Exam 11: Experiencing Health Illness

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The nurse is aware that patients may fail to comply with a proposed healthcare regimen and be perceived as being noncompliant. For which common reason(s) does a nurse identify as causing a patient to be noncompliant with a plan of care? Select all that apply.

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A,B,C,E

Some people readily become ill when under stress, while others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness. In which manner does the nurse apply this knowledge to nursing care?

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D

The home care nurse is providing care for a patient. After several visits and review of the plan of care, the nurse notices the patient does not follow the prescribed diet and exercise regimen. Which is the most appropriate action by the nurse?

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D

Many healthcare providers define illness as pathology; however, people experience, rather than define, illness. In which manner do most people experience illness?

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A newly hired nurse is working with an experienced nurse on the oncology unit. The newly hired nurse expresses interest in helping patients and making their hospital stay a better experience. Which is the most appropriate response for the experienced nurse to make? Select all that apply.

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A patient who is 80 years old arrives in the emergency department experiencing a severe heart attack. The patient's condition is deteriorating and the physician informs the spouse that the patient is not expected to survive. The spouse becomes distraught and tells the nurse, "We have been married for 60 years. What am I going to do?" Which is the most appropriate response by the nurse?

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The nurse is admitting a patient with heart disease to the cardiac unit. When answering questions related to health history, the patient's responses are lengthy and time consuming. Which is the most appropriate action by the nurse?

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The nurse is providing care for a patient with a terminal illness. Which is particularly valuable in helping a patient with a terminal illness maintain a sense of self?

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A parent of three small children has had nausea, vomiting, and extreme fatigue for the past 2 days and calls the children's grandmother for assistance with caring for the children. Which illness behavior is the parent experiencing?

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The nurse is providing care for a client who has been hospitalized for 6 weeks. Which nursing intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?

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The new graduate nurse is working with another nurse who is functioning as a mentor to the new graduate. Which advice from the mentor is best suited when the new graduate is preparing to interact with the first patient?

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The nurse recognizes which type of loss as being most common among patients who are hospitalized for complex health conditions?

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A patient who is 30 years of age has been experiencing joint pain for several months and is diagnosed with rheumatoid arthritis. The patient tells the nurse, "This can't be happening to me. I don't understand this." Which statement best describes the nurse's primary understanding of the patient comments?

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The nurse is aware that which situations can lead to family caregiver's feeling(s) of "burnout"? Select all that apply.

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The nurse uses the concept of the wellness-illness continuum for developing a nursing plan of care. Which plan for a chronically ill patient does the nurse select?

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The nurse is providing care for a 55-year-old client with severe respiratory disease. Using Neuman's Continuum as a resource, which stage of illness is the nurse most likely to identify as being applicable to this client?

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The nurse is attending to a 76-year-old patient who is being admitted for an acute myocardial infarction (heart attack). The doctor tells the patient that an angioplasty is necessary, and the patient agrees and signs the informed consent form. Which stage of illness behavior does the nurse identify the patient experiencing?

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The nurse is admitting a 62-year-old patient with a diagnosis of hypertension to the hospital. Which question by the nurse is most important when performing the initial assessment interview?

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The nurse is aware the client's risk of breast cancer is dramatically increased because both her sister and her mother had breast cancer. Which of the multidimensional aspects of health does this scenario illustrate?

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Living in a healthy family is an important dimension of wellness. Which condition most accurately describes a characteristic of healthy families?

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