NF. 1 PrepU: CH.4- Health and Illness
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 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 age group in the population is expanding most rapidly, resulting in changes in the delivery of health care?
older adults
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
Research has shown that the incidence of chronic conditions is increasing. Which lifestyle factor is associated with chronic diseases?
smoking
Which client would benefit from the nurse including interventions addressing emotional health in the plan of care?
stressed client who is experiencing paranoid delusions
Chronic illness may be characterized by periods of remission. Remission is best defined as:
the presence of a disease with the absence of symptoms.
A 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a BMI of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?
"There is nothing that can be done anyway; chronic diseases cannot be prevented"
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
Fever of undetermined origin
Which nurse posited a theory that can be practically applied to nursing as follows: "Nurses modify unhealthy aspects of the environment to put the client in the best condition for nature to act."
Florence Nightingale
A nurse educator uses models of health and illness when teaching. Which model of health and illness places high-level health and death on opposite ends of a graduated scale?
Health-illness Contnuum
Which statement reflects the World Health Organization's definition of health?
It is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.
A nurse caring for patients with diabetes knows that this is a characteristic of a chronic illness:
It requires special patient education for rehabilitation.
What is an entitlement program designed to serve the poor that is administered by the state?
Medicaid
A client reports that she is in an abusive relationship and does not know how to break it off. Which of Maslow's hierarchy of needs does the nurse need to prioritize most for this client?
Safety and security
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 child age 4 years has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
The disease is present, but symptoms are not experienced.
A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?
They are responsible for the continued development and advancement of nursing
When providing care to a client, what perspective is followed by the nurse?
Viewing client's health as a balance of body, mind, and spirit
The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (Select all that apply.)
-diseases that do not resolve spontaneously -diseases where complex cures are rare -diseases that have a prolonged course
Based on Maslow's hierarchy of needs, when prioritizing a client's plan of care, what would be the nurse's priority?
Administering pain medication
Which is a factor upon which the financial stability of health maintenance organizations (HMOs) is based?
keeping clients healthy and out of the hospital through periodic screening, health education, and preventive services
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 for a client with traumatic brain injury
A student is choosing an educational path and desires a nursing degree with a track for community nursing and leadership and that allows for classes in liberal arts. The student would best be suited in which type of program?
baccalaurate program
Which description best summarizes the level of responsibility of the licensed nurse as related to assessment?
gathers data by interviewing, observing, and performing a basic physical examination of people with common health problems with predictable outcomes
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
fever of undetermined origin
