#4 Health & Wellness
A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?
Extended care
The nurse is providing prenatal counseling for a pregnant client regarding the prevention of congenital disorders during pregnancy. Which statement made by the client indicates that the education provided was effective?
"My baby is most vulnerable if I take anything in the first 3 months of pregnancy."
The nurse manager of the acute care unit has decided to implement a team nursing approach for client care. One of the staff members asks, "Will we each take care of our own clients?" What is the appropriate response by the manager?
"The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together."
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
Chronic illness
Which nursing activity reflects secondary prevention?
Making a referral for a mammogram
The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?
Secondary
Which nursing activity provides an example of primary prevention?
Teaching a family how to recognize and avoid environments containing lead paint
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 with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client?
The client is having an exacerbation of the COPD.
A recent nursing graduate has been making a concerted effort to ensure that clients receive holistic nursing care. Which action best demonstrates the principle of holism?
The nurse attempts to meet the physical, social, emotional, and spiritual health needs of clients.
A nurse is caring for a client who is in the remission state of leukemia. The client expresses anxiety about the recurrence of leukemia and states feels depressed when thinking about the outcome of leukemia. Which aspect of health is the client talking about?
emotional health
The nurse is caring for a client who has recovered from injuries incurred from a motor vehicle accident where two other family members did not survive. The client informs the nurse that he or she will grieve without demonstrating ineffective coping mechanisms. Which type of health behaviors does the nurse identify the client is exhibiting?
emotional health
The client experienced a stroke with left-sided weakness. The case manager determines that the client no longer requires acute care but currently is unable to return to the home environment. Which health care environment will be the appropriate referral option for this client?
extended care
A client is in the terminal stage of leukemia. The client is discharged from the hospital and a licensed practical nurse is assigned for the nursing care of the client at home. This is an example of:
extended care.
"My baby is most vulnerable if I take anything in the first 3 months of pregnancy."
faulty embryonic development.
All the following symptoms are present in a client. Which is the priority for nursing care?
fever
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
fever of undetermined origin
In a nursing unit, the nurse-in-charge delegates nursing duties as follows: one nurse is assigned to assist clients with nasogastric feeds; another nurse is assigned to wound dressings, and another nurse for giving medications. Which type of nursing care is being implemented?
functional nursing
The nurse understands that Huntington's chorea is a neurologic disorder that manifests itself at adulthood. Which category of illness best defines Huntington's chorea?
hereditary illness
A nurse is providing care for a client whose treatment is being funded by Medicaid. The nurse should be aware that this client most likely qualified for this program on the basis of:
low income.
A nursing student has learned that an increasing number of individuals now live with one or more chronic illness. What health condition is an example of a chronic illness?
osteoarthritis
The nurse is preparing a plan of care for a client with nutritional deficits. Which is the priority intervention for this client?
teaching about intake of food and vitamins
An 81-year-old client experienced a fall and fractured his hip. Consequently, the client was admitted to the local hospital and had surgery to repair the hip fracture. What type of care did this client receive?
tertiary care
The nurse understands that mortality denotes the number of people who died of a particular disease or condition. What does an infant mortality rate of 15 indicate?
15 infant deaths per 1,000 live births
The nurse is preparing to create a plan of care for a client admitted with chronic obstructive pulmonary disease (COPD). Which intervention(s) will directly help the client achieve the goal of self-actualization? Select all that apply.
creating a treatment and prevention plan to decrease readmissions educating the client about the course of the disease process teaching the client about the COPD diagnosis