NSG517 Quizlet Study Guide- Chapter 08

CHAPTER 8

Question 1Which of the following scenarios is an example of patient engagement?

  APRN prescribing the lowest effective dose of medication

  Patient maintaining follow-up appointments

  Physical therapy

  Coaching about weight loss

Question 2Which of the following is an example of patient guidance?

  Patient taking medications as prescribed

  Education provided about a new medication side effect

  Increased self-awareness after reflecting on bad habits

  Patient-set agenda for weight loss

Question 3A newly diagnosed diabetic patient does not know what types of foods are best to consume to help control his or her disease. An APRN teaches the patient about food choices and options. This is an example of:

  Patient guidance through patient education

  Patient guidance through empathy

  Patient coaching through patient education

  Patient coaching through awareness raising

Question 4Which of the following theories or research supporting APRN guidance and counseling defines a framework based on loving kindness that focuses on the science of caring and moving from carative to caritas (love)?

  Transtheoretical Model

  Watson’s Model of Caring

  Midrange Theory of Integrative Nurse Coaching

  Nightingale’s Environmental Theory

  Positive Psychology

Question 5Which theory or research supporting APRN guidance and counseling fundamentally states that external factors associated with patients’ surroundings greatly affect their lives, their development, and their biologic and physiologic processes?

  Transtheoretical Model

  Watson’s Model of Caring

  Midrange Theory of Integrative Nurse Coaching

  Nightingale’s Environmental Theory

  Positive Psychology

Question 6Which model supporting APRN guidance and counseling defines a nursing role with the patient at the center to assist him or her with health goals, changing lifestyle behaviors, and implementing integrative modalities?

  Transtheoretical Model

  Watson’s Model of Caring

  Midrange Theory of Integrative Nurse Coaching

  Nightingale’s Environmental Theory

  Positive Psychology

Question 7What is the most important first step for an APRN prior to coaching a patient?

  Providing guidance

  Asking permission

  Liability release

  Prepare an action plan

Question 8A 40-year-old female has smoked two packs of cigarettes per day for the past 25 years. She has no current health issues. When questioned by the APRN if she is interested in quitting she immediately states, “I like smoking, and I’m still healthy. I don’t want to quit.” Which stage of change best classifies this patient’s willingness to stop smoking?

  Precontemplation

  Contemplation

  Preparative

  Action

  Maintenance

Question 9A 40-year-old female has smoked two packs of cigarettes per day for the past 25 years. She has no current health issues. When questioned by the APRN if she is interested in quitting she immediately states, “I like smoking, and I’m still healthy. I don’t want to quit.” Which of the following is the next best step by the APRN?

  Educate her about the health risks of smoking

  Understand her level of understanding about the health risks of smoking

  Document her response

  Assess her knowledge of smoking cessation programs

Question 10A male patient with uncontrolled diabetes visits the APRN in the health clinic. After discussion about the patient’s uncontrolled disease the patient becomes emotional. The patient states he has tried before and wants to do better but has never been able to afford diabetic testing supplies. He does not currently take his prescribed insulin because he is aware that if he administers it without being able to check his blood glucose he could suffer serious health consequences. This patient is best classified as which stage of change?

  Precontemplation

  Contemplation

  Preparative

  Action

  Maintenance

Question 11An APRN is evaluating a female patient who is morbidly obese in a follow-up evaluation for weight loss. The patient states that she was doing well with weight loss until she went on a vacation. Since returning she has been gaining weight again. Which best characterizes the state of change this patient is experiencing?

  Precontemplation

  Contemplation

  Preparative

  Action

  Maintenance

Question 12A patient has identified a weight loss goal of 100 pounds that he or she wishes to lose to reach a healthy weight. The patient has failed multiple weight loss attempts in the past. The APRN is coaching this patient regarding their weight loss plan. Which of the following skills should the APRN use for best success in this patient?

  Use courage to challenge

  Raise awareness

  Support small changes

  Accountability