chapter 3 prep u

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

the presence of a disease with the absence of symptoms.

What is the definition of wellness?

An active state of being healthy

A community health nurse has noticed a large number of women in the community are not getting regular mammograms. This is a rural community with limited access to health care. Which action would be the most appropriate for the nurse to pursue to promote compliance in getting annual mammograms?

Arrange for a mobile mammography unit to come to the community several days a month.

Which are factors that impact how a client defines health? Select all that apply.

Community society culture family

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

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 shortness of breath. This client has experienced which phenomenon?

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 definition of health is the best?

Health is a state of complete well-being.

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 should focus on which area?

Health promotion

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

It has a gradual onset and lasts for a long time.

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

A nurse is immunizing children against measles. This is an example of what level of preventive care?

Primary

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. Which level of health promotion is this an example of?

Primary

What level of prevention is represented by educating a group of clients on carseat safety?

Primary prevention

A nurse is implementing secondary-level interventions for a group of hospitalized clients. With which activity(ies) would the nurse be involved? Select all that apply.

Providing wound care Administering medications

Which is an example of tertiary health promotion?

Rehabilitation

Which are characteristics of chronic conditions? (Select all that apply.)

Require lifelong management Have a prolonged course Are rarely curable

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

Sociocultural needs

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.

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

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

To be an effective change agent for wellness, the nurse must:

consume a healthy diet.

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

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