chapter 17 (298-314)

SN15
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Question 1

Question
Which one of the following is an example of the emotional component of wellness?
Answer
  • The client chooses healthy foods.
  • A new father decides to take parenting classes.
  • A client expresses frustration with her partner’s substance abuse.
  • A widow with no family decides to join a bowling league.

Question 2

Question
Which individual appears to have “taken on” the sick role?
Answer
  • An obese client states, “I deserve to have a heart attack.”
  • A mother is ill and says, “I won’t be able to make your lunch today.”
  • A man with low back pain misses several physical therapy appointments.
  • An older adult states, “My horoscope says I will be well again.”

Question 3

Question
Because a client recently diagnosed with diabetes mellitus is confident that blood sugar control can be improved with diet and exercise alone, and recently checked out a video on the management of diabetes at the HMO education center, the client’s actions are most representative of which model?
Answer
  • Health belief model
  • Clinical model
  • Role performance model
  • Agent–host–environment model

Question 4

Question
Because a client with human immunodeficiency virus (HIV) is scheduled to begin several medications to manage the infection, the nurse will need to provide client education. Which client characteristics are most likely to predict adherence with the treatment program? Select all that apply
Answer
  • Educational level
  • A trusting relationship with the health care provider
  • An expectation that the medications will be helpful
  • Being able to take the medications twice daily instead of four times daily
  • Sex

Question 5

Question
Which one of the following might be the BEST way to measure adherence to a prescribed medication regime?
Answer
  • Direct observation of medication administration
  • Evidence of illness complications or exacerbations
  • Monitoring laboratory values of elements influenced by the medication
  • Questioning the client about his or her medication routine

Question 6

Question
Which of the following is least likely to influence a client’s personal definition of health/wellness?
Answer
  • The client’s ability to perform his or her usual activities
  • The cultural traditions the client uses in everyday life
  • The availability and accessibility of health care services appropriate for the client’s health condition
  • The medical diagnostic terminology used to describe the client’s signs and symptoms

Question 7

Question
Which of the following is an internal variable affecting health status, beliefs, or practices?
Answer
  • Living situation
  • Socioeconomic status
  • Family structure
  • Genetics

Question 8

Question
A client recently diagnosed with a chronic illness asks for help in understanding the term chronic. It would be correct for the nurse to say which of the following?
Answer
  • Symptoms are always less severe than with an acute illness.
  • Chronic illnesses are considered incurable.
  • Signs and symptoms of chronic illnesses tend to be stable for many years
  • Chronic illnesses have no effective treatments.

Question 9

Question
Although not every client progresses in order through each stage, what is the usual sequence in Suchman’s stages of illness? (list in order by paper, question will not be randomized, 3, 5, 1, 4, 2, default answer is a)
Answer
  • The client makes contact with medical care.
  • The client goes into rehabilitation/recovery
  • Signs and symptoms appear.
  • The client takes on the dependent role.
  • The client takes on the sick role.

Question 10

Question
A married mother of three small children has frequent immobilizing headaches of unknown cause. The nurse anticipates that the woman may have which of the following possible reactions? Select all that apply.
Answer
  • She feels guilty when unable to perform her usual activities.
  • She is angry and acting out.
  • She shifts some responsibilities to the spouse.
  • She takes on a job to help pay for the medical expenses.
  • She has fewer social interactions with her friends.
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