Foundations PrepU Chapter 3 Practice
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
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 are characteristics of chronic conditions?
Are rarely curable, require lifelong management, have a prolonged course
Which nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
Which are factors that impact how a client defines health? Select all that apply.
Community, society, family, culture
The nurse is preparing a sterile field for a procedure. While the nurse is opening an instrument, the outer wrapper of the sterilized instrument touches the extreme edge of the field. What should the nurse do next?
Discard the sterile field and prepare a new one
A community health nurse arranges for a dental checkup camp for the local children in the school district. Which of the following would most likely be the nurse's goal for this health camp?
Health promotion
The body's attempt to restore balance through self-regulatory mechanisms is termed:
Homeostasis
Which is the goal of tertiary prevention of illness?
Minimizing complications
The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?
Monitoring airway clearance.
A nurse is immunizing children against measles. This is an example of what level of preventive care?
Primary
Which is an example of tertiary health promotion
Rehabilitation
A client is admitted to the mental health center with attempted suicide. Which of the client's problems is the priority for the nurse to manage?
Risk of self-harm
The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of?
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
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
Tertiary
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:
high-level wellness
A client with Alzheimer disease in a nursing home is more compliant in following directions for dressing and feeding with one nurse than with other staff members. This phenomenon is best explained by
the Therapeutic Model of Interaction.
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
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
When first diagnosed with cancer, a client was depressed and complained of feeling sick. Now the client has adapted to the diagnosis, recently returned to work, and, since undergoing chemotherapy, reports feeling better than ever. The nurse recognizes that which model of health promotion is most effective in explaining this client's situation?
The Health-Illness Continuum Model
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 have the models of health promotion and illness prevention been used for?
To help health care providers understand health-related behaviors.
Why are health promotion and illness prevention a key responsibility of nurses?
Chronic illnesses are the leading health problem in the world.
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 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 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
Chronic illness may be characterized by periods of remission. Remission is best defined as:
The presence of a disease with the absence of symptoms.
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 diet low in fat
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.
What is a dynamic state in which a person constantly adapts to changes in the internal and external environment?
Health
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 definition of health is the best?
Health is a state of complete well-being.
Consultation and diagnostic tests are included in which level of health care?
Secondary care
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 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 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index 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."
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 and local climate
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?I
It has a gradual onset and lasts for a long time.
What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.
Maintaining an ideal body weight, eating regular healthy meals, sleeping 7 to 8 hours each night
The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?
Secondary
