Deck 2: Health and Wellness

Question 1

A client tells the nurse that they were at the dentist two months prior for a routine cleaning. Which level of prevention should the nurse document the client has taken?

A) Primary.
B) Secondary.
C) Tertiary.
D) Wellness.

Answer 1

Secondary.

Question 2

The nurse is preparing to discuss the goal of care with the client. Which statement should the nurse provide the client that focuses on primary prevention?

A) "The goal of the healthcare team is to prevent any problems from reoccurring."
B) "The goal of the healthcare team is to restore your level of wellness."
C) "The goal of the healthcare team is to focus on your existing problems."
D) "The goal of the healthcare team is to improve your overall health."

Answer 2

"The goal of the healthcare team is to improve your overall health."

Question 3

The nurse is incorporating Dunn's model of wellness in the care of the client's in clinic. Which should the nurse focus treatment on?

A) Relieving signs and symptoms of disease.
B) Assisting the client in restoring harmony to their life.
C) Maximizing the function of the client.
D) Promoting flexibility for environmental adaptation.

Answer 3

Maximizing the function of the client.

Question 4

The nurse is reviewing the history of the clients that had previously participated in an exercise program. Based on the Health Belief Model, which client should the nurse recognize is most likely to participate in a new health promoting behavior?

A) A client that was unable to continue to participate due to time constraints.
B) A client that was unable to afford to participate in the program.
C) A client that had lost weight in a prior exercise program but gained it back.
D) A client that had prior difficulty obtaining childcare to consistently participate.

Question 5

The nurse has provided education based on the Health Promotion Model about the importance of regular exercise to several clients. Which participant should the nurse expect to adhere to regular exercise?

A) An overweight female who has never participated in an exercise program.
B) An adult male who admits frequently to joining and quitting exercise groups.
C) An adolescent male who appears to have a low self-esteem.
D) An adult female who reports she is anxious to begin exercising with her husband.

Question 6

The manager is reviewing the modifying factors of the Health Belief Model with several nurses. Which statement made by a nurse indicates the understanding of a cue to action?

A) "Education is a cue to action."
B) "Socioeconomic status is a cue to action."
C) "The client's personality is a cue to action."
D) "The cultural practices of a client are a cue to action."

Question 7

The nurse is developing a program focusing on breast cancer and secondary prevention. Which topic should the nurse include?

A) Types of mastectomy that are available.
B) Chemotherapy and radiation treatments.
C) Education on the prevention of breast cancer.
D) Techniques for performing self-breast examination.

Question 8

The nurse is evaluating the responses of the client's willingness to participate in an exercise program. Based on the Health Belief Model, which client statement should the nurse recognize is reflective of a situational influence?

A) "I don't like where the gym is located."
B) "I don't like feeling so sore the next day."
C) "I feel like this program is too costly."
D) "I really have never exercised before."

Question 9

The nurse recognizes the fact that more individuals have become conscious of health and wellness. Based on this factor, which should the nurse place a stronger emphasis on? Select all that apply.

A) Tertiary prevention.
B) Disease prevention.
C) Health Promotion.
D) Secondary prevention.
E) Wellness.

Question 10

The nurse is discharging a patient who was hospitalized for a cerebral vascular accident (CVA). Which statement made by the patient indicates understanding of primary prevention?

A) "I will need instruction on using my walker."
B) "I need to have my flu shot this year."
C) "I must take my blood pressure medications regularly."
D) "I need to have my cholesterol monitored every 2 months."

Question 11

The nurse is assessing the level of commitment and motivation of a patient seeking to lose weight. Which approach should the nurse recognize is being used to enhance the patient's health?

A) Psychosocial perspective.
B) Illness perspective.
C) Physiologic perspective.
D) Wellness perspective.

Question 12

The nurse is using the theory of reasoned action/planned behavior to develop a class on nutrition. Which variables should the nurse be aware of that may affect the client's intention to improve their nutritional intake?

A) Self-efficacy.
B) Motivation.
C) Knowledge.
D) Objective norms.

Question 13

The nurse is preparing to use the clinical model for care of a patient. Which should the nurse focus upon?

A) Pain.
B) Environment.
C) Patient's potential.
D) Patient's social role.

Question 14

The nurse has held a smoking cessation class based on the Health Belief Model. According to the model, which statement made by a participant should the nurse recognize indicates the highest level of positive self-efficacy?

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

Question 15

During a preconceptual assessment, a couple tells the nurse they have a family history of sickle cell disease. Which statement made by the couple should the nurse recognize indicates the desire to participate in primary prevention?

A) "We need to both be treated for sickle cell anemia before we can have a baby."
B) "We will have blood tests to determine if we are carriers for the disease."
C) "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease."
D) "We both do not have sickle cell disease, so there is a good chance that our baby will not have it."

Question 16

The nurse is caring for a client with residual left-sided weakness after a CVA. Which should the nurse focus on to maintain the health of the client?

A) Improvement.
B) Wellness.
C) Prevention.
D) Adaptation.

Question 17

The nurse is using the Health Belief Model to conduct a weight loss class for a group of patients. Which should the nurse recognize as mediating factors of the model? Select all that apply.

A) Susceptibility of development of complications from being overweight.
B) Perceived severity of an illness that results from being overweight.
C) The client's cost of the classes.
D) The amount of time commitment for the class.
E) The number of the patients who will be taking the class.

Question 18

The nurse is evaluating the statements made by clients that have completed an exercise and nutrition class. Which statement made by a client should the nurse recognize reflects self-efficacy?

A) "I believe that exercise is the key to health."
B) "My family thinks it is will improve my health if I begin to exercise."
C) "I am confident that I can maintain my commitment to exercise."
D) "My healthcare provider will be very happy if I start an exercise program."

Question 19

The nurse is using the ecologic model as a framework for preparing a community health program. Which program objective should the nurse understand best reflects the concepts of the model?

A) The participants will recognize health as the absence of disease.
B) The participants will verbalize the role of self-actualization in relation to their health.
C) The participants will define health as the interaction between the agent, host, and the environment.
D) Internal harmony is the foundational basis for health achievement.

Question 20

The nurse is preparing a care plan for a client. Which area of health risk appraisal should the nurse include in the diagnosis and planning? Select all that apply.

A) Medical diagnosis.
B) Sexual activity.
C) Immunization history.
D) Occupation.
E) Laboratory results.

Question 21

A group of clients attend an educational program focused on prevention and screening activities for breast cancer. Based on the Health Belief Model, which participant should the nurse anticipate will most likely engage in available screenings?

A) The client whose mother and grandmother have a history of breast cancer.
B) The client who is attending the program as a course requirement.
C) The client attending in support of the presenter.
D) The client who agreed to attend in support of another participant.

Question 22

The nurse is collaborating with a client to create a plan for weight loss. During which phase of the nursing process should the nurse help identify the client's strengths?

A) Assessment.
B) Evaluation.
C) Planning.
D) Implementation.

Question 23

The nurse using the Health Belief Model is evaluating a client's interpersonal influences. Which statement made by the client reflects an interpersonal influence?

A) "My family responsibilities may interfere with my success."
B) "My Mother is going to help me create healthier recipes."
C) "I feel like some of the recommended dietary changes will be difficult."
D) "I am concerned about the time it will take to grocery shop for the recommended foods."

Question 24

The nurse is using the Health Belief Model to promote smoking cessation. Which should the nurse recognize will have the greatest impact on the client outcomes?

A) Adaptation.
B) Behaviors.
C) Flexibility.
D) Actualization.

Question 25

A client tells the nurse they are concerned that their diabetes will become a serious illness. Which model of health should the nurse recognize the client's statement is most aligned with?

A) The Role Performance Model.
B) The Health Belief Model.
C) The Clinical Model.
D) The Eudaemonistic Model.

Question 26

The nurse is assessing a client for taking self-responsibility in wellness. Which action by the client should the nurse consider reflects good decision making?

A) Planning a menu that includes a variety of foods.
B) Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day.
C) Practicing sexual abstinence or using a condom during sexual intercourse.
D) Walking at a pace of 3 to 4.5 mph for 15 minutes three times per week.

Question 27

The nurse has created a plan of care for a patient with asthma. Which part of the nursing process should the nurse take on for the role of an educator?

A) Assessment.
B) Planning.
C) Implementation.
D) Evaluation.

Question 28

A client has been prescribed a mammogram. Which level of prevention should the nurse recognize the client is participating in?

A) Primary.
B) Tertiary.
C) Prepathologic.
D) Secondary.

Question 29

The nurse using the Health Belief Model is evaluating a client's statement for competing preferences. Which statement should the nurse recognize is a competing preference?

A) "I am going to skip the gym today and have lunch with a friend."
B) "I will have to miss going to the gym because I have to work overtime."
C) "I have to attend a meeting with my child's teacher so I cannot go to the gym.
D) "I cannot make it to the gym because I do not have childcare."

Question 30

The nurse is using the Health Belief Model to evaluate the workplace for situational influences that promote health. Which situational influence should the nurse recognize is a demand characteristic?

A) Easy access to the gym.
B) Clean environment.
C) No smoking policy.
D) Availability of healthy snacks.