ECPI 2020: NUR 164 CHAPTER 3 HEALTH WELLNESS AND HEALTH DISPARITIES

Symptoms are not experienced.

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?

-Examples of heart-healthy diet -Information on increasing activity and exercise

A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (Select all that apply.)

Chronic illnesses are the leading health problem in the world.

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

Sociocultural and intellectual

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

Rehabilitation

Which is an example of tertiary health promotion?

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

Which is the most accurate definition of health?

A client who practices Orthodox Judism will not eat pork.

Which scenario accurately depicts the influence of one's religious beliefs?

Health promotion

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 l'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?

agent.

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

Secondary prevention

A mammogram represents which level of prevention?

Stage 3

A nurse is caring for a client who has breast cancer. The client tells the nurse: "I don't know why this happened to me but im ready to move on and do whatever i need to do to get healthy again ". This client is in which stage of acute illness?

Primary

A nurse is immunizing children against measles. This is an example of what level of preventive care?

primary

A nurse is immunizing children against measles. This is an example of what level of preventive care?

Avoid smoking and drinking alcohol

How can the nurse best demonstrate being a role model for health promotion:

giving up the dependent role.

An 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:

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

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

To help health care providers understand health-related behaviors.

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

age and developmental stage.

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:

Health belief model

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?

homeostasis.

The body's attempt to restore balance through self-regulatory mechanisms is termed:

Secondary

The client is admitted with gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?

Selects foods low in purine from the dinner menu

The nurse provided teaching to a client newly diagnosed with gout. Which behavior observed by the nurse indicates the client understood the teaching?

high-level wellness.

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:

consume a diet low in fat.

To be an effective change agent for wellness, the nurse must:

Are rarely curable Have a prolonged course Require lifelong management

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

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

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?

Teaching about adhering to a low-sodium diet

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?

Requesting the client's permission to touch the body

The nurse is certified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform first?

Modifiable

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?

Chronic illnesses cannot be prevented.

What is a misconception about chronic disease?

Health

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

An active state of being healthy

What is the definition wellness?

Primary prevention

What level of prevention is represented by educating a group of clients on breast self- examination?

-Family -Culture -Community -Society

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

-Society -Family -Community -Culture

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

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

Which behaviors are necessary for a person to successfully adapt to chronic illness? Select all that apply.

-Family -Intimacy -Friendships

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

The onset is sudden

physician diagnoses the client with colitis, an acute illness. Why is colitis considered an acute A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The illness?

Chronic illness

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

-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. -nurse shows residents a video discussing modified activities for older adults.

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.

Tertiary

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Emotional dimension

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?

Secondary care

Consultation and diagnostic tests are included in which level of health care?

Environmental risk factor

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?

Smoking

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

The Agent-Host-Environment Model

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

Sociocultural needs

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Assisting with speech therapy a client with a traumatic brain injury

Which nursing intervention is an example of tertiary preventive care?

It has a gradual onset and lasts for a long time.

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?

Extended care

A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?

Coronary artery disease

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?

self-concept.

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:

Exacerbation

A client has been admitted to the hospital for the random blood glucose reading of 575 mg/dL (31.91 treatment of diabetic ketoacidosis, with a mmol/L), vomiting, and shortness of breath. This client has experienced which phenomenon?

Sociocultural and intellectual

A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism . The client states that it is nearly impossible to quit drinking because of the deep attatchment of alcohol use in the clinets circle of friends and line of work. As well the client claims to have though that drinking only beer and foregoing hard alcohol would prevent health problems. This client is exhibiting health consequences rooted in which human dimensions?

Tertiary prevention

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?

Instructing a client on how to use crutches

The nurse is working in an acute care setting and performs primary, secondary, and teritiary prevention. Which activity performed by the nurse is classified as tertiary prevention?

Risk of self-harm

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?

Assuming the sick role

A client with a lump in the breast calls the healthcare evaluation. Based on the client's actions, what stage of illness is the client demonstrating?

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?

Personality characteristics

While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the client's response to illness?

-To allow them to give effective nursing care to others -To enable them to practice more efficiently -To help them serve as role models for clients

Why do nurses need to care for their own health needs? Select all that apply.

Health is a state of complete well-being.

Which definition of health is the best?

Instructing a client on how to use crutches

The nurse is working in an acute care setting and performs primary asecondary and tertiary prevention. Which activity performed by the nurse is classified as tertiary prevention?

Assuming dependent role

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?

Secondary

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?