Ch. 16 - Health and Wellness

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Ch. 16
Robinmarie Rivera
Quiz by Robinmarie Rivera, updated more than 1 year ago
Robinmarie Rivera
Created by Robinmarie Rivera about 7 years ago
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Resource summary

Question 1

Question
Which of the listed basic needs identified by Maslow must be addressed first when providing nursing care?
Answer
  • self-esteem
  • Love and belonging
  • Self-actualization
  • Nutrition and Elimination

Question 2

Question
Which activity best illustrates the use of the Health Promotion Model (HPM) by the nurse to increase the level of well-being for a patient immediately after surgery?
Answer
  • Holding a pillow across his chest when coughing and deep breathing
  • Encouraging the patient to eat his entire evening meal
  • Changing his surgical dressing daily as ordered by the physician
  • Asking his family to step out of the room during dressing changes.

Question 3

Question
A nurse providing preventive care to an overweight patient with a family history of diabetes should engage in which priority care-planning activity for this patient?
Answer
  • Calculating the patient's body mass index (BMI) and recommending a daily exercise routine
  • Instructing the patient to perform blood glucose monitoring once daily
  • Giving the patient a month's supply of insulin needles and syringes
  • Participating in diabetes education classes offered at a local health facility

Question 4

Question
An active, older patient has been frequently evaluated for minor problems at the clinic since the death of her husband 3 months earlier. During one of her visits, she states that she has no energy to get through the day and no desire to keep up with her Tuesday night bridge club. Which type of holistic health model intervention should the nurse employ to help the patient cope with the loss of her husband?
Answer
  • Encouraging use as needed of a drug for anxiety ordered by her provider
  • Teaching the value of music therapy to address anxiety about her loss
  • Explaining that she will be over the loss of her husband in a few months
  • Encouraging a gradual reentry into social interaction and activities with friends

Question 5

Question
An 8-year-old girl is newly diagnosed with type 1 diabetes. The nurse may expect fear and crying when teaching the child how to self-administer insulin injections due to which influencing factor?
Answer
  • Self-concept
  • Self-esteem
  • Developmental level
  • Hierarchy of needs

Question 6

Question
Three weeks after delivery, a patient started a diet of 800 calories per day and started jogging 2 miles twice per day. The nurse recognizes the patient’s behavior may be influenced by which motivating factor?
Answer
  • Body Image
  • Family roles
  • Illness behavior
  • Chronic illness

Question 7

Question
A 65-year-old male patient has been a one-pack-per-day smoker for 40 years. He was recently diagnosed with early-stage chronic obstructive pulmonary disease (COPD) and would like to attend a smoking cessation class. The nurse recognizes smoking cessation as which level of prevention for this patient?
Answer
  • Primary prevention
  • Secondary prevention
  • Statutory prevention
  • Tertiary prevention

Question 8

Question
A patient diagnosed with an aggressive cancer is estimated to have 6 months to live. Two months later, the patient’s wife calls the nurse’s office because she is upset that her husband has taken up motorcycle racing and has already been injured twice. The nurse knows that the patient is experiencing a behavioral change in which factor due to the prognosis of his illness?
Answer
  • Spirituality
  • Physical attributes
  • Self-concept
  • Personal affect

Question 9

Question
The nurse enters a patient’s room to deliver a dinner tray and notices that the patient has not been out of bed since the previous day. The patient states that his condition has made him bed-ridden, although the nurse knows that he is capable of independent ambulation. Which type of reaction is the patient exhibiting?
Answer
  • Ambivalence to symptoms
  • Illness behavior
  • Diminished functional ability
  • Overreaction to illness

Question 10

Question
A patient is seeking information about leading indicators that show the importance of health promotion and illness prevention in the United States. To which government-sponsored program would the nurse refer the patient for the best source of information?
Answer
  • The American Cancer Society websiste
  • The Healthy People 2020 website
  • The Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report
  • The American Association of Hospitals home page

Question 11

Question
According to Maslow’s hierarchy of needs, the nurse understands that which element(s) must be maintained before a patient can reach self-actualization?
Answer
  • Self-esteem
  • Safety
  • Love and belonging
  • Nutrition

Question 12

Question
When a patient recognizes that a family history of a terminal disease predisposes him to illness, the nurse can identify this realization as which component of the Health Belief Model?
Answer
  • Perception of susceptibility
  • Likelihood of action
  • Modification of factors
  • Adherence to factors

Question 13

Question
A patient undergoing chemotherapy for bone cancer states that she uses guided imagery in conjunction with pain medications to tolerate bone marrow aspirations. The nurse recognizes guided imagery as a component of which health promotion model?
Answer
  • The Health Function Model
  • Lifestyle Fatality Model
  • Model for Human Disease Progression
  • Holistic Health Model

Question 14

Question
A 20-year-old patient is concerned that he may have the same illness (acute myeloid leukemia [AML]) as a 65-year-old male relative. Which influencing factor about which the nurse is aware may alleviate this patient’s concern?
Answer
  • Developmental level
  • Environmental factors
  • Lifestyle choices
  • Age

Question 15

Question
When a nurse approaches an overweight patient about lifestyle modifications that will reduce the risk for heart disease, the patient shows that he does not perceive susceptibility to disease when stating
Answer
  • "I'm only a little overweight; there is no way I can have a heart attack."
  • "I should lose a few pounds and try to exercise more often."
  • It would be helpful to speak to the nutritionist before I leave the hospital."
  • "I will investigate the online Weight Watchers programs that helped me in the past."

Question 16

Question
The last concept to be added to the Health Belief Model (HBM) is defined as the confidence in one’s ability to take action. What is this concept is called?
Answer
  • Perceived benefits
  • Cues to action
  • Perceived severity
  • Self-efficacy
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