Ch4.docx - Prime yourself for your Tests – Study Questions Chapter 4 Brunner Suddarth’s Textbook of Medical-Surgical Nursing 13th Edition MULTIPLE

Ch4.docx - Prime yourself for your Tests – Study...

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Prime yourself for your Tests – Study Questions Chapter 4 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 th Edition MULTIPLE CHOICE 1. A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin’s health? A)The medical nurseB)The community health nurse who has also worked with Mrs. GriffinC)Mrs. Griffin’s primary care providerD)Mrs. GriffinAns:DFeedback: American society places a great importance on health and the responsibility that each of us has to maintain and promote our own health. Therefore, the other options are incorrect. 2.An elderly female patient has come to the clinic for a scheduled follow-up appointment.
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Prime yourself for your Tests – Study Questions The nurse learns from the patient’s daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen? Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. The ethnic background of the health care provider and the personality of the physician are not considered variables that appear to influence the degree of adherence to a prescribed therapeutic regimen. A learning disability could greatly affect adherence, but cost is a more likely barrier. 3. A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?
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Prime yourself for your Tests – Study Questions The nurse must consider that older adults may have deficits in the ability to draw inferences, apply information, or understand major teaching points. Demonstration and practice are essential in meeting their learning needs. The other options are incorrect because the elderly may have problems reading and/or understanding a written pamphlet or verbal instructions. Having a family member change the dressing when the patient is capable of doing it impedes self-care and independence.
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