Chapter 3 Prep U
"If you maintain a positive self-concept, you can live as normally as possible."
A client who has recently been diagnosed with a chronic illness appears to be depressed. When the nurse asks if there is something wrong, the client states, "Nothing will ever be the same for me since I have this disease." What is the most appropriate response for the nurse?
disappearance of signs and symptoms associated with the disease
A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by:
Symptoms are not experienced
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?
Stage 3
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?
it has a gradual onset and lasts for a long time
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?
sociocultural and intellectual
A patient has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The patient states that he finds it nearly impossible to quit drinking because of the deep entrenchment of alcohol use in his circle of friends and line of work. As well, he claims that he thought limiting himself to beer and foregoing hard alcohol would prevent health problems. This patient is exhibiting health consequences rooted in which of the following human dimensions?
-Family -Culture -Community -Society
After studying concepts of health and wellness, the nursing student realizes that many different things influence a client's personal perception of health. Which influences should the student list as factors that impact how a client defines health?
Assuming a dependent role
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?
Chronic illness
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
the presence of a disease with the absence of symptoms
Chronic illness may be characterized by periods of remission. Remission is best defined as:
-One must maintain a sense of hope -One must learn to live as normally as possible -One must maintain a positive self-concept
Nurses are aware that there is a current trend older adults living longer, resulting in an increase in the incidence of chronic illnesses. Which concepts are necessary in order for a person to successfully adapt to a chronic illness? Select all that apply.
Sociocultural needs
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?
individuals cannot be seen apart from the environment
the concept of holism is based on the belief that:
extended care
A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?
Primary prevention
A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?
Primary
A nurse is immunizing children against measles. This is an example of what level of preventive care?
Tertiary
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
consume a diet low in fat
To be an effective change agent for wellness, the nurse must:
to help health care providers understand health-related behaviors
What have the models of health promotion and illness prevention been used for?
rehabilitation
What is an example of tertiary health promotion?
an active state of being healthy
What is the definition of wellness?
-Diseases where complete cures are rare -Diseases that do not resolve spontaneously -Diseases that have a prolonged course
The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions?
it focuses on what people believe to be true about their health
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?
Physical dimension
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?
Primary
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. What level(s) of health promotion is this an example of?
Health is a state of complete well-being
The nursing instructor is teaching the students about health and wellness and identifies which definition of health as the best?
help them maintain independence
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
understand and respect each person's -definition of health -responses to illness
When providing holistic care to a client, the nurse recognizes that which of the following is necessary? Select all that apply
-family -intimacy -friendships
Which client growth needs are included in the love and belonging level of Maslow's hierarchy?
The Agent-Host-Environment Model
Which model is most useful in examining the cause of disease in an individual, based upon external factors?
assisting with speech therapy for a client with a traumatic brain injury
Which nursing intervention is an example of tertiary preventive care?
Chronic illnesses are the leading health problem in the world
Why are health promotion and illness prevention a key responsibility of nurses?