Chapter 3 practice questions Foundations
The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement?
"I cannot possibly ever be considered as healthy."
Which scenario is an example of a characteristic of Stage 2 of illness?
A person tells his family that he is sick and allows family members to take care of him
How can the nurse best demonstrate being a role model for health promotion?
Avoid smoking and drinking alcohol
An adolescent 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
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.
A nurse is interviewing a family. During the interview, the nurse gathers information about the family's environmental dimension. Which element would the nurse include in this assessment? Select all that apply.
Housing situation Local climate
Which is the goal of tertiary prevention of illness?
Minimizing comlications
What level of prevention is represented by educating a group of clients on car seat safety?
Primary prevention
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
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
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
Tertiary
Which model is most useful in examining the cause of disease in an individual, based upon external factors?
The Agent-Host-Environment Model
What have the models of health promotion and illness prevention been used for?
To help health care providers understand health-related behaviors.
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
What is the definition of wellness?
an active state of being healthy
To be an effective change agent for wellness, the nurse must:
consume a healthy diet.
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:
high-level wellness.
A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention?
provide care transition at discharge for speech therapy
A client who has recently been diagnosed with a chronic illness appears to be depressed. When the nurse asks if there is something wrong, the client states, "Nothing will ever be the same for me since I have this disease." What is the most appropriate response for the nurse?
"If you maintain a positive self-concept, you can live as normally as possible."
A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating
Assuming the sick role
A client who recently underwent a coronary artery bypass graft is taking furosemide and metoprolol following the procedure. While developing a plan for a heart-healthy diet with the nurse, the client states that diet did not contribute to the heart disease and that the client should be fine just continuing to take the medications. According to the Stages of Change Model, which stage of change is the client in related to diet?
Precontemplation
The client is admitted with a gastrointestinal bleed. The health care provider ordered a colonoscopy. Which level of care encompasses this procedure?
Secondary
The nurse recognizes that the client who makes the decision to accept a new diagnosis and follow the prescribed treatment plan is in which stage of an illness?
Stage 3-Assuming a dependent role
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?
Health belief model
Which is the most accurate definition of health?
Health is a state of complete physical, mental, and social well-being.
Consultation and diagnostic tests are included in which level of health care?
Secondary care