Clinical Guidelines in Family Practice 5th Edition Uphold Graham - Test Bank

Clinical Guidelines in Family Practice 5th Edition Uphold Graham Test Bank

Chapter 1 Health maintenance

MULTIPLE CHOICE

1.A client is reviewing a videotape without the assistance of the nurse for instruction. The type of

teaching strategy this client is using is considered:

1. demonstration.

2. slides.

3. programmed instruction.

4. discussion.

ANS: 3

Programmed instruction is often referred to as canned presentation and is intended for use

without the nurse. Demonstration, slides, and discussion require a nurse to be present.

PTS: 1 DIF: Analyze REF: Teaching Strategies: Programmed Instruction

2.The nurse is instructing a client regarding food safety, injury prevention, and occupational

health. Which of the following Healthy People 2010 objectives is the nurse instructing the client?

www.testbanktank.com

Promote healthy behaviors

Promote healthy and safe communities

Improve systems for personal health and public health

Prevent and reduce diseases and disorders

1. 2. 3. 4. ANS: 2

This objective addresses instruction that focuses on the health and safety of communities such as

food safety, prevention of injury, and occupational health. Promoting healthy behaviors would

include weight reduction and smoking cessation. Improve systems for personal health and public

health would include immunization programs. Prevent and reduce diseases and disorders wouldinclude instruction on screening programs, physician visits, and routine health maintenance care.

PTS: 1 DIF: Analyze REF: Health Promotion on a Global Level

3.A client has inadequate resources and impairment of personal support systems. Which nursing

diagnosis would apply to this patient?

1. Noncompliance

2. Deficient knowledge

3. Ineffective health maintenance

4. Health-seeking behavior

ANS: 3

Defining characteristics for ineffective health maintenance includes impairment of personal

support systems, observed inability to take responsibility for meeting basic health practices,

demonstrated lack of knowledge, failure to recognize important symptoms reflective to altered

health status, lack of health-seeking behaviors, and inadequate resources. Inadequate resources

and impairment of personal support systems would not support the nursing diagnoses of

Noncompliance, Deficient Knowledge, or Health-Seeking Behavior.

PTS:1DIF:Apply

REF: Box 3-3 Defining Characteristics for Ineffective Health Maintenance

4.While planning care for a client, the nurse identifies content that would address the clients

diagnosis of Deficient Knowledge. The nurse will ensure time is allocated for client instruction

because:

www.testbanktank.com

1. the client cannot be discharged without it.

2. it is a legal component of the nursing process.

3. it is a nice thing to do for a client.

4. the physician has written an order for instruction.1

.

Expected effects of a new medication

2

.

Instruction on leg exercises to be used after surgery

3

.

ANS: 2

Patient education is a legal component of the nursing process that was identified in the Patients

Bill of Rights. Patient education is a necessary function of nursing care. The client could be

discharged without receiving instructions. Education is not done because it is a nice thing to do

for a client. Client education does not necessitate a physicians order.

PTS:1DIF:ApplyREFatient Education

5.The nurse is engaged in an information teaching session with a client. Which of the following

would be appropriate to instruct during an informal teaching session?

How to use an incentive spirometer

www.testbanktank.com

Diet and medications to manage a new diagnosis of diabetes mellitus

Instruction can be either informal or formal. Informal instruction occurs intermittently and

frequently during the course of client care. These instructions are simple, relate to the disease

process, and answer client questions. Providing the expected effects of a new medication is a

type of information instruction. Formal instructions are deliberate with specific goals and an

evaluation process. Instructing on postoperative leg exercises, the use of an incentive spirometer,

and diet and medications to manage a new health diagnosis are all examples of formal

instruction.

PTS: 1 DIF: Apply REF: Formal and Informal Patient Education

6.The nurse is planning a presentation to a group of senior citizens as part of a wellness program.

Which of the following topics would be appropriate for the nurse to instruct this client

population?

4

.

ANS: 11. Import