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Stack #3899572
Question | Answer |
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An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation? | • Chronic illness |
A parent brings a 2-year-old child for a well-baby visit. Which actions address primary prevention strategies for the nurse to discuss with the parent? Select all that apply. | Discussing healthy meal choices for a 2-year-old child Adhering to the immunization schedule Reviewing appropriate discipline for a 2-year-old child |
Which definition of health is the best? | Health is a state of complete well-being |
An adolescent client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health | • Emotional dimension |
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of? | • Primary |
Primary health promotion and illness prevention | is directed toward promoting good health and preventing the development of disease process or injur |
Primary-level activities | include immunization clinics, providing poison-control information, and education about seat belt and child-safety seat use |
Secondary-level activities | include screening programs and early identification of disease. |
Tertiary-level prevention | concerned with returning the client to the optimal function after diagnosis |
Which model is most useful in examining the cause of disease in an individual, based upon external factors | The Agent-Host-Environment Model |
The Health-Illness Continuum | a way to measure a person's level of health. |
The High-Level Wellness Model | characterized by functioning to one's maximum potential while maintaining balance and purposeful direction in the environmen |
The Health Belief Model | used to describe health behaviors |
Why are health promotion and illness prevention a key responsibility of nurses | • Chronic illnesses are the leading health problem in the world |
A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address? | Coronary artery disease |
Which are characteristics of chronic conditions | have a slower onset and prolonged course, do not resolve spontaneously, are rarely curable, and require lifelong managemen |
Acute conditions | have a rapid onset and short course and resolve spontaneously or are curable. |
What level of prevention is represented by educating a group of clients on carseat safety? | Primary prevention |
Primary prevention focuses | on the health of a person with the goal of preventing disease |
Secondary prevention refers | screening and early detection of disease |
Tertiary prevention refers | to rehabilitation and prevention of complications after diagnosis with a disease |
The nurse is explaining the purpose of the Healthy People 2030 initiative to a client. Which goal(s) will the nurse point out as included? Select all that apply | increasing the number of people with health insurance; decreasing the incidence of client with new cancer diagnoses; increasing the number of various medical degrees among the underrepresented s; and improving hearing and visual health with prevention |
A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The client states that it is nearly impossible to quit drinking because of the deep entrenchment of alcohol use in the client's circle of friends and line o | • Sociocultural and intellectual |
To be an effective change agent for wellness, the nurse must: | consume a healthy diet |
The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model | • What people believe to be true about their health |
The Health Belief Model focuses | on what people perceive or believe to be true about themselves in relation to their health |
The Health Promotion Model focuses | on how people interact with their environments, as they pursue health |
The Health-Illness Continuum Model | focuses on health as a constantly changing state |
The Agent-Host-Environment Model | explains how certain factors place a person at risk for an infectious disease. |
Which is the most accurate definition of health | Health is a state of complete physical, mental, and social well-being. |
A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify | The client is having an exacerbation of the COPD |
COPD is | chronic illness that has periods when the client goes from a chronic state to an acute state such as an acute onset of symptoms. The client will experience periods of exacerbation according to certain precipitating circumstances |
. Remission occurs in | in illnesses such as cancer when the symptoms or clinical manifestations disappear |
A secondary illness is caused | by complications from a primary illness |
Clients with a terminal illness | have no hope of recovery |
Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? | Environmental risk factor |
Working with cancer-causing chemicals is an example | environmental risk factor for illness |
Physiologic risk factors | are those relating to an individual's body or biology |
Lifestyle risk factors are | habits or behaviors people choose to engage |
. A health habit risk factor is | any attribute, characteristic, or exposure of an individual that increases the likelihood of developing a disease or injury |
When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept? | • Focus on what is possible |
The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement? | "I cannot possibly ever be considered as healthy." |
Which is an example of tertiary health promotion? | Rehabilitation |
Tertiary health promotion and disease prevention begin | after an illness is diagnosed and treated to reduce disability and to help rehabilitate clients to a maximum level of functioning. Therefore, rehabilitation is an example of tertiary health promotion. |
Family counseling and Pap tests are examples | secondary health promotion |
Water treatment is an example | primary health promotion |
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is an understanding of which health model? | Health belief model |
What is the definition of wellness? | An active state of being healthy |
Consultation and diagnostic tests are included in which level of health care? | Secondary care |
Which nursing intervention is an example of tertiary preventive care | Assisting with speech therapy a client with a traumatic brain injury |
examples of primary preventive care | The administration of immunizations and teaching stress reduction classes |
example of secondary preventive | Blood pressure screening |
example of tertiary preventive care | Speech therapy |
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone | Sociocultural needs |
Emotional needs address | how the mind affects body functions and responds to body conditions |
The intellectual dimension | encompasses cognitive abilities, educational background, and past experience |
Spiritual beliefs and values are | assessed when addressing spiritual needs. |
A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness? | • Symptoms are not experienced. |
). Exacerbation is when | the symptoms of the disease reappear. |
Which are factors that impact how a client defines health | The person's family, culture, community, and society also influence this personal perception of health |
The nurse for a client with a diagnosis of heart failureadmission is the client's third admission within 90 days. educates the client with the goal fpreventing readmission. nursing activity for this client would represent tertiary level prevention | Teaching about adhering to a low-sodium diet |
Tertiary health promotion and illness prevention begins | after an illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate the client to a maximum level of functioning |
nursing activities on a tertiary level include | teaching a client with heart failure the importance of adhering to a low-sodium diet. |
A nurse is planning a seminar for the local community. Which topic(s) are examples of primary prevention? Select all that apply | smoking cessation, heart-healthy diets, exercise, and activity |
A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client? | Tertiary prevention |
A nurse is immunizing children against measles. This is an example of what level of preventive care | Primary |
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease? | • It has a gradual onset and lasts for a long time |
Chronic illness has a | gradual onset and lasts for a long time. It is usually seen in old age |
Chronic diseases are a major cause of | morbidity in the population |
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of? | • Primary |
The nurse instructor has completed a session detailing major factors differentiating exacerbations from remissions. The instructor determines the session is successful when the students point out which factor(s) can contribute to exacerbations | how poorly the immune system is functioning, the stressors the client is facing and overall health status (e.g., nutrition, sleep, hydration) |
Remission is the opposite and usually indicates | how well the immune system is acting, how well the client is handling stressors, and his or her overall health status |
A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading? Select all that apply | are immunization clinics, family planning services, providing poison control information, and accident prevention education |
The client is admitted with a gastrointestinal bleed. The health care provider ordered a colonoscopy. Which level of care encompasses this procedure? | Secondary |
Secondary care delivery is | when primary caregivers refer clients for consultation and additional testing |
Quaternary care is an | extension of tertiary care and includes experimental medicine and procedures and highly uncommon, specialized surgeries |
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. demonstrating an understanding of which health model? | Health belief model |
Why are health promotion and illness prevention a key responsibility of nurses? | Chronic illnesses are the leading health problem in the world. |
A nurse provides interventions for clients in a long-term care facility to help them meet their intellectual needs. Which nursing actions promote these needs? Select all that apply. | A nurse provides education about foot care to a client with diabetes. A nurse explains to an obese client the benefits of following a healthy diet. A nurse shows residents a video discussing modified activities for older adults. |
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? | Sociocultural needs |
What have the models of health promotion and illness prevention been used for? | To help health care providers understand health-related behaviors. |
community health nurse has noticed a large number of women in the community are not getting regular mammograms. rural community with limited access to health care. would be the most appropriate for pursue to promote compliance in getting mammograms | Arrange for a mobile mammography unit to come to the community several days a month. |
A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the | agent. |
The agent is any factor | hat leads to illness |
The client is the | host of the infection |
The environment is | setting in which the infection occurs. |
The disease is a | pathological process that can result from the infection. |
A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, with a random blood glucose reading of 575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath. This client has experienced which phenomenon? | Exacerbation |
The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking? | Modifiable |
Risk factors are defined as | modifiable (things a person can change, such as quitting smoking |
nonmodifiable | (things that cannot be changed, such as a family history of cancer) |
An older adult client has been recently diagnosed with vascular dementia. lives alone and has poorly controlled hypertension, has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness? | Assuming a dependent role |
The stage of assuming a dependent role | often requires assistance in carrying out activities of daily living. As well, the client often requires care, which may be provided in the home |
A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply. | Screening clients for hypertension Scheduling a mammogram for a client Referring a client to family counseling |
When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's: | age and developmental stage. Correct response: |
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: | high-level wellness |
Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply. | Learn to live as normally as possible Accept dependence and adjust to it Maintain a positive self-concept Maintain a sense of hope |
The nurse is preparing a plan of care for a client with nutritional deficits. Which is the priority intervention for this client? | teaching about intake of food and vitamins |
A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (Select all that apply.) | examples of heart-healthy diet information on increasing activity and exercis |
A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent? | Primary prevention |
A client enjoys eating high-calorie carbohydrate meals, but understands her blood sugar can increase sharply, ultimately causing the feeling of butterflies in her stomach as her blood sugar decreases. This is considered | self-concept. |
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care? | Tertiary |
A client is admitted to the mental health centre with attempted suicide. Which of the client's problems is priority for the nurse to manage? | freedom from harm |
A community health nurse arranges for a dental checkup camp for the local children in the school district. Which of the following would most likely be the nurse's goal for this health camp? | health promotion |
A client states, "I must be in poor health because I am a senior citizen. That's what my neighbor says and she is older than I am." This statement is based on which of the following factors? | Agent |
When providing holistic care to a client, the nurse recognizes that which of the following is necessary? Select all that apply. | Understand and respect each person's definition of health., & Understand and respect each person's responses to illness. |