Chapter 7: Promoting Health and Wellness PDF

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 7: Promoting Health and Welln...

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 7: Promoting Health and Wellness Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A nurse is using the wellness–illness continuum model as the basis of a nursing assessment. Which statement best identifies this model? 1. Measurement of objective data relative to a patient’s health status 2. A numeric scale used to describe level of well-being 3. Visual example of level of well-being 4. Statistical representation of health quality of a patient 2. A nurse is reviewing the social health determinants of Healthy People 2030. Which findings would lead to decreased health disparity? 1. Increased social protests 2. Few public housing developments 3. Limited green space 4. Presence of local grocery stores 3. 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? 1. Prodromal 2. Symptomatic 3. Seeking help 4. Dependency 4. 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? 1. Chronic condition 2. Acute exacerbation of a chronic illness 3. Acute presentation 4. Patient no longer in remission 5. 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? 1. Decreased heart rate 2. Pupillary constriction 3. Increased saliva production 4. Tensing of muscles 6. A patient reports not feeling well and thinks it could be related to stress. Which assessment finding should the nurse expect? 1. Blood pressure 178/96 mm Hg 2. Relaxes every day after work 3. Pupils constricted and reactive to light 4. Limited fat and sugar in the diet 7. 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? 1. Health literacy 2. Ability to read 3. Ability to hear ______________________________________________________________________________________________ 96 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4. Nutritional intake 8. A nurse is obtaining information from a patient admitted the hospital with influenza. Which question addresses the prodromal phase of illness? 1. How long have you had a fever? 2. When did you first realize that you were not feeling well? 3. When did you go to the doctor? 4. Did you take the flu vaccine? 9. A patient with arthritis complains of increased pain and stiffness in cold, damp weather. Which term should the nurse use to explain the patient’s symptoms? 1. Remission 2. Prodromal 3. Dependency 4. Exacerbation 10. 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? 1. Alarm 2. Resistance 3. Adaptation 4. Exhaustion 11. A patient reports skipping church because of not wanting to see certain people who might be there on a holiday. Which defense mechanism is this patient using? 1. Denial 2. Avoidance 3. Conversion reaction 4. Displacement 12. 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? 1. Dissociation 2. Identification 3. Displacement 4. Conversion reaction 13. 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? 1. “I smoke marijuana only on Saturdays.” 2. “I’m fine. I just got a little rattled when I heard the news.” 3. “I bought this new dress because my friend has one just like it.” 4. “I’ll miss my mom, but she was in so much pain all of the time.” 14. 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? 1. Projection 2. Regression 3. Rationalization 4. Reaction formation ______________________________________________________________________________________________ 97 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 15. A nurse is concerned that a patient is experiencing stress. Which symptom would the nurse assess in this patient to make this clinical determination? 1. Completing work ahead of time 2. Volunteering to work overtime to help a friend 3. Experiencing a backache for several weeks 4. Spending time after church to help with Sunday school 16. 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? 1. Health can be measured along a continuum. 2. Health can be categorized into four quadrants. 3. Health is a frame of mind that is consciously controlled. 4. Health is a state that results from environmental interaction. 17. A patient reports living in an apartment located in an area of high crime and drive-by shootings. Which leading health indicator most likely will affect this patient’s health? 1. Social determinants 2. Injury and violence 3. Environmental quality 4. Access to health services 18. A patient seeks medical attention for a sore throat, nasal congestion, and productive cough. For which type of illness should this patient receive care? 1. Acute 2. Chronic 3. Prodromal 4. Exacerbation Multiple Response Identify one or more choices that best complete the statement or answer the question. 19. 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. 1. Introduce the patient to the benefits of a regular exercise program. 2. Discuss the importance of keeping blood glucose levels within normal range. 3. Refer the patient to a clinic for blood pressure screening. 4. Suggest that medical care be accessed in acute emergencies and that alternative forms of treatment be used when it is not. 5. Explain effects of overwhelming stress on health. 20. A nurse is reviewing the Healthy People 2030 initiative. Which of the following are considered leading health indicators? Select all that apply. 1. Dental care 2. Health literacy 3. Hunger 4. Influenza vaccinations 5. Poor air environment 21. A nurse is assessing a patient for cancer. Which findings should alert the nurse as warning signs of cancer? Select all that apply. 1. Open sore that has not healed ______________________________________________________________________________________________ 98 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 2. 3. 4. 5. Urinary frequency due to cystitis Hoarse voice unrelated to vocal straining Chronic constipation Recent onset of indigestion 22. A nurse is assessing a patient for symptoms of stress. Which behaviors are associated with increased stress? Select all that apply. 1. Yelling at family members 2. Experiencing body aches 3. Ability to decide 4. Dizziness 5. Preferring to be alone 23. 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. 1. 32-year-old admitted for laparoscopic procedure with a history of cholelithiasis 2. 42-year-old admitted for observation to rule out a concussion 3. 52-year-old admitted for glycemic control for new onset of type 2 diabetes 4. 23-year-old admitted with ruptured appendix 5. 68-year-old admitted with history of recurrent urinary tract infections 24. A nurse is reviewing Selye’s theory of stress and illness. Which statements are accurate? Select all that apply. 1. The alarm phase cannot be decreased. 2. The resistance phase can last for years. 3. Depletion of body’s resources occurs during the exhaustion phase. 4. Patient’s perception of stress is individualized. 5. The body does not adapt to stress states. ______________________________________________________________________________________________ 99 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year?