PrepU Ch. 3
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
What is the definition of wellness?
An active state of being healthy
Why are health promotion and illness prevention a key responsibility of nurses?
Chronic illnesses are the leading health problem in the world.
What is a misconception about chronic disease?
Chronic illnesses cannot be prevented.
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
Primary Prevention
Directed toward promoting health and preventing the development of disease processes or injury.
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 model is most useful in examining the cause of disease in an individual, based upon external factors?
The Agent-Host-Environment Model
A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client?
The client is having an exacerbation of the COPD.
A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention?
provide care transition at discharge for speech therapy
Consultation and diagnostic tests are included in which level of health care?
secondary
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
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
tertiary
A mammogram represents which level of prevention?
Secondary prevention
Secondary Prevention
Focus on screening for early detection of disease with prompt diagnosis and treatment of any found. The goals of secondary preventive care are to identify an illness, reverse or reduce its severity or provide a cure, and thereby return the person to maximum health as quickly as possible.
Which definition of health is the best?
Health is a state of complete well-being.
A nurse is immunizing children against measles. This is an example of what level of preventive care?
Primary
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
A hospital nurse assesses clients in various stages of illness. Which statements accurately describe client responses to illness based on Suchman's stages of illness? Select all that apply.
-In stage 2, most people focus on their symptoms and bodily functions. -When help from a health care provider is sought, the person becomes a client and enters stage 3, assuming a dependent role. -In stage 1, pain is the most significant symptom indicating illness, although other symptoms, such as a rash, fever, bleeding, or cough, may be present.
What have the models of health promotion and illness prevention been used for?
To help health care providers understand health-related behaviors.
Tertiary Prevention
begins after an illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate patients to a maximum level of functioning.
What is a dynamic state in which a person constantly adapts to changes in the internal and external environment?
Health
