Test bank for concepts for nursing practice 1th edition by giddens

The nurse is developing a plan of care for a newly diagnosed hypertensive patient who is being discharged on medications and given the Dietary Approaches to Stop Hypertension DASH diet t

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Concept 5: Motivation

Test Bank

MULTIPLE CHOICE

1 The nurse is assessing a patient’s personal traits using the Influential Characteristics on Motivation tool What assessment parameters will be included in this assessment?

a Developmental, cognitive, and educational levels;

emotional readiness; actual or perceived state of

health or illness

b Psychologic availability, readiness of health care

system, and level of difficulty and ambiguity of

task

c Cultural expectations and customs and emotional

ties such as love, intimacy, and sexual

gratification

d Available human and physical resources and

accessibility of health care facility

ANS: A

Developmental, cognitive, and educational levels; emotional readiness; and actual or perceived state of health or illness are all personal motivational traits Psychologic availability, readiness of health care system, and level of difficulty and ambiguity of task are environmental factors Cultural

expectations and customs and emotional ties such as love, intimacy, and sexual gratification are relationship motivators Available human and physical resources and accessibility of health care facility are environmental

motivators

REF: 44 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity

2 The nurse is developing a plan of care for a newly diagnosed

hypertensive patient who is being discharged on medications and given the Dietary Approaches to Stop Hypertension (DASH) diet to follow What statement by the patient signals to the nurse that the patient is motivated to learn?

a “I am sure the medications will help to bring down

my blood pressure.”

b “I can’t wait to try the new recipes, and I’m hopeful

I will lose weight.”

c “Do I really need to follow the diet and take

medications?”

d “I have my parents to blame for this They both

have high blood pressure.”

ANS: B

A patient who is motivated will see what the benefits of following the teaching will do for them The patient who believes medications are the only solution may not be motivated to follow the prescribed diet Blaming the parents for their condition does not show accountability or motivation for change

REF: 41

OBJ: NCLEX® Client Needs Category: Physiological Integrity and

Physiological Integrity: Physiological Adaptation

3 The nurse is assessing intrinsic motivational levels of a patient who just had knee replacement surgery Which behaviors would indicate that the patient is intrinsically motivated?

a Agrees to take blood thinners as prescribed

because that is what the doctor prescribed

b Verbalizes an understanding of taking blood

thinners postop to reduce risk of clotting

c Knows that exercise and physical therapy (PT) will

help speed recovery

d Enjoys exercise and PT, asks for pamphlets to

learn about rehab techniques

ANS: D

A patient who enjoys exercise is intrinsically motivated Taking medication as prescribed and verbalizing an understanding are extrinsic motivators

Exercising to promote healing is an example of extrinsic motivation

REF: 41 OBJ: NCLEX® Client Needs Category: Physiological Adaptation

4 The nurse is trying to help an obese diabetic patient who has 30 pounds

to lose The nurse is setting weight loss goals that the patient will attain Which goals would most likely cause an increase in motivation in this patient?

a Follow American Diabetic Diet, lose 2 pounds a

week, and 20 pounds in 2 months

b Follow American Diabetic Diet, lose 5 pounds a

week, and 5 pounds in 2 months

c Follow American Diabetic Diet, lose 1 pound a

week, and 10 pounds in 2 months

d Follow American Diabetic Diet, lose 3 pounds a

week, and 30 pounds in 2 months

ANS: C

Losing 1 pound a week is a moderately hard goal which should motivate the patient Two pounds is too hard and may cause the patient to become

discouraged Half a pound is too easy and may not be perceived as a

challenge Three pounds is too hard, and the patient may become

discouraged

REF: 42 OBJ: NCLEX® Client Needs Category: Health

Promotion and Maintenance

5 The nurse is working with the interprofessional team to develop a plan

of care for a patient who had a myocardial infarction 5 days ago and is about to go home The team has decided to focus in-home rehabilitation

on medications, regaining strength, and losing weight What

interventions will be in the initial plan of care if this patient is motivated

by power?

a Develop a plan of exercise and weight loss that is

assertive and entails beating the previous week’s

goal

b Develop a plan of exercise and weight loss that is

slow and gradually increases

c Develop a plan of exercise and weight loss that

enacts consequences if the plan is not followed

d Develop a plan of exercise and weight loss that

involves rewards and positive reinforcement from

the health care team

ANS: A

It is important to be assertive with persons who are power motivators,

because this will increase their chances of successful rehabilitation Affiliative motivation is geared towards rewards and support and also slow, gradual changes Avoidance motivation entails showing the person what will happen if they do not follow the treatment plan

REF: 42-43

OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential

6 A patient expresses a strong interest in returning to their work, family, and hobbies after having a stroke Which theory type would the nurse use to develop a plan of care for the best results of this patient’s

motivation style?

a Biological

b Field

c Sociologic

d Cognitive

ANS: D

Cognitive theorists believe that attention, relevance, confidence, and

satisfaction (ARCS) are the conditions that, when integrated, motivate

someone to learn Field theorists place significance on how achievement, power, the need for affiliation, and avoidance motives influence individual behavior Sociologic theories are not involved in motivation

REF: 44-45 OBJ: NCLEX® Client Needs Category: Health

Promotion and Maintenance

7 The nurse is assessing a patient’s readiness to be discharged What is the most appropriate question for the nurse to ask to determine the patient’s learning needs before planning teaching activities?

a “What are your hobbies and occupation?”

b “What do you need to know before you go home

from the hospital?”

c “Do you have any cultural or religious beliefs that

you would like incorporated into your plan of

care?”

d “What were your grades and learning style when

you were in school?”