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Health and Wellness

Questão 1 de 15

1

The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing?

Selecione uma das seguintes:

  • Primary prevention

  • Secondary prevention

  • Tertiary prevention

  • Quaternary prevention

Explicação

Questão 2 de 15

1

A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?

Selecione uma das seguintes:

  • Primary prevention

  • Secondary prevention

  • Tertiary prevention

  • Quaternary prevention

Explicação

Questão 3 de 15

1

Based on the transtheomodel of change, what is the most appropriate response to a patient who states: "Me, exercise? I haven't done that since junior high gym class, and I hated it then!"

Selecione uma das seguintes:

  • "That's fine. Exercise is bad for you anyway."

  • "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1 month."

  • "I understand. Can you think of one reason why being more active would be helpful for you?"

  • "I'd like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day."

Explicação

Questão 4 de 15

1

A patient comes to the local health clinic and states: "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the patient through the stages of change for exercise?

Selecione uma das seguintes:

  • "Walking is OK. I really think that running is better."

  • "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?"

  • "Yes, I want you to being walking. Walk for 30 minutes every day and start to eat more fruits and vegetables."

  • "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good."

Explicação

Questão 5 de 15

1

A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to the physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Difficulty paying his bills.

  • Seeing his pastor as a means of support.

  • Family practice of not routinely seeing a health care provider.

  • Stress from the divorce and the loss of a job.

Explicação

Questão 6 de 15

1

The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is addressing which level of need according to Maslow?

Selecione uma ou mais das seguintes:

  • Physiological

  • Safety and security

  • Love and belonging

  • Self-actualization

Explicação

Questão 7 de 15

1

When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model?

Selecione uma ou mais das seguintes:

  • Holistic

  • Health belief

  • Transtheoretical

  • Health promotion

Explicação

Questão 8 de 15

1

When illness occurs, different attitudes about it cause people to react in different ways. What do medical sociologists call this reaction to illness?

Selecione uma ou mais das seguintes:

  • Health belief

  • Illness behavior

  • Health promotion

  • Illness prevention

Explicação

Questão 9 de 15

1

A patient at the community clinic asks the nurse about health promotion activities that she can do because she is concerned about getting diabetes mellitus since her grandfather and father both have the disease. This statement reflects that the patient is in what stage of the health belief model?

Selecione uma ou mais das seguintes:

  • Perceived threat of the disease

  • Likelihood of taking preventive health action

  • Analysis of perceived benefits of preventive action

  • Perceived susceptibility to the disease

Explicação

Questão 10 de 15

1

A nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. What action does the nurse take?

Selecione uma ou mais das seguintes:

  • Care for the boy as she would any other patient.

  • Ask the manager to talk with the father and keep him out of the unit.

  • Have another nurse care for the boy because maybe that nurse will do better with the father.

  • Search for help with interpretation and understanding of the cultural differences by contacting someone from the local Greek community.

Explicação

Questão 11 de 15

1

A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that he is experiencing a problem with body image?

Selecione uma ou mais das seguintes:

  • "I just don't have any energy to get out of bed in the morning."

  • "I've been attending church regularly with my wife since I got out of the hospital."

  • "My wife has taken over paying the bills since I've been in the hospital."

  • "I don't go out very much because everyone stares at me."

Explicação

Questão 12 de 15

1

The patient states she joined a fitness club and attends the aerobics class three nights a week. That patient is in what stage of behavioral change?

Selecione uma ou mais das seguintes:

  • Precontemplation

  • Contemplation

  • Preparation

  • Action

Explicação

Questão 13 de 15

1

The nurse is developing a health promotion program on healthy eating and exercise for high school students using the health belief model as a framework. Which statement made by a nursing student is related to the individual's perception of susceptibility to an illness?

Selecione uma ou mais das seguintes:

  • "I don't have time to exercise because I have to work after school every night."

  • "I'm worried about becoming overweight and getting diabetes because my father has diabetes."

  • "The statistics of how many teenagers are overweight is scary."

  • "I've decided to start a walking club at school for interested students."

Explicação

Questão 14 de 15

1

The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient. Which factors are classified as genetic and physiological? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Sedentary lifestyle

  • Father died from CAD at age 50

  • History of hypertension

  • Eats diet high in sodium

  • Elevated cholesterol level

  • Age is 44 years

Explicação

Questão 15 de 15

1

Which activity represents secondary prevention?

Selecione uma das seguintes:

  • A home health care nurse visits a patient's home to change a wound dressing.

  • A 50-year-old woman with no history of disease attends the local health fair and has her blood pressure checked.

  • The school health nurse provides a program to the first-year students on healthy eating.

  • The patient attends cardiac rehabilitation sessions weekly.

Explicação