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1.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly
controlled type 1 diabetes has led to numerous health problems. Over the past several
years Mrs. Griffin has had several admissions to the hospital medical unit, and the
nurse has often carried out health promotion interventions. Who is ultimately
responsible for maintaining and promoting Mrs. Griffin's health?
A)
The medical nurse
B)
The community health nurse who has also worked with Mrs. Griffin
C)
Mrs. Griffin's primary care provider
D)
Mrs. Griffin
Ans:
D
Feedback:
American society places a great importance on health and the responsibility that each of
us has to maintain and promote our own health. Therefore, the other options are
incorrect.
2.
An elderly female patient has come to the clinic for a scheduled follow-up appointment.
The nurse learns from the patient's daughter that the patient is not following the
instructions she received upon discharge from the hospital last month. What is the most
likely factor causing the patient not to adhere to her therapeutic regimen?
A)
Ethnic background of health care provider
B)
Costs of the prescribed regimen
C)
Presence of a learning disability
D)
Personality of the physician
Ans:
B
Feedback:
Variables that appear to influence the degree of adherence to a prescribed therapeutic
regimen include gender, race, education, illness, complexity of the regimen, and the
cost of treatments. The ethnic background of the health care provider and the
personality of the physician are not considered variables that appear to influence the
degree of adherence to a prescribed therapeutic regimen. A learning disability could
greatly affect adherence, but cost is a more likely barrier.
