303 Prep U chapter 3

Which model is most useful in examining the cause of disease in an individual, based upon external factors? A) The High-Level Wellness Model B) The Health-Illness Continuum C) The Health Belief Model D) The Agent-Host-Environment Model

D

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? A) reversal of self-care deficit B) high-level wellness C) illness prevention D) health promotion

D)

Which nursing activity provides an example of primary prevention? A) Teaching a family how to recognize and avoid environments containing lead paint B) Assessing the home environment for evidence of lead paint C) Suggesting alternative housing options for a family after a case of lead poisoning D) Screening school-aged children for exposure to lead

A)

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? A) Physiologic risk factor B) Environmental risk factor C) Health habits risk factor D) Lifestyle risk factor

B

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? A) Physical dimension B) Emotional dimension C) Intellectual dimension D) Environmental dimension

A

A nurse is planning a seminar for the local community. Which topic(s) are examples of primary prevention? Select all that apply. A) information on increasing activity and exercise B) examples of heart-healthy diet C) information on smoking cessation D) blood pressure control and screening E) information on the importance of Papanicolaou (Pap) test and mammograms

A, B, C

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? A) Focus on what can no longer be. B) Focus on why the client has the illness. C) Focus on the altered functioning. D) Focus on what is possible.

D

To be an effective change agent for wellness, the nurse must: A) consume a healthy diet. B) lead a sedentary lifestyle. C) skip breakfast to reduce calories. D) drink caffeinated beverages.

A

Which definition of health is the best? A) Health is a state of complete well-being. B) Health is how people feel. C) Health is the lack of physical symptoms. D) Health is the absence of disease.

A

Which is an example of tertiary health promotion? A) Rehabilitation B) Family counseling C) Water treatment D) Pap tests

A

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? A) Symptoms are not experienced. B) The symptoms of the illness reappear. C) The disease is no longer present. D) New symptoms occur at this time.

A)

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? A) provide care transition at discharge for speech therapy B) discuss family history of hypertension C) conduct mental status assessment every 2 hours D) assess blood pressure every 4 hours

A)

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: A) high-level wellness. B) health belief model. C) illness. D) agent-host-environment.

A)

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? A) HIV screening should be done on an annual basis if you are sexually active. B) Annual Papanicolaou test can detect cancer earlier. C) Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy. D) Testicular examinations for male students can detect early stages of cancer.

C

Chronic illness may be characterized by periods of remission. Remission is best defined as: A) the reappearance of symptoms of a disease. B) the response of a person to a disease. C) a pathologic change in the structure of function of the body or mind. D) the presence of a disease with the absence of symptoms.

D

Consultation and diagnostic tests are included in which level of health care? A) Extended care B) Tertiary care C) Primary care D) Secondary care

D

Which are factors that impact how a client defines health? Select all that apply. A) Family B) Society C) Community D) Music E) Culture

A, B, C, E

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? A) How health is a constantly changing state B) What people believe to be true about their health C) How people interact with their environments D) Factors that predispose a person to infectious diseases

B

After passage of the Affordable Care Act (ACA) the nurse was able to suggest a new option for health insurance to the clients who were previously uninsured due to the high costs. Which option could the nurse now recommend to the clients? A) Medicare B) Tricare C) Medigap D) marketplace

D

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? A) Health habits risk factor B) Lifestyle risk factor C) Physiologic risk factor D) Environmental risk factor

D

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

A

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

A

A nurse is implementing secondary-level interventions for a group of hospitalized clients. With which activity(ies) would the nurse be involved? Select all that apply. A) Providing wound care B) Reinforcing occupational therapy activities C) Administering medications D) Educating about safe-sex practices E) Teaching about nutritious food choices

A, C

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

B

When providing holistic care to a client, the nurse recognizes that which behaviors are necessary? Select all that apply. A) Apply the model of health that is most popular. B) Understand and respect each person's responses to illness. C) Focus on a standard definition of health and beliefs. D) Instruct the client that health is an inactive process. E) Understand and respect each person's definition of health.

B, E

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? A) Risk factor B) Morbidity C) Exacerbation D) Infection

C

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? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Residual prevention

C

A nurse is immunizing children against measles. This is an example of what level of preventive care? A) Tertiary B) Secondary C) Primary D) Chronic

C

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? A) High-level wellness model B) Holistic health model C) Health belief model D) Clinical model

C

Which is the most accurate definition of health? A) Health is a lack of disease. B) Health is a reflection of wellness and requires a conscious and deliberate effort to maintain. C) Health is a state of complete physical, mental, and social well-being. D) Health is a state of maximal wellness.

C

Which are characteristics of chronic conditions? (Select all that apply.) A) Resolve spontaneously B) Have a rapid onset C) Are rarely curable D) Require lifelong management E) Have a prolonged course

C, D, E

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? A) Teaching about adhering to a low-sodium diet B) assessing patient ROM C) Diagnosing patient D) The patient accepting the illness

A

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? A) Self-concept B) Health promotion C) Illness prevention D) Diagnosis of disease

B

A client who recently underwent a coronary artery bypass graft is taking furosemide and metoprolol following the procedure. While developing a plan for a heart-healthy diet with the nurse, the client states that diet did not contribute to the heart disease and that the client should be fine just continuing to take the medications. According to the Stages of Change Model, which stage of change is the client in related to diet? A) Maintenance B) Precontemplation C) Contemplation D) Preparation

B

Consultation and diagnostic tests are included in which level of health care? A) Tertiary care B) Secondary care C) Primary care D) Extended care

B

A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client? A) The client is experiencing the effects of a terminal illness. B) This is the effect of a secondary illness. C) The client is experiencing remission of the COPD. D) The client is having an exacerbation of the COPD.

D

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? A) Cerebrovascular accidents B) Emphysema C) Lung cancer D) Coronary artery disease

D

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

D

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

B

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

C

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? A) Monitoring fluid intake and output. B) Effective pain management. C) Effective infection control measures. D) Monitoring airway clearance.

D

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? A) Secondary B) Tertiary C) Medical D) Primary

D

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? Select all that apply. A) Screening clients for hypertension B) Scheduling a mammogram for a client C) Educating parents about child safety in the home D) Performing range-of-motion exercises on a client E) Referring a client to family counseling F) Scheduling immunizations for a child

A, B, E

Why are health promotion and illness prevention a key responsibility of nurses? A) People do not like to be sick and feel bad. B) Treatment of chronic illnesses is very expensive. C) Chronic illnesses can cause pain and suffering. D) Chronic illnesses are the leading health problem in the world.

D