Chapter 03: Health, Wellness, and Health Disparities
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
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 definition of health is the best?
Health is a state of complete 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 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.
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 Maintain a positive self-concept Maintain a sense of hope
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."
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
Which are factors that impact how a client defines health? Select all that apply.
Culture Society Community Family
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 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 level of prevention is represented by educating a group of clients on carseat safety?
Primary prevention
Which is an example of tertiary health promotion?
Rehabilitation
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.
Which model is most useful in examining the cause of disease in an individual, based upon external factors?
The Agent-Host-Environment Model
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.
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.
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
The concept of holism is based on the belief that:
individuals cannot be seen apart from the environment.
A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention?
provide care transition at discharge for speech therapy
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 nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
Which activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.
Avoiding exercise Participating in extreme sports Maintaining a stressful job
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
Chronic illness
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
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
Tertiary
A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:
agent.
