Chapter 3 Prep U

What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply.

- Alterations in roles - Economic problems - Alterations in lifestyle - Decrease in social interactions

Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply.

- Learn to live as normally as possible - Maintain a positive self-concept - Maintain a sense of hope

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

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

Why do nurses need to care for their own health needs? Select all that apply.

- To allow them to give effective nursing care to others - To enable them to practice more efficiently - To help them serve as role models for clients

When providing holistic care to a client, the nurse recognizes that which behaviors are necessary? Select all that apply.

- Understand and respect each person's definition of health. - Understand and respect each person's responses to illness.

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

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

What is a misconception about chronic disease?

Chronic illnesses cannot be prevented.

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 exposed to bacterial pneumonia. The client has been eating poorly, with limited intake of nutrients. This factor would predispose a client to the development of pneumonia. Poor nutritional intake is classified as the

Environment

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 is the most accurate definition of health?

Health is a state of complete physical, mental, and social well-being.

Which definition of health is the best?

Health is a state of complete well-being.

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?

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 community health nurse has noticed a large number of women in the community are not getting regular mammograms. This is a rural community with limited access to health care. Which action would be the most appropriate for the nurse to pursue to promote compliance in getting annual mammograms?

Arrange for a mobile mammography unit to come to the community several days a month.

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.

The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking?

Modifiable

The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?

Monitoring airway clearance.

The nurse is preparing to talk to a local community group regarding chronic illness. The nurse informs the group that both external and internal factors influence a person's health. When discussing the fact that the male client has a higher chance of developing lung cancer due to his gender, which dimension is the nurse referring to?

Physical dimension

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?

What people believe to be true about their health

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 breast cancer. The client tells the nurse: "I don't know why this happened to me, but I'm ready to move on and do whatever I need to do to get healthy again." This client is in which stage of acute illness?

Stage 3

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?

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?

Tertiary

The nurse is educating a client with diabetes on how to better control blood sugar levels and recognize the symptoms associated with both hyperglycemia and hypoglycemia. The client is frequently admitted to the hospital due to elevated blood sugars. This education is an example of which level of health promotion?

Tertiary

A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?

Tertiary prevention

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

A nurse observes that a client who has pneumonia is in the recovery and rehabilitation stage of the illness. Which statement describes the client response that the nurse would expect at this stage of the illness?

The client gives up the dependent role.

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

To help health care providers understand health-related behaviors.

What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

Wellness

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

help them maintain independence.

The concept of holism is based on the belief that:

individuals cannot be seen apart from the environment.

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.

A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (Select all that apply.)

- Examples of heart-healthy diet - Information on increasing activity and exercise

Which are factors that impact how a client defines health? Select all that apply.

- Family - Culture - Community - Society

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

- Family - Intimacy - Friendships

Consultation and diagnostic tests are included in which level of health care?

Secondary care

A nurse is caring for a 17-year-old client whose left leg was amputated after being crushed in a motor vehicle accident. Which intervention might the nurse perform to address the client's intellectual dimension?

Teaching her how to care for the stump and explaining the rehabilitation program

Which model is most useful in examining the cause of disease in an individual and is based upon external factors?

The Agent-Host-Environment Model

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

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

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?

Secondary

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.

What is the definition of wellness?

An active state of being healthy

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

Chronic illnesses are the leading health problem in the world.

A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address?

Coronary artery disease

The nurse is certified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform first?

Requesting the client's permission to touch the body

A client is admitted to the mental health center after attempting suicide. Which client concern is the priority for the nurse to manage?

Risk of self-harm

When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's:

age and developmental stage.

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

agent

A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by:

disappearance of signs and symptoms associated with the disease.

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.

What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?

health

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