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CHAPTER 7

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24 Questions

A nurse is using the wellness–illness continuum model as the basis of a nursing assessment. Which statement best identifies this model?

  1. A numeric scale used to describe level of well-being

  1. A nurse is reviewing the social health determinants of Healthy People 2030. Which findings would lead to decreased health disparity?

Presence of local grocery stores

A patient being seen in the clinic reports having pain on the right side of the abdomen. In which phase of illness is this patient?

Seeking help

A nurse is admitting a patient with a history of heart disease. The patient has SOB, blood pressure 180/120, respiratory rate of 24, and a labored breathing pattern. How should the nurse classify the phase of illness?

Acute exacerbation of a chronic illness

A patient is admitted to the emergency room after a motor vehicle accident. Which initial physiological presentation would the nurse anticipate based on a stress response?

Tensing of muscles

A patient reports not feeling well and thinks it could be related to stress. Which assessment finding should the nurse expect?

Blood pressure 178/96 mm Hg

A nurse provides a patient with a label from an ice cream container and asks specific questions about the information on the label. What is the nurse assessing in this patient?

Health literacy

A nurse is obtaining information from a patient admitted the hospital within fluenza. Which question addresses the prodromal phase of illness?

When did you first realize that you were not feeling well?

A patient with arthritis complains so increased pain and stiffnessin cold, damp weather. Which terms should the nurse use to explain the patient’s symptoms?

Exacerbation

A patient smashes a finger in a locked car door. After several minutes, the car door can be opened, the hand is released, and blood flow returns to the digits. Which phase of the general adaptation syndrome is the patient experiencing?

alarm

A patient reports skipping church because of not wanting to see certain people who might be on the Reona holiday. Which defense mechanism is this patient using?

Avoidance

A patient reports developing nausea and vomiting the morning of having a scheduled medical examination. Which type of defense mechanism is this patient most likely experiencing?

Conversion reaction

A nurse suspects that a patient is using the defense mechanism of intellectualization.Which comment did the patient make that caused the nurse to come to this conclusion?

“I’ll miss my mom, but she was in so much pain all of the time.”

After learning of a 20-pound weight gain over the last year, a patient says, “My spouse makes me nervous and all I do is eat.” Which defense mechanism is this patient demonstrating?

Projection

A nurse is concerned that a patient is experiencing stress. Which symptom would the nurse assess in this patient to make this clinical determination?

Experiencing a backache for several weeks

A nurse is reviewing information about wellness prior to participating in a community health clinic.What should the nurse recall about Fitzpatrick’s rhythm model?

Health is a state that results from environmental interaction.

A patient reports living in an apartment located in an area of high crime and drive-byshootings.Which leading health indicator most likely will affect this patient’s health?

Injury and violence

A patient seeks medical attention for a sore throat,nasal congestion,and productive cough.For which type of illness should this patient receive care?

Acute

A nurse participates in health screening at a community center Which should the nurse do to encourage the patient to promote and maintain health? Select all that apply.

Introduce the patient to the benefits of a regular exercise program.

A nurse is reviewing the Healthy People 2030 initiative. Which of the following are considered leading health indicators? Select all that apply.

Influenza vaccinations

A nurse is assessing a patient for cancer. Which findings should alert the nurse as warning signs of cancer? Select all that apply.

Open sore that has not healed

A nurse is assessing a patient for symptoms of stress. Which behaviors are associated with increased stress? Select all that apply.

Yelling at family members

A group of nursing students are reviewing the concept of acute and chronic illnesses. Which findings indicate a chronic disease presentation? Select all that apply.

32-year-old admitted for laparoscopic procedure with a history of cholelithiasis

A nurse is reviewing Selye’s theory of stress and illness. Which statements are accurate? Select all that apply.

The alarm phase cannot be decreased.

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