A client who overeats and is overweight is admitted to the hospital for shortness of breath. Which of the following statements by the nurse reflects Bandura's social theory?
a. Your cardiac studies reveal an enlarged heart. This is a sign of cardiac problems.
b. I know you love to eat, but your current lifestyle is not conducive to good health.
c. Can you remember what it was like to get up and go to work every day? Your buddies miss you.
d. If you were to lose weight, you would no longer experience shortness of breath. Just think about how much better you would feel to breathe normally.
Question 2A client who has an elevation in serum cholesterol continues to eat red meat and fried foods. Which stage of change is this client experiencing?
a. Determination
b. Action
c. Precontemplation
d. Contemplation
Question 3A client who is recovering from her second myocardial infarction refuses to give up smoking. She states, I've smoked so long now there's no point quitting as the damage is done. This statement is best understood in the context of which of the following?
a. Social learning theory
b. Pender's health promotion model
c. The transtheoretical model of change
d. Healthy People 2010
Question 4The initial interpersonal strategy to help the client reduce strong emotion to a workable level involves
a. talking the emotion through with someone.
b. providing a neutral, accepting, interpersonal environment.
c. taking action that might help the client come to terms with the emotional consequences.
d. obtaining more information.
Question 5Which of the following are strategies the nurse should use when dealing with an angry client? (Select all that apply.)
a. Defuse hostility
b. Avoid responding to a client's anger by getting angry
c. Speak quickly and use a higher tone of voice
d. Use empathy when communicating with the client
e. Remain with the client
Question 6The nurse is teaching an unlicensed assistive personnel (UAP) on potential approaches for dealing with difficult clients. The nurse recognizes that additional teaching is required when the UAP states
a. I will be assertive by conveying my irritation toward the client's behavior.
b. I will collaborate with staff so we all use the same uniform approach when responding to the client's demands.
c. I will promote trust in the client by providing immediate feedback.
d. I will explain to the client the limits of my role as an UAP.
Question 7When interacting with the nurse, a client makes several condescending remarks directed toward the nurse. The nurse recognizes this behavior as an example of
a. the use of humor.
b. active listening.
c. a verbal clue to anger.
d. assertiveness.