Prep U Chapter 3 Health, Illness and Disparities

(Top) Self actualization Esteem Love and Belonging Safety Physiological (Bottom)

In what order from BOTTOM to TOP does Maslow's Hierarchy of Human Needs go? 5. 4. 3. 2. 1.

high level wellness

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

Chronic illnesses cannot be prevented

What is a misconception about chronic disease?

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?

Family counseling

The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion?

Orthodox Jews prohibiting the intake of pork

The nurse understands the role that religion and spirituality plays in a client's health. Which of the following is one example of the influence of the spiritual dimension on health care?

spouse and parent who is angry about no longer being able to work due to a spinal cord injury

Which client would benefit from the nurse including interventions addressing their social health in the plan of care?

Rehabilitation

Which is an example of tertiary health promotion?

Avoiding exercise Participating in extreme sports Maintaining a stressful job

Which of the following activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply. Maintaining a stressful job Avoiding exercise Living in an area with high smog levels Participating in extreme sports

A person tells his family that he is sick and allows them to take care of him.

Which of the following is an example of a characteristic of Stage 2 of illness?

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?

symptoms are not experienced.

A nurse is caring for a patient who has COPD, a chronic illness of the lungs. The patient is in remission. Which statement best describes a period of remission in a patient with a chronic illness?

Patient gives up dependent role.

A nurse observes that a patient who has pneumonia is in the recovery and rehabilitation stage of the illness. What statement describes the patient response that the nurse would expect at this stage of the illness?

Assuming the sick role

A patient with a lump in her breast calls her primary care physician to schedule an appointment for an evaluation. Based upon the patient's actions, what stage of illness is the patient demonstrating?

Secondary prevention

A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent?

She feels scared that her mother will hurt someone. (safety)

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?

secondary

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

The Health Illness Continuum model

The client who has cancer has adapted to her diagnosis and has recently returned to work. When first diagnosed she was depressed and told everyone how sick she was. Since undergoing the chemotherapy she states that she now feels better than ever. The nurse recognizes that which of the following models of health promotion is most appropriate for this client?

It focuses on what people believe to be true about their health.

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?

Tertiary

The nurse is educating a client with diabetes on how to better control blood sugar levels and recognize the symptoms associated with both hyperglycemia and hypoglycemia. The client is frequently admitted to the hospital due to elevated blood sugars. This education is an example of which level of health promotion?

client with chronic obstructive pulmonary disease (COPD) symptoms of wheezing and cough who needs a medication refill

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

holism

individuals cannot be seen apart from the environment.

Sociocultural needs

Nurses promote the needs of clients as an integral part of each person's human dimension. Which needs are being met when a nurse recommends a senior citizen community centre for an older client who is living alone?

Environment

A client has been exposed to bacterial pneumonia. The client has been eating poorly, with limited intake of nutrients. This factor would predispose a client to the development of pneumonia. Poor nutritional intake is classified as the

freedom from harm

A client is admitted to the mental health centre with attempted suicide. Which of the client's problems is priority for the nurse to manage?

minimizing complications

A group of students is reviewing the various levels of illness prevention. The students demonstrate understanding when they identify which of the following as a goal of tertiary prevention of illness?

Therapeutic model of interaction

A man with Alzheimer's disease in a nursing home will follow directions for dressing and feeding better with one nurse than with other staff members. This factor is related to

self-care

A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered:

Secondary care

A client experiencing symptoms of cold is referred to the specialist for diagnosis and consultation. Consultation and diagnostic tests are included in which level of the health care system?

More people with chronic illness

The nurse who is working in a long-term care facility is talking with a group of healthcare workers. One of the healthcare workers asks about current trends in health care. Which of the following trends should the nurse base the response on?

Basic human needs

The nursing instructor informs the students that there are many factors that affect a person's health. Which of the following does she tell the students is something that is essential and must be met for physiological health and survival?

Patient may feel lonely and dirty A private room

The patient is in protective isolation. The nurse expects which of the following while providing care for the patient in this type of isolation? Select all that apply.

Wellness

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

Health

What is a dynamic state in which a person constantly adapts to changes in the internal and external environment?

stressed client who is experiencing paranoid delusions

Which client would benefit from the nurse including interventions addressing emotional health in the plan of care?

gait training and speech therapy

An woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aphasia. For this client, which of the following activities constitutes tertiary prevention?

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?

Wellness is an active state, whereas health is a more passive state dependent on the absence of disease.

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?

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?

Health

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