Deck 11: Experiencing Health Illness

Question 1

A client with a history of schizophrenia is diagnosed with a urinary tract infection.What is probably the most significant barrier this patient faces?

A) Chronic urinary incontinence
B) Stigma associated with mental illness
C) Risk for recurring infections
D) Auditory hallucinations ("hearing things")

Answer 1

Stigma associated with mental illness

Question 2

An older client with genetic-linked anemia admits to not consuming a balanced diet,preferring carbohydrates to protein and vegetables.Which dimension of health can the nurse most likely influence by teaching and counseling this client?

A) Age-related changes
B) Genetic anemia
C) Eating habits
D) Gender-related issues

Answer 2

Eating habits

Question 3

An older client is admitted to the hospital with hypertension.Which question by the nurse is most important when performing the initial assessment interview?

A) "What medications do you take at home?"
B) "Do you have any environmental,food,or drug allergies?"
C) "Do you have an advance directive?"
D) "What is the greatest concern you are dealing with today?"

Answer 3

"What is the greatest concern you are dealing with today?"

Question 4

Dunn believes that an individual's state of health should be evaluated in the context of the person's environment.What does this approach illustrate?

A) An unhealthy physical environment,characterized by poor living conditions,always has a negative effect on an individual's health.
B) Adequate income,food,and shelter create a healthful environment and always improve physical health status.
C) Physical environment,family,and social support may help or hinder the health status of an individual.
D) The environment that should always be assessed is the client's immediate surroundings; extended boundaries do not apply in an ill state.

Question 5

Which type of family would most likely be helpful in encouraging the client to experience a high level of wellness?

A) Controls feelings to avoid conflict
B) Teaches negotiation skills and independence
C) Encourages risk taking and adventure
D) Views themselves as helpless victims

Question 6

When developing goals,which characteristic should the nurse keep in mind?

A) Realistic so that progress is recognized by the patient
B) Developed solely by the healthcare team
C) Developed without family input,to maintain confidentiality
D) Valued by the multidisciplinary care providers

Question 7

Some people readily become ill when under stress.Others are able to deal with tremendous stress and remain physically and mentally healthy.This disparity is affected by a person's level of hardiness.How can this knowledge be applied to nursing care?

A) People are innately hardy or not.This is something that must be recognized.
B) All people should be encouraged to develop some level of hardiness in order to get through difficult physical and emotional times.
C) All nurses should assess personal hardiness levels because hardiness is equated with being a better nurse.
D) Assess clients for hardiness to encourage them to learn about their illness as a means for them to be more comfortable.

Question 8

A client has been hospitalized for 6 weeks.Which intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?

A) Providing skin care every shift to prevent skin breakdown
B) Encouraging the patient to get up in a chair to eat meals
C) Assisting the patient to ambulate in the hallway for several minutes each day
D) Designating a corner of the patient's room to display personal mementos

Question 9

Which aspect of health is particularly valuable in helping a patient with a terminal illness maintain a sense of self?

A) Family relationships
B) Spirituality
C) Nutrition
D) Sleep and rest

Question 10

In an effort to promote health,the home health nurse opens the client's bedroom windows to let in fresh air and sunlight,washes her hands often,and teaches the patient and family about the importance of hygiene and cleanliness.This most closely illustrates the ideas of which individual?

A) Jean Watson
B) Jurgen Moltmann
C) Florence Nightingale
D) Robert Louis Stevenson

Question 11

Which action is known to be a healthy strategy for coping with stress?

A) Performing meaningful work
B) Consuming simple carbohydrates
C) Drinking three glasses of red wine each day
D) Weight training

Question 12

Many health providers define illness as pathology; however,people experience,rather than define,illness.How do most people experience illness?

A) "Feeling lousy," a true sense of not being all right
B) A change in the way they feel or a disruption in their typical life
C) Something to be dreaded and avoided if at all possible
D) An experience that offers the potential for learning and spiritual growth

Question 13

What type of loss is most common among patients who are hospitalized for complex health conditions?

A) Privacy
B) Dignity
C) Functional
D) Identity

Question 14

Which self-care action helps the body release growth hormone?

A) A healthy diet
B) Physical activity
C) Restful sleep
D) Comfortable room temperature

Question 15

Which statement best describes the health-illness continuum?

A) Health is the absence of disease; illness is the presence of disease.
B) Health and illness are along a continuum that cannot be divided.
C) Health is remission of disease; illness is exacerbation of disease.
D) Health is not having illness; illness is not having health.

Question 16

A young adult client with three small children has had nausea,vomiting,and extreme fatigue for the past 2 days.She calls her mother and tells her she is ill and asks if her mother can care for the children.Which stage of illness behavior is she experiencing?

A) Sick-role behavior
B) Dependence on others
C) Seeking professional care
D) Experiencing symptoms

Question 17

When transferring a patient from a hospital to a long-term care facility,which is most helpful in facilitating the patient's planning and emotional adjustment?

A) Notify the patient and family as much in advance of the transfer as possible.
B) Send a complete copy of the patient's medical records to the new facility.
C) Carefully coordinate the transfer with the long-term facility to keep it smooth.
D) Help arrange for transportation and accompany the patient to the transport vehicle.

Question 18

When preparing a room to receive a newly admitted patient,what should the nursing assistive personnel (NAP)do?

A) Mop the floor with an approved disinfecting solution.
B) Fold the top bed linens back to "open" the bed.
C) Hook up the suction machine and check to see that it is working.
D) Position the bed in its lowest position.

Question 19

An older client with an acute myocardial infarction signs the consent form for an angioplasty.Which illness behavior is this client demonstrating?

A) Sick role
B) Seeking professional care
C) Experiencing symptoms
D) Dependence on others

Question 20

Which nursing actions is a hospitalized patient likely to experience on an emotional level and remember long after this hospitalization has ended?

A) Administering medications according to schedule
B) Allowing flexible visitation by family and friends
C) Explaining treatment options in easy-to-understand terms
D) Providing a healing presence by listening and being attentive

Question 21

The nurse suspects that an older client has an undiagnosed chronic health problem.What assessment findings did the nurse use to make this clinical decision? Select all that apply.

A) Stated that hip pain hurts more when it rains
B) Stopped walking at the mall because of the pain
C) Experienced left knee pain "off and on" for years
D) Altered living arrangements to avoid stair climbing
E) Listed hospitalizations for childbirth and appendectomy

Question 22

The nurse reviews the Neuman continuum of health in preparation for an in-service program on wellness for a group of community members.What should the nurse emphasize when using this continuum? Select all that apply.

A) Wellness occurs when more energy is generated than expended.
B) Health and illness are on a graduated spectrum that cannot be divided .
C) Health and illness are plotted on a health grid against the environment.
D) Illness or death occurs when more energy is expended than is generated.
E) Energy is displayed with wellness on one end and illness at the other end.

Question 23

The nurse plans care for a client with an acute illness.What should the nurse keep in mind about the client's developmental level when selecting interventions for this client? Select all that apply.

A) Age
B) Pain
C) Perception
D) Coping ability
E) Family support

Question 24

The department of nursing at a healthcare organization has adopted Jean Watson's theory of nursing as a guide for client care.What principles about health will the nursing staff implement at this organization? Select all that apply.

A) Absence of illness
B) Balance between opposite energy forces
C) Trinity of body,mind,and spiritual awareness
D) A general adaptive-maintenance level of daily functioning
E) A high level of overall physical,mental,and social functioning

Question 25

The nursing instructor plans a learning experience about care and concern for a group of beginning students.What concepts should the instructor include in this experience? Select all that apply.

A) Attuning
B) Enjoying
C) Hardiness
D) Settling in
E) Acceptance