Nursing Chapter 3

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?

-Effective infection control measures. -Monitoring fluid intake and output. -Effective pain management. -Monitoring airway clearance.

When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept?

-Focus on what can no longer be. -Focus on why the client has the illness. -Focus on what is possible. -Focus on the altered functioning.

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

-Having a low self-esteem -Sleeping 7 to 8 hours each night -Exercising infrequently -Maintaining an ideal body weight -Eating regular healthy meals

Which is the most accurate definition of health?

-Health is a state of maximal wellness. -Health is a reflection of wellness and requires a conscious and deliberate effort to maintain. -Health is a state of complete physical, mental, and social well-being. -Health is a lack of disease.

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?

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

A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?

-I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder." -"If I drink alcohol while pregnant, my child will have a hereditary disorder." -"Alcohol use while pregnant will predispose my child to idiopathic illness." -"Abstaining from alcohol will prevent any type of congenital disorder."

Which nursing intervention is an example of tertiary preventive care?

-Teaching stress reduction classes at a wellness center -Assisting with speech therapy a client with a traumatic brain injury -Blood pressure screenings at a senior center -Administration of immunizations to a 6-month-old child

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

-The Agent-Host-Environment Model -The High-Level Wellness Model -The Health-Illness Continuum -The Health Belief Model

The nurse is using Leavell and Clark's Agent-Host-Environment Health Model to help plan nursing interventions for clients in a hospital setting. Which examples of nursing actions to prevent hospital-acquired infections (HAIs) best illustrate the principles of this model? Select all that apply.

-The nurse should consider client's past behavior when determining goals for recovery. -The nurse should assess what the clients believe to be true about themselves and their illnesses when developing a nursing plan to prevent HAIs. -The nurse should examine environmental stressors in clients' lives to see how these stressors might affect their recovery and ability to ward off infection. -The nurse should assess client's ability to fight off infection by using a graduated scale with high-level wellness on one end and death on the other. -The nurse should consider the client's family history and age when assessing risk factors for infection. -The nurse should assess the clients for risk factors for infection when planning nursing care.

Which is an example of tertiary health promotion?

-Water treatment -Pap tests -Rehabilitation -Family counseling

A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event?

-health promotion -reversal of self-care deficit -illness prevention -high-level wellness

To be an effective change agent for wellness, the nurse must:

-lead a sedentary lifestyle. -skip breakfast to reduce calories. -consume a healthy diet. -drink caffeinated beverages.

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?

-Morbidity -Infection -Exacerbation -Risk factor

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

-Resolve spontaneously -Are rarely curable -Require lifelong management -Have a rapid onset -Have a prolonged course

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 -Screening for breast cancer every 5 years -Teaching about adhering to a low-sodium diet

What level of prevention is represented by educating a group of clients on carseat safety?

-Tertiary prevention -Primary prevention -Educational prevention -Secondary prevention

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

-Chronic illnesses can cause pain and suffering. -Treatment of chronic illnesses is very expensive. -Chronic illnesses are the leading health problem in the world. -People do not like to be sick and feel bad.

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 busses on a quarterly basis to take women to an urban area for mammogram screening. -Teach a class that stresses the importance of self-breast examination and regular mammogram screening. -Mail flyers to women in the community offering instruction on where to go in a nearby city for mammograms. -Arrange for a mobile mammography unit to come to the community several days a month.

What is the definition of wellness?

-Being without disease -Maximizing the state in which you live -A desire to be without disease -An active state of being healthy

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?

-Cerebrovascular accidents -Lung cancer -Coronary artery disease -Emphysema