Fundamentals of Nursing Course Point Quiz: Ch. 3

The nurse is counseling a newly pregnant woman who is concerned about developing infections during her pregnancy. The pregnant woman states, "I'm so afraid something will happen to my baby. My friend developed an infection while she was pregnant and the baby died." Which of the following responses by the nurse would be most appropriate?

"Early prenatal care like you are receiving is very beneficial in reducing chances of infection."

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

consume a diet low in fat.

Which is an example of tertiary health promotion?

rehabilitation

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

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

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

Family Culture Community Society

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

Health

A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply.

Screening clients for hypertension Scheduling a mammogram for a client Referring a client to family counseling

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

Secondary

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

Tertiary

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

Instructing a client on how to use crutches

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

Are rarely curable Require lifelong management Have a prolonged course

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

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

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

Chronic illness

Which is the most accurate definition of health?

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

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

Secondary care

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

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

The Agent-Host-Environment Model

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.

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

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 airway clearance.

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

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

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

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

agent.

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

Sociocultural needs

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

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

To help health care providers understand health-related behaviors.

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

What is the definition of wellness?

an active state of being healthy

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:

giving up the dependent role.

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

high-level wellness.

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:

self-concept.

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