CH.3 FON

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

Chronic illness

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?

Environmental risk factor

The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (Select all that apply.)

Diseases where complete cures are rare Diseases that do not resolve spontaneously Diseases that have a prolonged course

Which is an example of tertiary health promotion?

Rehabilitation

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

Tertiary

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 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a BMI 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"

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? Select all that apply.

Family Culture Community Society

A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse would focus on which area?

Health Promotion

When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by his personal expectations in relation to health and illness. The nurse is demonstrating understanding of which health model?

Health belief model

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.

A hospital nurse assesses clients in various stages of illness. Which statements accurately describe client responses to illness based on Suchman's stages of illness? Select all that apply.

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 stage 3, 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.

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?

It focuses on what people believe to be true about their health.

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?

Physical dimension

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?

Primary

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

What have the models of health promotion and illness prevention been used for?

To help health care providers understand health-related behaviors.

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

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?

freedom from harm

The body's attempt to restore balance through self-regulatory mechanisms is termed:

homeostasis.

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?

importance of adhering to a low sodium diet

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.

Nurses understand the importance of adopting healthy behaviors so that they can better care for clients. What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.

Sleeping 7 to 8 hours each night Eating regular healthy meals Maintaining an ideal body weight

Which is an example of the sociocultural dimension influencing a person's health-illness status?

A single mother of two applies for food stamps in order to feed her family.

Which activities would the nurse consider to be lifestyle risk factors for the development of health problems?

Avoiding exercise Participating in extreme sports Maintaining a stressful job

The nursing student who has diarrhea before every test and every clinical understands that this is not a healthy behavior. The student is aware that this negative effect can impact overall health. The nurse manager recognizes that this student needs to focus on which dimension of health?

Emotional dimension

A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent?

Secondary prevention