Deck 2: Health and Wellness

Question 1

Which is an example of an acute illness?

A) Type 2 diabetes
B) Multiple sclerosis
C) Alcohol addiction
D) Bacterial meningitis

Answer 1

Bacterial meningitis

Question 2

Which is an example of how a psychosocial variable affects the patient's health beliefs?

A) The patient was diagnosed with rheumatoid arthritis as a young child.
B) The patient has always been terrified of needles and so never goes to the doctor.
C) The patient's neighborhood has few opportunities to buy fresh fruits or vegetables.
D) The patient requires three antihypertensive medications to control blood pressure.

Answer 2

The patient has always been terrified of needles and so never goes to the doctor.

Question 3

Which action by the patient reflects a cultural influence on health practices?

A) The patient uses seaside purification rituals to ease arthritis pain.
B) The patient refuses to take blood pressure medicine due to the side effects.
C) The patient has annual mammograms to screen for breast cancer.
D) The patient avoids eating red meat due to a family history of heart disease.

Answer 3

The patient uses seaside purification rituals to ease arthritis pain.

Question 4

Which assessment finding is an example of an internal variable that influences the patient's health beliefs?

A) The patient's spiritual beliefs prohibit the use of blood transfusions.
B) The patient's family is homeless after being evicted from their apartment.
C) The patient relies on a pharmacy assistance program to pay for medications.
D) The patient and community prefer natural medicines over prescription drugs.

Question 5

Which patient action demonstrates the concept of health promotion?

A) The patient receives the influenza vaccination every year.
B) The patient participates in cardiac rehabilitation after a heart attack.
C) The patient has yearly mammograms to screen for breast cancer.
D) The patient follows a macrobiotic,vegetarian diet with organic foods.

Question 6

Which is an example of a Healthy People 2020 goal?

A) Women and men will receive equally aggressive care for suspected heart attack.
B) The patient will participate in a physical therapy program after suffering a stroke.
C) The nurse will identify and address stressors unique to multicultural families.
D) The nurse will organize mobile mammograms for female patients in the local area.

Question 7

Which assessment finding indicates that the family processes were interrupted by the patient's illness?

A) The patient must now follow a gluten-free,low-carbohydrate diet.
B) The patient must use a walker for ambulation to prevent a fall or injury.
C) The patient's spouse had to return to work to maintain the family's income.
D) The patient must take three antihypertensive drugs to control high blood pressure

Question 8

Which action by the patient best represents primary prevention?

A) The patient utilizes a cane when walking to prevent falls.
B) The patient receives the influenza vaccination every year.
C) The patient participates in physical therapy after having a stroke.
D) The patient takes prescribed blood pressure medication every morning.

Question 9

Which statement by the patient indicates to the nurse that the patient is in the preparation stage of smoking cessation?

A) "I don't ever want to quit smoking."
B) "I hope to quit smoking sometime before I die."
C) "I am really working hard to stop smoking."
D) "I stocked up on nicotine patches and gum."

Question 10

Which statement by the nurse will help the patient progress to the preparation stage for smoking cessation?

A) "You will die of emphysema or lung cancer if you do not stop smoking."
B) "Research has shown that smoking causes emphysema and lung cancer."
C) "The physician will give you nicotine patches to help you start to quit smoking."
D) "You need to avoid people who smoke so you will not be tempted to start again."

Question 11

Which assessment finding is a modifiable risk factor for disease?

A) The patient has a family history of breast cancer.
B) The patient smokes two packs of cigarettes every day.
C) The patient was born with a congenital heart defect.
D) The patient's childhood home contained high levels of radon.

Question 12

The diabetic patient sees the podiatrist regularly to prevent development of ulcers in the feet.Which term best describes this action of the patient?

A) Health promotion
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention

Question 13

Which assessment finding indicates that the patient's body image has been altered due to illness?

A) The patient developed a strong dislike for any kind of spicy foods.
B) The patient feels uncomfortable wearing a swimsuit after colostomy surgery.
C) The patient refuses to take antihypertensive medications due to the side effects.
D) The patient drinks six glasses of cranberry juice daily to prevent bladder infections.

Question 14

Which statement indicates the patient's perception of susceptibility to illness as described by the Health Belief Model?

A) "I am never going to get lung cancer so I refuse to stop smoking."
B) "Cancer is no big deal with all of the new treatments available now."
C) "I have been smoking for so many years that I will never be able to quit."
D) "I cannot afford the nicotine patches so I might as well keep on smoking."

Question 15

Which action of the nurse demonstrates the concept of the Holistic Health Model?

A) The nurse incorporates the patient's religious restrictions,economic status and personal preferences when developing the nutrition plan.
B) The nurse has the patient demonstrate how to perform a sterile dressing change after teaching about the procedure.
C) The nurse consistently uses a 0-10 objective pain rating scale to achieve consistent pain management for the patient.
D) The nurse assists the patient to sit up slowly when getting out of bed to avoid fainting from orthostatic hypotension.

Question 16

Which patient assessment finding must be addressed first according to Maslow's hierarchy of needs?

A) The patient is cyanotic and feels short of breath.
B) The patient refuses to participate in physical therapy.
C) The patient verbalizes anxiety about upcoming surgery.
D) The patient is unable to reposition in bed without assistance.

Question 17

Which action of the nurse addresses Maslow's need for love and belongingness?

A) The nurse uses a gait belt and assists the patient to use a walker for ambulation.
B) The nurse encourages a widowed patient to join a bereavement support group.
C) The nurse plans daily care to allow for rest periods for the patient as needed.
D) The nurse reorients the patient to time and place during periods of acute confusion.

Question 18

Which is an example of an environmental risk factor?

A) The patient's drinking water contains high levels of lead.
B) The patient has a strong family history of autoimmune diseases.
C) The patient carefully follows a lactose-free,gluten-free diet.
D) The patient drinks one glass of red wine every night before bed.

Question 19

Which action by the nurse helps to meet the aesthetic needs of the patient as described by Maslow?

A) The nurse uses a drawsheet to carefully reposition the patient in bed.
B) The nurse puts a beautiful handmade quilt on the bed for the patient to enjoy.
C) The nurse collaborates with the health care team when scheduling care activities.
D) The nurse assesses the patient's readiness to learn before beginning teaching.

Question 20

Which action by the nurse helps to meet the cognitive needs of the patient as described by Maslow?

A) Encouraging early ambulation after surgery to prevent formation of blood clots.
B) Providing a calm environment when the patient becomes agitated and confused.
C) Teaching the patient's family how to perform sterile dressing changes.
D) Performing careful perineal care to avoid development of a urinary tract infection.

Question 21

Using the Health Promotion Model while rendering care enables a nurse to do which of the following:

A) Help the patient attain better health
B) Detect the presence of illness
C) Promote health behaviors in a patient
D) Assess a family's response to illness
E) Stimulate relational transcendence