1.|A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health?|
A)|The medical nurse|
B)|The community health nurse who has also worked with Mrs. Griffin|
C)|Mrs. Griffin's primary care provider|
D)|Mrs. Griffin|
Ans:|D|
|Feedback:|
|American society places a great importance on health and the responsibility that each of us has to maintain and promote our own health. Therefore, the other options are incorrect.|

2.|An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen?|
A)|Ethnic background of health care provider|
B)|Costs of the prescribed regimen|
C)|Presence of a learning disability|
D)|Personality of the physician|
Ans:|B|
|Feedback:|
|Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. The ethnic background of the health care provider and the personality of the physician are not considered variables that appear to influence the degree of adherence to a prescribed therapeutic regimen. A learning disability could greatly affect adherence, but cost is a more likely barrier.|

3.|A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist