Chapter 3 nursing Fundamentals

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 fluid intake and output. -Effective infection control measures. -Effective pain management. -Monitoring airway clearance.

Monitoring airway clearance

What have the models of health promotion and illness prevention been used for? -To define a medical framework for the care of the disabled. -To create a forum for improving rehabilitative care. -To help health care providers understand health-related behaviors. -To formulate care plans for the disabled population.

To help health care providers understand health-related behaviors

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? -Focus on what can no longer be. -Focus on why the client has the illness. -Focus on what is possible. -Focus on the altered functioning.

Focus on what is possible

What level of prevention is represented by educating a group of clients on breast self-examination? -Secondary prevention -Primary prevention -Educational prevention -Tertiary prevention

Primary prevention

Which is an example of tertiary health promotion? -Water treatment -Pap tests -Family counseling -Rehabilitation

Rehabilitation

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

Symptoms are not experienced

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? -Secondary prevention -Residual prevention -Tertiary prevention -Primary prevention

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 -The Health Belief Model -The High-Level Wellness Model -The Health-Illness Continuum

The Agent-Host-Environment Model

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 -Factors that predispose a person to infectious diseases -How health is a constantly changing state -How people interact with their environments

What people believe o be true about their health

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

the presence of disease with the absence of symptoms

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? -Sociocultural and intellectual -Physical and emotional -Environmental and spiritual -Emotional and environmental

Sociocultural and intellectual

Which model is most useful in examining the cause of disease in an individual, based upon external factors? -The Agent-Host-Environment Model -The High-Level Wellness Model -The Health Belief Model -The Health-Illness Continuum

The Agent-Host-Environment Model

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? -Factors that predispose a person to infectious diseases -How people interact with their environments -What people believe to be true about their health -How health is a constantly changing state

What people interact with their environment

A client with Alzheimer disease in a nursing home is more compliant in following directions for dressing and feeding with one nurse than with other staff members. This phenomenon is best explained by -the Therapeutic Model of Interaction. -aggression. -empathy. -the Health Belief Model.

the Therapeutic Model of Inteaction

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? -Morbidity -Risk factor -Exacerbation -Infection

Exacerbetion

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 -Experiencing the symptoms -Assuming the sick role -Achieving recovery and rehabilitation

Assuming a dependent role

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

Chronic illnesses are the leading health problem in the world

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

Secondary

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

Self-concept

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

High-level Wellness

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

It has a gradual onset and lasts for a long time

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. Which level of health promotion is this an example of? -Tertiary -Medical -Primary -Secondary

Primary

To be an effective change agent for wellness, the nurse must: -lead a sedentary lifestyle. -consume a diet low in fat. -skip breakfast to reduce calories. -drink caffeinated beverages.

Consume a diet low in fat

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 -Clinical model -Holistic health model -High-level wellness model

Health belief

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