Deck 8: Health and Illness

Question 1

The home health nurse helps a patient who is chronically ill with congestive heart failure to reorder time by:

A) Encouraging the patient to get up earlier or to go to sleep later
B) Developing a daily schedule that allows time for activities, as well as for medical regimens
C) Giving up time-consuming activities such as watching television or answering e-mail messages
D) Encouraging the patient to complete only one task a day

Answer 1

Developing a daily schedule that allows time for activities, as well as for medical regimens

Question 2

The nurse reminds the patient that the traditional view of health:

A) Promotes optimal function.
B) Views health and illness as separate concepts.
C) Defines health as an absence of illness.
D) Emphasizes the prevention of disease.

Answer 2

Views health and illness as separate concepts.

Question 3

The patient is being discharged from same-day surgery after a tonsillectomy.The nurse is aware that the patient will be in the phase of general adaptation syndrome,in which the body begins to heal after injury.This is called the:

A) Alarm stage
B) Resistance stage
C) Exhaustion stage
D) Initial stage

Answer 3

Resistance stage

Question 4

The nurse emphasizes that the major advantage of using Maslow's "Hierarchy of Needs" when planning nursing care for patients is to:

A) Establish a nursing diagnosis.
B) Improve problem-solving techniques.
C) Prioritize patient care.
D) Establish priorities of care.

Question 5

An anxious co-worker who is to present a comprehensive report to the hospital board on innovative staffing patterns sits down at your table in the lunchroom and begins to tell you what will be presented in the report.The nurse knows that the co-worker is using the coping strategy of:

A) Event rehearsal
B) Problem solving
C) Event review
D) Social support

Question 6

The nurse explains that according to Maslow,the abilities to solve problems,to maintain self-confidence,and be willing to accept criticism are incorporated in:

A) Safety and security
B) Self-esteem
C) Self-actualization
D) Love and belonging

Question 7

The nurse explains that the health-illness continuum is based on:

A) Prevention of acute illness
B) Individual response to health or illness
C) Promotion of health and wellness
D) Variation in degree of health or illness

Question 8

The nurse clarifies that currently the health care system is concerned with:

A) Treating illness
B) Preventing illness
C) Promoting optimal function in the chronically ill
D) Caring for patients with acute and chronic illness

Question 9

The alarm reaction stage,resistance stage,and exhaustion stage are the three stages of the:

A) Local adaptation syndrome
B) General adaptation syndrome
C) Total adaptation syndrome
D) Absolute adaptation syndrome

Question 10

During the initial gathering of data,the patient reveals a weight loss of 17 pounds since the death of his spouse 5 weeks earlier.He says that he is not sleeping and has no appetite.Using Maslow's "Hierarchy of Needs," the nurse assesses that the unmet needs are in the category of:

A) Physiologic
B) Safety and security
C) Love and belonging
D) Self-actualization

Question 11

When an individual seeks help from family,friends,or a community resource during a time of stress,the nurse assesses that this is an example of which response?

A) Internal
B) External
C) Physiologic
D) Psychologic

Question 12

Activities directed toward maintaining or enhancing well-being against illness are called:

A) Health promotion
B) Health treatment
C) Health evaluation
D) Health assessment

Question 13

In explaining the concept of chronic illness,the nurse uses the example of a patient who has:

A) Acne
B) Appendicitis
C) Heart attack
D) Asthma

Question 14

The nurse clarifies that a neuroendocrine response involves both the autonomic nervous system and the endocrine system and is considered a(n):

A) Local adaptation syndrome
B) Total adaptation syndrome
C) Acute adaptation syndrome
D) General adaptation syndrome

Question 15

The nurse points out that the current view of health:

A) Promotes the highest quality of life possible, both mentally and socially.
B) Includes mental, physical, social, and emotional adaptation to the environment.
C) Includes the basic physiologic needs and self-actualization.
D) Relies on alternative therapies for the treatment and cure of diseases.

Question 16

The patient returning from surgery complains of incisional pain that is now rated 7 in intensity on the 1-to-10 pain scale.As a nurse,you know that pain is an example of:

A) General adaptation syndrome
B) Local adaptation syndrome
C) Counter-current response
D) Neuroendocrine response

Question 17

The nurse assesses that smoking,drinking alcohol,and exercising compulsively,which may occur as responses to a stressful situation,are which one of the following types of responses?

A) External
B) Withdrawal
C) Denial
D) Internal

Question 18

The nurse points out that a physiologic response to stress involves the total body and is referred to as which syndrome?

A) General adaptation
B) Local adaptation
C) Negative feedback
D) Total adaptation

Question 19

The nurse gives the example of when an individual becomes frightened and experiences increased heart rate and mental activity,along with increased blood flow to the skeletal muscles and dilated pupils,the person is experiencing an alarm reaction that helps the body defend against stressors.This alarm reaction is the:

A) Positive feedback response
B) Negative feedback response
C) Fight-or-flight response
D) Homeostasis response

Question 20

The common cold,appendicitis,and urinary tract infections are examples of what type of illness?

A) Chronic
B) Disabling
C) Emergency
D) Acute

Question 21

The nurse explains that by adopting the "sick role," the person who is ill is: (Select all that apply.)

A) Exempt from usual roles
B) Seeking attention
C) Expected to get well
D) Actively seeking remedy
E) Using illness as excuse for failure

Question 22

The nurse describes yoga as an alternative therapy that creates a __________________ intervention.

Question 23

The nurse clarifies that nontraditional remedies are becoming popular because: (Select all that apply.)

A) Many remedies are available without a prescription.
B) Remedies do not interfere with traditional medications.
C) Treatment modalities can be self-taught.
D) Practitioners charge lower fees than medical physicians.
E) Remedies are noninvasive.

Question 24

The nurse initiates the first step in helping patients to increase adaptability,which is to:

A) Assess past methods of coping with stress.
B) Suggest using past coping strategies.
C) Determine external coping strategies.
D) Determine what the patient perceives as stressful.

Question 25

The nurse is aware that most nontraditional therapies are based on the concept that illness is caused by:

A) Evil spirits
B) Lack of harmony with the environment
C) Deliberate abuse of the body
D) Inappropriate diet

Question 26

The nurse explains that the patient who is taking Valium for a nervous disorder but is also taking passion flower tablets to combat symptoms is using a combination of traditional and alternative therapy that is called ____________________.

Question 27

A tendency of biologic systems to maintain stability of the internal environment while continually adjusting to changes is ____________________.

Question 28

The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________.

Question 29

When the caregiver is frustrated and is complaining of being overwhelmed,the nurse can assist by: (Select all that apply.)

A) Taking over the care.
B) Referring the caregiver to a support group.
C) Seeking assistance from a home health agency.
D) Listening to the caregiver's concerns.
E) Assisting in making a daily schedule for the caregiver to follow.