Deck 4: Health and Illness

Question 1

Why does the nurse have difficulty defining health for a patient? Select all that apply:
1)Needs to use medical jargon
2)Difficult to find correct layperson's terms
3)There are too many definitions to choose from.
4)It cannot be defined.
5)Does not want the patient to believe that illness is because of bad behavior

Answer 1

1,2

Question 2

Why would healthcare providers refer to Healthy People 2020 when providing public health/community health patient care?
1)It provides a plan to continue to improve the health of everyone in the United States.
2)It supports policies which provide monetary incentives to states who reach the benchmark goals.
3)It serves as a monitoring system that evaluates the health of all citizens.
4)It is mandated legislation that will result in a healthier population by 2020.

Answer 2

1

Question 3

Which definition of health would the nurse most likely use when assessing a patient's thinking about health?
1)Being in a state of physical,mental,and social well-being
2)Not having any discernible illness or disease
3)Having a harmonious,balanced relationship with nature
4)The ability to get up and go to work each day

Answer 3

1

Question 4

Within the Healthy People 2020 document,what characteristics contribute to health disparities in the United States? Select all that apply:
1)Race
2)Religion
3)Gender
4)Age
5)Unemployment/underemployment

Question 5

While reviewing the Healthy People 2020 document,the nurse identifies what as being the main objectives of the program? Select all that apply:
1)Address the relationship between health status and biology,behavior,services,social factors,and policies.
2)Emphasize an ecological approach to disease prevention and health promotion.
3)Ensuring all Americans have health insurance
4)Eliminating childhood diseases
5)Ensuring all Americans have one physical each year

Question 6

How would the definition of health differ between a beginning nursing student and a graduate nursing student? Select all that apply:
1)Health for the graduate nurse is more technical.
2)Health for the graduate student is more abstract.
3)Health becomes more tangible for the graduate nurse.
4)Health for the beginning nurse is a complex integration of parts.
5)Health becomes easier to define for the graduate nurse.

Question 7

A person comes to the Emergency Department seeking medical care for symptoms of an illness.What will legitimize the illness for the patient? Select all that apply:
1)The health care professional who diagnoses the illness
2)The insurance company that pays for the illness treatment
3)Society's view of the illness
4)The person having the illness
5)There is no social role assigned with the presence of illness.

Question 8

Which statement best exemplifies Murthy's belief about health as a culture?
1)Seeking medical care evolves in distinct stages.
2)Preventive healthcare must thrive.
3)As people define health for themselves,it becomes clearer.
4)Holistic defining of health remains the best explanation.

Question 9

Since health is viewed from many perspectives,what is essential for a healthcare provider to do for a patient? Select all that apply:
1)Be able to understand health from the patient's viewpoint.
2)Allow time for the patient to process what the health care provider is doing.
3)Ensure the patient agrees with the medical plan of care.
4)Be sure the patient understands what the healthcare provider is saying.
5)Be aware of how perception influences healthcare interactions.

Question 10

A patient says,"The doctors say I'm healthy,but I still don't feel well." What can the nurse infer from this statement about the patient's definition of health? Select all that apply:
1)The patient equates being healthy with feeling well.
2)The patient's definition of health includes more than the absence of physical symptoms.
3)Since the patient does not feel well,disease must be present.
4)The patient believes that a disease is still present.
5)The patient is experiencing pain.

Question 11

Which statement best exemplifies how a nursing student views health?
1)Accepts and integrates a culturally based concept of health
2)Forces patients to accept the medical definitions of health
3)Accepts the prevailing definition of health and applies it to individual patients
4)Must share the patient's views of health and illness

Question 12

After learning about a health problem,a patient is reluctant to take action.Which barriers could be influencing this patient's decision about taking action? Select all that apply:
1)Cost
2)Availability
3)Time
4)Social class
5)Conflict between patient and healthcare provider

Question 13

Besides being important public health issues and motivating people to action,what purpose do the Healthy People 2020 objectives serve?
1)Measure the impact of prevention activities.
2)Provide monetary worth to the nation.
3)Replace other tools.
4)Identify people needing secondary health services.

Question 14

Why would the nurse review health status determinants when assessing a patient? Select all that apply:
1)Learn the patient's lifestyle.
2)Understand the patient's environment.
3)Identify how to measure progress.
4)Ability to motivate action
5)Identify ways to reduce health care costs.

Question 15

What is the Healthy People 2020 goal for health disparities?
1)Achieve health equity,eliminate disparities,and improve the health of all groups.
2)Reduce health disparities among Americans.
3)Eliminate health disparities among Americans.
4)Recognize health disparities among elderly.

Question 16

A patient has a family history of cardiac disease and has maintained lifestyle changes as a preventive measure.Within the overall perspective of perceived susceptibility,what is this patient demonstrating?
1)Taking action
2)Perceived seriousness
3)Perceived benefits
4)Changing modifying factors.

Question 17

Which actions or behaviors best exemplify health maintenance? Select all that apply:
1)Having an annual physical with a healthcare provider
2)Complying with immunization schedules
3)Eating balanced meals
4)Regular exercise
5)Having health insurance

Question 18

A patient comes to a healthcare provider concerned about a family history of diabetes.The provider addresses the patient's concerns and suggests interventions to diminish the patient's chances of developing the disease.What is this action considered?
1)Perceived benefits
2)Demographic variables
3)Perceived seriousness
4)Sociopsychological variables

Question 19

A group of healthcare providers are attempting to define health.What aspect of clinical decision making can occur during this discussion?
1)Terms and meanings may be challenged.
2)Categories of health will be listed.
3)Ambiguity will be resolved.
4)Achieves a full acceptance by all parties

Question 20

For many people,health and illness are opposites which can make them view health as which of the following?
1)Freedom from evil that causes illness
2)A state of physical fitness
3)A state of emotional ambiguity
4)The reward for a productive life

Question 21

A patient is experiencing symptoms of an illness.Which behaviors would the patient demonstrate as part of the sick role? Select all that apply:
1)Calling off sick from work for a few days
2)Taking prescribed medications
3)Changing the diet and resting as prescribed
4)Resumption of normal activities
5)Asking friends and family to help diagnose the problem

Question 22

Which illness trajectory would be seen in a person with acute myeloid leukemia (AML)?
1)Presenting symptoms,followed by diagnosis and treatment
2)Acute illness,unstable status,deterioration,and recovery
3)Diagnosis,treatment,unstable status,death
4)Presenting symptoms,followed by treatment and recovery

Question 23

According to Suchman's Stages of Illness,what does assuming the sick role mean to a person? Select all that apply:
1)Seeks help and shares the problem with family and friends
2)Goes under the control of a physician who plans a treatment of care
3)Seeks scientific confirmation that something is wrong
4)Becomes aware that something is wrong and responds emotionally
5)Alters one's daily routine in the presence of symptoms

Question 24

Which is an obligation of a person who is assuming the sick role?
1)Seek help and following it to promote recovery.
2)Stay away from others to prevent them from becoming ill.
3)Follow health orders without question.
4)Appear to be sick.

Question 25

While hospitalized,a patient enters the stage of patient status.What behavior will the nurse observe in this patient?
1)The person shifts into the role as it is determined by society.
2)The illness is now socially recognized and identified.
3)Symptoms are being experienced,leading to a diagnosis.
4)The patient does all that can be done to recover from his or her illness.

Question 26

The nurse determines that a patient is in the onset stage of an illness.What did the nurse observe in the patient?
1)The first symptoms of a given problem are experienced.
2)There is a gradual resumption of normal roles and activities.
3)The sick role becomes that of being a patient.
4)The disease is identified and socially sanctioned.

Question 27

A patient is experiencing symptoms of an illness.In which stage of the illness experience would this patient seek a scientific diagnosis for the problem?
1)Medical care contact
2)Dependent-patient role
3)Symptom experience
4)Assuming the sick role stage

Question 28

Which phases would a person experience during an illness trajectory?
1)Symptoms,diagnosis,treatment,rehabilitation
2)Symptoms,diagnosis,rehabilitation,treatment
3)Rehabilitation,treatment,recovery,symptoms
4)Diagnosis,treatment,symptoms,rehabilitation

Question 29

What would be the result of ambivalence during the dependent-patient role stage?
1)Create barriers that interfere with the treatment and willingness to comply.
2)Warrant further confirmation sought from family and friends about what is happening.
3)Have the person become aware that something is wrong.
4)Cause additional burdens to family and friends of the person at this time.