When assessing a 22-year-old male patient, the nurse learns that ...

[aabwk4]

When assessing a 22-year-old male patient, the nurse learns that he smokes a pack of cigarettes daily. The patient tells the nurse, I enjoy smoking and have no plans to quit. Which nursing diagnosis is most appropriate?
 
  a. Health Seeking Behaviors related to cigarette use
  b. Ineffective Health Maintenance related to tobacco use
  c. Readiness for Enhanced Self-Health Management related to smoking
  d. Deficient Knowledge related to long-term effects of cigarette smoking

Question 2

A patient with hypertension is prescribed a low-sodium diet. The patient's teaching plan includes this goal: The patient will select a 2-gram sodium diet from the hospital menu for the next 3 days.
 
  Which intervention would be most effective at increasing the patient's compliance with the diet?
  a. Check the sodium content of the patient's menu choices over the next 3 days.
  b. Ask the patient to identify which foods on the hospital menus are high in sodium.
  c. Have the patient list favorite foods that are high in sodium and foods that could be substituted for these favorites.
  d. Compare the patient's sodium intake over the next 3 days with the sodium intake before the teaching was implemented.

[apple]

Answer to Question 1

ANS: B
The patient's statement indicates that he is not considering smoking cessation. Ineffective Health Maintenance is defined as the inability to identify, manage, and/or seek out help to maintain health.

Answer to Question 2

ANS: C
Including a patient's favorite foods will most likely increase compliance, because the patient is not being deprived. Checking the sodium will be useful for teaching strategies but will not be the most effective means of increasing adherence.

[aabwk4]

TYSM

[helenmarkerine]

Excellent