Question 1

Which scenario indicates a potentially dysfunctional pattern?&#10;A) Adult with frequent urination&#10;B) Woman who lost her job&#10;C) Elderly person with blurred vision&#10;D) Overweight adult with a sweet tooth

Accepted Answer

A pattern is potentially dysfunctional when sufficient evidence exists or enough risk factors are present to indicate that a pattern of dysfunction will likely occur if interventions are not instituted. A dysfunctional pattern is a problem when it represents a deviation from established norms or from the individual's previous condition or goal. The woman who lost her job indicates a potential dysfunction pattern because the stress of losing her job places her at risk for ineffective coping. The other scenarios are not potentially dysfunctional; by definition, they are dysfunctional.

Question 2

The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?&#10;A) Weigh the person.&#10;B) Set a goal weight with the person.&#10;C) Ask the person what her favorite foods are.&#10;D) Develop a plan for weight loss.

Accepted Answer

The individual's goals and the determined diagnosis provide the basis for planning. Before developing a plan, a goal must be set. Clarity of the goals and diagnosis is critical to the development of an effective plan. In this case, the diagnosis has already been established and thus assessment of this pattern has occurred (weight, favorite foods). The next step before developing a plan is to set a goal weight with the client.

Question 3

A client is experiencing an alteration in the health-perception-health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?

A) Never sees a physician
B) Only sees a physician if not feeling well
C) Sees a physician for screenings only
D) Sees a physician for follow-up care of a chronic disease

Accepted Answer

Health beliefs and perceptions directly affect participation in care. Dimensions of assessment in the values-beliefs pattern include the individual's values, beliefs, or goals that guide choices or decisions that are related to health. People who do not believe in health promotion activities will likely see a physician only when sick. Thus, someone with an alteration in the health-perception-health-management and values-beliefs patterns will likely only see a physician if not feeling well.

Question 4

A nurse working with a Hispanic family is explaining the plan for managing a child's asthma to the child's mother, father, and grandmother. To whom should the nurse direct the education?&#10;A) Mother&#10;B) Father&#10;C) Grandmother&#10;D) Parents and grandmother

Accepted Answer

Culturally competent care is delivered with understanding of and sensitivity to cultural factors influencing health behaviors. Nurses provide culturally competent care when they identify and use cultural norms and values. In the Hispanic population, the male figure is usually the decision maker, and the family elders are highly respected. However, assumptions about cultural norms should not be made. As a result, the nurse should direct education to all three adults because they may all have an impact on the child's health care needs.

Question 5

A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?&#10;A) Assessment&#10;B) Implementation&#10;C) Planning&#10;D) Evaluation

Accepted Answer

The nursing process consists of assessment, diagnosis, planning, implementation, and evaluation. A person who has been diagnosed with a dysfunction has already been assessed. The process of analyzing changes experienced by a person after a plan has been implemented occurs in the evaluation phase. In this question, a weight will determine whether or not the person is moving toward her goals of weight loss.

Question 6

A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?&#10;A) Visual acuity&#10;B) Pupil reactivity&#10;C) Ability to drive&#10;D) The red reflex

Accepted Answer

Functional focus refers to the individual's performance level. Nurses assess how particular visual patterns affect lifestyle. The ability to drive would affect a person's lifestyle and might require a change in how the person functions.

Question 7

A nurse administers the T-ACE test to a pregnant woman. The woman's responses result in a score of 3. This score indicates that the woman:&#10;A) requires interventions for problem drinking.&#10;B) lacks evidence of problem drinking.&#10;C) requires interventions for sexually transmitted disease risks.&#10;D) lacks evidence of sexually transmitted disease risks.

Accepted Answer

The T-ACE provides a sensitive measure of alcohol-intake pattern in pregnant women. A score of 2 or more indicates evidence of problem drinking. This client had a score of 3, which would require an intervention for problem drinking.

Question 8

A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual's nursing plan of care?&#10;A) Decreased sense of hearing&#10;B) Decreased sense of smell&#10;C) Decreased sense of taste&#10;D) Decreased visual acuity

Accepted Answer

Assessment parameters in the cognitive-perceptual pattern include hearing, vision, smell, and taste. A person with Type 1 diabetes mellitus requires insulin injections. A decrease in visual acuity will make it difficult for the individual to draw up his or her medication and therefore will influence the nurse's plan of care.

Question 9

A 27-year-old woman has not received a Pap test i   n years. This assessment finding identifies an alteration in which functional pattern?&#10;A) Health-perception-health-management pattern&#10;B) Elimination pattern&#10;C) Activity-rest pattern&#10;D) Self-perception-self-concept pattern

Accepted Answer

Assessment objectives for the health-perception-health-management pattern consist of obtaining data about perceptions, management, and preventive health practices. Exploring these values identifies potential health hazards. A 27-year-old woman should receive a Pap test every 2 years. Failing to do so could place her at risk for health problems; thus, this finding identifies an alteration in the health-perception-health-management pattern.

Question 10

Which of the following best describes a primary prevention method for colon cancer?&#10;A) Hemoccult testing&#10;B) High fiber diet&#10;C) Colonoscopy&#10;D) Laparoscopy

Accepted Answer

Primary prevention includes generalized health promotion and specific protection from disease. Hemoccult and colonoscopy are forms of screening, not prevention. Eating a healthy diet high in fiber is a preventive measure.

Question 11

Healthy People 2020 objectives provide a framework for:&#10;A) assessment.&#10;B) diagnosis.&#10;C) prevention.&#10;D) treatment.

Accepted Answer

The answer of Healthy People 2020 objectives provide a framework...

Question 12

Which scenario represents a dysfunctional pattern?&#10;A) Sexually active teenager who does not use condoms&#10;B) Salesman who sleeps only 5 hours a night&#10;C) Single mother of three children&#10;D) Woman with a small extended family

Accepted Answer

The answer of Which scenario represents a dysfunctional pattern?&#10;A) Sexually...

Question 13

When assessing a person's nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?&#10;A) The person's 24-hour diet diary&#10;B) The person's dentition&#10;C) The person's food preferences&#10;D) The person's financial status

Accepted Answer

The answer of When assessing a person's nutritional-metabolic pattern, which...

Question 14

When assessing a client's activity-exercise pattern, which subjective finding has implications for nursing practice?&#10;A) A person's decreased muscle tone&#10;B) A person's amount of leisure time&#10;C) A person's decreased range of motion&#10;D) A person's use of a cane

Accepted Answer

The answer of When assessing a client's activity-exercise pattern, which...

Question 15

A Hispanic mother tells the nurse that she has been using home remedies for her child's asthma. Which home remedy might this mother be using?&#10;A) Acupuncture&#10;B) Cupping&#10;C) Hot tea&#10;D) Massage

Accepted Answer

The answer of A Hispanic mother tells the nurse that...

Question 16

Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?&#10;A) Erikson&#10;B) Gordon&#10;C) Newman&#10;D) Nightingale

Accepted Answer

The answer of Who authored the framework which provides the...

Question 17

A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?&#10;A) Read in bed until he falls asleep.&#10;B) Avoid fluids after 7 PM.&#10;C) Exercise immediately before bedtime.&#10;D) Watch television in the recliner in the evening.

Accepted Answer

The answer of A nurse is counseling a person with...

Question 18

Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person's function pattern by utilizing which area of focus?

A) Age-developmental
B) Functional
C) Individual-environmental
D) Pattern

Accepted Answer

The answer of Over the last week, a person has...

Question 19

A nurse is caring for a person with a potential dysfunction in the health-perception-health-management pattern. Which of the following nursing interventions would most likely be performed?&#10;A) Arranging for home delivery of medication from the pharmacy&#10;B) Providing education regarding the dangers of smoking&#10;C) Instituting visiting nurse services for blood pressure checks&#10;D) Providing direct observed therapy for tuberculosis medications

Accepted Answer

The answer of A nurse is caring for a person...

Question 20

During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?&#10;A) The person is not receiving enough sleep.&#10;B) The person is receiving adequate sleep.&#10;C) The nurse must determine where the person sleeps.&#10;D) The nurse must ask additional questions.

Accepted Answer

The answer of During a health history, a person reports...

Question 21

Which individual is at risk for a dysfunction in elimination pattern? (select all that apply)&#10;A) 46-year-old mother of two&#10;B) 32-year-old African American man&#10;C) 15-year-old girl&#10;D) 72-year-old white woman&#10;E) None of above

Accepted Answer

The answer of Which individual is at risk for a...

Question 22

A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group?&#10;A) African&#10;B) Alaska Native&#10;C) Asian&#10;D) Hispanic

Accepted Answer

The answer of A man is telling a nurse that...

Question 23

A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns? (select all that apply)&#10;A) Health-perception-health-management&#10;B) Cognitive-perceptual&#10;C) Elimination&#10;D) Values-beliefs

Accepted Answer

The answer of A client who fails to take his...

Question 24

Which of the following is the leading cause of death among women?&#10;A) Accidents&#10;B) Cancer&#10;C) Coronary artery disease&#10;D) Stroke

Accepted Answer

The answer of Which of the following is the leading...

Question 25

A young couple is deciding if they should get married and start a family. Which of Erikson's life stages are they experiencing?&#10;A) Identity vs. role confusion&#10;B) Intimacy vs. isolation&#10;C) Generativity vs. stagnation&#10;D) Ego integrity vs. despair

Accepted Answer

The answer of A young couple is deciding if they...

Question 26

Which classification system fulfills needs that are exclusive to nursing?&#10;A) The International Classification of Nursing Practice (ICNP)&#10;B) The International Classification of Functioning, Disability, and Health (ICF)&#10;C) The International Nursing Diagnoses Classification (NANDA-I)&#10;D) The Nursing Diagnostic System (NDS)

Accepted Answer

The answer of Which classification system fulfills needs that are...

Question 27

Which cultural group defines illness as a price that is being paid for the past or the future?&#10;A) African&#10;B) Native American&#10;C) Arabian&#10;D) Asian

Accepted Answer

The answer of Which cultural group defines illness as a...

Question 28

Erikson's task of autonomy vs. shame and doubt occurs during which stage of development?&#10;A) Infancy&#10;B) Early childhood&#10;C) Late childhood&#10;D) Early adolescence

Accepted Answer

The answer of Erikson's task of autonomy vs. shame and...

Deck 6: Health Promotion and the Individual