Test Bank For Monahan Phipps Medical Surgical 8th Edition By Monahan
Monahan: Phipps’ Medical-Surgical Nursing: Health and Illness Perspectives, 8th EditionChapter 3: Healthy LifestylesMULTIPLE CHOICE1. During a regular physical examination, a clinical nurse specialist counsels a patient on tobacco cessation. This type of preventive action is classified as:1.Primary2.Secondary3.Tertiary4.Screening ANS:1PTS:1DIF:Category: RespiratoryTOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 2. Which of the following is a form of secondary prevention?1.Tetanus booster2.10-pound weight loss3.Mammography and Pap smear4.Physical therapy for a neck strain ANS: 3 PTS: 1 DIF: Category: Women’s healthTOP: 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% milk2.6-oz pork chop, creamed peas, au gratin potatoes, coffee3.BLT sandwich, french fries, 8-oz whole milk4.Pasta alfredo, garlic bread, 8-oz cola ANS: 1 PTS: 1 DIF: Category: GastrointestinalTOP: 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 products2.Meeting requirements of the Food Guide Pyramid3.Adequate for all food groups except vegetables4.Low in milk products, proteins, and fruits ANS: 1 PTS: 1 DIF: Category: GastrointestinalTOP:Nursing Process: Analysis/Nursing DiagnosisMSC: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 stress2.Health-seeking behavior (desire to quit smoking)3.Ineffective health maintenance related to inadequate support system4.Impaired gas exchange related to decreased functional lung tissue ANS:2PTS:1DIF:Category: RespiratoryTOP:Nursing Process: Analysis/Nursing DiagnosisMSC: 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 day3.Increase physical activity4.Lose 5 pounds per week ANS: 3 PTS: 1 DIF: Category: No applicable categoryTOP: 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/min2.119 to 145 beats/min3.38 to 166 beats/min4.180 to180 beats/min ANS: 1 PTS: 1 DIF: Category: CardiovascularTOP: 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 week2.Brisk walking for 20 minutes four times a week3.Bicycling for 30 minutes every weekend4.Weight lifting once a week ANS: 2 PTS: 1 DIF: Category: CardiovascularTOP: 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 fatigue2.A relaxing activity before bedtime, such as reading3.Afternoon naps to avoid extremes in fatigue4.A hearty bedtime snack ANS: 2 PTS: 1 DIF: Category: No applicable categoryTOP: 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 medication2.Ask family members to remind and monitor him3.Review the rationale for taking blood pressure medication with the patient4.Contract with the patient to take the medication if his blood pressure becomes elevated again ANS: 3 PTS: 1 DIF: Category: CardiovascularTOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
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