Chapter 23 Health and Wellness

Which patient statement best illustrates the concept of health? "I will take better care of my diabetes through diet, exercise, and proper use of medications." "I feel well mentally and physically, and I am well connected to others." "I feel better now that my flu symptoms have gone away." "I am making a conscious decision to improve my physical, mental, and spiritual well-being."

"I feel well mentally and physically, and I am well connected to others."

Which example best illustrates the World Health Organization's (WHO's) expanded definition of health? A woman grew up in a community that was considered very violent. She consistently reports a variety of somatic complaints at annual visits with her health care provider. A woman believes that life and health are processes and that things can always get better. A young man commits to living a healthy lifestyle and volunteering to giving back to his community, believing that his health enables him to do everything he desires. A man practices self-preservation daily and makes choices that are in his own best interest.

A young man commits to living a healthy lifestyle and volunteering to giving back to his community, believing that his health enables him to do everything he desires.

Which definition describes the concept of wellness from an individual's perspective? Interconnection of physical and environmental dimensions Active self-care achieved by making healthy lifestyle choices A continuum extending from poor health to optimal well-being A state of physical well-being

Active self-care achieved by making healthy lifestyle choices

Which description defines the concept of illness prevention? Behaviors that balance a patient's physical, emotional, social, spiritual, and intellectual well-being Conditions that increase a patient's vulnerability to illness Activities that protect a patient from actual or potential health threats Actions that motivate a patient to strive for optimal health

Activities that protect a patient from actual or potential health threats

Which nursing intervention is an example of primary prevention? Providing discharge teaching Obtaining a fecal occult blood test Administering a pneumonia vaccine Scheduling a mammogram screening

Administering a pneumonia vaccine

Which action would the nurse take when caring for a patient with chronic back pain? Focus on curative behaviors. Allow the expression of negative feelings. Encourage the attitude of suffering with pain Reinforce hope for total relief in fewer than 6 months.

Allow the expression of negative feelings.

Which action would the nurse take when caring for a patient with chronic back pain? Focus on curative behaviors. Allow the expression of negative feelings. Encourage the attitude of suffering with pain. Reinforce hope for total relief in fewer than 6 months. NOT SURE

Allow the expression of negative feelings.

Beliefs about the costs of taking action refer to perceived ...

Beliefs about the costs of taking action --> perceived barriers

Which topics are key issues in social and community context as a social determinants of health? Discrimination Housing stability Civic participation Incarceration rates Crime and violence

Discrimination Civic participation Incarceration rates

Which example is a passive strategy for health promotion? Attending an exercise program 3 days a week Meditating every morning before work Participating in a smoking-cessation program Drinking fluoridated tap water

Drinking fluoridated tap water

Which activities depict health promotion behaviors? Select all that apply. Drinking alcohol only on social occasions Exercising three times per week Obtaining vaccinations Increasing amount of sleep to 8-10 hours per night Adopting a plant-based diet

Exercising three times per week Increasing the amount of sleep to 8-10 hours per night Adopting a plant-based diet

Which topic is a key issue in economic stability as a social determinant of health? Social cohesion Food security Quality of housing Health literacy

Food security

Organizations define their own health in terms of which aspects? Goals and objectives Ways of living and experiences Diseases cured and patient satisfaction Values and beliefs

Goals and objectives

Which areas are key social determinants of health as outlined in Healthy People 2020? Emotional stability and mood Health and healthcare Social and community context Neighborhood and built environment Genetics and cultural traditions

Health and healthcare Social and community context Neighborhood and built environment

Which action would the nurse perform for a patient who feels overwhelmed due to illness? Focus solely on the positive. Help the patient establish a daily care routine. Focus on providing technical care. Encourage an attitude of being afflicted.

Help the patient establish a daily care routine.

Which nursing intervention is an example of tertiary prevention? Encouraging the patient to use seatbelts Helping the patient adjust to an incurable disease Administering a purified protein derivative (PPD) skin test to a patient Facilitating genetic screening for a patient and their significant other

Helping the patient adjust to an incurable disease

A patient working with a nurse regarding her diagnosis of diabetes wants emotional issues to be included in her plan of care. Which model would be appropriate for the nurse to use? Health Belief Model Holistic Health Model Health Promotion Model Hierarchy of Needs Model

Holistic Health Model

Which statement characterizes illness? Illness is a multidimensional state of health. Illnesses are usually curable. Illness is primarily physical in nature. Illness is the same as disease.

Illness is a multidimensional state of health.

Which statement describes the association between homeostasis and illness? Illness may be defined as acute or chronic. Nurses assist in managing illness. Illness can be a means to motivate people to adopt healthy behaviors. Illness signals the body's attempt to restore balance.

Illness signals the body's attempt to restore balance.

Which components are associated with the wellness paradigm? Individual responsibility Treating and curing illness A compartmentalized focus Maintaining and improving health Holistic health Corrective interventions

Individual responsibility Maintaining and improving health Holistic health

Which patient findings are risk factors for the development of diabetes? Select all that apply. Is overweight Reports siblings have diabetes Reports becoming a nonsmoker Has started walking in the evenings Watches television 5 hours per night

Is overweight Reports siblings have diabetes Watches television 5 hours per night

Which actions would the nurse suggest to a patient to achieve wellness? Select all that apply. Maintain your health through proper diet, exercise, and sleep. Be comfortable expressing your feelings to others. Consider volunteering to get more involved in the community. Be compliant with your asthma medication regimen. Obtain a job that you are passionate about.

Maintain your health through proper diet, exercise, and sleep. Be comfortable expressing your feelings to others. Consider volunteering to get more involved in the community. Obtain a job that you are passionate about.

Which patient action represents a health protection behavior? Reducing stress Exercising regularly Obtaining vaccinations Maintaining good sleep habits

Obtaining vaccinations --------------------- reducing stress, exercising regularly, and maintaining good sleep habits are examples of health promotion

Which actions apply to the concept of health promotion? Establishing a vaccination program Participating in a routine exercise program Informing people of what they could do to stay healthy Assessing community assets and strengths that influence health and well-being Educating individuals on safe-sex practices to avoid acquiring a sexually transmitted disease

Participating in a routine exercise program Informing people of what they could do to stay healthy Assessing community assets and strengths that influence health and well-being

Which characteristics are typical of disease remission in chronic illness? Select all that apply. Worsening of clinical manifestations Periods of wellness Complete healing Absence of signs and symptoms Greater patient adherence to drug regimen

Periods of wellness Absence of signs and symptoms

Which factor is a key issue for a social determinant of health that increases a patient's health risk? Age Sex Poverty Genetics

Poverty

Primary Prevention

Primary Prevention: Prevention that lowers a person's chances of developing a disease Ex. Vaccines, Regular exercise, and healthy eating habits

A nurse is providing tertiary prevention for a patient with a stroke that resulted in left-sided weakness. Which concept describes the focus of the nurse's interventions? Early diagnosis Prompt detection Health promotion Rehabilitation efforts

Rehabilitation efforts

Which characteristic or example is typical of a chronic illness? Abrupt episode of vomiting Condition that lasts for 1 month Remissions and exacerbations Pain that is resolved within 24 hours

Remissions and exacerbations

Which characteristic is typical of a chronic illness? Abrupt onset Requires long-term care Short duration Reversible

Requires long-term care

A nurse is screening children for scoliosis. Which type of prevention does this illustrate?

Secondary

Secondary Prevention

Secondary Prevention: Diagnosis and Early Detection - for people who are at risk of developing an illness or disease Ex. Screening

According to Suchman's Stages of Illness Model, during which stage will a patient acknowledge that an illness is real? Stage I Stage II Stage III Stage IV

Stage II

Which definition best describes the concept of health? State of complete physical, mental, and social well-being Process of making good choices for oneself Unidirectional force to stay strong and fit in all areas of life Absence of illness

State of complete physical, mental, and social well-being

Which action would the nurse take to help a patient implement a risk-reduction plan? Suggest online health education resources that help to reduce the identified risk factor. Collaborate solely with a health care provider. Administer a hepatitis vaccine. Encourage assistive personnel to teach healthy strategies

Suggest online health education resources that help to reduce the identified risk factor.

A patient with high cholesterol states that he does not need to change his diet because there is no family history of heart disease. Which perception of the Health Belief Model is most important for the nurse to address? Benefits Severity Barriers Susceptibility

Susceptibility

Tertiary Prevention

Tertiary Prevention: Minimizing the effect or impact of the disease on a patient's health - Defect or disability is permanent Ex. Type 2 Hypertension

What statement describes a benefit of having a primary health care provider as a regular source of care? Health care costs are increased. A supportive, short-term relationship is provided. Effective, cost-efficient emergency medical services are provided. The likelihood of receiving appropriate care is increased.

The likelihood of receiving appropriate care is increased.

Which phrase describes the goal of secondary prevention? To protect from accidents To restore functional abilities To manage a diagnosed disease To provide early detection of health problems

To provide early detection of health problems

According to Suchman's Stages of Illness Model, which action does the patient take during stage IV? Assumes the sick role Recognizes symptoms Undergoes treatment Makes medical care contact

Undergoes treatment