Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

Expected Outcome: At next visit, 10/27/11, patient

will report adherence to the exercise program devel-

oped 9/30/11 (additional goals will describe desired

changes in weight and cholesterol level).

Nursing Interventions:

a.Explore the patient’s fitness goals, interest, skills,

exercise opportunities, and exercise capacity.

b.Assist the patient in obtaining medical clearance

for exercise.

c. Explore feasible exercise activities with the

patient, considering health benefits sought, time

involved, need for special equipment,

precautions, and risk.

d.Develop an exercise program that specifies

warm-up and cool-down activities and three or

four major exercise activities from which the

patient can choose. Specify frequency, duration,

and intensity.

e.Encourage the patient to complement the

exercise program with everyday activities that

require exercise.

f. Try to identify with the patient potential threats

to the exercise program’s successful implementa-

tion. Plan support strategies.

Evaluative Statement:10/27/11: Goal partially met—

patient reports that the second week into his

program his “jogging buddy” got sick and that with-

out the support of his friend he stopped exercising

regularly; wants to resume. Revision: Explore new

strategies to strengthen resolve/adherence.

—J. McKeough, RN

3.Patient strengths: Patient is highly motivated to

develop new self-care behaviors as a result of his

father’s death—asking for help.

Personal strengths: Good understanding of the rela-

tionship between self-care behaviors (exercise, nutri-

tion) and health; experienced in designing exercise

programs; knowledge of benefits/risks associated

with exercise; strong interpersonal/counseling skills

4.10/27/11: Whereas the patient left the last session

“enthusiastic” about beginning an exercise

program, he reported today that he “feels like a fail-

ure” since he wasn’t faithful to the goals he set for

himself. After losing his exercise buddy, he found it

easy to “skip runs,” and he hasn’t found another

racquetball partner. We identified and reinforced

the progress he has made and developed new

expected outcomes that are less dependent on

external support.—J. McKeough, RN

CHAPTER 34

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.b 2.a 3.d 4.b 5.a

6.d 7.c 8.d 9.b 10.c

11.b 12.b

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.a, c, e

2.d, e, f

3.a, d, f

4.b, d, e

5.c, d, f

6.a, b, c

7.b, c, e

8.a, e, f

Prioritization Question

1.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

ANSWER KEY 389

db ca f h

ieg

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.The reticular activating system (RAS) and bulbar

synchronizing region

2.Delta sleep

3.Parasomnias

4.Insomnia

5.Hypersomnia

6.Narcolepsy

MATCHING EXERCISES

1.g 2.a 3.c 4.h 5.b

6.d 7.f 8.i 9.j 10.c

11.a 12.a 13.d 14.b 15.c, d

16.b 17.d 18. a

CORRECT THE FALSE STATEMENTS

1.True

2.True

3.False—at stage I, NREM sleep

4.False—4 or 5

5.False—14 to 20

6.True

7.False—protein and carbohydrate

8.False—hinders

9.True

10.True

11.False—sleep apnea

SHORT ANSWER

1. a.Restores physical well-being
   b.Relieves stress and anxiety
   c. Restores the ability to cope and to concentrate
   on activities of daily living


2. a.Infants: 10 to 12 hours/day
   b.Growing children: 10 to 14 hours/day
   c. Adults: 7 to 9 hours/day
   d.Older adults: May require a longer time to go to
   sleep and wake earlier and more frequently dur-
   ing the night

LWBK696-Ans_p327-424.qxd 9/4/10 3:09 AM Page 389 Aptara Inc.