Question 1

For a client with chronic obstructive pulmonary disease (COPD),the nurse may provide health promotion teaching about what other major health concept?

Accepted Answer

A)COPD often develops as a result of years of smoking, and one common therapy is oxygen administration. The combination of smoking and oxygen increases the client's risk for safety related to fire hazards. COPD does not commonly cause changes in elimination, immunity, or development.
B)COPD often develops as a result of years of smoking, and one common therapy is oxygen administration. The combination of smoking and oxygen increases the client's risk for safety related to fire hazards. COPD does not commonly cause changes in elimination, immunity, or development.
C)COPD often develops as a result of years of smoking, and one common therapy is oxygen administration. The combination of smoking and oxygen increases the client's risk for safety related to fire hazards. COPD does not commonly cause changes in elimination, immunity, or development.
D)COPD often develops as a result of years of smoking, and one common therapy is oxygen administration. The combination of smoking and oxygen increases the client's risk for safety related to fire hazards. COPD does not commonly cause changes in elimination, immunity, or development.

Question 2

The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus.At the conclusion of the session,which client statement indicates that teaching has been effective?

Accepted Answer

Option D, "I will have to make dietary changes to manage this chronic disease," indicates that the client understands that type 2 diabetes mellitus is a chronic condition requiring lifestyle changes. The other options suggest misunderstandings about the condition or treatment.

Question 3

The pulmonary rehabilitation nurse is teaching a group of clients about both isotonic and isometric exercises.At the conclusion of the session,which client statements indicate effective teaching has occurred? Select all that apply.

Accepted Answer

A) In isotonic exercises, which are dynamic exercises, the muscle shortens to produce muscle contraction and active movement. Isometric exercises, which are static exercises, involve exerting pressure against a solid object. Isometric exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body. Isometric exercises are useful for endurance training.
B) In isotonic exercises, which are dynamic exercises, the muscle shortens to produce muscle contraction and active movement. Isometric exercises, which are static exercises, involve exerting pressure against a solid object. Isometric exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body. Isometric exercises are useful for endurance training.
C) In isotonic exercises, which are dynamic exercises, the muscle shortens to produce muscle contraction and active movement. Isometric exercises, which are static exercises, involve exerting pressure against a solid object. Isometric exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body. Isometric exercises are useful for endurance training.
D) In isotonic exercises, which are dynamic exercises, the muscle shortens to produce muscle contraction and active movement. Isometric exercises, which are static exercises, involve exerting pressure against a solid object. Isometric exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body. Isometric exercises are useful for endurance training.
E) In isotonic exercises, which are dynamic exercises, the muscle shortens to produce muscle contraction and active movement. Isometric exercises, which are static exercises, involve exerting pressure against a solid object. Isometric exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body. Isometric exercises are useful for endurance training.

Question 4

A community health nurse is educating a group of clients on the difference between illness and disease.Which statements are appropriate for the nurse to include in the educational session? Select all that apply.

Accepted Answer

The nurse should include in the education session that an individual can have a disease and not feel ill (A) and an individual can feel ill without disease (D). These statements help clarify that illness and disease are not always intertwined and can exist independently of each other. Statements B, C, and E are not appropriate to include as they are incorrect or misleading.

Question 5

A nurse is teaching a couples' class at a local community center about building positive relationships.Today's session is on learning skills to be open-minded and respectful to those with opposing opinions.Based on this data,on which component of wellness is the nurse focusing this session?

Accepted Answer

The nurse is focusing on the social component of wellness by teaching skills for positive relationships and open-mindedness in a couples' class at a community center.

Question 6

A critical nursing concept that a nurse uses with every client that allows the nurse to identify habits of health and wellness and the effects of illness and injury is

Accepted Answer

Assessment is a critical nursing concept that involves gathering information about a client's health status, including their habits of health and wellness, as well as the effects of illness and injury. This information is crucial in developing an effective care plan and providing individualized care to the client. Collaboration, teaching and learning, and advocacy are also important nursing concepts, but they are not as fundamental to the nursing process as assessment.

Question 7

An occupational health nurse for a large corporation is planning programs to address health problems identified in the Healthy People 2020 report.Which programs should the nurse include for the company employees at the worksite? Select all that apply.

Accepted Answer

A)Healthy People 2020 identifies a variety of programs that can be used to promote health at the worksite. Specific programs should address components that may affect work productivity, safety, and cohesion among workers, and may include blood disorders, wellness, LGBT health, and sleep health, among many others. Information about genomics is not relevant to the worksite.
B)Healthy People 2020 identifies a variety of programs that can be used to promote health at the worksite. Specific programs should address components that may affect work productivity, safety, and cohesion among workers, and may include blood disorders, wellness, LGBT health, and sleep health, among many others. Information about genomics is not relevant to the worksite.
C)Healthy People 2020 identifies a variety of programs that can be used to promote health at the worksite. Specific programs should address components that may affect work productivity, safety, and cohesion among workers, and may include blood disorders, wellness, LGBT health, and sleep health, among many others. Information about genomics is not relevant to the worksite.
D)Healthy People 2020 identifies a variety of programs that can be used to promote health at the worksite. Specific programs should address components that may affect work productivity, safety, and cohesion among workers, and may include blood disorders, wellness, LGBT health, and sleep health, among many others. Information about genomics is not relevant to the worksite.
E)Healthy People 2020 identifies a variety of programs that can be used to promote health at the worksite. Specific programs should address components that may affect work productivity, safety, and cohesion among workers, and may include blood disorders, wellness, LGBT health, and sleep health, among many others. Information about genomics is not relevant to the worksite.

Question 8

Which nursing intervention exemplifies the nurse working in a health promotion role? Select all that apply.

Accepted Answer

Health promotion is about empowering individuals to take responsibility for their health and improving their quality of life. Administering antibiotics (A) or inhalers (D) and obtaining blood samples (E) are all examples of nursing interventions focused on treating existing health conditions. Reinforcing desirable lifestyle changes (B) and administering vaccines to prevent illness (C) are examples of nursing interventions focused on promoting health and preventing illness.

Question 9

A nurse is preparing a workshop on the topics that are new to Healthy People 2020.Which of the topic areas should the nurse plan to address? Select all that apply.

Accepted Answer

A)Healthy People 2020 is organized into 42 topic areas with nearly 600 objectives to improve health. Thirteen of these topics are new for Healthy People 2020. These topic areas include: Adolescent Health; Genomics; Lesbian, Gay, Bisexual, and Transgender Health; and Healthcare-Associated Infections. Mental Health and Mental Disorders is an old topic area.
B)Healthy People 2020 is organized into 42 topic areas with nearly 600 objectives to improve health. Thirteen of these topics are new for Healthy People 2020. These topic areas include: Adolescent Health; Genomics; Lesbian, Gay, Bisexual, and Transgender Health; and Healthcare-Associated Infections. Mental Health and Mental Disorders is an old topic area.
C)Healthy People 2020 is organized into 42 topic areas with nearly 600 objectives to improve health. Thirteen of these topics are new for Healthy People 2020. These topic areas include: Adolescent Health; Genomics; Lesbian, Gay, Bisexual, and Transgender Health; and Healthcare-Associated Infections. Mental Health and Mental Disorders is an old topic area.
D)Healthy People 2020 is organized into 42 topic areas with nearly 600 objectives to improve health. Thirteen of these topics are new for Healthy People 2020. These topic areas include: Adolescent Health; Genomics; Lesbian, Gay, Bisexual, and Transgender Health; and Healthcare-Associated Infections. Mental Health and Mental Disorders is an old topic area.
E)Healthy People 2020 is organized into 42 topic areas with nearly 600 objectives to improve health. Thirteen of these topics are new for Healthy People 2020. These topic areas include: Adolescent Health; Genomics; Lesbian, Gay, Bisexual, and Transgender Health; and Healthcare-Associated Infections. Mental Health and Mental Disorders is an old topic area.

Question 10

A nurse is providing wellness teaching to a client who is interested in beginning an exercise program to reduce certain health risks.The nurse determines that the client understands the teaching when the client selects which health risks that can be reduced by regular exercise? Select all that apply.

Accepted Answer

Regular exercise can reduce the risk of developing Type 2 diabetes, cardiovascular disease, and falling, among other health benefits. However, exercise may not have a direct impact on reducing the risk of liver disease or renal disease.

Question 11

The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis.Which intervention is most appropriate for the nurse to implement with this client?

Accepted Answer

Weight-bearing activities, such as walking and weight lifting, are recommended for older adults with osteoporosis to help maintain bone density and reduce the risk of fractures. Assisted range of motion exercises may be beneficial for maintaining flexibility, but do not directly address osteoporosis. Strict bedrest can actually worsen the condition by contributing to bone loss. Increasing calcium intake through diet or supplements can also be helpful, but exercise is the most appropriate intervention in this case.

Question 12

For many clients,health promotion requires nursing assessment of and implementation of changes in

Accepted Answer

Health promotion often involves implementing lifestyle changes such as increasing physical activity, improving nutrition, and reducing risky behaviors. While culture, spiritual beliefs, and socioeconomic status can certainly impact a person's health and well-being, they may not always require specific changes to be made for health promotion. Therefore, option B is the best fit for this question.

Question 13

The nurse is assessing a 24-year-old woman who recently found out she is pregnant.Which factor would the nurse identify as the most likely source of a barrier to health promotion in this client?

Accepted Answer

Pregnancy resulting from rape can be associated with complex emotional and psychological issues, which may act as a barrier to health promotion. The nurse should be sensitive to the client's emotional needs and provide counseling and support as needed. Age, presence of family members, and being a first-time mother are not necessarily barriers to health promotion.

Question 14

While teaching a class on health status,the nurse educator reviews internal variables that affect health status.Which internal variables are appropriate for the nurse to include in the class? Select all that apply.

Accepted Answer

A)Internal variables are often described as non-modifiable because, for the most part, they cannot be changed. Examples of internal variables include gender, developmental level, and age. In contrast, external variables, such as diet and exercise, are easily modified for most clients.
B)Internal variables are often described as non-modifiable because, for the most part, they cannot be changed. Examples of internal variables include gender, developmental level, and age. In contrast, external variables, such as diet and exercise, are easily modified for most clients.
C)Internal variables are often described as non-modifiable because, for the most part, they cannot be changed. Examples of internal variables include gender, developmental level, and age. In contrast, external variables, such as diet and exercise, are easily modified for most clients.
D)Internal variables are often described as non-modifiable because, for the most part, they cannot be changed. Examples of internal variables include gender, developmental level, and age. In contrast, external variables, such as diet and exercise, are easily modified for most clients.
E)Internal variables are often described as non-modifiable because, for the most part, they cannot be changed. Examples of internal variables include gender, developmental level, and age. In contrast, external variables, such as diet and exercise, are easily modified for most clients.

Question 15

A nurse identifies the seven components of wellness as a useful tool in assessing health.Which are some of the components of wellness? Select all that apply.

Accepted Answer

A) The physical component is the ability to carry out daily tasks, achieve fitness, and generally practice positive lifestyle habits. The environmental component includes influences such as food, water, and air. The emotional component is the ability to manage stress and to express emotions appropriately. Finances are not one of the seven components of health. The spiritual component is the belief in some force (nature, science, religion, or a higher power) that serves to unite human beings and provide meaning and purpose to life.
B) The physical component is the ability to carry out daily tasks, achieve fitness, and generally practice positive lifestyle habits. The environmental component includes influences such as food, water, and air. The emotional component is the ability to manage stress and to express emotions appropriately. Finances are not one of the seven components of health. The spiritual component is the belief in some force (nature, science, religion, or a higher power) that serves to unite human beings and provide meaning and purpose to life.
C) The physical component is the ability to carry out daily tasks, achieve fitness, and generally practice positive lifestyle habits. The environmental component includes influences such as food, water, and air. The emotional component is the ability to manage stress and to express emotions appropriately. Finances are not one of the seven components of health. The spiritual component is the belief in some force (nature, science, religion, or a higher power) that serves to unite human beings and provide meaning and purpose to life.
D) The physical component is the ability to carry out daily tasks, achieve fitness, and generally practice positive lifestyle habits. The environmental component includes influences such as food, water, and air. The emotional component is the ability to manage stress and to express emotions appropriately. Finances are not one of the seven components of health. The spiritual component is the belief in some force (nature, science, religion, or a higher power) that serves to unite human beings and provide meaning and purpose to life.
E) The physical component is the ability to carry out daily tasks, achieve fitness, and generally practice positive lifestyle habits. The environmental component includes influences such as food, water, and air. The emotional component is the ability to manage stress and to express emotions appropriately. Finances are not one of the seven components of health. The spiritual component is the belief in some force (nature, science, religion, or a higher power) that serves to unite human beings and provide meaning and purpose to life.

Question 16

A nursing diagnosis that indicates that a client wants to implement steps to promote health and wellness usually includes the word(s)

Accepted Answer

The option "readiness for" indicates that the client is willing to take action to promote health and wellness. The other options, "impaired," "ineffective," and "risk for" suggest that the client is experiencing a problem or potential problem related to their health, rather than actively seeking to improve it.

Question 17

The nurse is providing teaching related to health promotion for a group of older adults.Several individuals describe their current health status.Which client is most in need of additional information related to health promotion?

Accepted Answer

The client who was recently diagnosed with Parkinson's disease may require additional information related to health promotion specific to managing the disease and maintaining quality of life. The other clients described appear to have established support systems or are already engaging in health-promoting behaviors.

Question 18

A school nurse is reviewing the physical activity for adolescent high school students.Which student has met the outcome for physical activity set by the Centers for Disease Control and Prevention (CDC)?

Accepted Answer

The CDC recommends that adolescents should engage in at least 60 minutes of moderate-to-vigorous physical activity daily. Option D is the only one where the student meets this recommendation by alternating aerobic activities for 60 minutes daily and lifting weights 2 times per week. Options A, B, and C fall short of the CDC's recommendation.

Question 19

After conducting a physical assessment for an adult client,the nurse discusses the assessment with a coworker and states that the client's beliefs and actions regarding common health practices are unfamiliar to her.Based on this data,which action by the nurse is the most appropriate?

Accepted Answer

A)A thorough assessment that includes assessment of cultural beliefs and practices is needed before proceeding with other steps of the nursing process. Behavior that is considered uncommon in one cultural context may be considered desirable in another. Repeating the assessment will most likely result in the same incomplete data. Writing a nursing diagnosis or communicating findings before investigating the client's culture would be premature.
B)A thorough assessment that includes assessment of cultural beliefs and practices is needed before proceeding with other steps of the nursing process. Behavior that is considered uncommon in one cultural context may be considered desirable in another. Repeating the assessment will most likely result in the same incomplete data. Writing a nursing diagnosis or communicating findings before investigating the client's culture would be premature.
C)A thorough assessment that includes assessment of cultural beliefs and practices is needed before proceeding with other steps of the nursing process. Behavior that is considered uncommon in one cultural context may be considered desirable in another. Repeating the assessment will most likely result in the same incomplete data. Writing a nursing diagnosis or communicating findings before investigating the client's culture would be premature.
D)A thorough assessment that includes assessment of cultural beliefs and practices is needed before proceeding with other steps of the nursing process. Behavior that is considered uncommon in one cultural context may be considered desirable in another. Repeating the assessment will most likely result in the same incomplete data. Writing a nursing diagnosis or communicating findings before investigating the client's culture would be premature.

Question 20

Physical activity and exercise improve the functioning of many body systems.Exercise improves what normal body function of the gastrointestinal system?

Accepted Answer

Exercise improves peristalsis, which is the involuntary movement of the muscles in the gastrointestinal (GI) tract that propels food through the digestive system. Regular physical activity and exercise can help prevent constipation and promote regular bowel movements.

Quiz 7: Health, Wellness, and Illness

For a client with chronic obstructive pulmonary disease (COPD) ,the nurse may provide health promotion teaching about what other major health concept?