Deck 7: Health, wellness, illness, and Injury

Question 1

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 that drink well water."
D) "It will be very important that your child does not eat sugary foods because you drink well water."

Answer 1

"Your child will need to be placed on a fluoride supplement because your primary water source is from a well."

Question 2

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) Skin cancer
B) Hypertension
C) Cardiovascular disease
D) Colon cancer
E) Renal disease

Answer 2

Hypertension
Cardiovascular disease
Colon cancer

Question 3

After conducting a physical assessment for an adult client,the nurse discusses the assessment with a co-worker and states that the client's beliefs and actions regarding common health practices seem "weird." 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 "weird" beliefs and actions.
D) Communicate the findings to the health-care team.

Answer 3

Determine the culture with which the client identifies.

Question 4

The nurse is working in the role of client health educator.Based on the information in the image,these concepts are components of which topic?

A) Health
B) Wellness
C) Well-being
D) Fitness

Question 5

While planning care for a client who has been hospitalized for 2 weeks,the nurse selects the nursing diagnosis of Risk for Disuse Syndrome due to the extended hospitalization.The nurse is assisting the client with a bath and wants to encourage full range of motion in all the client's joints.Which activity will best support range of motion for the client's hand and arm?

A) Having the client brush the hair and teeth
B) Moving the wash basin farther toward the foot of the bed to encourage the client to reach for the items
C) Moving each of the client's hand and arm joints through passive range of motion
D) Giving the client a washcloth to wash the face

Question 6

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 7

A nurse is teaching a group of couples a class on building positive relationships at a local community center.The nurse is focusing this session 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 8

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 bed rest
D) Increasing the amount of calcium in the client's diet

Question 9

The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus.At the conclusion of the session,which client statement shows 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 for my entire 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."

Question 10

A group of nurses have volunteered to go on a health mission to rural Haiti.The majority of the people the nurses will be working with do not have access to health care and live in poverty.Based on this data,which level of wellness do the nurses' anticipate when providing care during this mission trip?

A) An emergent high level of wellness in an unfavorable environment
B) Protected poor health in an unfavorable environment
C) Poor health in an unfavorable environment
D) Protected poor health in a favorable environment

Question 11

A nurse is assessing a client to determine level of wellness.The client practices yoga for relaxation several times a week,follows a nutritionally sound diet,and has a supportive,sound relationship with a spouse and several children.Based on this data,which does this client exemplify?

A) An emergent high level of wellness in an unfavorable environment.
B) A high level of wellness in a favorable environment.
C) Protected poor health in a favorable environment.
D) An emergent high level of wellness in a favorable environment.

Question 12

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 13

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 14

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."

Question 15

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) Spiritual and religious beliefs
C) Environment
D) Developmental level
E) Age

Question 16

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 jogs for 30 minutes 5 times per week

Question 17

In preparing a workshop on Healthy People 2020,which are some of the disease processes the nurse should address as part of the 42 topic areas covered in the report? Select all that apply.

A) Cancer
B) HIV
C) Diabetes
D) Multiple Sclerosis
E) Heart Disease and Stroke

Question 18

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) Depression screening for all employees
B) An abuse screening program
C) A substance abuse education program
D) An immunization program
E) Injury and violence prevention

Question 19

A nurse is promoting participation in The Great American Smokeout for clients who are participating in a smoking cessation class.The nurse knows this event may motivate many individuals to stop smoking by promoting self-efficacy.At the conclusion of the class,which statement leads the nurse to expect a positive outcome for this particular client?

A) "I am afraid of getting lung cancer like my father."
B) "I think this time will be different."
C) "I am going to do the best that I can, so that I won't get lung cancer."
D) "I know that this time I will quit smoking permanently."

Question 20

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

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

Question 21

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 22

The nurse is caring for an adult client who was admitted to the hospital 3 days ago.The client is having a hard time sleeping.The nurse notes that there is documentation of some confusion during waking hours.Based on this data,which nursing diagnosis is the most appropriate?

A) Ineffective Coping
B) Disturbed Sleep Pattern
C) Disturbed Sensory Perception
D) Ineffective Health Maintenance

Question 23

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 24

A nurse is working with a group of older adult clients at a community health center.Several clients report growing concerns about their dental health.They state they need to have dental work done despite continuing the same hygiene habits they have employed for years.They inquire about the underlying cause for these changes.Based on this data,which response by the nurse is the most appropriate?

A) "It is common for dental health to decline with aging."
B) "Aging increases saliva production, which increase exposure of the tooth's enamel to corrosive agents."
C) "A decrease in bone density is associated with aging, which can result in tooth decay and breakage."
D) "Metabolic changes in aging contribute to dental destruction."

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 nuse 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

A pediatric nurse is caring for a toddler-age client 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) Parental smoking cessation resources.
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 27

The nurse working in the newborn nursery understands that a newborn has differences in sleeping patterns than an older child or an adult.Which sleep pattern is not expected during the newborn period?

A) An irregular sleep schedule, sleeping 16-18 hours a day.
B) NREM sleep is characterized by regular respirations, closed eyes, and the absence of body and eye movements.
C) REM sleep occurs gradually.
D) NREM sleep is also called quiet sleep during the newborn period.

Question 28

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 stage IV of NREM sleep.
C) The client's metabolic rate has increased.
D) The client is in stage II of NREM sleep.

Question 29

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 sport activities

Question 30

The nurse is caring for a 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 31

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

Question 32

A nurse is caring for a client diagnosed with xerostomia.When educating the client about this condition,the nurse includes which as causative factors for developing this condition? Select all that apply.

A) Intravenous electrolyte replacement therapy
B) Oxygen therapy
C) Antihistamine medications
D) NPO status
E) Tachypnea

Question 33

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 nursing or giving the infant a bottle 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