Alexandra Bozan
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Unit I: Foundation of Nursing Practice Chapter 3: Health, Illness, and Disparities

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Alexandra Bozan
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Chapter 3: Health, Illness, and Disparities

Question 1 of 26

1

A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. Which statement best define the concepts of health and illness?

Select one or more of the following:

  • Health and illness are the same for all people

  • Health and illness are individually defined by each person

  • People with acute illnesses are actually healthy

  • People with chronic illnesses have poor health beliefs

  • Health is more than the absence of illness

  • Illness is the response of a person to a disease

Explanation

Question 2 of 26

1

The student nurse learns that illnesses are classified as either acute or chronic. Which are examples of chronic illnesses?

Select one or more of the following:

  • Diabetes mellitus

  • Bronchial pnemonia

  • Rheumatoid arthritis

  • Cystic fibrosis

  • Fractured hip

  • Otitis media

Explanation

Question 3 of 26

1

Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. Which patients would be considered vulnerable populations?

Select one or more of the following:

  • A White male diagnosed with HIV

  • An African American teenager who is 6 months pregnant

  • A hispanic male who has type II diabetes

  • A low-income family living in rural America

  • A middle-class teacher living in a large city

  • A White baby who was born with cerebral palsy

Explanation

Question 4 of 26

1

A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating?

Select one of the following:

  • Tertiary

  • Secondary

  • Primary

  • Promotive

Explanation

Question 5 of 26

1

A nurse's neighbor tells the nurse, "I have a high temperature, feel awful, and I am not going to work". What stage of illness behavior is the neighbor exhibiting?

Select one of the following:

  • Experiencing symptoms

  • Assuming the sick role

  • Assuming the dependent role

  • Achieving recovery and rehabilitation

Explanation

Question 6 of 26

1

Which clinic patient is most likely to have annual breast examinations and mammograms based on the physical human dimension?

Select one of the following:

  • Jane, whose her best friend had a benign breast lump removed

  • Sarah, who lives in a low-income neighborhood

  • Tricia, who has a family history of breast cancer

  • Nancy, whose family encourages regular physical examinations

Explanation

Question 7 of 26

1

Health promotion activities may occur on a primary, secondary, or tertiary level. Which activities are considered tertiary health promotion?

Select one or more of the following:

  • A nurse runs an immunization clinic in the inner city

  • A nurse teaches a patient with an amputation how to care for the residual limb

  • A nurse provides range-of-motion exercises for a paralyzed patient

  • A nurse teaches parents of toddlers how to childproof their homes

  • A school nurse provides screening for scoliosis for the students

  • A nurse teaches new parents how to choose and use an infant car seat

Explanation

Question 8 of 26

1

The agent-host-environment model of health and illness is based on what concept?

Select one of the following:

  • Risk factors

  • Demographic variables

  • Behaviors to promote health

  • Stages of illness

Explanation

Question 9 of 26

1

When providing health promotion classes, a nurse uses concepts from models of health. What do both the health illness continuum and the high-level wellness models demonstrate?

Select one of the following:

  • Illness as a fixed point in time

  • The importance of family

  • Wellness as a passive state

  • Health as a constantly changing state

Explanation

Question 10 of 26

1

A nurse follows accepted guidelines for a healthy lifestyle. How can this promote health in others?

Select one of the following:

  • By being a role model for healthy behaviors

  • By not requiring sick days from work

  • By never exposing others to any type of illness

  • By spending less money on food

Explanation

Question 11 of 26

1

Fill the blank spaces to complete the text.

is the behavior of a person who is motivated by a personal desire to increase well-being and health potential. In contrast, illness/disease prevention, also called , is behavior motivated by a desire to avoid or detect disease or to maintain functioning within the constraints of an illness or disability.

Explanation

Question 12 of 26

1

Fill the blank spaces to complete the text.

activities are traditionally described as occurring on primary, secondary, and tertiary levels.

Explanation

Question 13 of 26

1

: focuses on what people perceive or believe to be true about themselves in relation to their health: 1) perceived susceptibility to a disease 2) perceived seriousness of a disease and 3) perceived benefits of action

: illustrates how people interact with their environment as they pursue health

: views health as a constantly changing, with high-level wellness and death at opposite ends of a graduated scale, or continuum

: views the interaction between an external agent, a susceptible host, and the environment as causes of disease in a person. limited when dealing with noninfectious diseases

Drag and drop to complete the text.

    Health Belief Model
    Health Promotion Model
    Health Illness Continuum
    Agent-Host-Environment Model

Explanation

Question 14 of 26

1

The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion?

Select one of the following:

  • Weight loss program

  • Immunization

  • Workplace health and safety seminar

  • Family counseling

Explanation

Question 15 of 26

1

A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion". Which of the following statements best describes the difference between the concept of wellness and health?

Select one of the following:

  • Wellness is dependent on the resolution of acute and chronic illnesses, whereas health can exist at any stage or condition

  • Wellness is determined by age-related expectations, whereas health is an achievable state, at any point in the lifespan

  • Health is a state that can be promoted and protected by nursing practice, while wellness is solely dependent on the client

  • Wellness is an active state, whereas health is a more passive state, dependent on the absence of disease

Explanation

Question 16 of 26

1

The nursing class has just learned that Healthy People 2020 focuses on health disparities. National trends in efforts to prevent these disparities focus on which of the following groups?

Select one or more of the following:

  • Vulnerable populations

  • Those living in poverty

  • Older adults

  • Women

  • People w/disabilities

  • Men

Explanation

Question 17 of 26

1

Which of the following is an example of the sociocultural dimension influencing a person's health-illness status?

Select one of the following:

  • A single mother of two applies for food stamps in order to feed her family

  • A family living in a city with high air pollution

  • A teenager who is worried about his scars

  • A father who is a practicing Jehova's Witness refusing a blood transfusion for his son

Explanation

Question 18 of 26

1

Which of the following is an example of tertiary health promotion?

Select one of the following:

  • Water treatment

  • Rehabilitation

  • Family counseling

  • Pap test

Explanation

Question 19 of 26

1

While providing client care, a nurse determines that a client adheres to the health belief model. Which of the following would the nurse need to assess as a factor possibly affecting the client's response to illness?

Select one of the following:

  • Stress management

  • Personality characteristics

  • Environmental sensitivity

  • Nutritional awareness

Explanation

Question 20 of 26

1

A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent?

Select one of the following:

  • Tertiary prevention

  • Secondary prevention

  • Medical prevention

  • Primary prevention

Explanation

Question 21 of 26

1

A client makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that help a person know who and what he or she is?

Select one of the following:

  • Being

  • Befitting

  • Becoming

  • Belonging

Explanation

Question 22 of 26

1

Which model is most useful in examining the cause of disease in an individual, based on external factors?

Select one of the following:

  • The Health-Illness Continuum

  • The Health Belief Model

  • The High-Level Wellness Model

  • The Agent-Host-Environment Model

Explanation

Question 23 of 26

1

What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?

Select one of the following:

  • Health

  • Holism

  • Host

  • Wellness

Explanation

Question 24 of 26

1

Your community outreach class is giving a presentation on seat belts and child safety seats at a local firehouse every weekend in October. What levels of health promotion is this an example of?

Select one of the following:

  • All three levels

  • Primary

  • Secondary

  • Tertiary

Explanation

Question 25 of 26

1

What level of prevention is noted when the nurse educates a group of mothers of school-age children on self breast examination?

Select one of the following:

  • Primary

  • Tertiary

  • Educational

  • Secondary

Explanation

Question 26 of 26

1

Which of the following is an example of a characteristic of Stage 2 of illness?

Select one of the following:

  • A person tells his family that he is sick and allows them to take care of him

  • A person begins rehabilitation following a stroke that left him paralyzed on one side

  • A person visits a physician to receive treatments for symptoms of an infection

  • A person experiences a headache and sore throat and takes an aspirin

Explanation