Chapter 2 Prep U (Study Guide for Health Promotion Exam 1)

What is the definition of wellness? Being without disease An active state of being healthy A desire to be without disease Maximizing the state in which you live

An active state of being healthy

Which is the best example of health-promotion education? Demonstrating an injection technique to a client for anticoagulant therapy Explaining the side effects of a medication to an adult client Discussing prevention of sexually transmitted infections (STIs) with 12th-grade students Instructing an adolescent client about safe food preparation

Discussing prevention of sexually transmitted infections (STIs) with 12th-grade students

A community health nurse arranges for a dental checkup camp for the local children in the school district. Which of the following would most likely be the nurse's goal for this health camp? Illness prevention Health promotion High-level wellness Reversal of self-care deficit

Health Promotion

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? Clinical model Holistic health model Health belief model High-level wellness model

Health belief model

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 Illness prevention Self-concept Diagnosis of disease

Health promotion

Which model of health and illness places high-level health and death on opposite ends of a graduated scale? Health-Illness Continuum Agent-Host-Environment Model Health Belief Model Health Promotion Model

Health-Illness Continuum

A nurse is teaching a client experiencing stress about how relaxation helps to reduce the effects of stress on the body. Which underlying concept would the nurse integrate into the explanation about how relaxation works? Helps to increase the effects of parasympathetic nervous system on the mind and body Increases the body's natural immunity Activates natural pleasure centers Slows circulation throughout the body

Helps to increase the effects of parasympathetic nervous system on the mind and body

A home care nurse delivers care that incorporates a philosophy that focuses on connections and interactions between parts of the whole. Which term best describes this philosophy? Holism Complementary therapy Integrative care Homeopathy

Holism

Which of the following is a theory and philosophy that focuses on connections and interactions between parts of the whole? Complementary therapies Allopathic medicine Integrative care Holism

Holism

The nursing instructor is discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students? Allopathic perspective Medical system perspective Holism perspective Integrative perspective

Holism perspective

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? Promoting safety in the home Instructing a client on how to use crutches Counseling a client about a low-sodium diet Assessing a client's blood glucose level

Instructing a client on how to use crutches

A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean? It is an all-natural product. It is not contaminated by other ingredients. It contains a certain amount of an active ingredient. It can be toxic in higher-than-normal doses.

It contains a certain amount of an active ingredient.

Which nursing activity reflects secondary prevention? Promoting the use of seat belts Making a referral for a mammogram Discussing the use of drugs and alcohol Promoting the use of helmets while riding motorcycles or bicycles

Making a referral for a mammogram

The practitioner is working with structures and systems within the human body, including the bones, muscles, joints, and circulatory system. Which one of the complementary and alternative therapy domains is being used? Mind and body medicine Energy medicine Manipulative and body-based practice Biologically based practice

Manipulative and body-based practice

Which clients, at risk for health disparities, may require additional assistance from the nurse in order to access healthcare services? (Select all that apply.) Students entering a local university Migrant farm workers Older adult clients in a senior citizen complex Clients who have been unemployed for several months First-time pregnant mothers

Older adult clients in a senior citizen complex Clients who have been unemployed for several months Migrant farm workers

A baby is born with Down syndrome, which influences the child's health-illness status. This is an example of which human dimension? Physical Emotional Environmental Sociocultural

Physical

Age, race, gender, and genetic inheritance are examples of what human dimension? Physical Emotional Environmental Holistic

Physical

A camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent? Primary Secondary Tertiary Restorative

Primary

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of? Primary Secondary Tertiary Medical

Primary

A group of students is reviewing information about traditional Chinese medicine as a complete healing system that includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and meditation. The students demonstrate understanding of this concept when they identify the core of traditional Chinese medicine as: Qi Mind Body Environment

Qi

A nurse practitioner is conducting a presentation at a local community center about complementary health approaches. One of the participants asks the nurse practitioner, "Everybody is talking about relaxation. Just how does relaxation help a person?" The nurse responds, integrating which effect as being associated with relaxation? Select all that apply. Better sleep and rest Less anxiety Reduced muscle tension Lowered immune response Improved sense of well-being

Reduced muscle tension Less anxiety Better sleep and rest Improved sense of well-being

Which principle does not encompass the basic goals of integrative medicine? Reject allopathic medicine and embrace CAM practices. Establish a partnership between client and practitioner. Facilitate the body's innate healing abilities. Focus on promoting health and preventing illness, as well as treating disease.

Reject allopathic medicine and embrace CAM practices.

On the advice of friends, a client on a palliative care unit has requested acupuncture. What it is the goal of this form of CAM? Restoring a healthy flow of energy along the meridians of the body Reconnecting the client's body, spirit, and emotions Altering the client's perception and acceptance of reality Allowing accumulated toxins to be released from the body

Restoring a healthy flow of energy along the meridians of the body

Which scenario is an example of tertiary prevention? Sam is prescribed an antihypertensive medication to control his newly diagnosed high blood pressure. Linda is having her first colonoscopy because she just turned 50. A school nurse is giving a talk about good handwashing to a first-grade class. A pamphlet on nutrition for children is given to all clients in a pediatric clinic. A hearing test is done on a newborn in the hospital.

Sam is prescribed an antihypertensive medication to control his newly diagnosed high blood pressure.

The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure? Primary Quanternary Secondary Tertiary

Secondary

The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of? Primary Secondary Tertiary All three levels

Secondary

A nurse is teaching a client how to perform meditation. Which would the nurse emphasize that the client do first? Straighten the spine. Select an appropriate location. Count silently from 1 to 4. "Belly-breathe"

Select an appropriate location.

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? Spiritual needs Sociocultural needs Intellectual needs Emotional needs

Sociocultural needs

A nurse is providing an educational event to a local group of disabled citizens. What would be important for the nurse to be aware of when planning this event? The health promotion needs of the group listening to the nurse What the disability of each person is Wellness needs of each individual person What the families want the nurse to talk about

The health promotion needs of the group listening to the nurse

The nurse is preparing a plan of care for a client with nutritional deficits. Which is the priority intervention for this client? teaching about weight loss programs teaching about intake of food and vitamins teaching about binge eating acknowledging weight problems

teaching about intake of food and vitamins

A nurse is taking care of a client who has a new, permanent colostomy. The nurse is talking with the client about the new appliance and asking how the client feels about managing it. Which client response indicates understanding of the relationship between self-concept and health? "I have lots of help at home, so I am not too worried about having to take care of it myself." "I am a pretty smart guy, so I will learn to do this quickly." "I am developing a set of realistic expectations to help me manage my overall health and quality of life." "I realize my overall health is important in determining my quality of life, so I will make sure to keep all appointments for my appliance care."

"I am developing a set of realistic expectations to help me manage my overall health and quality of life."

The nurse is caring for a client diagnosed with pancreatic cancer. The client would like to use integrative care as a health care choice. What is the best response by the nurse? "There are several alternative medicine modalities that could help with pain and relaxation during your treatment. I will get you some information on them." "It is not proven that complementary health approaches have any value in treating terminal illnesses such as pancreatic cancer. It is best to avoid those types of therapies." "You should consider using dietary supplements and botanicals, because this approach to your care can prove to have a healing effect on the body." "The health care provider will make a plan for your care and inform you what that will be. It is not advisable for you to participate in any type of therapy outside of this plan."

"There are several alternative medicine modalities that could help with pain and relaxation during your treatment. I will get you some information on them."

The nurse recognizes which statement made by a middle-aged client 40 lb (18 kg) over ideal weight best illustrates the effect of self-concept on health and illness? "I am just too busy with my kids to bother about a diet." "Why should I lose weight? I'll still be fat." "My sister is thin, but I don't think she looks that good." "My spouse loves me this way."

"Why should I lose weight? I'll still be fat."

Which statement illustrates the effect of the sociocultural dimension on health and illness? "Why shouldn't I drink and drive? Everyone else does." "My mother has sickle cell anemia, and so do I." "I know I have heart problems, so I have changed my diet." "I used biofeedback to lower my blood pressure."

"Why shouldn't I drink and drive? Everyone else does."

For which client might the nurse need to alter the plan of care based on the principles of the client's chosen medical system? A client who visits a chiropractor A client who believes in a strong mind-body connection A client who is being treated by a naturopathic physician A client who is being treated by an allopathic physician

A client who is being treated by a naturopathic physician

The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition? A client who fell off a roof 2 weeks ago and is experiencing continuous lower back pain A client returning for a follow-up visit after a shoulder sprain 1 week ago A client diagnosed with diabetes mellitus (DM) who stubbed the great toe and now has a wound A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing

A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing

While assessing a client, the client tells the nurse that he is a follower of traditional Chinese medicine and the concept of qi. Based on the nurse's understanding of this concept, which treatment modality would the nurse expect the client to mention? Therapeutic Touch (TT) Physiotherapy Allopathy Acupuncture

Acupuncture

A nurse is caring for a client admitted for a prolonged stay on a medical-surgical unit. The client has been having difficulty sleeping and appears depressed. Applying the holistic health model, which action taken by the nurse would be most appropriate? Ask the client's family to bring some items from home, such as a blanket, pillow, or pictures Reassure the client how lucky he or she is to have family visit often and reassure the client that he or she will be going home soon Suggest the client try some meditation and contact the health care provider to request medication to help with sleep Document the observations, and encourage the client that he or she will feel better once going home

Ask the client's family to bring some items from home, such as a blanket, pillow, or pictures

Which nursing intervention is an example of tertiary preventive care? Assisting with speech therapy a client with a traumatic brain injury Administration of immunizations to a 6-month-old child Blood pressure screenings at a senior center Teaching stress reduction classes at a wellness center

Assisting with speech therapy a client with a traumatic brain injury

Which nursing activity reflects care given on the tertiary level of healthcare delivery? Educating the client about safe habits Recommending regular exams Assisting with transplant surgery Teaching the client about exercise programs

Assisting with transplant surgery

The nurse is educating a client on how to use herbs and supplements as part of an integrated treatment plan. Which teaching points would the nurse include? Select all that apply. Use the Internet to buy herbs and supplements. Whenever possible, buy products with more than one ingredient. Buy herbs and supplements that are standardized. Give the product adequate time to work. Be knowledgeable about the product and its therapeutic actions. Take a higher than recommended dose of herbs to initiate the therapeutic effect.

Be knowledgeable about the product and its therapeutic actions. Buy herbs and supplements that are standardized. Give the product adequate time to work.

Which method involves using a special machine to become alert to body processes and to learn to control them? Reflexology Magnetism Acupuncture Biofeedback

Biofeedback

The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary-level prevention? Screening for tuberculosis Assessing for risk factors for heart disease Teaching about adhering to a low-sodium diet Screening for breast cancer every 5 years

Teaching about adhering to a low-sodium diet

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

Tertiary

Why are models of health promotion and illness prevention useful when planning health care? Select all that apply. The models assist healthcare providers to understand health-related behaviors. The models are useful for adapting care to people from diverse backgrounds. The models help overcome barriers related to increased number of people without health care. The models aid in finding cures for chronic diseases. The models overcome barriers to care for low-income and rural populations.

The models overcome barriers to care for low-income and rural populations. The models assist healthcare providers to understand health-related behaviors. The models are useful for adapting care to people from diverse backgrounds. The models help overcome barriers related to increased number of people without health care.

A nurse who has incorporated complementary and alternative medicine (CAM) into nursing practice is caring for a client in a short-term care facility. Which examples of nursing interventions are based on CAM? Select all that apply. The nurse investigates herbs that may stimulate the client's immune system. The nurse encourages the client to join a yoga class. The nurse administers pain medication prescribed by the primary care provider. The nurse schedules diagnostic tests for the client. The nurse teaches the client how to meditate. The nurse uses guided imagery to relieve client anxiety.

The nurse teaches the client how to meditate. The nurse investigates herbs that may stimulate the client's immune system. The nurse uses guided imagery to relieve client anxiety. The nurse encourages the client to join a yoga class.

What have the models of health promotion and illness prevention been used for? To define a medical framework for the care of the disabled. To create a forum for improving rehabilitative care. To help health care providers understand health-related behaviors. To formulate care plans for the disabled population.

To help health care providers understand health-related behaviors.

The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model? How people interact with their environments How health is a constantly changing state What people believe to be true about their health Factors that predispose a person to infectious diseases

What people believe to be true about their health

While interviewing a client during a routine health visit, the client informs the nurse that he meditates regularly to combat stress. The nurse demonstrates understanding that this technique involves: engaging in deep personal thought and reflection. stimulating the meridians. balancing Yin and Yang. consciously directing energy exchange.

engaging in deep personal thought and reflection.