Modules 1 - 4

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?

use of condoms can help prevent sexually transmitted infections and unwanted pregnancy

Which of the following is not an example of an effective response to stress? -Talking -Meditating -Laughing -Overeating

Overeating

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?

Symptoms are not experienced

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?

Teaching about adhering to a low-sodium diet

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

A patient experienced a myocardial infarction four weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?

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 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 as occurring with this client?

The client is having an exacerbation of the COPD

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?

What people believe to be true about their health

A 48-year-old client was just diagnosed with type-2 diabetes mellitus. The client has a body mass index of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

Which are factors that impact how a client defines health?

-Family -Culture -Community -Society

Which client growth needs are included in the love and belonging level of Maslow's hierarchy?

-Family -Intimacy -Friendships

A hospital nurse assesses clients in various stages of illness. Which statement accurately describe client responses to illness based on Suchman's stages of illness?

-In stage 2, most people focus on their symptoms and bodily functions -When help from a health care provider is sought, the person becomes a client and enters stage3, assuming a dependent role -In stage 1, pain is the most significant symptom indicating illness, although other symptoms, such as a rash, fever, bleeding, or cough, may be present

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

-Understand and respect each person's definition of health -Understand and respect each person's responses to illness

A student nurse is preparing a poster for a health fair which will compare the various types of methods used to pay for health care. Which factors should the student include in the managed care section?

-Uses resources efficiently -Provides education to reduce risk of disease -Bargains with providers for reasonably priced quality care

Which of the following best describes the nurse's role in health promotion and disease prevention? -Identifying the weaknesses of the individual -Assuming total control for the individual's heath decisions -Acting as a role model and educator for a client -Blaming a client's family for unsafe home safety measures

Acting as a role model and educator for a client

The patient states that she joined a fitness club and attends the aerobics class three nights a week. The patient is in what state of behavioral change?

Action

What is the normal progression for the general adaptation syndrome (GAS)?

Alarm, Resistance, Exhaustion

What is the definition of wellness?

An active state of being healthy

Wellness can best be described as? -An active state which facilitates well-being -A state of homeostasis -A state of disequilibrium -A passive state which focuses on what we have

An active state which facilitates well-being

Which nursing intervention is an example of tertiary preventive care?

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 state of illness?

Assuming a dependent role

Which is an example of a realistic wellness goal? -Exercising every day during the semester -Cutting out all junk food -Losing 30 lb in 2 months -Brisk walking for 30 minutes, 3 times/week

Bring walking for 30 minutes, 3 times/week

The General Adaptation Syndrome (GAS) theorizes that stress:

Can be either eustress or distress

A teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?

Emotional dimension

Motivational interviewing techniques are characterized by: -Subliminal messaging -Empathy and reflective listening -Confrontational questions -Providing ongoing advice

Empathy and reflective listening

Social determinants of health refer to: -A complementary method -A technique used in motivational interviewing -A state of behavior change -Environmental conditions that affect health outcomes

Environmental conditions that affect health outcomes

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 SOB. This client has experienced which penomenon?

Exacerbation

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?

Focus on what is possible

Which personality trait seems to enable people to deal more successfully with stress? -Hardiness -Hostility -Excitability -Cynicism

Hardiness

Which definition of health is the best?

Health is a state of complete well-being

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?

Health promotion

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

Help them maintain independence

The Healthy People 202 Initiative includes leading health indicators which are considered:

High priority issues for the currently 10-year period

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:

High-level wellness

The goal of stress management is to:

Improve the quality of life by increasing effective coping

Mindfulness refers to a practice which assists individuals to:

Increase their moment by moment awareness

A nurse is caring for a client with COPD. The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?

It has gradual onset and lasts for a long time.

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

The nurse can play a primary role in stress management by:

Maximizing the client's level of wellness and strengthening coping mechanisms

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?

Monitoring airway clearance

Which of the following refers to the mnemonic used for motivational interviewing (MI)? - OARS - SBAR - APGAR - PIE

OARS

Which of the following are not included in the States of Change Model? -Contemplation -Action -Planning -Precontemplation

Planning

The nurse's community outreach program 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?

Primary

Prevention levels include which of the following? -Health promotion and protection -Illness and disease prevention -Physical, emotional and spiritual -Primary, secondary and tertiary

Primary, secondary and tertiary

What is the desired outcome of motivational interviewing? - Accepting that the nurse is responsible for a client's health - Convincing the patient their approach is wrong - Promoting positive behavior change - Fixing the patient's problem

Promoting positive behavior change

A nurse is providing care for a client who experienced a stroke. Which. nursing intervention reflects the tertiary level of prevention?

Provide care transition at discharge for speech therapy

The nurse explains that the philosophical base for energy medicine involves:

Rebalancing life energy

Which is an example of tertiary health promotion?

Rehabilitation

Which of the following is an effective time management strategy discussed in course materials? -Work on pleasant tasks first -Schedule tasks for peak efficiency -Focus on long-term goals -Work on only one task at a time rather than consolidating tasks

Schedule tasks for peak efficiency

Consultation and diagnostic tests are included in which level of health care?

Secondary care

A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered:

Self-care

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?

Sociocultural and intellectual

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Sociocultural needs

When the body begins releasing endorphins, the heart rate accelerates and hearing and vision become more acute which can be described as:

The fight or flight reaction

Chronic illness may be characterized by periods of remission. Remission is best defined as:

The presence of a disease with the absence of symptoms

Which definition best describes acute illness?

The rapid onset of symptoms lasting a relatively short time

The nurse is asked how essential oils may be used as part of aromatherapy. The nurse responds:

They may be mixed with carrier oils and used during massage.

The nurse anticipates that Lisa will react in which manner since she has a "hardy" personality:

View the stressor as a challenge and an opportunity for learning

Achieving a higher level of wellness requires thinking about:

What we can achieve

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

age and developmental stage

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

Chronic illness

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world

The nurse advocates that journaling is:

Effective for stress management

The nurse understands that holistic health practice:

Considers that people have emotions, spirits, and relationships that combine the physical body

A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the US. Which disease process should the nurse address?

Coronary artery disease

Which hormone increases during times of stress and is frequently referred to as the stress hormone?

Cortisol

Which of the following are not included in the dimensions of wellness? -Physical -Disease Free -Intellectual -Emotional

Disease Free

Secondary prevention levels primarily focus on: -Early detection of disease -Rehabilitation -Prevention of disease -Health protection

Early detection of disease