Test 2 Nursing

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 Physiologic risk factor Health habits risk factor Lifestyle risk factor

Environmental risk factor

What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?

Health

what definition of health is best?

Health is a complete state of well being

what immunizations are given to children at birth-one year

birth:Hep B 2 Months:2nd hep B,RV,DTap, Hib,PCV13, IPV 4months:RV,DTap,Hib,PCV13,IPV 6months:same as 2 months including hep B, as well as flu shot

what are some barriers to vaccination

-economic factors -limited access to healthcare -clinic only open during work hours -parents do not understand importance of vaccines -religious prohibition

What is the definition of wellness? Being without disease An active state of being healthy A desire to be without disease Maximizing the state in which you live

An active state of being healthy

Which is the most accurate definition of health? Health is a state of maximal wellness. Health is a lack of disease. Health is a state of complete physical, mental, and social well-being. Health is a reflection of wellness and requires a conscious and deliberate effort to maintain.

Health is a state of complete physical, mental, and social well-being.

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: health promotion. illness prevention. a holistic approach. self-concept.

self concept pg.55

A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered: adaptation. self-care. self-esteem. health management.

self-care.

A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate?

"Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."

A mother brings her 28-month old boy to the clinic for a well-child visit. During the visit, the mother tells the nurse, "Whenever I ask my child to do something, all I get is no. It seems like that's the only word he knows." Which response by the nurse would be most appropriate?

"His 'no' is his way of trying to gain control over his surroundings."

what are some nursing considerations for vaccines

-for redness at injection site, apply cold compress (for 20 minutes at a time_ -for the 1st 24 hours, then warm or cold compresses after that as needed -patients should keep a copy of their immunization record or a print out of their MCIR report -tetanus booster are needed every 10 yrs

what are some contraindications of vaccines (6)

-known allergies to any component of the vaccine -live virus vaccines: pregnancy or immune deficiency -patients receiving immune globulin or who have received blood products containing antibodies within the last 3 months. -caution with history or febrile convulsions or cerebral injury -conditions in which high fever would be dangerous -acute infection

what are some common adverse side effects of vaccines

-low grade fever -drowsiness -should resolve in 2-3 days -anorexia -irritability -pain, redness, and swelling at the injection site

what three things are optimization of health?

-maintain high-level wellness -prevent illness -early detection and management of disease

tertiary prevention

-manage and lessen long term symptoms of coexisting condition -restore quality of life

what is the definition of immunization

-the process of artificially stimulating active immunity -exposes the body to weakened or less toxic proteins

A nurse is reviewing the medical records of several children who come to the health center for care. When applying Piaget's theory, which child would the nurse anticipate as being able to think abstractly and use deductive reasoning?

13-year-old

When a nurse is working on a pediatric unit, which of the following clients would the nurse know has the greatest need for good nutrition? 5 month old 3 year old 10 year old 15 year-old

5 month old

The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition?

A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing

A nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks how the baby develops soon after conception. Which is an accurate statement from the nurse about the embryonic stage? Cell growth and differentiation are slowed All basic organs are established here Embryo no longer vulnerable to toxins Bones are completely ossified

All basic organs are established here

Which are characteristics of chronic conditions? (Select all that apply.) Resolve spontaneously Are rarely curable Have a rapid onset Require lifelong management Have a prolonged course

Are rarely curable Require lifelong management Have a prolonged course pg.51

An older adult patient has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness? Assuming a dependent role Assuming the sick role Experiencing the symptoms Achieving recovery and rehabilitation

Assuming a dependent role

How can the nurse best demonstrate being a role model for health promotion? Educate others about healthy lifestyles Avoid smoking and drinking alcohol Prevent exposure to communicable diseases Take prescribed medications accordingly

Avoid smoking and drinking alcohol pg.56

Why are health promotion and illness prevention a key responsibility of nurses? Chronic illnesses can cause pain and suffering. Treatment of chronic illnesses is very expensive. Chronic illnesses are the leading health problem in the world. People do not like to be sick and feel bad.

Chronic illnesses are the leading health problem in the world. pg.51

The nurse is providing care for an 11-year-old child who has been diagnosed with central auditory processing disorder. Which strategy should the nurse use when teaching this child how to apply a wrist brace? Demonstration-return demonstration Showing a video Explaining the process in detail Providing written instructions

Demonstration-return demonstration

A nurse is counseling pregnant women about the detrimental effects of smoking and drinking on a fetus. During what stage of development is the fetus most susceptible to these teratogens? Preembryonic stage Embryonic stage Fetal stage Neonatal stage

Embryonic stage

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.) Family Self-respect Intimacy Status Friendships

Family Intimacy Friendships

The nurse is aware that basic client needs must be met before a client can focus on higher ones. According to Maslow's hierarchy of human needs, which example would be the highest priority for a client after physiologic needs have been met? A client enrolls in art class after recovering from major surgery. A nurse arranges for a teenage client to have visits from school friends. Grab bars are installed in a client bathroom to facilitate safe showering. A nurse identifies strengths in a client who is scheduled for a mastectomy.

Grab bars are installed in a client bathroom to facilitate safe showering.

After assessing a female adolescent, a nurse collects the following data: development of breast tissue, growth spurt in height and weight, appearance of axillary hair, and initiation of menarche. Which stage of sexual development does this data confirm?

Pubescence

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs?

physiologic pg.68

what things must be documented when implementing a vaccine (7)

-date of administration -vaccine given -manufacturer lot #,expiration date -site and route of administration -name and address of vaccine provider -give parent immunization record to keep -provide guidelines for managing reaction

types of vaccines (just glance)

-live, attenuated vaccines -inactivated vaccines -subunit vaccines -toxoid vaccines -conjugate vaccines -DNA vaccines -recombinant vector vaccine

A nurse provides interventions for clients in a long-term care facility to help them meet their intellectual needs. Which nursing actions promote these needs? Select all that apply. A nurse provides education about foot care to a client with diabetes. A nurse manager shuts down a cafeteria to investigate cases of food poisoning. A nurse refers a client experiencing dysfunctional grief to a grief counselor. A nurse explains to an obese client the benefits of following a healthy diet. A nurse shows residents a video discussing modified activities for older adults. A nurse sets up a pet therapy program for the residents

A nurse provides education about foot care to a client with diabetes. A nurse explains to an obese client the benefits of following a healthy diet. A nurse shows residents a video discussing modified activities for older adults

During a well-child visit, the nurse observes a 3-year-old girl who climbs up into her father's lap and says, "I am going to marry you when I grow up, Daddy." What determination does the nurse make about this observation? This child is in the latency stage of Freud's theory of the mind. This child is experiencing the Electra complex which is normal at this age. This is a strong clue that this child may be being sexually abused. This child is developing an unhealthy attachment to her father.

This child is experiencing the Electra complex which is normal at this age.

secondary prevention

early detection of disease or injury screening

primary prevention

eliminate risk factors, avoid disease or injury

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

n older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation center where the client had to relearn how to perform activities of daily living, including feeding and dressing. The client has often voiced a desire to be as active as possible. The client now expresses a strong desire to go home. The nurse recognizes that these statements made by the client indicate that the client is: maintaing dependence. needing further recovery. giving up the dependent role. hopeless due to disease process.

giving up the dependent role.

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: illness. agent-host-environment. health belief model. high-level wellness.

high-level wellness. pg.50

A student nurse is assisting the school nurse with a health fair at a middle school. The student nurse assesses the students' height and weight as they file through her station, where she observes that there is a large variation in physical size and emotional maturity. Which of the following factors may affect physical growth of children? Choose all that apply. Heredity Colorful toys Prenatal nutrition Physical activity Availability of books

Heredity Prenatal nutrition Physical activity

The nurse is working in an acute care setting and performs primary, secondary, and tertiary prevention. Which activity performed by the nurse is classified as tertiary prevention? Promoting safety in the home Instructing a client on how to use crutches Counseling a client about a low-sodium diet Assessing a client's blood glucose level

Instructing a client on how to use crutches

The nurse is working in an acute care setting and performs primary, secondary, and tertiary prevention. Which activity performed by the nurse is classified as tertiary prevention? Promoting safety in the home Instructing a client on how to use crutches Counseling a client about a low-sodium diet Assessing a client's blood glucose level

Instructing a client on how to use crutches pg.56

Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply. Learn to live as normally as possible Accept dependence and adjust to it Maintain a positive self-concept Maintain a sense of hope Give up control of one's life

Learn to live as normally as possible Maintain a positive self-concept Maintain a sense of hope

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 fluid intake and output. Effective pain management. Monitoring airway clearance. Effective infection control measures.

Monitoring airway clearance.

A nurse is conducting an in-service education program on moral development for a group of staff nurses. The nurse describes the theories of Kohlberg and Gilligan. The nurse determines that the teaching was successful when the group identifies which area as being associated with women and morality?

Needs of others

As a nursing student is visiting a day care to observe growth and development in action. The nursing student completes assessments on infants and toddlers who are learning to walk, talk, and control elimination. According to Freud, in what developmental stage are they?

Oral; anal

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

To help health care providers understand health-related behaviors. pg.59

What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

Wellness

what are considered vulnerable populations?

persons of low socioeconomic status and persons who are members of ethnic and racial minorities

A nurse is observing a child pick up a rattler and shake it to hear a sound. The nurse understands that the child is considered to be in which of the following of Piaget's Cognitive Development stages?

Sensorimotor stage

A nurse observes that a client who has pneumonia is in the recovery and rehabilitation stage of the illness. Which statement describes the client response that the nurse would expect at this stage of the illness? The client gives up the dependent role. The client assumes a dependent role. The client seeks medical attention. The client recognizes symptoms of illness.

The client gives up the dependent role

When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's:

age and developmental stage. pg.54

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

agent.

Which nursing activity reflects care given on the tertiary level of healthcare delivery?

assisting with transplant surgery

what immunizations are given at 12-18 months

at 15-18 month mark:Dtap 12 month:hep A, Hib,PCV,MMR, varicella, 18 months:hep A again

when is the first flu shot given?

at sixth months