Chapter 3 Health and Illness
An elderly patient has been recently diagnosed with vascular dementia. Because he lives alone and has poorly controlled hypertension, he has begun to receive home healthcare. This new aspect of his care is characteristic of which stage of illness?
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 a person know who and what he is?
Befitting
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
Chronic illness
Which of the following is not a factor in the agent-host-environment model of health and illness, as developed by Leavell and Clark (1965)?
Evil Spirits
After studying concepts of health and wellness, the nursing student realizes that many different things influence a client's personal perception of health. Which of the following influences should the student list as factors that impact how a client defines health? Select all that apply.
Family Culture Community Society
Which is an example of tertiary health promotion?
Rehabilitation
Nurses promote the needs of clients as an integral part of each person's human dimension. Which needs are being met when a nurse recommends a senior citizen community centre for an older client who is living alone?
Sociocultural needs
A nurse is caring for a patient who has COPD, a chronic illness of the lungs. The patient is in remission. Which statement best describes a period of remission in a patient with a chronic illness?
Symptoms are not experienced
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 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 client states, "I must be in poor health because I am a senior citizen. That's what my neighbor says and she is older than I am." This statement is based on which of the following factors?
Peer influence
A nursing instructor is working with a class of first semester nursing students. The instructor explains the interrelatedness of health and wellness. What would be the best definition the nursing instructor could give of health?
Health is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
The nursing instructor is teaching the students about health and wellness and identifies which of the following as the best definition for health
Health is a state of complete well-being.
The body's attempt to restore balance through self-regulatory mechanisms is termed:
Homeostasis
What is the definition of wellness?
an active state of being healthy
To be an effective change agent for wellness, the nurse must:
consume a diet low in fat.
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
An woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aphasia. For this client, which of the following activities constitutes tertiary prevention?
gait training and speech therapy
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
