Deck 5: Motivation

Question 1

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."

Answer 1

"I can't wait to try the new recipes, and I'm hopeful I will lose weight."

Question 2

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.

Answer 2

Develop a plan of exercise and weight loss that is assertive and entails beating the previous week's goal.

Question 3

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?"

Answer 3

"What do you need to know before you go home from the hospital?"

Question 4

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

Question 5

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

Question 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

Question 7

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.