Question 1

A client tells the nurse that they were at the dentist two months prior for a routine cleaning. Which level of prevention should the nurse document the client has taken?

Accepted Answer

B

Question 2

The nurse is preparing to discuss the goal of care with the client. Which statement should the nurse provide the client that focuses on primary prevention?

Accepted Answer

Primary prevention aims to improve overall health and prevent diseases before they occur, which aligns with the goal of improving overall health.

Question 3

The nurse is incorporating Dunn's model of wellness in the care of the client's in clinic. Which should the nurse focus treatment on?

Accepted Answer

Dunn's model of wellness emphasizes maximizing the individual's potential and functioning, focusing on achieving a high level of wellness rather than just the absence of disease.

Question 4

The nurse is reviewing the history of the clients that had previously participated in an exercise program. Based on the Health Belief Model, which client should the nurse recognize is most likely to participate in a new health promoting behavior?

Accepted Answer

The Health Belief Model suggests that individuals are more likely to engage in health-promoting behaviors if they believe they are susceptible to a condition and that a change in behavior can reduce that susceptibility. Client C, who had lost weight in a prior exercise program but gained it back, is likely to perceive a benefit from participating again, making them the most likely to participate in a new health-promoting behavior.

Question 5

The nurse has provided education based on the Health Promotion Model about the importance of regular exercise to several clients. Which participant should the nurse expect to adhere to regular exercise?

Accepted Answer

The Health Promotion Model suggests that individuals are more likely to engage in health-promoting behaviors, such as regular exercise, if they perceive the benefits of the action and are motivated to do it. An adult female who is anxious and eager to begin exercising, especially with the support of her husband, demonstrates both an understanding of the benefits and a personal motivation, making her the most likely to adhere to regular exercise.

Question 6

The manager is reviewing the modifying factors of the Health Belief Model with several nurses. Which statement made by a nurse indicates the understanding of a cue to action?

Accepted Answer

Cues to action in the Health Belief Model refer to factors that trigger an individual to take a health-related action. Education, by providing information and raising awareness about health issues, can serve as a cue to action, prompting individuals to change behaviors or take preventive measures.

Question 7

The nurse is developing a program focusing on breast cancer and secondary prevention. Which topic should the nurse include?

Accepted Answer

Secondary prevention in healthcare focuses on early detection and treatment of diseases to prevent progression. Techniques for performing self-breast examination fall under secondary prevention as they aim to detect breast cancer at an early stage when treatment can be most effective. Choices A, B, and C are related to treatment options and primary prevention, which do not align with the goal of secondary prevention.

Question 8

The nurse is evaluating the responses of the client's willingness to participate in an exercise program. Based on the Health Belief Model, which client statement should the nurse recognize is reflective of a situational influence?

Accepted Answer

Situational influences refer to external factors or environmental conditions that can affect an individual's behavior or perceptions. The statement "I don't like where the gym is located" reflects a situational influence because it is concerned with the external environment (the location of the gym) rather than personal feelings, experiences, or beliefs about the exercise itself.

Question 9

The nurse recognizes the fact that more individuals have become conscious of health and wellness. Based on this factor, which should the nurse place a stronger emphasis on? Select all that apply.

Accepted Answer

The nurse should emphasize disease prevention, health promotion, and wellness as individuals become more conscious of health and wellness. These focus on maintaining health and preventing illness rather than treating diseases after they occur.

Question 10

The nurse is discharging a patient who was hospitalized for a cerebral vascular accident (CVA). Which statement made by the patient indicates understanding of primary prevention?

Accepted Answer

Primary prevention aims to prevent disease before it occurs. Getting a flu shot is a preventive measure to avoid illness, which is an example of primary prevention.

Question 11

The nurse is assessing the level of commitment and motivation of a patient seeking to lose weight. Which approach should the nurse recognize is being used to enhance the patient's health?

Accepted Answer

The wellness perspective focuses on enhancing health and well-being, which includes assessing and supporting a patient's commitment and motivation to achieve health-related goals like weight loss.

Question 12

The nurse is using the theory of reasoned action/planned behavior to develop a class on nutrition. Which variables should the nurse be aware of that may affect the client's intention to improve their nutritional intake?

Accepted Answer

Self-efficacy is a person's belief in their ability to perform a specific behavior. It is a key variable in the theory of reasoned action/planned behavior, as it influences a person's intention to perform a behavior.

Question 13

The nurse is preparing to use the clinical model for care of a patient. Which should the nurse focus upon?

Accepted Answer

The clinical model of care primarily focuses on the diagnosis and treatment of specific illnesses or conditions, with an emphasis on alleviating symptoms such as pain.

Question 14

The nurse has held a smoking cessation class based on the Health Belief Model. According to the model, which statement made by a participant should the nurse recognize indicates the highest level of positive self-efficacy?

Accepted Answer

Self-efficacy refers to an individual's belief in their capacity to execute behaviors necessary to produce specific performance attainments. Choice D, "I know that this time I will quit smoking permanently," reflects the highest level of positive self-efficacy because it demonstrates a strong and confident belief in one's ability to quit smoking permanently.

Question 15

During a preconceptual assessment, a couple tells the nurse they have a family history of sickle cell disease. Which statement made by the couple should the nurse recognize indicates the desire to participate in primary prevention?

Accepted Answer

The answer of During a preconceptual assessment, a couple tells...

Question 16

The nurse is caring for a client with residual left-sided weakness after a CVA. Which should the nurse focus on to maintain the health of the client?

Accepted Answer

The answer of The nurse is caring for a client...

Question 17

The nurse is using the Health Belief Model to conduct a weight loss class for a group of patients. Which should the nurse recognize as mediating factors of the model? Select all that apply.

Accepted Answer

The answer of The nurse is using the Health Belief...

Question 18

The nurse is evaluating the statements made by clients that have completed an exercise and nutrition class. Which statement made by a client should the nurse recognize reflects self-efficacy?

Accepted Answer

Self-efficacy refers to an individual's belief in their capacity to execute behaviors necessary to produce specific performance attainments. Statement C, "I am confident that I can maintain my commitment to exercise," directly reflects an individual's belief in their own ability to adhere to an exercise regimen, demonstrating self-efficacy.

Question 19

The nurse is using the ecologic model as a framework for preparing a community health program. Which program objective should the nurse understand best reflects the concepts of the model?

Accepted Answer

The ecologic model emphasizes the interaction between different factors affecting health, including the agent (cause of disease), host (affected organism), and environment. This model recognizes health as a result of complex interactions rather than the absence of disease or a state of self-actualization.

Question 20

The nurse is preparing a care plan for a client. Which area of health risk appraisal should the nurse include in the diagnosis and planning? Select all that apply.

Accepted Answer

Sexual activity, immunization history, and occupation are relevant areas for health risk appraisal as they can influence health risks and outcomes.

Quiz 2: Health and Wellness