Deck 6: Health and Wellness

Question 1

A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

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

Answer 1

Tertiary prevention

Question 2

A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?

A) Perception of functioning
B) Socioeconomic factors
C) Cultural background
D) Family practices

Answer 2

Perception of functioning

Question 3

Upon completion of the assessment, the nurse finds that the patient has quit drinking and has been alcohol free for the past 2 years. Which stage best describes the nurse's assessment finding?

A) Contemplation
B) Maintenance
C) Preparation
D) Action

Answer 3

Maintenance

Question 4

The nurse is preparing a smoking cessation class for family members of patients with lung cancer. The nurse believes that the class will convert many smokers to nonsmokers once they realize the benefits of not smoking. Which health care model is the nurse following?

A) Health belief model
B) Holistic health model
C) Health promotion model
D) Maslow's hierarchy of needs

Question 5

The patient is reporting moderate incisional pain that was not relieved by the last dose of pain medication. The patient is not due for another dose of medication for another 2 1/2 hours. The nurse repositions the patient, asks what type of music the patient likes, and sets the television to the channel playing that type of music. Which health care model is the nurse using?

A) Health belief model
B) Holistic health model
C) Health promotion model
D) Maslow's hierarchy of needs

Question 6

The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient for "detox." What should the nurse do next?

A) Identify the patient's stage of change.
B) Realize that the patient is ready to change.
C) Teach the patient that choices will have to change.
D) Instruct the patient that relapses will not be tolerated.

Question 7

Upon completing a history, the nurse finds that a patient has risk factors for lung disease. How should the nurse interpret this finding?

A) A person with the risk factor will get the disease.
B) The chances of getting the disease are increased.
C) Risk modification will have no effect on disease prevention.
D) The disease is guaranteed not to develop if the risk factor is controlled.

Question 8

A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

A) Anxiety
B) Not eating
C) Mental health
D) Not seeing family members

Question 9

The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Risk factor prevention

Question 10

A patient has had emphysema (lung disease) for many years. When approached by the nurse, the patient states "I would be better off dead." The patient supports the family, and now because of oxygen dependency the patient must quit work. The patient's spouse will have to go to work. Which action should the nurse take?

A) Develop a plan of care for the family.
B) Contact psychiatric services for a referral.
C) Assure the patient that things will work out.
D) Focus the plan of care solely on maximizing patient function.

Question 11

A nurse is teaching about the transtheoretical model of change. In which order will the nurse place the progression of the stages from beginning to end?
1) Action
2) Preparation
3) Maintenance
4) Contemplation
5) Precontemplation

A) 5, 4, 2, 1, 3
B) 2, 5, 4, 3, 1
C) 4, 5, 3, 1, 2
D) 1, 5, 2, 3, 4

Question 12

A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session?

A) Eliminate health disparities in America.
B) Eliminate health behaviors in America.
C) Eliminate quality of life in America.
D) Eliminate healthy life in America.

Question 13

A nurse is following the goals of Healthy People 2020 to provide care. Which action should the nurse take?

A) Allow people to continue current behaviors to reduce the stress of change.
B) Focus only on health changes that will lead to better local communities.
C) Create social and physical environments that promote good health.
D) Focus on illness treatment to provide fast recuperation.

Question 14

The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate?

A) The patient does not want to and will never quit smoking.
B) The patient must pick up the attempt right where the patient left off.
C) The patient will return to the contemplation or precontemplation phase.
D) The patient will need to adopt a new lifestyle for change to be effective.

Question 15

The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient about employment status and displays a nonjudgmental attitude. What is the rationale for the nurse's actions?

A) External variables have little effect on compliance.
B) A person's compliance is affected by economic status.
C) Employment status is an internal variable that impacts compliance.
D) Noncompliant patients thrive on the disapproval of authority figures.

Question 16

A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?

A) Making sure the patients are disease free
B) Making sure to involve the whole person
C) Making sure care is strictly personal in nature
D) Making sure to focus only on the pathological state

Question 17

A female patient has been overweight for most of her life. She has tried dieting in the past and has lost weight, only to regain it when she stopped dieting. The patient is visiting the weight loss clinic/health club because she has decided to do it. She states that she will join right after the holidays, in 3 months. Which stage is the patient displaying?

A) Precontemplation
B) Contemplation
C) Preparation
D) Action

Question 18

The patient had a colostomy placed 1 week ago. When approached by the nurse, the patient and spouse refuse to talk about it and refuse to be taught about how to care for it. How will the nurse evaluate this couple's stage of adjustment?

A) Shock
B) Withdrawal
C) Acceptance
D) Rehabilitation

Question 19

The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventive care is this patient receiving?

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

Question 20

The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. Which concept is the nurse fostering?

A) Illness prevention
B) Wellness education
C) Active health promotion
D) Passive health promotion

Question 21

Which areas should the nurse assess to determine the effects of external variables on a patient's illness? (Select all that apply.)

A) Patient's perception of the illness
B) Patient's coping skills
C) Socioeconomic status
D) Cultural background
E) Social support

Question 22

A nurse meets the following goals: helps a patient maintain health and helps a patient with an illness. Which factors assist the nurse in achieving these goals? (Select all that apply.)

A) Understands the challenges of today's health care system
B) Identifies actual and potential risk factors
C) Has coined the term "illness behavior"
D) Minimizes the effects of illnesses
E) Experiences compassion fatigue