Chapter 02: Health and Wellness Potter: Essentials for Nursing Practice, 9th Edition MULTIPLE CHOICE 1. Which statement by the patient indicates to the nurse that the patient is in the preparation stage of smoking cessation? a. “I don’t ever want to quit smoking.” b. “I hope to quit smoking sometime before I die.” c. “I am really working hard to stop smoking.” d. “I stocked up on nicotine patches and gum.” ANS: D “I stocked up on nicotine patches and gum” indicates that the patient is in the preparation stage of behavior change. “I hope to quit smoking sometime before I die” indicates that the patient is in the contemplation stage. “I am really working hard to stop smoking” indicates that the patient is in the action stage. “I don’t ever want to quit smoking” indicates that the patient is in the precontemplation stage. DIF: Cognitive Level: Apply (Application) OBJ: Discuss the health belief, health promotion, basic human needs, and holistic health models of health and illness and their relationship to patients’ attitudes toward health and health practices. TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. Which patient assessment finding must be addressed first according to Maslow’s hierarchy of needs? a. The patient is cyanotic andUfeeSls shNortTof breatOh. b. The patient refuses to participate in physical therapy. c. The patient verbalizes anxiety about upcoming surgery. d. The patient is unable to reposition in bed without assistance. ANS: A According to Maslow, individuals have to meet lower-level needs before they are able to satisfy higher-level needs. The lowest level on the hierarchy consists of very basic physiological needs such as oxygen, water, food (nutrition), sleep, and sex. The second level on the hierarchy consists of safety needs. The third level on the hierarchy is love and belongingness, which is a desire to belong to groups. The fourth level deals with the need for self-esteem. DIF: Cognitive Level: Apply (Application) OBJ: Discuss the health belief, health promotion, basic human needs, and holistic health models of health and illness and their relationship to patients’ attitudes toward health and health practices. TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 3. Which patient action demonstrates the concept of health promotion? a. The patient receives the influenza vaccination every year. b. The patient participates in cardiac rehabilitation after a heart attack. c. The patient has yearly mammograms to screen for breast cancer. d. The patient follows a macrobiotic, vegetarian diet with organic foods. ANS: D
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