfunction. Mastery reflects a belief about whether or not 'we have what it takes to succeed' and is considered the most influential source of self-efficacy.
Which of these patients assigned to the nurse is most likely to need planning for long-term nursing management?
- A. 22-year-old with appendicitis who has had an emergency appendectomy
- B. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
- C. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
- D. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days
Correct Answer: B
Rationale: The patient's osteoarthritis is a chronic problem that will require planning for long-term interventions such as physical therapy and nutrition counselling. The other patients have acute problems that are not likely to require long-term management.