Week 1 - Chapter 3: Health, Wellness, and Health Disparities

Which client would most benefit from the nurse including in the plan of care interventions addressing emotional health? A new mother cradling her infant A stressed client who is experiencing paranoid delusions An adolescent client who is feeling sad and lonely after visiting hours ended A client with a new onset of renal failure

A stressed client who is experiencing paranoid delusions

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 A client diagnosed with diabetes mellitus (DM) who stubbed the great toe and now has a wound A client returning for a follow-up visit after a shoulder sprain 1 week ago A client who fell off a roof 2 weeks ago and is experiencing continuous lower back pain

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

What is a misconception about chronic disease? Chronic illnesses cannot be prevented. Almost half of chronic deaths occur prematurely in people under 70 years of age. Chronic illness typically does not result in sudden death. The major cause of chronic disease is known.

Chronic illnesses cannot be prevented.

Which are factors that impact how a client defines health? Select all that apply Music Culture Community Family Society

Family Culture Community Society

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.) Self-respect Status Friendships Intimacy Family

Family Intimacy Friendships

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 is a sequela of acute illness. It takes a long time to cure. It persists for a long time. It has a gradual onset and lasts for a long time.

It has a gradual onset and lasts for a long time.

Which scenario accurately depicts the influence of one's religious beliefs on health and health care? Muslims requiring baptism for live births Orthodox Jews prohibiting the intake of pork Jehovah's Witnesses prohibiting the intake of shellfish Conservative Catholics opposing blood transfusions

Orthodox Jews prohibiting the intake of pork

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? a. Exacerbation b. Morbidity c. Infection d. Risk factor

a

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

Sociocultural needs

A nurse is caring for a client who has breast cancer. The client tells the nurse: "I don't know why this happened to me, but I'm ready to move on and do whatever I need to do to get healthy again." This client is in which stage of acute illness? Stage 2 Stage 3 Stage 4 Stage 1

Stage 3

A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, an acute illness. Why is colitis considered an acute illness? It is difficult to treat. The onset is sudden. It lasts for a long time. It is not curable.

The onset is sudden.

Why do nurses need to care for their own health needs? Select all that apply. To allow them to give effective nursing care to others To help them serve as role models for clients To make them look more appealing to the public To deemphasize the importance of care provided by physicians To enable them to practice more efficiently

To allow them to give effective nursing care to others To enable them to practice more efficiently To help them serve as role models for clients

When providing holistic care to a client, the nurse recognizes that which behaviors are necessary? Select all that apply. Instruct the client that health is an inactive process. Apply the model of health that is most popular. Understand and respect each person's definition of health. Focus on a standard definition of health and beliefs. Understand and respect each person's responses to illness.

Understand and respect each person's definition of health. Understand and respect each person's responses to illness

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: health management. self-esteem. self-care. adaptation.

self-care.

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

Health

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? Feelings of not belonging Risk of self-harm Low self-esteem Lack of support

Risk of self-harm

A nurse is assessing a client for potential variables that influence the client's health. When assessing the client's self-concept, which area should the nurse include? Select all that apply. The client's educational level The client's degree of interaction with family members The client's cultural background The client's feelings about self as a person The client's view of self physically

The client's feelings about self as a person The client's view of self physically

Why are health promotion and illness prevention a key responsibility of nurses? a. Chronic illnesses can cause pain and suffering. b. Chronic illnesses are the leading health problem in the world. c. People do not like to be sick and feel bad. d. Treatment of chronic illnesses is very expensive.

b

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: a holistic approach. illness prevention. self-concept. health promotion.

self-concept.

A nurse who is working in a long-term care facility is talking with a group of health care workers. One of the health care workers asks about current trends in health care. Which trend should the nurse mention? An increase in the incidence of chronic illnesses An increase in average income An increase in people dying at an early age An increase in people identified as upper class

An increase in the incidence of chronic illnesses

The body's attempt to restore balance through self-regulatory mechanisms is termed: a. equilibration. b. biofeedback. c. homeostasis. d. self-conception.

c

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? a. The disease is no longer present. b. New symptoms occur at this time. c. The symptoms of the illness reappear. d. Symptoms are not experienced.

d

A rapid onset of symptoms that lasts a relatively short time indicates which condition? An actual risk factor A potential for wellness An acute illness A chronic illness

An acute illness

Meeting which type of needs is essential for physiological health and survival?

Basic human needs

When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's: peer influence and education. health promotion activities. age and developmental stage. gender and medical history.

age and developmental stage.

Which is the most accurate definition of health? a. Health is a lack of disease. b. Health is a state of maximal wellness. c. Health is a reflection of wellness and requires a conscious and deliberate effort to maintain. d. Health is a state of complete physical, mental, and social well-being.

d

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? a. Self-concept b. Illness prevention c. Diagnosis of disease d. Health promotion

d

How can the nurse best demonstrate being a role model for health promotion? Take prescribed medications accordingly Avoid smoking and drinking alcohol Educate others about healthy lifestyles Prevent exposure to communicable diseases

Avoid smoking and drinking alcohol

Consultation and diagnostic tests are included in which level of health care? Extended care Tertiary care Primary care Secondary care

Secondary care

When chronic illnesses and disabilities are present, individuals benefit most from activities that: a. help them maintain independence. b. preserve their social interactions. c. help them eat well. d. accomplish financial stability.

a

A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating? Experiencing the symptoms Assuming the dependent role Achieving recovery and rehabilitation Assuming the sick role

Assuming the sick role

Which client would most benefit from the nurse including in the plan of care interventions addressing the client's social health? A stressed client who is learning to using guided imagery for relaxation A spouse and parent who is angry about no longer being able to work due to a spinal cord injury A new mother cradling her infant A client with a sexually transmitted infection

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

A client, who has just been diagnosed with a chronic condition, asks the nurse what a"chronic condition" means. What would be the nurse's best response? "Chronic conditions usually come on slowly and may have periods of remission and exacerbation." "Chronic conditions require short-term management in extended-care facilities." "Chronic conditions involve disabilities that require hospitalization." "Chronic conditions are diseases that come and go."

"Chronic conditions usually come on slowly and may have periods of remission and exacerbation."

A 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index 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? "The major causes of chronic diseases are known." "I need to start slow on an exercise program approved by my healthcare provider." "There is nothing that can be done anyway; chronic diseases cannot be prevented." "Over 80% of cases of type 2 diabetes could be prevented if the risk factors were eliminated."

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

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? Select all that apply. A nurse sets up a pet therapy program for the residents. A nurse provides education about foot care to a client with diabetes. A nurse manager shuts down a cafeteria to investigate cases of food poisoning. A nurse explains to an obese client the benefits of following a healthy diet. A nurse refers a client experiencing dysfunctional grief to a grief counselor. A nurse shows residents a video discussing modified activities for older adults.

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.

Which is an example of the sociocultural dimension influencing a person's health-illness status? A family lives in a city environment where the air pollution levels are high. A father who is a practicing Jehovah's Witness refuses a blood transfusion for his son. A teenager who was in an automobile accident worries that his scars will cause him to lose friends. A single mother of two applies for food stamps in order to feed her family.

A single mother of two applies for food stamps in order to feed her family.

A client comes to the emergency room complaining of abdominal pain, fever, chills, and nausea. Upon further examination the client is diagnosed with appendicitis. What type of illness does the nurse identify this client to have? Chronic Acute Tertiary Contagious

Acute

What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply. Alterations in roles Economic problems Decrease in social interactions Increase in exercise Alterations in lifestyle

Alterations in roles Economic problems Alterations in lifestyle Decrease in social interactions

Which are characteristics of chronic conditions? (Select all that apply.) Have a prolonged course Are rarely curable Have a rapid onset Require lifelong management Resolve spontaneously

Are rarely curable Require lifelong management Have a prolonged course

Question 3 of 20 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 Assuming the sick role Experiencing the symptoms Achieving recovery and rehabilitation

Assuming a dependent role

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

Avoiding exercise Participating in extreme sports Maintaining a stressful job

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation? Hereditary illness Acute illness Chronic illness Congenital illness

Chronic illness

Why are health promotion and illness prevention a key responsibility of nurses? Chronic illnesses are the leading health problem in the world. Treatment of chronic illnesses is very expensive. People do not like to be sick and feel bad. Chronic illnesses can cause pain and suffering.

Chronic illnesses are the leading health problem in the world.

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? Cerebrovascular accidents Coronary artery disease Emphysema Lung cancer

Coronary artery disease

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? Physical dimension Sociocultural dimension Intellectual dimension Emotional dimension

Emotional dimension

A nurse is interviewing a family. During the interview, the nurse gathers information about the family's environmental dimension. Which element would the nurse include in this assessment? Select all that apply. Developmental stage Local climate Race Housing situation Coping strategies

Housing situation Local climate

Which definition of health is the best? Health is how people feel. Health is a state of complete well-being. Health is the lack of physical symptoms. Health is the absence of disease.

Health is a state of complete well-being.

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? Self-concept Health promotion Illness prevention Diagnosis of disease

Health promotion

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? Reversal of self-care deficit Illness prevention Health promotion High-level wellness

Health promotion

Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply. Maintain a sense of hope Maintain a positive self-concept Give up control of one's life Accept dependence and adjust to it Learn to live as normally as possible

Learn to live as normally as possible Maintain a positive self-concept Maintain a sense of hope

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? Nonmodifiable Secondary Primary Modifiable

Modifiable

What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply. Maintaining an ideal body weight Exercising infrequently Eating regular healthy meals Sleeping 7 to 8 hours each night Having a low self-esteem

Sleeping 7 to 8 hours each night Eating regular healthy meals Maintaining an ideal body weight

A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The client states that it is nearly impossible to quit drinking because of the deep entrenchment of alcohol use in the client's circle of friends and line of work. As well, the client claims to have thought that drinking only beer and foregoing hard alcohol would prevent health problems. This client is exhibiting health consequences rooted in which human dimensions? Physical and emotional Emotional and environmental Sociocultural and intellectual Environmental and spiritual

Sociocultural and intellectual

The nurse recognizes that the client who makes the decision to accept a new diagnosis and follow the prescribed treatment plan is in which stage of an illness? Stage 4-Achieving Recovery Stage 3-Assuming a dependent role Stage 2-Assuming the sick role Stage 1-Experiencing symptoms

Stage 3-Assuming a dependent role

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? The disease is no longer present. The symptoms of the illness reappear. Symptoms are not experienced. New symptoms occur at this time.

Symptoms are not experienced.

A nurse is caring for a 17-year-old client whose left leg was amputated after being crushed in a motor vehicle accident. Which intervention might the nurse perform to address the client's intellectual dimension? Considering the client's developmental stage when planning nursing care Encouraging friends and relatives to visit often and bring games to distract her Providing the opportunity for a counselor to come in and talk to her about her loss Teaching her how to care for the stump and explaining the rehabilitation program

Teaching her how to care for the stump and explaining the rehabilitation program

A 13-year-old client with cystic fibrosis who is being discharged confides in the nurse that her parents argue 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 her mom to drink because she is always in the hospital. She also worries about getting a bad grade in school due to her many absences and not getting into a good college. According to Maslow's hierarchy of human needs, which issue should take priority when caring for this client? The client's parents argue a lot. The client feels as if she is the cause of her family's dysfunction. The client feels scared that her mother will hurt someone. The client is worried about getting a bad grade in school..

The client feels scared that her mother will hurt someone.

A nurse observes that a client who has pneumonia is in the recovery and rehabilitation stage of the illness. Which statement describes the client response that the nurse would expect at this stage of the illness? The client recognizes symptoms of illness. The client seeks medical attention. The client gives up the dependent role. The client assumes a dependent role.

The client gives up the dependent role.

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

Wellness

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 determined by age-related expectations, whereas health is an achievable state at any point in the lifespan. Wellness is dependent on the resolution of acute and chronic illnesses, whereas health can exist at any stage or condition. Wellness is an active state, whereas health is a more passive state dependent on the absence of disease. Health is a state that can be promoted and protected by nursing practice, whereas wellness is solely dependent on the client.

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

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation? a. Chronic illness b. Congenital illness c. Hereditary illness d. Acute illness

a

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? a. Sociocultural needs b. Intellectual needs c. Emotional needs d. Spiritual needs

a

A nurse is caring for a 17-year-old client whose left leg was amputated after being crushed in a motor vehicle accident. Which intervention might the nurse perform to address the client's intellectual dimension? a. Providing the opportunity for a counselor to come in and talk to her about her loss b. Teaching her how to care for the stump and explaining the rehabilitation program c. Encouraging friends and relatives to visit often and bring games to distract her d. Considering the client's developmental stage when planning nursing care

b

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? a. Lung cancer b. Coronary artery disease c. Cerebrovascular accidents d. Emphysema

b

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? a. Focus on the altered functioning. b. Focus on what is possible. c. Focus on what can no longer be. d. Focus on why the client has the illness.

b

Which lifestyle factor is associated with an increased risk for chronic diseases? a. Gastrointestinal disease b. Smoking c. Exercise d. Eustress

b

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? a. Lifestyle risk factor b. Physiologic risk factor c. Environmental risk factor d. Health habits risk factor

c

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? a. Emotional dimension b. Environmental dimension c. Physical dimension d. Intellectual dimension

c

The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement? a. "I can achieve a maximum level of functioning." b. "I can achieve a high quality of health and life." c. "I cannot possibly ever be considered as healthy." d. "I have an illness, but I can feel as if I am healthy."

c

A teenage client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health? a. Sociocultural dimension b. Intellectual dimension c. Physical dimension d. Emotional dimension

d

Chronic illness may be characterized by periods of remission. Remission is best defined as: a. the reappearance of symptoms of a disease. b. the response of a person to a disease. c. a pathologic change in the structure of function of the body or mind. d. the presence of a disease with the absence of symptoms.

d

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: a. agent-host-environment. b. illness. c. health belief model. d. high-level wellness.

d

What is the definition of wellness? a. Being without disease b. A desire to be without disease c. Maximizing the state in which you live d. An active state of being healthy

d

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: hopeless due to disease process. maintaing dependence. giving up the dependent role. needing further recovery.

giving up the dependent role.

The body's attempt to restore balance through self-regulatory mechanisms is termed: biofeedback. self-conception. equilibration. homeostasis.

homeostasis.

The concept of holism is based on the belief that: health is achieved through medical care. health is achieved by treatment from physicians. individuals can be seen in an atomistic fashion. individuals cannot be seen apart from the environment.

individuals cannot be seen apart from the environment.