Fundamentals - PrepU Ch 3

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The onset is sudden.

A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, an acute illness. Why is colitis considered an acute illness?

Environment

A client has been exposed to bacterial pneumonia. The client has been eating poorly, with limited intake of nutrients. This factor would predispose a client to the development of pneumonia. Poor nutritional intake is classified as the

freedom from harm

A client is admitted to the mental health centre with attempted suicide. Which of the client's problems is priority for the nurse to manage?

Wellness is an active state, whereas health is a more passive state dependent on the absence of disease.

A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion." Which statement best describes the difference between the concept of wellness and the concept of health?

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?

Stage 3

A nurse is caring for a patient who has breast cancer. The patient 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 patient is in which stage of acute illness?

examples of heart-healthy diet information on increasing activity and exercise

A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (Select all that apply.)

The patient gives up the dependent role.

A nurse observes that a patient who has pneumonia is in the recovery and rehabilitation stage of the illness. What statement describes the patient response that the nurse would expect at this stage of the illness?

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?

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?

Sociocultural and intellectual

Chronic illnesses cannot be prevented.

What is a misconception about chronic disease?

Health

What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?

Primary prevention

What level of prevention is noted when the nurse educates a group of mothers of school-age children on self breast examinations?

age and developmental stage.

When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about his health beliefs based primarily on his:

family intimacy friendships

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.)

assisting with transplant surgery

Which nursing activity reflects care given on the tertiary level of healthcare delivery?

Avoiding exercise Participating in extreme sports Maintaining a stressful job

Which of the following activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.

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?

giving up the dependent role.

An older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation centre where the client had to re-learn how to feed and dress oneself. The client 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 __________.

Stage 3-Assuming a dependent role

The nurse recognizes that the client who makes the decision to accept a new diagnosis and follow the prescribed treatment plan is in which of the following stages of an illness?

Tertiary

Tertiary health promotion and illness prevention begin after the illness is diagnosed and treated, with the goal of reducing disability and helping to rehabilitate to a maximum level of functioning. Educating a client with diabetes on how to recognize areas of risk for the disease is one such example of tertiary promotion.

importance of adhering to a low sodium diet

The nurse is caring for a client admitted for the third time in 90 days with a diagnosis of heart failure. What nursing activities on a tertiary level will the nurse educate the client regarding to prevent readmission?

Tertiary

The nurse is educating a client with diabetes on how to better control blood sugar levels and recognize the symptoms associated with both hyperglycemia and hypoglycemia. The client is frequently admitted to the hospital due to elevated blood sugars. This education is an example of which level of health promotion?

Modifiable

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?

instructing a client how to use crutches

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?


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