Question 1

During an assessment, a patient tells the nurse that she is lactose intolerant. The nurse realizes that this food intolerance is common within which cultural groups?

Accepted Answer

Lactose intolerance is more common in people of Hispanic, Afro-Caribbean, and Asian descent, with Mexican Americans having a high prevalence of lactose intolerance.

Question 2

While being treated for one disease process, a patient begins demonstrating manifestations of another disease process. The nurse realizes that the patient is experiencing which type of disease?

Accepted Answer

The patient is experiencing iatrogenic disease, which is a condition that is caused by medical treatment or procedure.

Question 3

A patient has not been feeling well for a few days and has been using an over-the-counter medication without improvement. The nurse understands that the patient is demonstrating which illness behavior?

Accepted Answer

A

Question 4

A patient tells the nurse that he has been fortunate since he has never experienced any major illnesses and has enjoyed good health without much effort. How should the nurse realize this patient is defining "good health?"

Accepted Answer

The patient's definition of good health is centered around the absence of disease.

Question 5

A patient wants to be discharged to home and resume normal activities of daily living. The nurse realizes the patient is entering which stage of illness behaviors?

Accepted Answer

The patient's desire to be discharged and resume normal activities indicates that they are in the stage of achieving recovery and rehabilitation. This stage is characterized by the patient taking an active role in their care and working towards returning to their pre-illness state.

Question 6

When planning holistic care for a patient admitted with heart failure, what should the nurse include?

Accepted Answer

Spiritual needs are an important part of holistic care, as they can help patients to cope with the emotional and psychological challenges of their illness.

Question 7

The nurse is collecting data at the immunization clinic. Which disclosure by the patient would cause the nurse to withhold the administration of the varicella vaccine?

Accepted Answer

The varicella vaccine should be withheld if the patient has received a blood transfusion within the past 11 months, as it can interfere with the vaccine's effectiveness.

Question 8

A female patient asks the nurse for suggestions to help her improve her health. What should the nurse instruct this patient?

Accepted Answer

Participating in a continuous physical activity for at least 30 minutes 5 or more days each week is a recommended guideline for improving overall health. It can help with weight management, reduce the risk of chronic diseases, improve sleep, and boost overall mood and energy levels. Obtaining sun exposure every day is not recommended due to the risk of skin damage and skin cancer. Reducing tobacco use is important for overall health, but it may not be applicable to all patients. Sleeping at least 6 hours each night is a recommended guideline, but it may not be sufficient for everyone and may vary depending on individual needs.

Question 9

A patient tells the nurse that she has been relatively healthy until recently, which is why she made an appointment to see the physician. The nurse realizes that the primary reason individuals seek health care is for which problem?

Accepted Answer

Pain is the most common symptom that prompts individuals to seek medical attention, as it is often the first and most noticeable sign that something is wrong with the body.

Question 10

The nurse is assessing a patient who is a Native American. For which health problem should the nurse be alert?

Accepted Answer

Native Americans have a higher prevalence of diabetes mellitus compared to other ethnic groups. Therefore, the nurse should be alert for this health problem during assessment.

Question 11

The nurse is planning care for a patient with a chronic illness. What intervention should the nurse include in the plan of care?

Accepted Answer

The nurse should instruct the patient in ways to minimize the impact of the chronic illness on activities of daily living to promote independence and improve quality of life.

Question 12

A patient tells the nurse that he often is concerned with his declining mobility status even though he continues to experience no major health issues. When planning care according to the wellness framework, what should the nurse include for this patient?

Accepted Answer

The answer of A patient tells the nurse that he...

Question 13

A patient is admitted with a respiratory illness. During the assessment, the nurse learns the patient is a factory worker and uses public transportation to get to work. Which will be impacted by the patient's socioeconomic status?

Accepted Answer

Socioeconomic status can impact a person's lifestyle, including their occupation and mode of transportation, which can affect their health and exposure to various environmental factors.

Question 14

The nurse is instructing a patient on nutritional needs by using MyPlate. What should the nurse emphasize when using this food guide?

Accepted Answer

MyPlate focuses on consuming nutrient-dense foods and beverages, emphasizing the importance of a balanced diet that includes fruits, vegetables, whole grains, lean proteins, and low-fat dairy products. MyPlate does not address exposure to carcinogens, activities to reduce the onset of diabetes mellitus, or avoiding overuse of aerobic exercise.

Question 15

The nurse has provided care to a patient according to the concept of wellness. Which outcome indicates that care has been successful for this patient?

Accepted Answer

The patient returning home with adjustments in the home environment to support a temporary alteration in mobility status demonstrates that the care provided has resulted in the patient being able to achieve a state of physical, emotional, and social well-being, which is the goal of the wellness concept. The other options indicate ongoing needs for care and potential limitations in the patient's well-being.

Question 16

The nurse is reviewing the goals for Healthy People 2020 with a group of patients in an outpatient clinic. What should the nurse include in this presentation?

Accepted Answer

The Healthy People 2020 goals are aimed at eliminating preventable disease, disability, injury, and premature death, achieving health equity, eliminating disparities, and improving the health of all groups, creating social and physical environments that promote good health for all, and promoting healthy development and healthy behaviors across every stage of life. The goal of achieving a body weight 20% less than recommended in current standardized height/weight charts is not a part of the Healthy People 2020 goals.

Question 17

During an assessment, a patient tells the nurse that he drinks four alcoholic beverages every day and smokes one pack of cigarettes. The nurse realizes that these chemical agents can predispose the patient to develop:

Accepted Answer

The chronic use of alcohol and tobacco can put the patient at increased risk for developing various diseases, such as liver disease, heart disease, cancer, and respiratory disease.

Question 18

A patient with a chronic illness is not currently experiencing any symptoms and plans to stop following the identified course of care because the disease is cured. How should the nurse respond to this patient?

Accepted Answer

The nurse should explain to the patient that the reason they are not experiencing symptoms is because of the treatment plan, and stopping the plan could cause symptoms to return. The nurse should encourage the patient to continue with the plan as prescribed by the healthcare provider.

Question 19

A patient tells the nurse that he feels fine even though he has been told he has chronic kidney failure. What is the patient likely to manifest?

Accepted Answer

Chronic kidney failure often does not cause symptoms until the disease is quite advanced, so a patient can feel fine while still having the disease. This is because the kidneys have a large reserve capacity, and symptoms typically do not appear until a significant portion of kidney function is lost.

Question 20

During an assessment, the nurse learns that a patient has a genetic predisposition to the development of several disease processes. Which illness should the nurse realize is associated with genetic makeup?

Accepted Answer

While all of the listed illnesses can have a genetic component to their development, cancer is the most commonly known and studied disease associated with genetic predisposition. Certain gene mutations can increase the likelihood of developing certain types of cancer, such as breast or colon cancer.

Quiz 3: Health and Illness Care of Adults