Chapter 3

The nurse is certified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform first?

Requesting the client's permission to touch the body

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

Secondary

Consultation and diagnostic tests are included in which level of health care?

Secondary care

What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.

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

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

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 3

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.

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 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

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

The Agent-Host-Environment Model

What have the models of health promotion and illness prevention been used for?

To help health care providers understand health-related behaviors.

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?

What people believe to be true about their health

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:

agent

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help them maintain independence.

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

high-level wellness.

The body's attempt to restore balance through self-regulatory mechanisms is termed:

homeostasis.

The nurse instructor has completed a session detailing major factors differentiating exacerbations from remissions. The instructor determines the session is successful when the students point out which factor(s) can contribute to exacerbations? Select all that apply.

immune system is functioning poorly sleep has been disrupted due to family issues client is facing a potential eviction

What is the definition of wellness?

An active state of being healthy

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

Basic human needs

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

Chronic illness

Why are health promotion and illness prevention a key responsibility of nurses?

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?

Coronary artery disease

The nurse is preparing a sterile field for a procedure. While the nurse is opening an instrument, the outer wrapper of the sterilized instrument touches the extreme edge of the field. What should the nurse do next?

Discard the sterile field and prepare a new one

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?

Emotional dimension

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

Health

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

Which definition of health is the best?

Health is a state of complete well-being.

The nurse is working in an acute care setting and performs primary, secondary, and tertiary prevention. Which activity performed by the nurse is classified as tertiary prevention?

Instructing a client on how to use crutches

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 has a gradual onset and lasts for a long time.

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?

Monitoring airway clearance.

A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event?

health promotion

Which are characteristics of chronic conditions? (Select all that apply.)

Are rarely curable Require lifelong management Have a prolonged course

Which 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 Maintaining a stressful job

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:

giving up the dependent role.