Deck 17: Health, Wellness, and Illness

Question 1

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.The nurse realizes that this client is focusing on which component of wellness?

A)Physical
B)Social
C)Emotional
D)Environment

Answer 1

Social

Question 2

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

A)A client who takes an active role in all health decisions
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 relies on information from the local hospital for his or her health needs

Answer 2

A client who takes an active role in all health decisions

Question 3

The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?

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

Answer 3

The prescribed therapy is costly and of unknown duration.

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)Health-illness continua
B)Eudemonistic
C)Adaptive
D)Clinical

Question 5

The nurse determines that an older client is in the medical care contact stage of an illness.What did the client demonstrate to cause the nurse to make this decision?
Standard Text: Select all that apply.

A)The client asked if the illness can be treated or recovery is possible.
B)The client asked if the symptoms experienced are a part of an illness.
C)The client asked if the symptoms can be explained in plain language.
D)The client stated that the illness is not acceptable and wants a second opinion.
E)The client stated that treatment is accepted and will be completed as identified.

Question 6

A nurse is working in a rehabilitation center 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 model of health?

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

Question 7

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 health characteristic?

A)Emergent high-level wellness in a favorable environment
B)Emergent high-level wellness in an unfavorable environment
C)Protected health in a favorable environment
D)High-level wellness in a favorable environment

Question 8

During a home visit with a new community member,the nurse suspects that a client has a chronic illness.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.

A)Experienced symptoms for 8 months
B)Has periods where the symptoms disappear
C)Altered activities of daily living because of the illness
D)Problem disappeared with over-the-counter medication
E)Symptoms appeared abruptly and disappeared after treatment

Question 9

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)Role performance
B)Eudemonistic
C)Ecological
D)Adaptive

Question 10

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.With which component of wellness is the nurse assisting this client?

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

Question 11

A nurse has volunteered to go on a health mission to rural Haiti,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)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment

Question 12

An occupational health nurse is surveying employees.Which employee should the nurse identify as being predisposed to 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 in the janitorial department
C)An employee who works 12-hour days,3 days a week
D)An employee who works 4 days on and 3 days off

Question 13

The nurse educator is reviewing internal variables that affect people's health status.On which variables is this nurse focusing?
Standard Text: Select all that aply.

A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs