Ch. 4 - Health and Illness
A man with Alzheimer's disease in a nursing home will follow directions for dressing and feeding better with one nurse than with other staff members. This factor is related to
Therapeutic model of interaction
The nurse is working in a poverty-stricken neighborhood and sees several adolescents in the practice. What are possible consequences for the adolescents living in this area? (4)
To be a victim of violence Use tobacco products Drink alcohol Engage in sexual behavior with multiple partners
Which statement reflects the World Health Organization's definition of health?
a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity
A 90-year-old woman has a staphylococcus infection in her decubitus ulcer. Staphylococcus is the:
agent
Which nursing intervention is an example of tertiary preventive care?
assisting with speech therapy for a client with a traumatic brain injury
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
Ventricular septal defect is a congenital disorder. The nurse understands that congenital disorders are due to:
faulty embryonic development
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
help them maintain independence
The body's attempt to restore balance through self-regulatory mechanisms is termed:
homeostasis
A nurse is providing care for a client whose treatment is being funded by Medicaid. The nurse should be aware that this client most likely qualified for this program on the basis of:
low income
A nursing student has learned that an increasing number of individuals now live with one or more chronic illness. What health condition is an example of a chronic illness?
osteoarthritis
What is an important role for a nurse in the health care delivery system?
participation in disease prevention and health promotion activities
Managed care organizations (MCOs) are insurers who carefully plan and closely supervise the distribution of health care services. What factor is one of the goals of managed care?
preventing illness through the screening and promotion of health activities
A client has cancer and undergoes treatment. During a follow-up visit, the health care providers can find no evidence of current disease. Which term would be used related to this client's condition?
remission
A client reports that she is in an abusive relationship and does not know how to break it off. Which of Maslow's hierarchy of needs does the nurse need to prioritize most for this client?
safety and security
When providing care to a client, what perspective is followed by the nurse?
viewing client's health as a balance of body, mind, and spirit
The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (3)
Diseases where complete cures are rare Diseases that do not resolve spontaneously Diseases that have a prolonged course
Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow's hierarchy of needs, place the following client needs in the order in which the nurse would address them, from simplest to most complex. (4)
"Nurse, my pain is terrible and I need pain medication right away." "There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood." "When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games." "I'm very proud to be placed on the Dean's List for spring semester."
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 and not merely the absence of disease or infirmity.
A nurse educator uses models of health and illness when teaching. Which model of health and illness places high-level health and death on opposite ends of a graduated scale?
Health-Illness Continuum
What is an entitlement program designed to serve the poor that is administered by the state?
Medicaid
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:
age and developmental stage
What is the definition of wellness?
an active state of being healthy
The nurse is performing a routine assessment of a male client who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this client's health?
despite the loss of his limb, the client may consider himself to be healthy
A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, a problem that was accompanied by a random blood glucose reading of 575 mg/dLm (31.91 mmol/L), vomiting, and shortness of breath. This client has experienced which phenomena?
exacerbation
A client is in the terminal stage of leukemia. The client is discharged from the hospital and a licensed practical nurse is assigned for the nursing care of the client at home. This is an example of:
extended care
All the following symptoms are present in a client. Which is the priority for nursing care?
fever
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
fever of undetected origin
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
fever of undetermined origin
The school nurse is presenting a health promotion class to a group of high school students. How does the nurse define health?
health is being connected in body, mind, and spirit
A nursing student asks the instructor about the leading cause of death. What would the instructor identify as the most common cause of death in clients?
heart disease
A nurse caring for patients with diabetes knows that this is a characteristic of a chronic illness:
it requires special patient education for rehabilitation
Which is a factor upon which the financial stability of health maintenance organizations (HMOs) is based?
keeping clients healthy and out of the hospital through periodic screening, health eduction, and preventing services
A nursing instructor is teaching students about the concept of "continuity of care." Which of the following is the correct definition of this concept?
maintenance of health care from one level of health to another and from one agency to another
According to Maslow, which category of needs represents the most basic on the hierarchy?
physiological needs
A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?
primary prevention
The nurse is preparing a plan of care for a client with nutritional deficits. Which is the priority intervention for this client?
teaching about intake of food and vitamins
Fifteen years ago, a client lost the right leg in a motor vehicle accident. Since then, the client and the client's spouse have formed a walking group to raise money for the homeless. Why would the client be considered healthy?
the client is experiencing a high quality of life within the limits of their physical condition
A recent nursing graduate has been making a concerted effort to ensure that clients receive holistic nursing care. Which action best demonstrates the principle of holism?
the nurse attempts to meet the physical, social, emotional, and spiritual health needs of clients
A man with Alzheimer's disease in a nursing home will follow directions for dressing and feeding better with one nurse than with other staff members. This factor is related to
therapeutic model of interaction
