Mastery Quiz 3 Ch. 3

A nurse is taking care of a client who has a new, permanent colostomy. The nurse is talking with the client about the new appliance and asking how the client feels about managing it. Which client response indicates understanding of the relationship between self-concept and health?

"I am developing a set of realistic expectations to help me manage my overall health and quality of life."

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

Which is the most accurate definition of health?

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

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 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

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?

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

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 definition of health is the best?

Health is a state of complete well-being.

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

homeostasis

Chronic illness may be characterized by periods of remission. Remission is best defined as:

the presence of a disease with the absence of symptoms

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

Chronic illnesses are the leading health problem in the world.

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

sociocultural needs

What is the definition of wellness?

An active state of being healthy

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

Which are characteristics of chronic conditions?

require lifelong management are rarely curable have a prolonged course

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?

risk of self-harm

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

What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

wellness

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 is the goal of tertiary prevention of illness?

Minimizing complications

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.

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

primary

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

agent

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

consume a diet low in fat

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

environmental risk factor

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

The Agent-Host-Environment Model

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

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

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.

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help maintain independence

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

high-level wellness

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

To help health care providers understand health-related behaviors.

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

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

A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing

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

Chronic illness