Online Practice Test 17

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 17 > NCLEX® Review Date/Time Submitted: July 10, 2012 at 1:55 PM (UTC/GMT)

Summary of Results 44% Correct of 9 Scored items: 4 Correct:  44% 5 Incorrect:  56% 1 question not scored. 9 scored questions. More information about scoring

1.		A client is noncompliant about adhering to dietary restrictions designed to manage his diabetes. Which statement by the nurse would be most likely to motivate the client to comply with treatment?  Your Answer: "I understand that following this diet is hard for you. Can you share with me why this has been difficult?"
		Objective: Identify factors affecting health status, beliefs, and practices. Rationale: Answer 2 is correct because it demonstrates caring and may provide the nurse with an opportunity to address the cause of noncompliance. Answer 1 could be construed as being judgmental, and may make the client feel defensive. Answer 3 may be true for some diabetics, but this answer may cause some clients to be reluctant to seek further care, or make them feel doomed to failure regardless of their attempts to follow their treatment regimen. Answer 4 assumes that the client is incompetent, when they may instead be unwilling or unable to adhere to the diet. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Based on the concept that health is a highly individual perception, which of the following individuals would consider himself/herself healthy? Your Answer: A college student who is seen in the student clinic for minor complaints at least once a week Correct Answer: An honors college student who has multiple sclerosis and uses a wheelchair for mobility
		Objective: Differentiate health, wellness, and well-being. Rationale: An honors college student who has multiple sclerosis and uses a wheelchair for mobility reflects a person who adapts to disability and chronic illness, and still functions in a productive manner. A senior citizen who has high blood pressure and refuses to leave home may indicate an emotional disorder. A college student who is seen in the student clinic for minor complaints at least once a week would probably not consider himself/herself to be healthy. A homeless person who walks several miles each day looking for food may be physically healthy, but his / her emotional and physical well-being are questionable. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		A client states that her cancer is the result of punishment from God for her sins. This client will most likely be: Your Answer: Interested in alternative therapies for her cancer Correct Answer: A passive recipient of health care
		Objective: Identify factors affecting health status, beliefs, and practices. Rationale: Clients with an external locus of control are less likely to exercise initiative about their own health care. Rigidly compliant to all aspects of the treatment regimen would be more consistent with a client with an internal locus of control. Clients with an external locus of control tend not to seek health treatment, regardless of the type. Highly motivated to seek health care would not be characteristic of a client with an external locus of control. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which of the following descriptions best fits the eudaemonistic model of health? Your Answer: Health is the realization of a person's potential. Correct Answer: Health is a process of adaptation.
		Objective: Compare various models of health outlined in this chapter. Rationale: Health is a process of adaptation. Health defined in terms of the individual's ability to fulfill societal roles describes the role performance model of health. Health identified by the absence of disease or injury describes the clinical model. Health as the realization of a person's potential describes the adaptive model of health. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		An otherwise healthy 59-year-old client is hospitalized with multiple fractures of the lower extremities after an automobile accident. Where would this client be placed on Dunn's high-level wellness grid? Your Answer: High-level wellness in a favorable environment Correct Answer: Protected poor health in a favorable environment
		Objective: Compare various models of health outlined in this chapter. Rationale: This client would be placed in protected poor health in a favorable environment. Poor health in an unfavorable environment does not fit this classification. This describes a client in poor health who has no resources or access to care, such as a child in a famine situation. Emergent high-level wellness in an unfavorable environment does not fit this classification. This describes a client who has the knowledge to implement a healthy lifestyle, but is hampered by other factors. High-level wellness in a favorable environment describes a client who implements healthy behaviors and has the resources to support this lifestyle. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		A 63-year-old client with diabetes depends on her husband and daughter to bring her to the clinic. She refuses to give herself insulin, and complains to the nurse, "I don't understand why my blood sugar is always so high." What should the nurse consider when providing diabetic teaching for this client? Your Answer: The client is probably externally controlled, and may need help to assume responsibility for her own health.
		Objective: Describe factors affecting health care adherence. Rationale: The nurse should consider that the client is probably externally controlled and may need help to assume responsibility for her own health. A client who is probably externally controlled and therefore will be able to take responsibility for her own health is not indicative of someone with an external locus of control. The client's husband's taking control of her health care is not the best option for the client. A client who is probably internally controlled and, therefore, will be able to take the initiative for her own health care is not indicative of someone with an internal locus of control. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		A client at a cardiology clinic is having difficulty following his low-fat diet. Which of the following actions by the nurse would be least likely to foster compliance from this client? Your Answer: Motivating the client by telling him that he'll be dropped from the clinic if he doesn't follow the diet
		Objective: Describe factors affecting health care adherence. Rationale: Threatening the client is unlikely to increase the client's compliance. Using teaching aids, such as pamphlets, is an appropriate way to increase the client's compliance. Demonstrating caring by asking about the client's home situation and establishing a therapeutic relationship by using one's knowledge and skills would be an appropriate way to foster compliance and a therapeutic nurse-client relationship. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Read question and prioritize nursing actions.
8.		A 76-year-old client with diabetes has had an above-the-knee amputation and is almost ready to return home from the hospital. The client lives alone. What is the best way to help the client adjust to the change in his health status? Your Answer: Talk with the client about self-care measures and adaptive equipment for home use.
		Objective: Describe effects of illness on individuals' and family members' roles and functions. Rationale: The best way to help the client adjust is to talk with the client about self-care measures and adaptive equipment for home use. With appropriate safety precautions and assistive devices, amputees may function independently. Telling the client's family that he should be in a nursing home does not support the client's right to autonomy and self-determination. False reassurance does not help the client deal with problems he may encounter at home. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Read question and prioritize nursing actions.
9.		List examples of healthy lifestyle choices. Your Answer: Examples of healthy lifestyle are eating healthy diets, exercise and avoiding alcohol/cigarettes.
		Regular exercise, weight control, avoidance of saturated fats, alcohol and smoking avoidance, seat belt use, bike helmet use, immunization updates, regular dental checkups, regular health maintenance visits for screening examinations or tests. Objective: Identify factors affecting health status, beliefs, and practices. Rationale: Examples of healthy lifestyle choices include: regular exercise, weight control, avoidance of saturated fats, alcohol and smoking avoidance, seat belt use, bike helmet use, immunization updates, regular dental checkups, regular health maintenance visits for screening examinations or tests. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of healthy lifestyle practices.
10.		Acute illness is characterized by: __________. Your Answer: imbalance Correct Answer: severe symptoms of relatively short duration
		Objective: Differentiate illness from disease and acute illness from chronic illness. Rationale: Acute illness is characterized by severe symptoms of relatively short duration. Physical limitations and discomfort that gradually increase over time are more characteristic of chronic illnesses, which often have a slow onset. Occasional remissions are characteristic of chronic illnesses, which often have periods of remission. An extended duration is characteristic of a chronic illness. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.