Robinmarie Rivera
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Ch. 16

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Robinmarie Rivera
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Ch. 16 - Health and Wellness

Question 1 of 16

1

Which of the listed basic needs identified by Maslow must be addressed first when providing nursing care?

Select one of the following:

  • self-esteem

  • Love and belonging

  • Self-actualization

  • Nutrition and Elimination

Explanation

Question 2 of 16

1

Which activity best illustrates the use of the Health Promotion Model (HPM) by the nurse to increase the level of well-being for a patient immediately after surgery?

Select one of the following:

  • Holding a pillow across his chest when coughing and deep breathing

  • Encouraging the patient to eat his entire evening meal

  • Changing his surgical dressing daily as ordered by the physician

  • Asking his family to step out of the room during dressing changes.

Explanation

Question 3 of 16

1

A nurse providing preventive care to an overweight patient with a family history of diabetes should engage in which priority care-planning activity for this patient?

Select one of the following:

  • Calculating the patient's body mass index (BMI) and recommending a daily exercise routine

  • Instructing the patient to perform blood glucose monitoring once daily

  • Giving the patient a month's supply of insulin needles and syringes

  • Participating in diabetes education classes offered at a local health facility

Explanation

Question 4 of 16

1

An active, older patient has been frequently evaluated for minor problems at the clinic since the death of her husband 3 months earlier. During one of her visits, she states that she has no energy to get through the day and no desire to keep up with her Tuesday night bridge club. Which type of holistic health model intervention should the nurse employ to help the patient cope with the loss of her husband?

Select one of the following:

  • Encouraging use as needed of a drug for anxiety ordered by her provider

  • Teaching the value of music therapy to address anxiety about her loss

  • Explaining that she will be over the loss of her husband in a few months

  • Encouraging a gradual reentry into social interaction and activities with friends

Explanation

Question 5 of 16

1

An 8-year-old girl is newly diagnosed with type 1 diabetes. The nurse may expect fear and crying when teaching the child how to self-administer insulin injections due to which influencing factor?

Select one of the following:

  • Self-concept

  • Self-esteem

  • Developmental level

  • Hierarchy of needs

Explanation

Question 6 of 16

1

Three weeks after delivery, a patient started a diet of 800 calories per day and started jogging 2 miles twice per day. The nurse recognizes the patient’s behavior may be influenced by which motivating factor?

Select one of the following:

  • Body Image

  • Family roles

  • Illness behavior

  • Chronic illness

Explanation

Question 7 of 16

1

A 65-year-old male patient has been a one-pack-per-day smoker for 40 years. He was recently diagnosed with early-stage chronic obstructive pulmonary disease (COPD) and would like to attend a smoking cessation class. The nurse recognizes smoking cessation as which level of prevention for this patient?

Select one of the following:

  • Primary prevention

  • Secondary prevention

  • Statutory prevention

  • Tertiary prevention

Explanation

Question 8 of 16

1

A patient diagnosed with an aggressive cancer is estimated to have 6 months to live. Two months later, the patient’s wife calls the nurse’s office because she is upset that her husband has taken up motorcycle racing and has already been injured twice. The nurse knows that the patient is experiencing a behavioral change in which factor due to the prognosis of his illness?

Select one of the following:

  • Spirituality

  • Physical attributes

  • Self-concept

  • Personal affect

Explanation

Question 9 of 16

1

The nurse enters a patient’s room to deliver a dinner tray and notices that the patient has not been out of bed since the previous day. The patient states that his condition has made him bed-ridden, although the nurse knows that he is capable of independent ambulation. Which type of reaction is the patient exhibiting?

Select one of the following:

  • Ambivalence to symptoms

  • Illness behavior

  • Diminished functional ability

  • Overreaction to illness

Explanation

Question 10 of 16

1

A patient is seeking information about leading indicators that show the importance of health promotion and illness prevention in the United States. To which government-sponsored program would the nurse refer the patient for the best source of information?

Select one of the following:

  • The American Cancer Society websiste

  • The Healthy People 2020 website

  • The Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report

  • The American Association of Hospitals home page

Explanation

Question 11 of 16

1

According to Maslow’s hierarchy of needs, the nurse understands that which element(s) must be maintained before a patient can reach self-actualization?

Select one of the following:

  • Self-esteem

  • Safety

  • Love and belonging

  • Nutrition

Explanation

Question 12 of 16

1

When a patient recognizes that a family history of a terminal disease predisposes him to illness, the nurse can identify this realization as which component of the Health Belief Model?

Select one of the following:

  • Perception of susceptibility

  • Likelihood of action

  • Modification of factors

  • Adherence to factors

Explanation

Question 13 of 16

1

A patient undergoing chemotherapy for bone cancer states that she uses guided imagery in conjunction with pain medications to tolerate bone marrow aspirations. The nurse recognizes guided imagery as a component of which health promotion model?

Select one of the following:

  • The Health Function Model

  • Lifestyle Fatality Model

  • Model for Human Disease Progression

  • Holistic Health Model

Explanation

Question 14 of 16

1

A 20-year-old patient is concerned that he may have the same illness (acute myeloid leukemia [AML]) as a 65-year-old male relative. Which influencing factor about which the nurse is aware may alleviate this patient’s concern?

Select one of the following:

  • Developmental level

  • Environmental factors

  • Lifestyle choices

  • Age

Explanation

Question 15 of 16

1

When a nurse approaches an overweight patient about lifestyle modifications that will reduce the risk for heart disease, the patient shows that he does not perceive susceptibility to disease when stating

Select one of the following:

  • "I'm only a little overweight; there is no way I can have a heart attack."

  • "I should lose a few pounds and try to exercise more often."

  • It would be helpful to speak to the nutritionist before I leave the hospital."

  • "I will investigate the online Weight Watchers programs that helped me in the past."

Explanation

Question 16 of 16

1

The last concept to be added to the Health Belief Model (HBM) is defined as the confidence in one’s ability to take action. What is this concept is called?

Select one of the following:

  • Perceived benefits

  • Cues to action

  • Perceived severity

  • Self-efficacy

Explanation

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