Podcast
Questions and Answers
A nurse is using the wellness–illness continuum model as the basis of a nursing assessment. Which statement best identifies this model?
A nurse is using the wellness–illness continuum model as the basis of a nursing assessment. Which statement best identifies this model?
- A nurse is reviewing the social health determinants of Healthy People 2030. Which findings would lead to decreased health disparity?
- A nurse is reviewing the social health determinants of Healthy People 2030. Which findings would lead to decreased health disparity?
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?
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?
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?
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?
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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?
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?
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A patient reports not feeling well and thinks it could be related to stress. Which assessment finding should the nurse expect?
A patient reports not feeling well and thinks it could be related to stress. Which assessment finding should the nurse expect?
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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?
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?
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A nurse is obtaining information from a patient admitted the hospital within fluenza. Which question addresses the prodromal phase of illness?
A nurse is obtaining information from a patient admitted the hospital within fluenza. Which question addresses the prodromal phase of illness?
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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?
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?
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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?
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?
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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?
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?
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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?
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?
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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?
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?
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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?
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?
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A nurse is concerned that a patient is experiencing stress. Which symptom would the nurse assess in this patient to make this clinical determination?
A nurse is concerned that a patient is experiencing stress. Which symptom would the nurse assess in this patient to make this clinical determination?
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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?
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?
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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?
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?
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A patient seeks medical attention for a sore throat,nasal congestion,and productive cough.For which type of illness should this patient receive care?
A patient seeks medical attention for a sore throat,nasal congestion,and productive cough.For which type of illness should this patient receive care?
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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.
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.
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A nurse is reviewing the Healthy People 2030 initiative. Which of the following are considered leading health indicators? Select all that apply.
A nurse is reviewing the Healthy People 2030 initiative. Which of the following are considered leading health indicators? Select all that apply.
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A nurse is assessing a patient for cancer. Which findings should alert the nurse as warning signs of cancer?
Select all that apply.
A nurse is assessing a patient for cancer. Which findings should alert the nurse as warning signs of cancer? Select all that apply.
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A nurse is assessing a patient for symptoms of stress. Which behaviors are associated with increased stress?
Select all that apply.
A nurse is assessing a patient for symptoms of stress. Which behaviors are associated with increased stress? Select all that apply.
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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.
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.
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A nurse is reviewing Selye’s theory of stress and illness. Which statements are accurate? Select all that apply.
A nurse is reviewing Selye’s theory of stress and illness. Which statements are accurate? Select all that apply.
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Study Notes
Wellness-Illness Continuum Model
- The wellness-illness continuum represents the range of health states from optimal wellness to severe illness.
- This model emphasizes that health is not a static state but varies along a continuum depending on various factors.
Social Health Determinants
- Healthy People 2030 aims to reduce health disparities through various social determinants, including socioeconomic status, access to healthcare, and education levels.
Phases of Illness
- A patient with right-sided abdominal pain is likely in the acute phase of illness.
- A patient with heart disease showing symptoms like shortness of breath, high blood pressure, and labored breathing is classified in the crisis phase of illness.
Stress Response in Physiology
- Initial physiological responses to stress include rapid heart rate, increased blood pressure, and heightened alertness.
Stress and Illness Assessment
- A patient suspecting stress-related illness will likely exhibit symptoms such as fatigue, anxiety, or irritability.
- Assessment of a label from an ice cream container tests the patient's health literacy.
Prodromal Phase of Illness
- Questions addressing common early symptoms of illness help gauge the prodromal phase, which precedes overt symptoms.
Weather-Related Symptoms in Arthritis
- For arthritis pain exacerbated by cold, terms like environmental triggers and symptomatic fluctuations should be used to explain symptoms.
General Adaptation Syndrome
- A patient recovering from a crushed finger is experiencing the recovery phase of general adaptation syndrome, marked by returning to homeostasis after stress.
Defense Mechanisms
- Avoidance of social situations due to anxiety reflects avoidance as a defense mechanism.
- Physical symptoms like nausea before an examination may indicate conversion disorder as a defense mechanism.
- Intellectualization could be suspected if a patient discusses emotional problems in clinical, overly rational terms.
- Blaming a spouse for emotional eating demonstrates projection as a defense mechanism.
Symptoms of Stress
- Physiological symptoms of stress may include changes in appetite, sleep disturbances, or increased irritability.
Fitzpatrick’s Rhythm Model
- This model emphasizes the natural cycles of behavior and health, suggesting that wellness practices align with life rhythms.
Health Indicators Affecting Populations
- High-crime living conditions correlate with significant health risks, affecting access to care and mental well-being.
Types of Illness Care
- A patient with respiratory symptoms like a sore throat and cough requires care for acute illness.
Community Health Promotion
- Encouraging regular health screenings, vaccinations, and education about healthy lifestyle choices can promote health in community settings.
Leading Health Indicators
- In the context of Healthy People 2030, leading health indicators include access to care, physical activity, and substance use metrics.
Warning Signs of Cancer
- Key warning signs include unexplained weight loss, persistent pain, and unusual bleeding or discharge.
Increased Stress Behaviors
- Signs suggesting increased stress can include changes in sleep patterns, emotional instability, and social withdrawal.
Chronic Disease Presentation
- Chronic diseases often show prolonged symptoms, frequent healthcare visits, and management of long-term conditions.
Selye’s Theory of Stress and Illness
- Accurate statements regarding Selye's theory include the body's adaptation to stressors in a sequence of phases and recognition of stress' impact on physical health.
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