Deck 7: Health, Wellness, and Illness

Question 1

For a client with chronic obstructive pulmonary disease (COPD),the nurse may provide health promotion teaching about what other major health concept?

A)Safety
B)Elimination
C)Immunity
D)Development

Answer 1

Safety

Question 2

The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus.At the conclusion of the session,which client statement indicates that teaching has been effective?

A)"I will take medication for a week for this acute illness."
B)"I will have to take insulin for this disease every day for the rest of my life."
C)"This chronic disease will become worse and lead to death."
D)"I will have to make dietary changes to manage this chronic disease."

Answer 2

"I will have to make dietary changes to manage this chronic disease."

Question 3

The pulmonary rehabilitation nurse is teaching a group of clients about both isotonic and isometric exercises.At the conclusion of the session,which client statements indicate effective teaching has occurred? Select all that apply.

A)"Isotonic exercises are also called dynamic exercises."
B)"Isotonic exercises are static movements."
C)"Isometric exercises involve exerting pressure against a solid object."
D)"Isotonic exercises produce a mild increase in heart rate and cardiac output,but no appreciable increase in blood flow to other parts of the body."
E)"Isometric exercises are useful for endurance training."

Answer 3

"Isotonic exercises are also called dynamic exercises."
"Isometric exercises involve exerting pressure against a solid object."
"Isometric exercises are useful for endurance training."

Question 4

A community health nurse is educating a group of clients on the difference between illness and disease.Which statements are appropriate for the nurse to include in the educational session? Select all that apply.

A)"An individual can have a disease and not feel ill."
B)"Illness is synonymous with disease."
C)"Illness is an alteration in body function,where disease is highly subjective."
D)"An individual can feel ill without disease."
E)"Illness and disease are never related to one another."

Question 5

A nurse is teaching a couples' class at a local community center about building positive relationships.Today's session is on learning skills to be open-minded and respectful to those with opposing opinions.Based on this data,on which component of wellness is the nurse focusing this session?

A)Physical
B)Social
C)Environment
D)Emotional

Question 6

A critical nursing concept that a nurse uses with every client that allows the nurse to identify habits of health and wellness and the effects of illness and injury is

A)assessment.
B)collaboration.
C)teaching and learning.
D)advocacy.

Question 7

An occupational health nurse for a large corporation is planning programs to address health problems identified in the Healthy People 2020 report.Which programs should the nurse include for the company employees at the worksite? Select all that apply.

A)A blood disorder and blood safety education program
B)A seminar about the components of wellness
C)A cultural competence program related to LGBT health
D)An informational program about genomics
E)An education program about the importance of sleep health

Question 8

Which nursing intervention exemplifies the nurse working in a health promotion role? Select all that apply.

A)Administering a prescribed antibiotic
B)Reinforcing desirable changes to the client's lifestyle
C)Administering vaccines to a well child
D)Administering an inhaler to a client with asthma
E)Obtaining a blood glucose sample on a client with hypoglycemia

Question 9

A nurse is preparing a workshop on the topics that are new to Healthy People 2020.Which of the topic areas should the nurse plan to address? Select all that apply.

A)Adolescent Health
B)Genomics
C)Lesbian,Gay,Bisexual,and Transgender Health
D)Mental Health and Mental Disorders
E)Healthcare-Associated Infections

Question 10

A nurse is providing wellness teaching to a client who is interested in beginning an exercise program to reduce certain health risks.The nurse determines that the client understands the teaching when the client selects which health risks that can be reduced by regular exercise? Select all that apply.

A)Liver disease
B)Type 2 diabetes
C)Cardiovascular disease
D)Falling
E)Renal disease

Question 11

The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis.Which intervention is most appropriate for the nurse to implement with this client?

A)Providing the client with assisted range of motion exercising twice daily
B)Instituting an exercise plan that includes weight-bearing activities
C)Protecting the client's bones with strict bedrest
D)Increasing the amount of calcium in the client's diet

Question 12

For many clients,health promotion requires nursing assessment of and implementation of changes in

A)culture.
B)lifestyle.
C)spiritual beliefs.
D)socioeconomic status.

Question 13

The nurse is assessing a 24-year-old woman who recently found out she is pregnant.Which factor would the nurse identify as the most likely source of a barrier to health promotion in this client?

A)Age of the client
B)Presence of the client's mother during the appointment
C)Pregnancy occurred as a result of rape
D)First pregnancy (primigravida)

Question 14

While teaching a class on health status,the nurse educator reviews internal variables that affect health status.Which internal variables are appropriate for the nurse to include in the class? Select all that apply.

A)Gender
B)Diet
C)Exercise regimen
D)Developmental level
E)Age

Question 15

A nurse identifies the seven components of wellness as a useful tool in assessing health.Which are some of the components of wellness? Select all that apply.

A)Physical
B)Environmental
C)Emotional
D)Financial
E)Spiritual

Question 16

A nursing diagnosis that indicates that a client wants to implement steps to promote health and wellness usually includes the word(s)

A)impaired.
B)ineffective.
C)risk for.
D)readiness for.

Question 17

The nurse is providing teaching related to health promotion for a group of older adults.Several individuals describe their current health status.Which client is most in need of additional information related to health promotion?

A)A client who states that her daughter takes her to all of her medical appointments
B)A client who states she was recently diagnosed with Parkinson disease
C)A client who states that she walks five times a week at the community center to help prevent osteoporosis
D)A client who states that her husband has been suffering from hypertension for the past 12 years

Question 18

A school nurse is reviewing the physical activity for adolescent high school students.Which student has met the outcome for physical activity set by the Centers for Disease Control and Prevention (CDC)?

A)An 18-year-old who speed-walks 60 minutes once per week
B)A 16-year-old who lifts moderately heavy weights for 15 minutes 3 times per week
C)A 15-year-old who runs at a fast pace for 20 minutes 2 times per week
D)A 17-year-old who alternates aerobic activities for 60 minutes daily and lifts weights 2 times per week

Question 19

After conducting a physical assessment for an adult client,the nurse discusses the assessment with a coworker and states that the client's beliefs and actions regarding common health practices are unfamiliar to her.Based on this data,which action by the nurse is the most appropriate?

A)Repeat the assessment later in the day.
B)Determine the culture with which the client identifies.
C)Write a nursing diagnosis to address the unfamiliar beliefs and actions.
D)Communicate the findings to the healthcare team.

Question 20

Physical activity and exercise improve the functioning of many body systems.Exercise improves what normal body function of the gastrointestinal system?

A)Use of fatty acids
B)Insulin responsiveness
C)Peristalsis
D)Metabolic rate

Question 21

The nurse working in the newborn nursery understands that a neonate has differences in sleeping patterns and stages than an older child or an adult.Which statement related to sleep is incorrect for a newborn?

A)A newborn will have an irregular sleep schedule with periods of 1-3 hours spent awake.
B)NREM sleep in a newborn is characterized by regular respirations,closed eyes,and the absence of body and eye movements.
C)REM sleep occurs gradually in a newborn.
D)NREM sleep is also called quiet sleep during the newborn period.

Question 22

The portion of the tooth that wears away,allowing dental decay,is the

A)pulp cavity.
B)enamel.
C)gingiva.
D)root.

Question 23

A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office.The nurse calculates the client's target heart rate as ________-________.

Question 24

A young school-age child is seen in a pediatric clinic for a well-child checkup.The parent tells the nurse that they live in the country and use well water.Based on this data,which statement by the nurse is the priority when conducting client teaching?

A)"Your child will need to use a teeth whitener in the future because well water is your primary water source."
B)"Your child will need to be placed on a fluoride supplement because your primary water source is from a well."
C)"I will recommend some mouthwashes that are appropriate for clients who drink well water."
D)"It will be very important that your child does not eat sugary foods because you drink well water."

Question 25

A pediatric nurse is assigned telephone triage for the day at a pediatric clinic.The nurse receives a phone call from the mother of a newborn.The mother states,"I am concerned about my baby.When she first goes to sleep,her eyes dart around under her eyelids,she doesn't breathe regularly,and she sometimes twitches." Based on this data,which response by the nurse is the most appropriate?

A)"Please bring your baby in immediately for a checkup."
B)"You should ask the doctor about these symptoms at your next checkup."
C)"These are common behaviors in newborns and are normal."
D)"If your baby does this again,take her to the emergency department."

Question 26

The nurse is caring for a 34-year-old client who is about to be discharged from the hospital.The client asks the nurse for suggestions on how to improve the quality of sleep in order to wake feeling refreshed in the morning.After reviewing the client's medical history,which suggestions by the nurse are appropriate? Select all that apply.

A)Limiting the use of alcohol to early in the evening
B)Having a cup of tea before bed in order to enhance relaxation
C)Adjusting the room temperature to a comfortable level for sleep
D)Changing the time of aerobic exercise to 1 hour prior to sleep
E)Limiting cigarette smoking before bedtime

Question 27

The nurse is caring for a client in a long-term care facility.The client has some cognitive impairment that interferes with the ability to independently complete activities of daily living.The nurse has identified Self-Care Deficit as an appropriate nursing diagnosis for this client.Based on this data,which expected outcome is the most appropriate for the nurse to include in the plan of care?

A)The client will be able to name the staff that works on the day shift.
B)The client,with supervision,will brush teeth twice per day.
C)The client will eliminate safety hazards in the environment.
D)The nurse will stress the importance of adequate fluid intake.

Question 28

A pediatric nurse is caring for a toddler at a well-child clinic.When providing education regarding the client's oral health,which topics are appropriate for the nurse to include? Select all that apply.

A)Instructions on avoiding prolonged bottle feeding during naps and at bedtime.
B)Instructions on brushing the client's teeth once daily.
C)Hazards of fluoride use in tooth development.
D)Instructions on eliminating the client's milk consumption.
E)Instructing the parents that the client needs dental care prior to when the client begins to lose the primary teeth.

Question 29

A nurse is caring for a client in the intensive care unit who is intubated and mechanically ventilated.Upon assessment,the nurse notes the client has cheilosis.Based on this data,which is the priority intervention for this client?

A)Checking for ill-fitting dentures
B)Suggesting an increase in fluid intake
C)Providing oral care
D)Lubricating the lips using an antimicrobial ointment

Question 30

The nurse is caring for a client who is admitted to the hospital with a diagnosis of pneumonia.The client is on a monitor,and vital signs are recorded from the monitor in order to leave the client undisturbed during the night.The nurse observes that blood pressure,heart rate,and respirations are below baseline for this client.Based on this data,which conclusion by the nurse regarding the changes in vital signs is the most appropriate?

A)The client is about to have a cardiac arrest.
B)The client is in NREM sleep.
C)The client's metabolic rate has increased.
D)The client is in REM sleep.

Question 31

When talking to a client about sleep patterns,one of the most important interventions the nurse can suggest for clients who are having difficulty sleeping is to

A)eat a small snack before bedtime.
B)take an over-the-counter sleep aid such as melatonin.
C)set a routine time to go to bed and a routine time to get out of bed.
D)do a calming activity in bed before trying to sleep,such as reading a book.

Question 32

The nurse is working with a family that is new to the pediatric practice.In reviewing the family's records,the nurse notes that the older children have a large number of dental caries.Which topics will the nurse include when teaching the mother how to decrease the development of dental caries in infants? Select all that apply.

A)Refraining from giving the infant a bottle for a prolonged time at bedtime
B)Giving the infant sugar water only at breakfast time
C)Wiping the infant's gums with soft moist gauze once or twice daily
D)Using a toothbrush as soon as the first tooth erupts
E)Using a topical anesthetic daily,beginning as soon as the first tooth begins to erupt

Question 33

A parent of an adolescent client expressed concern to the nurse regarding the adolescent's sleeping habits.The parent states that the client wants to sleep all the time.The nurse believes that the adolescent is experiencing sleep deprivation.During the assessment,which clinical manifestations support this diagnosis? Select all that apply.

A)Consumption of caffeinated soda
B)Difficulty waking in the morning for school
C)Irritability and anxiety,especially on days with less sleep
D)Trouble initiating or persisting in projects,such as school assignments
E)Refusal to participate in sports activities

Question 34

The nurse is planning physical fitness and exercise recommendations for a 27-year-old pregnant woman at 16 weeks' gestation.The woman states that before becoming pregnant,she ran 3.5 to 4 miles on four days per week at a pace of 11 minutes per mile.She enjoys competing in 5K races and has a goal to complete a 10K race before the age of 30.Which exercise recommendation should the nurse include for this client at this stage of her pregnancy?

A)Continue exercising the same amount of time,but decrease the intensity of the workout to a jog or walk
B)Continue engaging in vigorous activity as much as possible,with a goal of at least 150 minutes of moderate to vigorous activity per week
C)Decrease the amount of exercise to 30 minutes three times per week,engaging in moderate to vigorous activity
D)Increase the amount of exercise to 60 minutes on most days of the week,most of it aerobic exercise

Question 35

A nurse is caring for a client with glossitis secondary to nutritional deficiencies.Based on this data,which is the priority focus of this client's care?

A)Upper lip
B)Upper teeth
C)Uvula
D)Tongue