Deck 2: Health and Wellness

Question 1

The spouse of a patient with terminal cancer is refusing pain medication for the patient because of previous experiences with soldiers who became addicted to pain medication.A nurse will need to focus on which internal variable when approaching this situation?

A) Developmental stage
B) Family practices
C) Intellectual background
D) Spiritual factors

Answer 1

Intellectual background

Question 2

Which will best assist a nurse in understanding a patient's use of tying a silver dollar to the stomach of a newborn infant to heal an umbilical hernia?

A) Cultural background
B) Maslow's Hierarchy of Needs
C) World Health Organization's definition of "health"
D) Primary prevention

Answer 2

Cultural background

Question 3

A patient with diabetes is diligent about testing blood sugar before meals.Which model is the nurse using when the nurse realizes the patient is taking preventative actions for health and represents the third component of this model?

A) Basic Human Needs
B) Health Belief
C) Holistic Health
D) Tertiary Prevention

Answer 3

Health Belief

Question 4

Which information by a patient indicates teaching by the nurse was successful for the best definition of health?

A) State of complete well-being
B) Absence of disease
C) Vital signs within normal range
D) Maintenance of a normal weight

Question 5

A nurse teaches a patient about physiological risk factors.Which information by the patient indicates more teaching is needed?

A) A physiological risk factor is heredity.
B) A physiological risk factor is environment.
C) A physiological risk factor is pregnancy.
D) A physiological risk factor is obesity.

Question 6

A nurse working in a rural public health clinic is developing a smoking cessation program for patients in the county.This corresponds with Healthy People 2020's efforts to provide direction for health care efforts on what level?

A) National
B) Community
C) Individual
D) Family

Question 7

A nurse is assessing a patient's stage of behavioral change.Which statement by the patient will indicate to the nurse that the patient is in the preparation stage?

A) "I started to exercise regularly, but it didn't last long. I'll probably try again in a few weeks."
B) "I have a problem, and I really think I need to work on it."
C) "I am really working hard to stop smoking."
D) "There is nothing that I really need to change."

Question 8

When assessing what influences a patient's health beliefs and practices,a nurse should consider both internal and external variables.Which is an example of an external variable?

A) Intellectual background
B) Emotional factors
C) Spiritual factors
D) Family practices

Question 9

To determine a patient's external variables for health beliefs and practices,which area should the nurse assess?

A) Emotional factors
B) Intellectual background
C) Developmental stage
D) Socioeconomic factors

Question 10

A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?

A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.

Question 11

A nurse should emphasize health promotion,wellness strategies,and illness prevention activities as important forms of health care.Which is considered a health promotion strategy?

A) Routine exercise
B) Stress management class
C) Influenza immunization
D) Tetanus booster

Question 12

A patient is drinking milk that has been fortified with vitamin D.Which type of health promotion strategy is the patient using?

A) Active
B) Passive
C) Environmental
D) Sociological

Question 13

Upon taking a history of a patient,the nurse learns the patient smokes a pack of cigarettes per day.How should the nurse interpret this finding?

A) This is an example of a health belief.
B) This is an example of health promotion.
C) This is an example of a negative health behavior.
D) This is an example of a basic physiological human need.

Question 14

Which nursing action best represents primary prevention?

A) Instructing a healthy individual to get a flu shot on a yearly basis
B) Instructing a patient to take blood pressure medication every day
C) Instructing a patient to live with a known disability
D) Instructing a patient to undergo physical therapy following a cerebrovascular accident

Question 15

A patient is depressed after a divorce and is not eating.The nurse is using Maslow to prioritize care.Which patient need should the nurse address first?

A) Nutrition
B) Emotional safety
C) Depression
D) Love and belonging

Question 16

A married father of four has recently been diagnosed with emphysema resulting from a long history of smoking.At a family counseling session a nurse helps the family to understand that this diagnosis is classified as a(n):

A) acute illness.
B) tertiary prevention.
C) chronic illness.
D) internal variable.

Question 17

A nurse who works in an inner-city health clinic is scheduling a day for student nurses to assist with a flu immunization clinic.Which of the following best describes this type of activity?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health prevention

Question 18

A patient with newly diagnosed diabetes is concerned about the risk for developing foot ulcers because the mother had a foot amputated as a result of the disease.This is an example of which of the following?

A) Health promotion
B) Health practices
C) Health beliefs
D) Holistic health

Question 19

Upon taking a health history from a patient,the nurse notices the patient uses positive health behaviors.Which behavior did the nurse find?

A) Smokes
B) Eats poorly
C) Has sedentary lifestyle
D) Maintains proper sleep patterns

Question 20

When teaching a 15-year-old patient with diverticulitis about foods that should be avoided,a nurse takes the stage of growth and development into consideration.Which factor or variable did the nurse take into consideration?

A) Cultural factor
B) External variable
C) Socioeconomic factor
D) Internal variable

Question 21

A nurse allows a patient to place pictures of the family in the room.Which need is being met?

A) Basic needs
B) Physiological needs
C) Self-actualization
D) Love and belongingness

Question 22

Using the health promotion model while rendering care enables a nurse to do which of the following? (Select all that apply.)

A) Help the patient pursue health.
B) Detect the presence of illness.
C) Promote health behaviors in a patient.
D) Assess a family's response to illness.
E) Plan interventions to achieve self-actualization.

Question 23

A smoker has confided to the nurse that he or she feels like a failure because he or she began smoking again after not having had a cigarette for more than a week.What is the nurse's best response?

A) "Let's discuss what triggered you to start smoking again so you can avoid it in the future."
B) "You understand that smoking is the number one cause of death in the United States, correct?"
C) "Did you know that your insurance premiums will increase if you continue to smoke?"
D) "My mother died last year of lung cancer."

Question 24

A nurse is caring for a patient who smokes two packs a day.The nurse knows that the patient is in the contemplation stage regarding smoking cessation.What is the nurse's best response to help the patient move into the preparation stage?

A) "You need to stop smoking as soon as possible."
B) "Smoking will kill you if you don't stop."
C) "The negative effects of smoking can be reversed."
D) "Tobacco use killed 435,000 people in 2000."

Question 25

A registered nurse is working in a community clinic that provides services for chronically ill patients.Which condition would be considered chronic?

A) Appendicitis
B) Pneumonia
C) Flu
D) Diabetes

Question 26

A nurse is teaching the staff about the stages of change.Which information should the nurse include in the teaching session?

A) Precontemplation, contemplation, preparation, action, maintenance
B) Contemplation, preparation, action, maintenance, postmaintenance
C) Contemplation, procrastination, preparation, action, maintenance
D) Precontemplation, contemplation, preparation, action, engagement

Question 27

A patient states,"I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again." The nurse assesses the patient to be in which stage of change?

A) Contemplation
B) Precontemplation
C) Maintenance
D) Engagement

Question 28

A registered nurse in a rehabilitative unit is working with a veteran with chronic back pain that was caused as a result of an injury received while in military service in Iraq.The nurse's goal is to assist the veteran to learn self-management skills to help promote health.Which statement by the nurse will best support this goal?

A) "Do you have plans to return to active duty?"
B) "You need to take your pain medication as prescribed."
C) "Perhaps you need to consider going to a different health care provider."
D) "Why don't you keep a log of what causes the pain to become worse?"

Question 29

Which order should the nurse prioritize care for the patient using Maslow's theory from lower-level needs to higher-level needs?
A-Self-esteem
B-Physiological needs
C-Self-actualization
D-Love and belonging
E-Safety and security

A) b, e, d, a, c
B) d, b, c, a, e
C) b, e, d, c, a
D) d, b, a, c, e

Question 30

A nurse is preparing to help patients with health promotion,wellness education,and illness prevention activities.Which action should the nurse take first?

A) Explore available support groups.
B) Identify risk factors.
C) Provide patient teaching.
D) Implement risk factor modification.

Question 31

Which patient should a nurse consider as being the most ill?

A) A 25-year-old patient with cystic fibrosis who is attending yoga classes
B) A 13-year-old adolescent with newly diagnosed diabetes who does not want to check blood sugar at school
C) A 43-year-old patient with breast cancer who has recently adopted a vegetarian diet
D) A 77-year-old patient with alcohol hepatitis who attends weekly Alcoholics Anonymous meetings

Question 32

Which model exemplifies a patient who states the following,"I am responsible for my own health and well-being and I will partner with you (my nurse)to make sure I am ready to be discharged after surgery"?

A) Basic Human Needs Model
B) Absence of Disease Model
C) Holistic Health Model
D) Healthy People 2020 Model

Question 33

A public health nurse knows that for those patients who already have a chronic disease,the best way to help them manage their illness is to take which action?

A) Provide holistic patient education.
B) Consult with a disease specialist.
C) Review their long-term health insurance policy.
D) Provide disease-specific patient education.

Question 34

A pregnant mother of two children has been experiencing severe morning sickness and fatigue.Friends and family members have been providing her family with meals,and her husband has been taking responsibility for the housework.This is an example of which type of behavior?

A) Illness
B) Wellness
C) Social
D) Antisocial

Question 35

A nurse is planning to care for a patient with a disease that is a major cause of death and disability in the United States.The nurse is caring for which patient?

A) One with an acute disease
B) One with a chronic disease
C) One with an infectious disease
D) One with an exotic disease

Question 36

A nurse must take into consideration illness behaviors of patients.Which is an internal variable the nurse should assess?

A) Social support
B) Visibility of symptoms
C) Accessibility of the health care system
D) Nature of the illness