NURS 204 Chapter 3

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

Which is an example of tertiary health promotion?

Rehabilitation

Which lifestyle factor is associated with an increased risk for chronic diseases?

Smoking

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

Culture Family Society Community

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

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.)

Family Intimacy Friendships

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.

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking?

Modifiable

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

A 13-year-old client with cystic fibrosis who is being discharged confides in the nurse that her parents argue a lot. Sometimes, her mother has too much to drink and starts throwing things at people. At times she gets scared her mom will hurt someone. She feels as if she is causing her parents to fight and her mom to drink because she is always in the hospital. She also worries about getting a bad grade in school due to her many absences and not getting into a good college. According to Maslow's hierarchy of human needs, which issue should take priority when caring for this client?

The client feels scared that her mother will hurt someone.

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

To help health care providers understand health-related behaviors.

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

What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.

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

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

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.

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 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

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world.

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.

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

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

Require lifelong management Have a prolonged course Are rarely curable

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

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?

Tertiary

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.

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 is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?

Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy

What is the definition of wellness?

An active state of being healthy

Which client would most benefit from the nurse including in the plan of care interventions addressing emotional health?

A stressed client who is experiencing paranoid delusions

What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply.

Alterations in roles Economic problems Decrease in social interactions Alterations in lifestyle

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

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 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

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:

agent.

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