Nurs 222 CoursePoint Chapter 3
A nurse is interviewing a family. During the interview, the nurse gathers information about the family's environmental dimension. Which element would the nurse include in this assessment? (2) 1) Developmental stage 2) Race 3) Coping strategies 4) Housing situation 5) Local climate
1) Housing situation 2) Local climate
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? 1) Primary 2) Secondary 3) Tertiary 4) All three levels
Secondary
Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? 1) Environmental risk factor 2) Physiologic risk factor 3) Health habits risk factor 4) Lifestyle risk factor
Environmental risk factor
A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care? 1) HMO 2) Emergency department 3) PPO 4) Extended care
Extended care
Why do nurses need to care for their own health needs? (3) 1) To allow them to give effective nursing care to others 2) To enable them to practice more efficiently 3) To help them serve as role models for clients 4) To make them look more appealing to the public 5) To deemphasize the importance of care provided by physicians
1) To allow them to give effective nursing care to others 2) To enable them to practice more efficiently 3) To help them serve as role models for clients
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? 1) "I need to start slow on an exercise program approved by my healthcare provider." 2) "Over 80% of cases of type 2 diabetes could be prevented if the risk factors were eliminated." 3) "There is nothing that can be done anyway; chronic diseases cannot be prevented." 4) "The major causes of chronic diseases are known."
"There is nothing that can be done anyway; chronic diseases cannot be prevented."
A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating? 1) Assuming the sick role 2) Experiencing the symptoms 3) Assuming the dependent role 4) Achieving recovery and rehabilitation
Assuming the sick role
When providing holistic care to a client, the nurse recognizes that which behaviors are necessary? (2) 1) Understand and respect each person's definition of health. 2) Understand and respect each person's responses to illness. 3) Focus on a standard definition of health and beliefs. 4) Apply the model of health that is most popular. Instruct the client that health is an inactive process.
1) Understand and respect each person's definition of health. 2) Understand and respect each person's responses to illness.
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? 1) Sociocultural and intellectual 2) Environmental and spiritual 3) Emotional and environmental 4) Physical and emotional
Sociocultural and intellectual
A nurse is immunizing children against measles. This is an example of what level of preventive care? 1) Primary 2) Secondary 3) Tertiary 4) Chronic
Primary
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? 1 )Considering the client's developmental stage when planning nursing care 2) Encouraging friends and relatives to visit often and bring games to distract her 3) Teaching her how to care for the stump and explaining the rehabilitation program 4) Providing the opportunity for a counselor to come in and talk to her about her loss
Teaching her how to care for the stump and explaining the rehabilitation program
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? 1) "I can achieve a maximum level of functioning." 2) "I cannot possibly ever be considered as healthy." 3) "I can achieve a high quality of health and life." 4) "I have an illness, but I can feel as if I am healthy."
"I cannot possibly ever be considered as healthy."
The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition? 1) A client who fell off a roof 2 weeks ago and is experiencing continuous lower back pain 2) A client returning for a follow-up visit after a shoulder sprain 1 week ago 3) A client diagnosed with diabetes mellitus (DM) who stubbed the great toe and now has a wound 4) 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
Which client would most benefit from the nurse including in the plan of care interventions addressing emotional health? 1) A client with a new onset of renal failure 2) A stressed client who is experiencing paranoid delusions 3) An adolescent client who is feeling sad and lonely after visiting hours ended 4) A new mother cradling her infant
A stressed client who is experiencing paranoid delusions
What is the definition of wellness? 1) Being without disease 2) An active state of being healthy 3) A desire to be without disease 4) Maximizing the state in which you live
An active state of being healthy
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? 1) Teach a class that stresses the importance of self-breast examination and regular mammogram screening. 2) Arrange buses on a quarterly basis to take women to an urban area for mammogram screening. 3) Mail flyers to women in the community offering instruction on where to go in a nearby city for mammograms. 4) Arrange for a mobile mammography unit to come to the community several days a month.
Arrange for a mobile mammography unit to come to the community several days a month.
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation? 1) Congenital illness 2) Hereditary illness 3) Acute illness 4) Chronic illness
Chronic illness
Why are health promotion and illness prevention a key responsibility of nurses? 1) Chronic illnesses can cause pain and suffering. 2) Treatment of chronic illnesses is very expensive. 3) Chronic illnesses are the leading health problem in the world. 4) People do not like to be sick and feel bad.
Chronic illnesses are the leading health problem in the world.
What is a misconception about chronic disease? 1) Almost half of chronic deaths occur prematurely in people under 70 years of age. 2) Chronic illness typically does not result in sudden death. 3) The major cause of chronic disease is known. 4) Chronic illnesses cannot be prevented.
Chronic illnesses cannot be prevented.
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? 1) Exacerbation 2) Morbidity 3) Infection 4) Risk factor
Exacerbation
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? 1) Stage 1 2) Stage 2 3) Stage 3 4) Stage 4
Stage 3
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? 1) Primary prevention 2) Secondary prevention 3) Tertiary prevention 4) Residual prevention
Tertiary prevention
To be an effective change agent for wellness, the nurse must: 1) skip breakfast to reduce calories. 2) drink caffeinated beverages. 3) lead a sedentary lifestyle. 4) consume a diet low in fat.
consume a diet low in fat.
The concept of holism is based on the belief that: 1) individuals can be seen in an atomistic fashion. 2) health is achieved through medical care. 3) health is achieved by treatment from physicians. 4) individuals cannot be seen apart from the environment.
individuals cannot be seen apart from the environment.
A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered: 1) adaptation. 2) self-care. 3) self-esteem. 4) health management.
self-care.
Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (3) 1) Family 2) Self-respect 3) Intimacy 4) Status 5) Friendships
1) Family 2) Intimacy 3) Friendships
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? 1) Coronary artery disease 2) Lung cancer 3) Emphysema 4) Cerebrovascular accidents
Coronary artery disease
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? 1) Physical dimension 2) Emotional dimension 3) Intellectual dimension 4) Sociocultural dimension
Emotional dimension
Which definition of health is the best? 1) Health is the absence of disease. 2) Health is how people feel. 3) Health is a state of complete well-being. 4) Health is the lack of physical symptoms.
Health is a state of complete well-being.
What level of prevention is represented by educating a group of clients on breast self-examination? 1) Educational prevention 2) Primary prevention 3) Secondary prevention 4) Tertiary prevention
Primary prevention
Which is an example of tertiary health promotion? 1) Family counseling 2) Water treatment 3) Pap tests 4) Rehabilitation
Rehabilitation
When first diagnosed with cancer, a client was depressed and complained of feeling sick. Now the client has adapted to the diagnosis, recently returned to work, and, since undergoing chemotherapy, reports feeling better than ever. The nurse recognizes that which model of health promotion is most effective in explaining this client's situation? 1) The Health Belief Model 2) The Health Promotion Model 3) The Health-Illness Continuum Model 4) The Agent-Host-Environment Model
The Health-Illness Continuum Model
A nurse provides interventions for clients in a long-term care facility to help them meet their intellectual needs. Which nursing actions promote these needs? (3) 1) A nurse provides education about foot care to a client with diabetes. 2) A nurse manager shuts down a cafeteria to investigate cases of food poisoning. 3) A nurse refers a client experiencing dysfunctional grief to a grief counselor. 4) A nurse explains to an obese client the benefits of following a healthy diet. 5) A nurse shows residents a video discussing modified activities for older adults. 6) A nurse sets up a pet therapy program for the residents.
1) A nurse provides education about foot care to a client with diabetes. 2) A nurse explains to an obese client the benefits of following a healthy diet. 3) A nurse shows residents a video discussing modified activities for older adults.
Which are factors that impact how a client defines health? (4) 1) Family 2) Culture 3) Community 4) Society 5) Music
1) Family 2) Culture 3) Community 4) Society
How can the nurse best demonstrate being a role model for health promotion? 1) Educate others about healthy lifestyles 2) Avoid smoking and drinking alcohol 3) Prevent exposure to communicable diseases 4) Take prescribed medications accordingly
Avoid smoking and drinking alcohol
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? 1) Clinical model 2) Holistic health model 3) Health belief model 4) High-level wellness model
Health belief model
What are common sources of stress in family members due to a hospitalization of a family member? (4) 1) Alterations in roles 2) Economic problems 3) Alterations in lifestyle 4) Decrease in social interactions 5) Increase in exercise
1) Alterations in roles 2) Economic problems 3) Alterations in lifestyle 4) Decrease in social interactions
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? 1) Promoting safety in the home 2) Instructing a client on how to use crutches 3) Counseling a client about a low-sodium diet 4) Assessing a client's blood glucose level
Instructing a client on how to use crutches
The body's attempt to restore balance through self-regulatory mechanisms is termed: 1) homeostasis. 2) equilibration. 3) self-conception. 4) biofeedback.
homeostasis.
A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (2) 1) Information on smoking cessation 2) Blood pressure control and screening 3) Examples of heart-healthy diet 4) Information on increasing activity and exercise 5) Names and numbers of healthcare providers
1) Examples of heart-healthy diet 2) Information on increasing activity and exercise
Which client would most benefit from the nurse including in the plan of care interventions addressing the client's social health? 1) A client with a sexually transmitted infection 2) A stressed client who is learning to using guided imagery for relaxation 3) A spouse and parent who is angry about no longer being able to work due to a spinal cord injury 4) A new mother cradling her infant
A spouse and parent who is angry about no longer being able to work due to a spinal cord injury
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? 1) Primary 2) Secondary 3) Tertiary 4) Medical
Primary
The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure? 1) Primary 2) Quanternary 3) Secondary 4) Tertiary
Secondary
A client, who has just been diagnosed with a chronic condition, asks the nurse what a"chronic condition" means. What would be the nurse's best response? 1) "Chronic conditions usually come on slowly and may have periods of remission and exacerbation." 2) "Chronic conditions are diseases that come and go." 3) "Chronic conditions involve disabilities that require hospitalization." 4) "Chronic conditions require short-term management in extended-care facilities."
"Chronic conditions usually come on slowly and may have periods of remission and exacerbation."
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? 1) "I have lots of help at home, so I am not too worried about having to take care of it myself." 2) "I am a pretty smart guy, so I will learn to do this quickly." 3) "I am developing a set of realistic expectations to help me manage my overall health and quality of life." 4) "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."
Which are characteristics of chronic conditions? (3) 1) Resolve spontaneously 2) Are rarely curable 3) Have a rapid onset 4) Require lifelong management 5) Have a prolonged course
1) Are rarely curable 2) Require lifelong management 3) Have a prolonged course
Which activities would the nurse consider to be lifestyle risk factors for the development of health problems? (3) 1) Avoiding exercise 2) Family history of hypertension 3) Living in an area with high smog levels 4) Participating in extreme sports 5) Maintaining a stressful job
1) Avoiding exercise 2) Participating in extreme sports 3) Maintaining a stressful job
A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading? (3) 1) Family planning services 2) Accident prevention education 3) Heart-healthy nutrition services 4) Skin cancer screening 5) Rehabilitation for relief of low back pain
1) Family planning services 2) Accident prevention education 3) Heart-healthy nutrition services
Which behaviors are necessary for a person to successfully adapt to a chronic illness? (3) 1) Learn to live as normally as possible 2) Accept dependence and adjust to it 3) Maintain a positive self-concept 4) Maintain a sense of hope 5) Give up control of one's life
1) Learn to live as normally as possible 2) Maintain a positive self-concept 3) Maintain a sense of hope
A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? (3) 1) Scheduling immunizations for a child 2) Educating parents about child safety in the home 3) Performing range-of-motion exercises on a client 4) Screening clients for hypertension 5) Scheduling a mammogram for a client 6) Referring a client to family counseling
1) Screening clients for hypertension 2) Scheduling a mammogram for a client 3) Referring a client to family counseling
A nurse is assessing a client for potential variables that influence the client's health. When assessing the client's self-concept, which area should the nurse include? (2) 1) The client's feelings about self as a person 2) The client's view of self physically 3) The client's educational level 4) The client's cultural background 5) The client's degree of interaction with family members
1) The client's feelings about self as a person 2) The client's view of self physically
Which nursing intervention is an example of tertiary preventive care? 1) Assisting with speech therapy a client with a traumatic brain injury 2) Administration of immunizations to a 6-month-old child 3) Blood pressure screenings at a senior center 4) 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? 1) Educating the client about safe habits 2) Recommending regular exams 3) Assisting with transplant surgery 4) Teaching the client about exercise programs
Assisting with transplant surgery
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? 1) Assuming a dependent role 2) Assuming the sick role 3) Experiencing the symptoms 4) Achieving recovery and rehabilitation
Assuming a dependent role
A client makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that helps one know who and what one is? 1) Being 2) Belonging 3) Becoming 4) Befitting
Befitting
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? 1) Monitoring fluid intake and output. 2) Effective pain management. 3) Monitoring airway clearance. 4) Effective infection control measures.
Monitoring airway clearance.
The nurse is caring for a very active, athletic adolescent recently diagnosed with multiple sclerosis. The client appears to be withdrawn and depressed when the nurse asks how he or she is doing today. Using the health belief model, what steps can the nurse take to create a plan of care for this client? 1) Encourage the client to participate in as many activities as he or she can tolerate and provide information for health counselling. 2) Review possible outcomes of the diagnosis with the client, allowing the client to express concerns while providing support. 3) Assure the client that he or she will be able to live a full life, provide education on how to adjust to the new diagnosis, and include the family in any life-changing decisions. 4) Conduct an in-depth interview of the client's previous health issues, how the client reacted to the illness, and what support system the client has. Assure the client that there is nothing to be worried about because many people are diagnosed with this disease, and alert the family to the possibility of depression.
Conduct an in-depth interview of the client's previous health issues, how the client reacted to the illness, and what support system the client has. Assure the client that there is nothing to be worried about because many people are diagnosed with this disease, and alert the family to the possibility of depression.
What is a dynamic state in which a person constantly adapts to changes in the internal and external environment? 1) Health 2) Wellness 3) Holism 4) Infirmity
Health
What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity? 1) Health 2 )Wellness 3) Holism 4) Host
Health
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? 1) Health promotion 2) Illness prevention 3) Self-concept 4) Diagnosis of disease
Health promotion
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? 1) Illness prevention 2) Health promotion 3) High-level wellness 4) Reversal of self-care deficit
Health promotion
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? 1) It persists for a long time. 2) It is a sequela of acute illness. 3) It takes a long time to cure. 4) It has a gradual onset and lasts for a long time.
It has a gradual onset and lasts for a long time.
Which is the goal of tertiary prevention of illness? 1) Preventing disease or illness 2) Providing prompt treatment 3) Improving general well-being 4) Minimizing complications
Minimizing complications
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? 1) Nonmodifiable 2) Modifiable 3) Primary 4) Secondary
Modifiable
Which scenario accurately depicts the influence of one's religious beliefs on health and health care? 1) Muslims requiring baptism for live births 2) Orthodox Jews prohibiting the intake of pork 3) Conservative Catholics opposing blood transfusions 4) Jehovah's Witnesses prohibiting the intake of shellfish
Orthodox Jews prohibiting the intake of pork
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? 1) Physical dimension 2) Emotional dimension 3) Intellectual dimension 4) Environmental dimension
Physical dimension
A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of health care delivery does this test suggest? 1) Quanternary 2) Secondary 3) Tertiary 4) Primary
Primary
The nurse is ccertified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform initially? 1) Calling to rebalance the soul 2) Requesting the client's permission to touch the body 3) Embracing the client for energy 4) Moving the hands 2 to 6 in (5 to 16 cm) away from the client's skin surface
Requesting the client's permission to touch the body
A client is admitted to the mental health center with attempted suicide. Which of the client's problems is the priority for the nurse to manage? 1) Risk of self-harm 2) Lack of support 3) Low self-esteem 4) Feelings of not belonging
Risk of self-harm
Consultation and diagnostic tests are included in which level of health care? 1) Primary care 2) Secondary care 3) Tertiary care 4) Extended care
Secondary care
A mammogram represents which level of prevention? 1) Primary prevention 2) Secondary prevention 3) Tertiary prevention 4) Medical prevention
Secondary prevention
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? 1) Spiritual needs 2) Sociocultural needs 3) Intellectual needs 4) Emotional needs
Sociocultural needs
The nurse recognizes that the client who makes the decision to accept a new diagnosis and follow the prescribed treatment plan is in which stage of an illness? 1) Stage 1-Experiencing symptoms 2) Stage 2-Assuming the sick role 3) Stage 3-Assuming a dependent role 4) Stage 4-Achieving Recovery
Stage 3-Assuming a dependent role
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? 1) The symptoms of the illness reappear. 2) The disease is no longer present. 3) New symptoms occur at this time. 4) Symptoms are not experienced.
Symptoms are not experienced.
Which nursing activity provides an example of primary prevention? 1) Suggesting alternative housing options for a family after a case of lead poisoning 2) Teaching a family how to recognize and avoid environments containing lead paint 3) Assessing the home environment for evidence of lead paint 4) Screening school-aged children for exposure to lead
Teaching a family how to recognize and avoid environments containing lead paint
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? 1) Screening for tuberculosis 2) Assessing for risk factors for heart disease 3) Teaching about adhering to a low-sodium diet 4) 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? 1) Primary 2) Secondary 3) Tertiary 4) Chronic
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? 1) Primary 2) Secondary 3) Tertiary 4) Chronic
Tertiary
Which model is most useful in examining the cause of disease in an individual, based upon external factors? 1) The Agent-Host-Environment Model 2) The Health-Illness Continuum 3) The High-Level Wellness Model 4) The Health Belief Model
The Agent-Host-Environment Model
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? 1) The client feels as if she is the cause of her family's dysfunction. 2) The client's parents argue a lot. 3) The client feels scared that her mother will hurt someone. 4) The client is worried about getting a bad grade in school.
The client feels scared that her mother will hurt someone.
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? 1) The client gives up the dependent role. 2) The client assumes a dependent role. 3) The client seeks medical attention. 4) The client recognizes symptoms of illness.
The client gives up the dependent role.
What have the models of health promotion and illness prevention been used for? 1) To define a medical framework for the care of the disabled. 2) To create a forum for improving rehabilitative care. 3) To help health care providers understand health-related behaviors. 4) To formulate care plans for the disabled population.
To help health care providers understand health-related behaviors.
The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion? 1) Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy 2) Annual Papanicolaou test can detect cancer earlier 3) HIV screening should be done on an annual basis if you are sexually active 4) Testicular examinations for male students can detect early stages of cancer
Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy
What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life? 1) Health 2) Wellness 3) Holism 4) Promotion
Wellness
A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion". Which statement best describes the difference between the concept of wellness and the concept of health? 1 )Wellness is an active state, whereas health is a more passive state dependent on the absence of disease. 2) Wellness is dependent on the resolution of acute and chronic illnesses, whereas health can exist at any stage or condition. 3) Wellness is determined by age-related expectations, whereas health is an achievable state at any point in the lifespan. 4) Health is a state that can be promoted and protected by nursing practice, whereas wellness is solely dependent on the client.
Wellness is an active state, whereas health is a more passive state dependent on the absence of disease.
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? 1) How people interact with their environments 2) How health is a constantly changing state 3) What people believe to be true about their health 4) Factors that predispose a person to infectious diseases
What people believe to be true about their health
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: 1) age and developmental stage. 2) gender and medical history. 3) peer influence and education. 4) health promotion activities.
age and developmental stage.
A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the: 1) host. 2) agent. 3) environment. 4) disease.
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: 1) maintaining dependence. 2) needing further recovery. 3) giving up the dependent role. 4) hopeless due to disease process.
giving up the dependent role.
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: 1) illness. 2) agent-host-environment. 3) health belief model. 4) high-level wellness.
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: 1) health promotion. 2) illness prevention. 3) a holistic approach. 4) self-concept.
self-concept.
A client with Alzheimer disease in a nursing home is more compliant in following directions for dressing and feeding with one nurse than with other staff members. This phenomenon is best explained by 1) empathy. 2) aggression. 3) the Health Belief Model. 4) the Therapeutic Model of Interaction.
the Therapeutic Model of Interaction.
