Test Bank For Monahan Phipps Medical Surgical 8th Edition By Monahan
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ISBN-10 : 0723434565 ISBN-13 : 978-0723434566
Description
Test Bank For Monahan Phipps Medical Surgical 8th Edition By Monahan
Monahan: Phipps’ Medical-Surgical Nursing: Health and Illness
Perspectives, 8th Edition
Chapter 3: Healthy Lifestyles
MULTIPLE CHOICE
1. During a regular physical examination, a clinical nurse specialist counsels a patient on tobacco cessation. This type of preventive action is classified as:
1.
Primary
2.
Secondary
3.
Tertiary
4.
Screening
ANS:1PTS:1DIF:Category: Respiratory
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. Which of the following is a form of secondary prevention?
1.
Tetanus booster
2.
10-pound weight loss
3.
Mammography and Pap smear
4.
Physical therapy for a neck strain
ANS: 3 PTS: 1 DIF: Category: Women’s health
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which meal selection coincides most closely with the Healthy People 2010 goals for nutrition?
1.
Vegetable lasagna, lettuce salad, whole wheat roll, 2% milk
2.
6-oz pork chop, creamed peas, au gratin potatoes, coffee
3.
BLT sandwich, french fries, 8-oz whole milk
4.
Pasta alfredo, garlic bread, 8-oz cola
ANS: 1 PTS: 1 DIF: Category: Gastrointestinal
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
4. A patient’s 24-hour diet history includes four servings of bread, three servings of fruit, one serving of vegetables, three servings of beef or chicken, and one glass of whole milk. A nurse concludes that the diet is:
1.
Low in complex carbohydrates, vegetables, and milk products
2.
Meeting requirements of the Food Guide Pyramid
3.
Adequate for all food groups except vegetables
4.
Low in milk products, proteins, and fruits
ANS: 1 PTS: 1 DIF: Category: Gastrointestinal
TOP:Nursing Process: Analysis/Nursing Diagnosis
MSC:Client Needs: Physiological Integrity
5. A 56-year-old man with a 45-year history of smoking expresses a desire to quit smoking. An appropriate nursing diagnosis is:
1.
Ineffective individual coping related to stress
2.
Health-seeking behavior (desire to quit smoking)
3.
Ineffective health maintenance related to inadequate support system
4.
Impaired gas exchange related to decreased functional lung tissue
ANS:2PTS:1DIF:Category: Respiratory
TOP:Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
6. An appropriate weight reduction goal for any obese adult would be:
1.
Reduce body fat to approximately 25%
2.
Limit calories to 900 per day
3.
Increase physical activity
4.
Lose 5 pounds per week
ANS: 3 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
7. A 50-year-old woman is planning an exercise program. Her target heart rate for exercise should be:
1.
100 to 120 beats/min
2.
119 to 145 beats/min
3.
38 to 166 beats/min
4.
180 to180 beats/min
ANS: 1 PTS: 1 DIF: Category: Cardiovascular
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
8. Which exercise plan reflects basic health goals for cardiovascular fitness?
1.
Low-impact aerobics for 60 minutes once a week
2.
Brisk walking for 20 minutes four times a week
3.
Bicycling for 30 minutes every weekend
4.
Weight lifting once a week
ANS: 2 PTS: 1 DIF: Category: Cardiovascular
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
9. When planning care for a middle-aged man with insomnia, it might be helpful to include:
1.
Vigorous exercise before bedtime to promote fatigue
2.
A relaxing activity before bedtime, such as reading
3.
Afternoon naps to avoid extremes in fatigue
4.
A hearty bedtime snack
ANS: 2 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
10. A 55-year-old man stops taking his antihypertensive medication because his blood pressure has been normal. To promote adherence to the therapeutic regimen, the nurse should:
1.
Instruct his wife to administer the medication
2.
Ask family members to remind and monitor him
3.
Review the rationale for taking blood pressure medication with the patient
4.
Contract with the patient to take the medication if his blood pressure becomes elevated again
ANS: 3 PTS: 1 DIF: Category: Cardiovascular
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
11. Instruction on the safe use of nicotine gum should include teaching the patient that:
1.
She or he should gradually reduce smoking while chewing the gum
2.
She or he should chew the gum until “peppery” taste appears, then discard
3.
Chewing too quickly can cause dizziness
4.
Soreness of the mouth is expected
ANS:3PTS:1DIF:Category: Respiratory
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
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