Question 1

A nurse allows a patient to place pictures of the family in the room.Which need is being met?

Accepted Answer

In Maslow's hierarchy of needs,the third level on the hierarchy is love and belongingness,which is a desire to belong to groups.It consists of the need to feel love by others and to be accepted.The highest level of needs on the hierarchy is self-actualization,which is the desire to become everything that one is capable of becoming.The lowest level of needs on the hierarchy consists of very basic physiological needs such as oxygen,water,food,sleep,and sex.

Question 2

Using the health promotion model while rendering care enables a nurse to do which of the following? (Select all that apply.)

Accepted Answer

The purpose of the health promotion model is to explain the reasons that individuals engage in health activities and is not for use with families or communities.You will use this model to help your patients carry out healthy behaviors in their daily lives.This model helps the patient pursue health.Self-actualization is the final stage in Maslow's hierarchy and does not relate to the health promotion model.This model does not focus on illness.

Question 3

A smoker has confided to the nurse that he or she feels like a failure because he or she began smoking again after not having had a cigarette for more than a week.What is the nurse's best response?

Accepted Answer

Relapse often feels like a failure,but the person needs to view it as a learning process.Discussing possible triggers will allow learning to take place.What he or she learns from relapse can be applied to the next attempt to change.Saying that smoking is the number one cause of death and insurance premiums will increase do not allow for learning to take place.Saying that your mother died last year of lung cancer does not focus on patient learning,but rather focuses on the nurse,which is inappropriate.

Question 4

A nurse is caring for a patient who smokes two packs a day.The nurse knows that the patient is in the contemplation stage regarding smoking cessation.What is the nurse's best response to help the patient move into the preparation stage?

Accepted Answer

The fact that the negative effects can be reversed may prompt the patient to think about the benefits of quitting and move the patient into the preparation stage of change.You need to stop smoking is a directive and not appropriate.Tobacco use killed 435,000 does not allow the patient to think about quitting; it just relates facts.Giving an ultimatum by saying that smoking will kill you if you don't stop is inappropriate.

Question 5

A registered nurse is working in a community clinic that provides services for chronically ill patients.Which condition would be considered chronic?

Accepted Answer

A chronic illness usually lasts longer than 6 months; diabetes is a chronic illness.Appendicitis,pneumonia,and the flu are considered acute: The symptoms appear abruptly,are intense,and often subside after a relatively short period.

Question 6

A nurse is teaching the staff about the stages of change.Which information should the nurse include in the teaching session?

Accepted Answer

Precontemplation,contemplation,preparation,action,and maintenance are the five phases of change.Postmaintenance,procrastination,and engagement are not included in the five stages of change.

Question 7

A patient states,"I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again." The nurse assesses the patient to be in which stage of change?

Accepted Answer

Maintenance is the ability for sustained change over time.This stage begins 6 months after action has started and continues indefinitely.It is important to avoid relapse."I have a problem with drinking,and I really think I need to work on it" is an example of the
contemplation stage."There is nothing that I really need to change" is an example of the precontemplation stage.There is no such stage as engagement.

Question 8

A registered nurse in a rehabilitative unit is working with a veteran with chronic back pain that was caused as a result of an injury received while in military service in Iraq.The nurse's goal is to assist the veteran to learn self-management skills to help promote health.Which statement by the nurse will best support this goal?

Accepted Answer

Self-management involves learning about responses to illnesses through daily life experiences and as a result of trial and error.Plans to return to active duty and going to a different health care provider do not focus on responses to the illness (chronic back pain).Just focusing on taking pain medication does not focus on the goal of self-management skills.

Question 9

Which order should the nurse prioritize care for the patient using Maslow's theory from lower-level needs to higher-level needs?
A-Self-esteem
B-Physiological needs
C-Self-actualization
D-Love and belonging
E-Safety and security

Accepted Answer

Maslow's (1987)model describes human needs using a hierarchical pyramid divided into five levels: physiological needs,safety and security,love and belonging,self-esteem,and self-actualization.

Question 10

A nurse is preparing to help patients with health promotion,wellness education,and illness prevention activities.Which action should the nurse take first?

Accepted Answer

Identifying risk factors is the first step in health promotion,wellness education,and illness prevention activities.Once you identify risk factors,implement appropriate and relevant health education programs that help a person to change a risky health behavior.Support groups,teaching,and risk factor modification follow after identifying risk factors.

Question 11

Which patient should a nurse consider as being the most ill?

Accepted Answer

A 13 year old who does not want to check blood sugar is the most ill out of the patients listed because illness is not synonymous with disease; it includes not only the disease,but also the effects on functioning and well-being in all dimensions.Illness is a state in which a person's physical,emotional,intellectual,social,developmental,or spiritual functioning is diminished or impaired compared with previous experience.The 25 year old,the 43 year old,and the 77 year old are taking actions to improve their overall health.

Question 12

Which model exemplifies a patient who states the following,"I am responsible for my own health and well-being and I will partner with you (my nurse)to make sure I am ready to be discharged after surgery"?

Accepted Answer

The intent of the holistic health model is to empower patients to engage in their own recovery,thereby assuming some responsibility for health maintenance.Basic human needs are related to a hierarchy of needs involving lower needs to self-actualization.Healthy People 2020 provides evidenced-based objectives to: (1)achieve increased quality and years of healthy life,and (2)eliminate health disparities.There is no absence of disease model.

Question 13

A public health nurse knows that for those patients who already have a chronic disease,the best way to help them manage their illness is to take which action?

Accepted Answer

The nurse should use a holistic approach to patient education to help patients manage their disease.This education enhances wellness and improves quality of life for patients living with chronic illnesses or disabilities.Consulting with a disease specialist,reviewing insurance,and providing disease-specific education are too narrow a focus.

Question 14

A pregnant mother of two children has been experiencing severe morning sickness and fatigue.Friends and family members have been providing her family with meals,and her husband has been taking responsibility for the housework.This is an example of which type of behavior?

Accepted Answer

Illness behavior often results in patients being released from roles,social expectations,or responsibilities.Wellness behaviors focus on improving health,like jogging.Social behaviors involve groups.Antisocial behavior involves socially unacceptable actions.

Question 15

A nurse is planning to care for a patient with a disease that is a major cause of death and disability in the United States.The nurse is caring for which patient?

Accepted Answer

Because of successes in public health,medicine,and biomedical technology,acute and infectious diseases are no longer major causes of death,disease,and disability in the United States.Many health care analysts believe that the heaviest burden of illness today is caused by chronic diseases.Exotic diseases are rare.

Question 16

A nurse must take into consideration illness behaviors of patients.Which is an internal variable the nurse should assess?

Accepted Answer

Internal variables influence the way patients behave when they are ill.These are a patient's perceptions of symptoms and the nature of the illness.External variables influencing a patient's illness behavior include the visibility of symptoms,social group,cultural background,economic variables,accessibility of the health care system,and social support.

Quiz 2: Health and Wellness