Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 16
Question 1
Type: MCSA
The nurse is providing care within the total care context. What should the nurse consider when using this care
approach?
1. The individualism of the client
2. Principles applicable to the client at this moment
3. Principles general to all clients of the same age and condition
4. The person’s self-identity
Question 2
Type: MCSA
The nurse is practicing the concept of holism with a client. Which action is the nurse most likely making?
1. Considering how the loss of a client’s job will affect the regulation of the client’s diabetes
2. Making sure to do complete teaching regarding pharmacological interventions
3. Following physician treatments on schedule
4. Prioritizing the needs of the client assigned according to Maslow’s hierarchy
Question 3
Type: MCSA
Psychologic homeostasis is maintained by a variety of mechanisms. Which client should the nurse identify as
being the most likely candidate to obtain psychologic homeostasis?
1. A child who is used to getting ready for school alone
2. A teenager whose circle of friends includes single parents of the same age
3. An elderly person who has just moved to a long-term care facility
4. A young adult who is in a long-term relationship
Question 4
Type: MCSA
A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped. According to
Maslow’s human needs theory, at which level should the nurse recognize that the client is struggling?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-esteem
Question 5
Type: MCSA
A client is hospitalized with numerous acute health problems. According to Maslow’s basic needs model, which
nursing diagnosis should the nurse identify as being the highest priority for this client?
1. Risk for Injury related to unsteady gait
2. Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients
3. Self-Care Deficit related to weakness and debilitation
4. Powerlessness related to chronic disease state
Question 6
Type: MCSA
The nurse is using Kalish’s adaptation of Maslow’s hierarchy of needs when planning client care. Which client
should the nurse identify as exhibiting a level of Kalish’s adaptation?
1. Has a homosexual encounter for the first time
2. Has a need to participate in school sports and be “on the team”
3. Strives to become the CEO of a company
4. Is sleep deprived because of musculoskeletal discomfort
Question 7
Type: MCSA
A nurse is delivering a workshop regarding health promotion to a group of elderly clients. In describing Healthy
People 2010, which goal should the nurse emphasize for this group?
1. Eliminating health disparities
2. Believing that individual health is closely related to community health
3. Increasing quality and years of life
4. Developing partnerships between individual and community health
Question 8
Type: MCSA
A client comes to the clinic seeking information regarding smoking cessation classes and ways to improve
respiratory function. This client is modeling which behavior?
1. Health promotion
2. Health protection
3. Tertiary prevention
4. Primary prevention
Question 9
Type: MCMA
A community health nurse wants to provide health promotion classes through the local hospital. Which topics
should the nurse include in this endeavor?
Standard Text: Select all that apply.
1. Time management
2. Healthy eating habits
3. Exercise after stroke
4. Bicycle safety for children
5. Performing self-examination of the breasts
Question 10
Type: MCSA
A client has joined a fitness club and is working with the nurse to design a program for weight reduction and
increased muscle tone. The client has tried exercise in the past with success, but has not been participating in a
program for some time. In order to assess the potential for success with this client, the nurse should evaluate
which of the behavior-specific cognitions?
1. Interpersonal influences
2. Perceived benefits of action
3. Situational influences
4. Perceived self-efficacy
Question 11
Type: MCSA
A client has been working hard in rehabilitation following a traumatic brain injury. She has a weak support
system in that her family lives a far distance away and her coworkers are not involved. On which behavior-
specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
1. Situational influences
2. Perceived benefits of action
3. Perceived barriers to action
4. Interpersonal influences
Question 12
Type: MCSA
A client is learning how to manage his asthma. In providing teaching, the nurse stresses the importance of using
the peak flow meter every morning to help determine changes in respiratory status. The nurse is stressing which
health promotion behavior?
1. Competing preferences
2. Competing demands
3. Situational influences
4. Interpersonal influences
Question 13
Type: SEQ
Before helping a client with smoking cessation, the nurse reviews the steps of the change process. In which order
should the nurse expect the client to progress through the stages of health change behavior? Arrange the following
stages in the correct order:
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Preparation stage
Choice 2. Contemplation stage
Choice 3. Maintenance stage
Choice 4. Precontemplation stage
Choice 5. Termination stage
Choice 6. Action Stage
Question 14
Type: MCSA
Several nursing students have been discussing the benefits of joining a study group. They realize the importance
of applying nursing knowledge to the clinical area and determine that together they may be more effective in
retaining this information than if they continued in their individual settings. Which stage of behavior change are
they exemplifying?
1. Termination stage
2. Preparation stage
3. Contemplation stage
4. Action stage
Question 15
Type: MCSA
A client with diabetes wants to have better control over her blood sugar levels. She has set a goal that she will
have laboratory values that reflect this, and she has been monitoring her blood sugar twice a day for the past
month. Along with regular checks, she has kept all appointments with her nutritionist. This client is modeling
which stage of health behavior change?
1. Termination stage
2. Maintenance stage
3. Contemplation stage
4. Action stage