Ameritech Nursing 100 Chapter 3 Mastery Study

Which questions may help the nurse assess his or her ability to relate to various groups in society? (Select all that apply.)

"Can I welcome this person sincerely?"; "Can I genuinely try to help this person and be comfortable enough to listen?"; "Do I have the experience to help this person?"

After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice?

Being licensed by the State Board of Nursing

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses:

Beliefs, values, and behavioral expectations

A family from China has recently moved to the United States. They are quickly learning English and their children are all in American schools. Both parents are working in the United States and adapting to the new culture. What is this family demonstrating?

Cultural assimiliation

Despite the presence of a large number of older adult residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. The nurses at the facility should recognize this as an example of:

Cultural blindness

A nurse is caring for an older adult woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

Establishing effective communication

When a client states, "I only want an American doctor," the client is expressing cultural:

Ethnocentrism

All of the following are factors in the agent-host-environment model of health and illness, as developed by Leavell and Clark (1965) except?

Evil Spirits. (Bacteria, virus, and chemical substances can all play a role)

A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, a problem that was accompanied by a random blood glucose reading of 575 mg/dL, vomiting, and shortness of breath. This client has experienced which phenomena?

Exacerbation

All the following symptoms are present in a client. Which is the highest priority of nursing care?

Fever

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 of the following concepts?

Focus on what is possible

Which of the following is not one of the six general types of risk factors in regard to increasing an individual's chances for illness and injury?

Gender

The Standards of Practice provide nurses with:

Guidelines for providing care

The U.S. Department of Health and Human Services Document "Healthy People 2020" establishes guidelines aimed at increasing the quality and years of healthy life for Americans as well as eliminating health disparities. What do these goals represent important components of? Correct!

Health Promotion

Persistent gaps between the health status of minorities and non-minorities are defined as:

Health disparities

A nursing instructor is working with a class of first semester nursing students. The instructor explains the interrelatedness of health and wellness. What would be the best definition the nursing instructor could give of health?

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

A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?

Health is an optimal state of functioning

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

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 Continuum

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

High-level wellness

The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as:

Illness prevention

What phrase best describes the term HEALTH?

Individually defined by each person

The health belief model is useful when educating individuals about health and illness. Why would this be?

It allows you to assess the client's beliefs and structure goals so he can meet health needs

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?

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

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 was one barrier to the development of the nursing profession in the United States after the Civil War?

Lack of educational standards

Who established the first public health service for the sick and poor?

Lillian Wald

A 30-year-old client is admitted to the health care facility with back pain. Which of the following statements should the nurse use while counseling a client with back pain?

Maintain good body posture while sitting

Who published 4 volumes called "The History of Nursing"?

Mary Adelaide Nutting

Who established one of the first midwifery schools in the U.S?

Mary Breckenridge

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?

Modifiable

Which of the following is a characteristic of nursing practiced from early civilization to the 16th century?

Most early civilizations believed the illness had supernatural causes

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care?

Not all members of the same culture think & act alike

The practice of nursing within each state is defined by the:

Nurse Practice Act

In which way can nurses can develop cultural self-awareness?

Objectively examine one's own beliefs, values, and practices

Nurses are aware that there is a current trend of an increase in the number of older adults resulting in an increase in the incidence of chronic illnesses. The nurse recognizes that some of the things that are necessary in order for a person to successfully adapt to a chronic illness include which of the following? Select all that apply.

One must learn to live as normally as possible; one must maintain a positive self-concept; one must maintain a sense of hope

A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client's pain?

Pain is what the client says it is

On which of the following components is Rosenstock's health belief model based? Select all that apply.

Perceived susceptibility to an illness, perceived seriousness of an illness, perceived benefits of action

The delivery of culturally competent nursing care incorporates the concept of:

Planning and implementing care in a way that is sensitive to the needs of families, individuals, and groups from diverse cultural populations

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

Preventing illness

A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?

Primary

A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?

Primary prevention

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. What level(s) of health promotion is this an example of?

Primary prevention

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics while ethnicity is rooted in a common heritage.

Which is an example of tertiary health promotion?

Rehabilitation

The nurse is administering an antibiotic to a client with community-acquired pneumonia. This activity encompasses which aim of nursing?

Restoring health

Perception is the key focus of the health model developed by:

Rosenstock in 1974

The mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes that seeking and utilizing support systems is an example of which human dimension?

Sociocultural dimension

Which concept is not one of the four central concepts in nursing practice?

Spirituality

When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

Stereotype

Based on Dunn's high level wellness model, the nurse plans care to achieve what patient goal?

Striving to reach maximum potential in all dimensions

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 Prevention

An elderly resident of a long-term care facility has developed diarrhea and dehydration as a result of exposure to clostridium difficile during a recent outbreak. The resident's primary care provider has consequently prescribed the antibiotic metronidazole (Flagyl). Which model of health promotion and illness prevention is most clearly evident in these events?

The Agent-Host-Environment Model

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

The Agent-Host-Environment Model

Culture shock is best defined as:

The acute experience of not understanding the culture in which one is situated

The nursing instructor identifies a need for further instruction when the nursing student makes which of the following statements on a case study pertaining to a client with diabetes who is taking insulin daily as prescribed and follows a strict diet?

The client cannot possibly ever be considered healthy

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?

The client may have a very different understanding of health promotion

Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health?

The health promotion model

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. Keeping in mind that the client is a Latino, how should the nurse conduct the interview?

The nurse should avoid using medical terminology

Which of the following most accurately defines the term ILLNESS?

The response of a person to a disease

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 anyways; chronic disease can't be prevented

What is the primary purpose of standards of nursing practice?

To ensure knowledgeable, safe, comprehensive nursing care

Primary health promotion is an integral part of health care. What is the purpose of primary health promotion?

To promote health and prevent injury or disease

When providing holistic care to a client, the nurse recognizes that which of the following is necessary? Select all that apply.

Understand and respect each person's definition of health; understand and respect each person's responses to illnesses

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?

Using research findings to improve practice

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.

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

Which nursing action would be considered an ethical/legal skill?

A nurse helps a client prepare a living will

Establishing the criteria for the education and licensure of nurses is a component of:

A state's Nurse Practice Act

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy for a client with a traumatic brain injury

The nurse pursued a degree in nursing by attending a junior college for 2 years and successfully took the NCLEX-RN upon completion. Since getting his degree, the nurse has worked in an inpatient setting on a transplant floor for 17 years. Based on the information given, which degree does this nurse have?

Associate's Degree

Which of the following behaviors by the nurse is stereotyping?

Avoiding clients who are elderly because their care is time consuming

Which of the following activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.

Avoiding exercise; participating in extreme sports; and maintaining a stressful job

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?

"Let me check with the doctor to make sure its okay to drink the tea with your medicines."

A community health nurse is providing care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?

A minority

An Asian American male client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client expresses that he does not have pain. Which nursing action is most appropriate?

Assessing for nonverbal expressions of pain

Which of the following nursing groups provides a definition and scope of practice for nursing?

ANA (American Nurses Association)

The rapid onset of symptoms that last a relatively short time indicates what health problem?

Acute illness

Which of the following is an example of an illness prevention activity by the nurse?

Administering medications

A 90-year-old woman has a staphylococcus infection in her decubitus ulcer. Staphylococcus is the:

Agent

A nurse working in the ICU understands that illnesses affect both the client as well as the family members. What are some things that often cause stress in family members due to a hospitalization of a family member? Select all that apply.

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

Which is an appropriately stated nursing intervention?

Ambulate 30 ft twice a day with assistance of a walker

What is the definition of wellness?

An active state of being healthy

A rapid onset of symptoms that lasts a relatively short time indicates what health problem?

An acute illness

Which of the following statements accurately describes how risk factors may increase a person's chances for illness or injury? Select all that apply.

An increase in risk factors increases the possibility of disease; A family history of breast cancer is not a modifiable risk factor; School-aged children are at a high risk for communicable diseases

A client tells the nurse that her doctor just told her that she had a "chronic condition." She asks the nurse what does "chronic condition" mean. What would be the nurse's best response?

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

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

Chronic illnesses

The nursing instructor is teaching the students about acute and chronic illnesses and informs them that health promotion and illness prevention is vital because...

Chronic illnesses are the leading health problem in the world

What is a misconception about chronic disease?

Chronic illnesses cannot be prevented

Which of the following nursing pioneers established the Red Cross in the United States in 1882?

Clara Barton

A nurse develops a care plan for a diabetic patient that focuses on the patient's knowledge deficit of insulin administration, and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills?

Cognitive

A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by:

Disappearance of signs and symptoms related to the disease

The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions?

Disease where complete cures are rare; Diseases that do not resolve spontaneously; Diseases that have a prolonged course

The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of?

Secondary Prevention

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?

Secondary care

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

Secondary prevention

The nursing instructor identifies the need for further instruction in regards to health and illness when a student makes which statement?

Self-concept does not influence a person's health.

When providing care to a client, the nurse refers to the client's ethnic group. Which aspect would the nurse include as pertaining to this concept? Select all that apply.

Shared beliefs of origin; Language; Religious beliefs

Which characteristic is used to describe racial categories?

Skin color