Ch.3 practice questions

What is a misconception about chronic disease?

Chronic illnesses cannot be prevented.

Which of these is not a factor in the Agent-Host-Environment Model of health and illness, as developed by Leavell and Clark (1965)?

Evil spirit

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

Health

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

Nurses are aware that there is a current trend older adults living longer, resulting in an increase in the incidence of chronic illnesses. Which concepts are necessary in order for a person to successfully adapt to a chronic illness? Select all that apply.

One must maintain a sense of hope. One must learn to live as normally as possible. One must maintain a positive self-concept.

What level of prevention is noted when the nurse educates a group of mothers of school-age children on self breast examinations?

Primary prevention

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

A client experiencing symptoms of cold is referred to the specialist for diagnosis and consultation. Consultation and diagnostic tests are included in which level of the health care system?

Secondary care

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

The nurse is educating a client with diabetes on how to better control blood sugar levels and recognize the symptoms associated with both hyperglycemia and hypoglycemia. The client is frequently admitted to the hospital due to elevated blood sugars. This education is an example of which level of health promotion?

Tertiary

A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?

Tertiary prevention

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.

When providing holistic care to a client, the nurse recognizes that which of the following is necessary? Select all that apply.

Understand and respect each person's definition of health. Understand and respect each person's responses to illness.

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

age and developmental stage.

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

assisting with transplant surgery

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

client with chronic obstructive pulmonary disease (COPD) symptoms of wheezing and cough who needs a medication refill

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

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 nurse is caring for a client admitted for the third time in 90 days with a diagnosis of heart failure. What nursing activities on a tertiary level will the nurse educate the client regarding to prevent readmission?

importance of adhering to a low sodium diet

The nurse is explaining primary and secondary care to the client. Which nursing activity reflects secondary care as provided by the nurse?

ordering a mammography

A parent brings the 2-year-old child for a well-baby visit. Which actions address primary prevention strategies for the nurse to discuss with the parent? Select all that apply.

Discussing healthy meal choices for a 2-year-old-child Adhering to the immunization schedule Reviewing appropriate discipline for a 2-year-old child Using a child safety seat appropriately

A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent?

Secondary prevention

A 13-year-old client with cystic fibrosis has just recovered from a superimposed respiratory infection and is going home tomorrow. The client confides in the nurse that her home life is not the greatest right now. Her parents are fighting 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 causing her mom to drink because she is always in the hospital. According to Maslow's hierarchy of human needs, which issue should take priority when caring for this client?

She feels scared that her mother will hurt someone.

A patient has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The patient states that he finds it nearly impossible to quit drinking because of the deep entrenchment of alcohol use in his circle of friends and line of work. As well, he claims that he thought limiting himself to beer and foregoing hard alcohol would prevent health problems. This patient is exhibiting health consequences rooted in which of the following human dimensions?

Sociocultural and intellectual

Nurses promote the needs of clients as an integral part of each person's human dimension. Which needs are being met when a nurse recommends a senior citizen community centre for an older client who is living alone?

Sociocultural needs

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

The Agent-Host-Environment Model

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

To help health care providers understand health-related behaviors.

A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion." Which statement best describes the difference between the concept of wellness and the concept of health?

Wellness is an active state, whereas health is a more passive state dependent on the absence of disease.

Which client growth needs are included in the love and belonging level of Maslow's hierarchy?

friendships intimacy family