Deck 18: Health, Wellness and Illness

Question 1

Medication concordance with very young children is affected by all of the following except:

A) previous bad experience with the medication.
B) parents who do not believe in the medication benefit.
C) microbial resistance to the medication.
D) the taste of the medication.

Answer 1

microbial resistance to the medication.

Question 2

A nurse educator is reviewing internal variables that affect people's health status. Among them are which of the following?

A) Genetic make-up.
B) Age.
C) Developmental level.
D) Environment.
E) Spiritual and religious beliefs.

Answer 2

Genetic make-up.
Age.
Developmental level.
Spiritual and religious beliefs.

Question 3

Culture contributes to a person's view of health and wellbeing. Which of the following is not within the Aboriginal people's definition of health?

A) The physical wellbeing of the individual.
B) The social, emotional, spiritual and cultural wellbeing of the community.
C) The holistic view described by World Health Organization.
D) The absence of disease and illness.

Answer 3

The absence of disease and illness.

Question 4

A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury. This educator is interpreting health according to which model?

A) Clinical.
B) Adaptive.
C) Eudemonistic.
D) Health illness continuation.

Question 5

A community health nurse is testing the theory of locus of control (LOC). Which of the following clients demonstrates the internal control concept of this theory?

A) A client who relies on information from the local hospital for his or her health needs.
B) A client who allows the primary care provider to make all the decisions.
C) A client who does not make any decisions without his or her spouse's input.
D) A client who takes an active role in all health decisions.

Question 6

A nurse is assessing a client who practices yoga for relaxation, is following a nutritionally sound diet, and has supportive, sound relationships with her spouse and children. According to Dunn's high-level wellness grid, this client would exemplify which of the following?

A) Emergent high-level wellness in a favourable environment.
B) High-level wellness in a favourable environment.
C) Emergent high-level wellness in an unfavourable environment.
D) Protected health in a favourable environment.

Question 7

A 30-year-old male client has had an arm amputated after a workplace accident. The nurse recognises that the client will have significant lifestyle changes. In order to assist the client, the nurse will:

A) tell him to deal with it "like a man".
B) refer him to a psychologist to openly discuss his depression.
C) collaborate with an occupational therapist to minimise these changes.
D) tell his family that he needs to change his lifestyle.

Question 8

When a nurse identifies non-concordance with a treatment, she should:

A) establish the reason why it is happening.
B) encourage the client to exercise their right to refuse.
C) tell the client he does not have the right to refuse.
D) ignore the bad behaviour.

Question 9

A client is attending classes on building positive relationships with significant others, as well as learning skills to be open-minded and respectful to those whose opinions are different. This client is focusing on which component of wellness?

A) Environmental.
B) Physical.
C) Social.
D) Emotional.

Question 10

A nurse reports for night duty and mentions that she feels very tired. The staff members comment that she looks very pale. The nurse decides that she needs to go home and reports off sick. According to Suchman (1979), the nurse is in which stage?

A) Symptoms.
B) Sick role.
C) Medical care contact.
D) Dependent client role.

Question 11

An occupational health nurse is surveying employees. Which of the following employees would be predisposed to develop an illness?

A) An employee who is in a middle-management position and takes stress from administration as well as the employees.
B) An employee who works 12-hour days, three days a week.
C) An employee who works in the cleaning department.
D) An employee who works four days on and three days off.

Question 12

A nurse is working in a rehabilitation centre with a client who had a serious injury. Part of the client's care plan includes working on coping with her current limitations since the injury. This nurse is working within which of the following models of health?

A) Clinical.
B) Role performance.
C) Adaptive.
D) Eudemonistic.

Question 13

A nurse is conducting a community assessment to determine which diseases are prevalent and most likely to occur. The nurse is basing the assessment on which model of health?

A) Agent-Host-Environment Model.
B) Eudemonistic.
C) Role performance.
D) Adaptive.

Question 14

A 19-year-old client who has been injured in a motor vehicle accident and has a spinal injury is refusing to accept the doctor's diagnosis that he will not walk again. He states that he wants to seek alternative therapies. According to Suchman (1979), the client is in which of the stages of illness?

A) Sick role.
B) Medical care contact.
C) Dependent client role.
D) Rehabilitation.

Question 15

The nurse case manager is concerned about a particular client being discharged from the hospital. Which of the following factors, if present for this client, would alert the nurse to possible problems with treatment concordance?

A) The therapy will require no lifestyle changes of the client.
B) The prescribed therapy is costly and of unknown duration.
C) The client's culture is supportive of Western medicine.
D) The client has not had difficulty understanding the regimen.

Question 16

The nurse is assisting a client and his family after the client had a stroke and is no longer able to return to his previous employment. The nurse has made a referral to vocational rehabilitation for assistance in retraining the client in a different occupation. Which component of wellness is the nurse assisting in for this client?

A) Occupational.
B) Intellectual.
C) Emotional.
D) Environmental.

Question 17

A nurse has volunteered to go on a health mission to rural Ethiopia, where the majority of the people do not have access to health care and live in poverty. According to Dunn's high-level wellness grid, the nurse will be working with clients in which quadrant?

A) Protected poor health in an unfavourable environment.
B) Protected poor health in a favourable environment.
C) Poor health in an unfavourable environment.
D) Emergent high-level wellness in an unfavourable environment.

Question 18

Which of the following describes a chronic illness?

A) Severe symptoms of relatively short duration.
B) Mild symptoms of relatively short duration.
C) Slow onset, remission and exacerbation.
D) Fast onset and short duration.