Fundies II: Chapter 3- Health, wellness, and Health disparities
A nurse is immunizing children against measles. This is an example of what level of preventive care? A: Primary B: Secondary C: Tertiary D: Chronic
A: Primary
Which model is most useful in examining the cause of disease in an individual, based upon external factors? A: The Agent-Host-Environment Model B: The Health-Illness Continuum C: The High-Level Wellness Model D: The Health Belief Model
A: the agent-host-environment
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: A: illness. B: agent-host-environment. C: health belief model. D: high-level wellness.
D: high-level wellness
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? A :Primary prevention B: Secondary prevention c: Tertiary prevention D: Residual prevention
C: tertiary prevention
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? A: Stage 1-Experiencing symptoms B: Stage 2-Assuming the sick role C: Stage 3-Assuming a dependent role D: Stage 4-Achieving Recovery
c: stage 3- assuming a dependent role
An older adult client 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? A: Assuming a dependent role B: Assuming the sick role C: Experiencing the symptoms D: Achieving recovery and rehabilitation
A: assuming a dependent role
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: Health promotion B: Illness prevention C: Self-concept D: Diagnosis of disease
A: health promotion
An adolescent client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health? A: Physical dimension B: Emotional dimension C: Intellectual dimension D: Sociocultural dimension
b: emotional dimension
A 47-year-old woman is traveling overseas on vacation with her husband. He has a sore throat that has been diagnosed as Streptococcus. The woman is the: A: host. B: agent. C: environment. D: reservoir.
A: host
A rapid onset of symptoms that lasts a relatively short time indicates which condition? A: A chronic illness B: An acute illness C: An actual risk factor D: A potential for wellness
B: an acute illness
The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition? A: A client who fell off a roof 2 weeks ago and is experiencing continuous lower back pain B: A client returning for a follow-up visit after a shoulder sprain 1 week ago C: A client diagnosed with diabetes mellitus (DM) who stubbed the great toe and now has a wound D: A client with chronic obstructive pulmonary disease (COPD) who is wheezing and coughing
D: a client with COPD who is wheezing and coughing
A mammogram represents which level of prevention? A: Primary prevention B: Secondary prevention C: Tertiary prevention D: Medical prevention
B: secondary prevention
Consultation and diagnostic tests are included in which level of health care? A: Primary care B: Secondary care C: Tertiary care D: Extended care
B: secondary prevention
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? A: Spiritual needs B: Sociocultural needs C: Intellectual needs D: Emotional needs
B: sociocultural needs
What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life? A: Health B: Wellness C: Holism D: Promotion
B: wellness
How can the nurse best demonstrate being a role model for health promotion? A: Educate others about healthy lifestyles B: Avoid smoking and drinking alcohol C: Prevent exposure to communicable diseases D: Take prescribed medications accordingly
B: avoid smoking and drinking alcohol
Meeting which type of needs is essential for physiological health and survival? A: Spiritual needs B: Basic human needs C: Monetary needs D: Educational needs
B: basic human needs
Which scenario is an example of a characteristic of Stage 2 of illness? A: A person tells his family that he is sick and allows family members to take care of him. B: A person experiences a headache and sore throat and takes an aspirin. C: A person visits a physician to receive treatment for symptoms of an infection. D: A person begins rehabilitation following a stroke that left him paralyzed on one side.
A: a person tells his family that he is sick and allows family members to take care of him (Stage 2- assuming the sick role)
Chronic illness may be characterized by periods of remission. Remission is best defined as: A: the presence of a disease with the absence of symptoms. B: the reappearance of symptoms of a disease. C: the response of a person to a disease. D: a pathologic change in the structure of function of the body or mind.
A: a presence of a disease with the absence of symptoms
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: A: age and developmental stage. B: gender and medical history. C: peer influence and education. D: health promotion activities.
A: age and development stage
Which nursing intervention is an example of tertiary preventive care? A: Assisting with speech therapy a client with a traumatic brain injury B: Administration of immunizations to a 6-month-old child C: Blood pressure screenings at a senior center D: Teaching stress reduction classes at a wellness center
A: assisting with speech therapy with a client with a traumatic brain injury
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? A: illness prevention B: health promotion C: high-level wellness D: reversal of self-care deficit
B: health promotion
Which nursing activity reflects secondary prevention? A: Promoting the use of seat belts B: Making a referral for a mammogram C: Discussing the use of drugs and alcohol D: Promoting the use of helmets while riding motorcycles or bicycles
B: making a referral for a mammogram
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? A: Nonmodifiable B: Modifiable C: Primary D: Secondary
B: modifiable
What level of prevention is represented by educating a group of clients on car seat safety? A: Educational prevention B: Primary prevention C: Secondary prevention D: Tertiary prevention
B: primary prevention
Which scenario accurately depicts the influence of one's religious beliefs? A: A client who practices Islam requests a baptism for live birth. B: A client who practices Orthodox Judaism will not eat pork. C: A client who practices Conservative Catholicism opposes a blood transfusion. D: A client who practices the Jehovah's Witnesses faith will not eat shellfish.
B:A client who practices Orthodox Judaism will not eat pork
Why are health promotion and illness prevention a key responsibility of nurses? A: Chronic illnesses can cause pain and suffering. B: Treatment of chronic illnesses is very expensive. C: Chronic illnesses are the leading health problem in the world. D: People do not like to be sick and feel bad.
C: Chronic illnesses are the leading health problem in the world.
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? A: Clinical model B: Holistic health model C: Health belief model D: High-level wellness model
C: health belief model
Which is the most accurate definition of health? A: Health is a state of maximal wellness. B: Health is a lack of disease. C: Health is a state of complete physical, mental, and social well-being. D: Health is a reflection of wellness and requires a conscious and deliberate effort to maintain.
C: health is a state of complete physical, mental, and social well-being
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: Considering the client's developmental stage when planning nursing care B: Encouraging friends and relatives to visit often and bring games to distract her C: Teaching her how to care for the stump and explaining the rehabilitation program D: Providing the opportunity for a counselor to come in and talk to her about her loss
C: teaching her how to care for the stump and explaining the rehabilitation program
Which is an example of the sociocultural dimension influencing a person's health-illness status? A: A family lives in a city environment where the air pollution levels are high. B: A father who is a practicing Jehovah's Witness refuses a blood transfusion for his son. C: An adolescent who was in an automobile accident worries that his scars will cause him to lose friends. D: A single mother of two applies for food stamps in order to feed her family.
D: a single mother of two applies for food stamps in order to feed her family
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? A: It persists for a long time. B: It is a sequela of acute illness. C: It takes a long time to cure. D: It has a gradual onset and lasts for a long time.
D: gradual onset and last for a long time
Which is an example of tertiary health promotion? A: Family counseling B: Water treatment C: Pap tests D: Rehabilitation
D: rehabilitation
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? A: How people interact with their environments B: How health is a constantly changing state C: What people believe to be true about their health D: Factors that predispose a person to infectious diseases
c: what people believe to be true about their health
