Foundations Prep U's Chapter 3

The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement?

"I cannot possibly ever be considered as healthy."

A client who has recently been diagnosed with a chronic illness appears to be depressed. When the nurse asks if there is something wrong, the client states, "Nothing will ever be the same for me since I have this disease." What is the most appropriate response for the nurse?

"If you maintain a positive self-concept, you can live as normally as possible."

A 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

An older adult patient has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness?

Assuming a dependent role

A teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?

Emotional dimension

A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, with a random blood glucose reading of 575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath. This client has experienced which phenomenon?

Exacerbation

A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?

Extended care

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.)

Family Intimacy Friendships

When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?

Health belief model

Which definition of health is the best?

Health is a state of complete well-being.

A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?

Health promotion

The nurse is working in an acute care setting and performs primary, secondary, and tertiary prevention. Which activity performed by the nurse is classified as tertiary prevention?

Instructing a client on how to use crutches

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?

It has a gradual onset and lasts for a long time.

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

Which scenario accurately depicts the influence of one's religious beliefs on health and health care

Orthodox Jews prohibiting the intake of pork

A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of health care delivery does this test suggest?

Primary

A nurse is immunizing children against measles. This is an example of what level of preventive care?

Primary

Which is an example of tertiary health promotion?

Rehabilitation

Which are characteristics of chronic conditions? (Select all that apply.)

Require lifelong management Have a prolonged course Are rarely curable

A mammogram represents which level of prevention?

Secondary prevention

What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.

Sleeping 7 to 8 hours each night Maintaining an ideal body weight Eating regular healthy meals

A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The client states that it is nearly impossible to quit drinking because of the deep entrenchment of alcohol use in the client's circle of friends and line of work. As well, the client claims to have thought that drinking only beer and foregoing hard alcohol would prevent health problems. This client is exhibiting health consequences rooted in which human dimensions?

Sociocultural and intellectual

A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness?

Symptoms are not experienced.

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

A 13-year-old client with cystic fibrosis who is being discharged confides in the nurse that her parents argue a lot. Sometimes, her mother has too much to drink and starts throwing things at people. At times she gets scared her mom will hurt someone. She feels as if she is causing her parents to fight and her mom to drink because she is always in the hospital. She also worries about getting a bad grade in school due to her many absences and not getting into a good college. According to Maslow's hierarchy of human needs, which issue should take priority when caring for this client?

The client feels scared that her mother will hurt someone.

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:

agent.

An older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation center where the client had to relearn how to perform activities of daily living, including feeding and dressing. The client has often voiced a desire to be as active as possible. The client now expresses a strong desire to go home. The nurse recognizes that these statements made by the client indicate that the client is:

giving up the dependent role.

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help them maintain independence.

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:

high-level wellness.

A client enjoys eating high-calorie carbohydrate meals, but understands her blood sugar can increase sharply, ultimately causing the feeling of butterflies in her stomach as her blood sugar decreases. This is considered:

self-concept.

What have the models of health promotion and illness prevention been used for?

To help health care providers understand health-related behaviors.

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world.