Chapter 3: 105

The client is admitted with a gastrointestinal bleed. The health care provider ordered a colonoscopy. Which level of care encompasses this procedure? A) Primary B) Quaternary C) Secondary D) Tertiary

C) Secondary

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? A) Stage 1-Experiencing symptoms B) Stage 2-Assuming the sick role C) Stage 3-Assuming a dependent role D) Stage 4-Achieving Recovery

C) Stage 3-Assuming a dependent role

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? A) Primary B) Secondary C) Tertiary D) All three levels

B) Secondary

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

B) Secondary care

Which lifestyle factor is associated with an increased risk for chronic diseases? A) Exercise B) Smoking C) Eustress D) Gastrointestinal disease

B) Smoking

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

B) Sociocultural needs

When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about their health beliefs based primarily on the basis of what factors? A) Age and developmental stage B) Gender and medical history C) Peer influence and education D) Health promotion activities

A) Age and developmental stage

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

A) Assisting with speech therapy a client with a traumatic brain injury

An older adult client 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? A) Assuming a dependent role B) Assuming the sick role C) Experiencing the symptoms D) Achieving recovery and rehabilitation

A) Assuming a dependent role

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

A) Coronary artery disease

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

A) Environmental risk factor

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

A) Exacerbation

While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the client's response to illness? A) Personality characteristics B) Nutritional awareness C) Stress management D) Environmental sensitivity

A) Personality characteristics

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) Physical dimension

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) Primary B) Secondary C) Tertiary D) Medical

A) Primary

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? A) Sociocultural and intellectual B) Environmental and spiritual C) Emotional and environmental D) Physical and emotional

A) Sociocultural and intellectual

Which of the oncology nurse's interventions best demonstrates primary health promotion? A) Teaching clients how they can manage their exposure to known carcinogens B) Teaching a client about the expected adverse effects of chemotherapy C) Working with a client whose body image has been affected by a recent mastectomy D) Encouraging women to obtain screening mammograms according to recommendations

A) Teaching clients how they can manage their exposure to known carcinogens

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

A) 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? A) The client gives up the dependent role. B) The client assumes a dependent role. C) The client seeks medical attention. D) The client recognizes symptoms of illness.

A) The client gives up the dependent role.

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? A) The client gives up the dependent role. B) The client assumes a dependent role. C)The client seeks medical attention. D) The client recognizes symptoms of illness.

A) The client gives up the dependent role.

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

A) Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy.

A community health nurse in a rural area is concerned that the community needs better health care promotion after reading the statistics published by the state health department. Which factor should the nurse find alarming in the report? A) increased use of emergency departments for nonemergency issues B) nonprofit organization building a new health clinic C) a mobile unit decreasing visits from once per week to once every 2 weeks D) a local health clinic to offer clinical experience for a nursing program

A) increased use of emergency departments for nonemergency issues

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

A) the presence of a disease with the absence of symptoms.

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

A, B

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? Select all that apply. A) Family planning services B) Accident prevention education C) Heart-healthy nutrition services D) Skin cancer screening E) Rehabilitation for relief of low back pain

A, B, C

The nurse instructor has completed a session detailing major factors differentiating exacerbations from remissions. The instructor determines the session is successful when the students point out which factor(s) can contribute to exacerbations? Select all that apply. A) immune system is functioning poorly B) sleep has been disrupted due to family issues C) client is facing a potential eviction D) dietary log shows improvement on food choices E) skin turgor indicates good hydration status

A, B, C

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

A, B, C, D

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 the client is doing today. Using the health belief model, what step(s) will the nurse take to create a plan of care for this client? Select all that apply. A) Encourage the client to participate in as many activities as they can tolerate and provide information for health counseling. B) Review possible outcomes of the diagnosis with the client, allowing the client to express concerns while providing support. C) Assure the client that they 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. D) 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. E) Assu

A, B, D

Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply. A) Learn to live as normally as possible B) Accept dependence and adjust to it C) Maintain a positive self-concept D) Maintain a sense of hope E) Give up control of one's life

A, C, D

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? A) "I can achieve a maximum level of functioning." B) "I cannot possibly ever be considered as healthy." C) "I can achieve a high quality of health and life." D) "I have an illness, but I can feel as if I am healthy."

B) "I cannot possibly ever be considered as healthy."

Which scenario accurately depicts the influence of one's religious beliefs? A) A client who practices Islam requests a baptism for live birth. B) A client who practices Orthodox Judaism will not eat pork. C) A client who practices Conservative Catholicism opposes a blood transfusion. D) A client who practice the Jehovah's Witnesses faith will not eat shellfish.

B) A client who practices Orthodox Judaism will not eat pork.

A nurse who is working in a long-term care facility is talking with a group of health care workers. One of the health care workers asks about current trends in health care. Which trend should the nurse mention? A) An increase in average income B) An increase in the incidence of chronic illnesses C) An increase in people dying at an early age D) An increase in people identified as upper class

B) An increase in the incidence of chronic illnesses

How can the nurse best demonstrate being a role model for health promotion? A) Educate others about healthy lifestyles B) Avoid smoking and drinking alcohol C) Prevent exposure to communicable diseases D) Take prescribed medications accordingly

B) Avoid smoking and drinking alcohol

An adolescent client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health? A) Physical dimension B) Emotional dimension C) Intellectual dimension D) Sociocultural dimension

B) Emotional dimension

The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion? A) Weight loss program B) Family counseling C) Immunizations D) Workplace health and safety seminar

B) Family counseling

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

B) Making a referral for a mammogram

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? A) Nonmodifiable B) Modifiable C) Primary D) Secondary

B) Modifiable

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

B) Teaching a family how to recognize and avoid environments containing lead paint

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) The client is having an exacerbation of the COPD. C) This is the effect of a secondary illness. D) The client is experiencing remission of the COPD.

B) The client is having an exacerbation of the COPD.

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the: A) host. B) agent. C) environment. D) disease.

B) agent.

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

B) health promotion

The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care? Select all that apply. A) a student entering a local university B) a client who is a migrant and works on a farm C) an older adult client living independently D) a client who has been unemployed for 6 months E) an employed woman, pregnant for the second time

B, C, D

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

B, D , E

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

C) Assisting with transplant surgery

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

C) Chronic illnesses are the leading health problem in the world.

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

C) Health belief model

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

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

C) Health is a state of complete well-being.

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) Screening for tuberculosis B) Assessing for risk factors for heart disease C) Teaching about adhering to a low-sodium diet D) Screening for breast cancer every 5 years

C) Teaching about adhering to a low-sodium diet

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) Tertiary prevention

What have the models of health promotion and illness prevention been used for? A) To define a medical framework for the care of people with disabilities. B) To create a forum for improving rehabilitative care. C) To help health care providers understand health-related behaviors. D) To formulate care plans for people with disabilities.

C) To help health care providers understand health-related behaviors.

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: A) maintaining dependence. B) needing further recovery. C) giving up the dependent role. D) hopeless due to disease process.

C) giving up the dependent role.

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? A) It persists for a long time. B) It is a sequela of acute illness. C) It takes a long time to cure. D) It has a gradual onset and lasts for a long time.

D) It has a gradual onset and lasts for a long time.

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

D) Symptoms are not experienced.

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 who fell off a roof 2 weeks ago and is experiencing continuous lower back pain B) A client returning for a follow-up visit after a shoulder sprain 1 week ago C) A client diagnosed with diabetes mellitus (DM) who stubbed the great toe and now has a wound D) A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing

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

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

D) 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? A) Congenital illness B) Hereditary illness C) Acute illness D) Chronic illness

D) Chronic illness

What is a misconception about chronic disease? A) Almost half of chronic deaths occur prematurely in people under 70 years of age. B) Chronic illness typically does not result in sudden death. C) The major cause of chronic disease is known. D) Chronic illnesses cannot be prevented.

D) Chronic illnesses cannot be prevented.

The nurse is implementing the principles of the high-level wellness model to plan the care of a client with complex needs. What characteristic of the client will best support their wellness within this model of health? A) The client describes themselves as being "deeply spiritual but not religious" B) The client has successfully recovered from various acute illnesses in recent years C) The client has ample financial and social support resources D) The client is willing and able to accept responsibility for their own life

D) The client is willing and able to accept responsibility for their own life