Deck 7: Promoting Health and Wellness

Question 1

The nurse suspects that a client is using the defense mechanism of intellectualization.Which comment did the client make for the nurse to come to this conclusion?

A)"I only smoke marijuana on Saturdays."
B)"I'm fine.I just got a little rattled when I heard the news."
C)"I bought this new dress because my friend has one just like it."
D)"I'll miss my mom, but she was in so much pain all of the time."

Answer 1

"I'll miss my mom, but she was in so much pain all of the time."

Question 2

A client seeks medical attention for a sore throat, nasal congestion, and productive cough.For which type of illness should this client receive care?

A)Acute
B)Chronic
C)Prodromal
D)Exacerbation

Answer 2

Acute

Question 3

A client reports not feeling well and thinks it could be related to stress.Which assessment finding should the nurse expect in this client?

A)Blood pressure 178/96 mm Hg
B)Relaxes every day after work
C)Pupils are constricted and reactive to light
D)Limits fats and sugar in the diet

Answer 3

Blood pressure 178/96 mm Hg

Question 4

A client being seen in the clinic reports having pain on the right side of the abdomen.In which phase of illness is this client?

A)Prodromal
B)Symptomatic
C)Seeking help
D)Dependency

Question 5

The nurse participates in health screening at a community center.Which should the nurse do to encourage the client to promote and maintain health? Select all that apply.

A)Introduce the client to the benefits of a regular exercise program.
B)Discuss the importance of keeping blood glucose levels within normal range.
C)Refer the client to a clinic for blood pressure screening.
D)Suggest that medical care is accessed in acute emergencies and that alternative forms of treatment are used when it is not.
E)Explain effects of overwhelming stress on health.

Question 6

A client reports skipping church because of not wanting to see certain people who might be in attendance on a holiday.Which defense mechanism did this client use?

A)Denial
B)Avoidance
C)Conversion reaction
D)Displacement

Question 7

An older client with a chronic illness lives alone, has a fixed income, and often cannot afford required medications.In which quadrant on Dunn's wellness grid should the nurse categorize this client?

A)High-level wellness in a favorable environment.
B)Emergent high-level wellness in an unfavorable environment.
C)Protected poor health in a favorable environment.
D)Poor health in an unfavorable environment.

Question 8

A client with arthritis complains of increased pain and stiffness in cold damp weather.Which term should the nurse use to explain the client's symptoms?

A)Remission
B)Prodromal
C)Dependency
D)Exacerbation

Question 9

A client reports developing nausea and vomiting the morning of having a scheduled medical examination.Which type of defense mechanism is this client most likely experiencing?

A)Dissociation
B)Identification
C)Displacement
D)Conversion reaction

Question 10

The nurse is preparing an educational session for new staff on the importance of health literacy.How should the nurse refer to this area of assessment?

A)A way to reduce stress
B)The "newest" vital sign
C)An action to ensure compliance
D)A reason to contact the health-care provider

Question 11

The nurse is discussing health with a client.What should the nurse explain about health being measured on a continuum scale?

A)It proves that health is constant and rarely fluctuates.
B)The higher the measurement is, the better one's health is.
C)It measures only the physical aspects of health.
D)It would be more accurate if mental and emotional aspects could be measured.

Question 12

A client reports not remembering anything before or after a motor vehicle crash, but the police report indicates black marks on the road caused by the car tires.How should the nurse respond?

A)"When scared, the parasympathetic system stimulates the fight-or-flight response."
B)"Your fight-or-flight response pumps adrenaline into your system, which enhances your ability to react quickly."
C)"Cortisol, a natural hormone, ceases production and, as a result, we are able to respond quickly in an emergency."
D)"The sympathetic nervous system blocks your endocrine glands, resulting in additional hormones enabling a quick response."

Question 13

The nurse reviews Healthy People 2020 with a client.What are the goals of this plan? Select all that apply.

A)Fund exercise programs and weight-management initiatives in the workplace.
B)Force tobacco companies and other manufacturers of unhealthy products to close.
C)Achieve health equity and eliminate disparities.
D)Create social and physical environments that promote good health.
E)Promote quality of life, healthy development, and healthy behaviors.

Question 14

The nurse is concerned that a client is experiencing stress.Which symptom would the nurse assess in this client to make this clinical determination?

A)Completing work ahead of time
B)Volunteering to work overtime to help a friend
C)Experiencing a backache for several weeks
D)Spending time after church to help with Sunday school

Question 15

A client smashes a finger in a locked car door.After several minutes, the car door can be opened, the hand is released, and blood flow returns to the digits.Which phase of the general adaptation syndrome is the client experiencing?

A)Alarm
B)Resistance
C)Adaptation
D)Exhaustion

Question 16

A client who is admitted for observation following an episode of chest pain relieved by rest and two nitroglycerin tablets reports having a job as CEO of a large firm that is becoming too much to handle.According to Selye, what should the nurse suspect the client is experiencing?

A)An interaction between the individual and the environment
B)Protected poor health in a favorable environment
C)The seeking help phase of illness
D)The exhaustion phase of stress

Question 17

A client reports living in an apartment located in an area of high crime and drive-by shootings.Which leading health indicator most likely will impact this client's health?

A)Social determinants
B)Injury and violence
C)Environmental quality
D)Access to health services

Question 18

The nurse is reviewing information about wellness prior to participating in a community health clinic.What should the nurse recall about Fitzpatrick's rhythm model?

A)Health can be measured along a continuum.
B)Health can be categorized into four quadrants.
C)Health is a frame of mind that is consciously controlled.
D)Health is a state that results from environmental interaction.

Question 19

After learning of a 20-lb.weight gain over the last year, the client says, "My spouse makes me nervous and all I do is eat." Which defense mechanism is this client demonstrating?

A)Projection
B)Regression
C)Rationalization
D)Reaction formation

Question 20

The nurse provides a client with a label from an ice cream container and asks specific questions about the information on the label.What is the nurse assessing in this client?

A)Health literacy
B)Ability to read
C)Ability to hear
D)Nutritional intake

Question 21

The nurse is participating in a community health screening.Which suggestion should the nurse make to a client to help cope with stress? Select all that apply.

A)Relax with family and friends.
B)Accept all challenges.
C)Say no when one has other obligations.
D)Eat a diet high in fat and carbohydrates.
E)Eliminate excessive possessions.

Question 22

The nurse prepares a teaching tool about Healthy People 2020.Which should the nurse identify on this tool as leading health indicators? Select all that apply.

A)Tobacco
B)Oral health
C)Osteoporosis
D)Mental health
E)Substance abuse