Ch. 6 Health Promotion And The Individual Flashcards

1
Q

Healthy People 2020 objectives provide a framework for

A. assessment
B. Diagnosis
C. prevention
D. Treatment

A

C. Prevention

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2
Q

Which of the following best describes a primary prevention method for colon cancer?

A. Hemoccult testing
B. High fiber diet
C. Colonoscopy
D. Laparoscopy

A

B. High fiber diet

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3
Q

Who authored the framework that provides the foundation for nursing assessment and diagnosis using the functional health patterns?

A. Erikson
B. Gordon
C. Newman
D. Nightingale

A

B. Gordon

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4
Q

Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?

A. Age-developmental
B. Functional
C. Individual-environmental
D. Pattern

A

D. Pattern

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5
Q

A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?

A. Visual acuity
B. Pupil reactivity
C. Ability to drive
D. The red reflex

A

C. Ability to drive

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6
Q

Which of the following nurses is providing culturally competent care to the care recipient?

A. A nurse who refuses to care for a care recipient after an abortion when abortion violates the nurse’s ethics
B. A nurse who honors a Native American care recipient’s request to allow an ICU visit from the tribe’s medicine man
C. A nurse who only assigns aides from the same culture to care for care recipients
D. All of the above

A

B. A nurse who honors a Native American care recipient’s request to allow an ICU visit from the tribe’s medicine man

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7
Q

Which of the following statements is correct concerning functional focus is assessing a care recipient?

A. It is an assessment unique to nursing
B. It emphasizes the underlying disease process
C. It refers to an individual’s level of performance
D. It is a newer replacement for the NANDA-International Taxonomy

A

C. It refers to an individual’s level of performance

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8
Q

Which nurse is rendering culturally attuned care?

A. A nurse who assists the wife of a Hispanic care recipient to safely light candles
B. A nurse who assists a Native American care recipient to choose hot and cold care foods
C. A nurse who assists an African care recipient to find an acupuncture provider
D. A nurse who arranges for a drumming ceremony for an Asian care recipient

A

A. A nurse who assists the wife of a Hispanic care recipient to safely light candles

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9
Q

A 27-year old woman has not received a Pap test in 3.5 years. This assessment finding identifies an alternation in which functional pattern?

A. Health perception-health management pattern
B. Elimination pattern
C. Activity-rest pattern
D. Self-perception — self-concept pattern

A

A. Health perception-health management pattern

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10
Q

A care recipient is experiencing an alteration in the health perception-health management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?

A. Never sees a physician
B. Only sees a physician if not feeling well
C. Sees a physician for screenings only
D. Sees a physician for follow-up care of a chronic disease

A

B. Only sees a physician if not feeling well

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11
Q

When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?

A. The person’s 24-hour diet diary
B. The person’s dentition
C. The person’s food preferences
D. The person’s financial status

A

B. The person’s dentition

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12
Q

When assessing a care recipient’s activity-exercise pattern, which subjective finding has implications for nursing practice?

A. A person’s decreased muscle tone
B. A person’s amount of leisure time
C. A person’s decreased range of motion
D. A person’s use of a cane

A

B. A person’s amount of leisure time

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13
Q

During a health history, a person reports getting 5-hours of sleep a night. What does this information indicate to the nurse?

A. The person is not receiving enough sleep
B. The person is receiving adequate sleep
C. The nurse must determine where the person sleeps
D. The nurse must ask additional questions

A

D. The nurse must ask additional questions

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14
Q

A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic care recipient. Which finding has implications for the individual’s nursing plan of care?

A. Decreased sense of hearing
B. Decreased sense of smell
C. Decreased sense of taste
D. Decreased visual acuity

A

D. Decreased visual acuity

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15
Q

Which scenario indicates a potentially dysfunctional pattern?

A. Adult with frequent urination
B. Woman who lost her job
C. Elderly person with blurred vision
D. Overweight adult with a sweet tooth

A

B. Woman who lost her job

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16
Q

Which scenario represents a dysfunctional pattern?

A. Sexually active teenager who doesn’t use condoms
B. Salesman who sleeps only 5-hour a night
C. Single mother of three children
D. Woman with a small extended family

A

A. Sexually active teenager who doesn’t use condoms

17
Q

A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?

A. Read in bed until he falls asleep
B. Avoid fluids after 7 PM
C. Exercise immediately before bedtime
D. Watch television

A

B. Avoid fluids after 7 PM

18
Q

A nurse is caring for a person with a potential dysfunction in the health perception-health management pattern. Which of the following nursing interventions would most likely be performed?

A. Arranging for home delivery of medication from the pharmacy
B. Providing education regarding the dangers of smoking
C. Instituting visiting nurse services for blood pressure checks
D. Providing direct observed therapy for tuberculosis medications

A

B. Providing education regarding the dangers of smoking

19
Q

The nurse has determined that person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?

A. Weigh the person
B. Set a goal weight with the person
C. Ask the person what her favorite foods are
D. Develop a plan for weight loss

A

B. Set a goal weight with the person

20
Q

A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?

A. Assessment
B. Implementation
C. Planning
D. Evaluation

A

D. Evaluation

21
Q

A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman

A. Requires interventions for problem drinking
B. Lacks evidence of problem drinking
C. Requires interventions for sexually transmitted disease risks
D. Lacks evidence of sexually transmitted disease risks

A

A. Requires interventions for problem drinking

22
Q

A Hispanic mother tells the nurse that she has been using home remedies for her child’s asthma. Which home remedy might this mother be using?

A. Acupuncture
B. Cupping
C. Hot tea
D. Massage

A

C. Hot tea

23
Q

Which classification system fulfills needs that are exclusive to nursing?

A. The international classification of nursing practice (ICNP)
B. Then international classification of functioning, disability, and health (ICF)
C. The international nursing diagnoses classification (NANDA-1)
D. The nursing diagnostic system (NDS)

A

C. The international nursing diagnoses classification (NANDA-I)

24
Q

Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?

A. Infancy
B. Early childhood
C. Late childhood
D. Early adolescence

A

B. Early childhood

25
Q

A young couple is deciding if they should get married and start a family. Which of Erikson’s life stages are they experiencing?

A. Identity vs. role confusion
B. Intimacy vs. isolation
C. Generativity vs. stagnation
D. Ego integrity vs. despair

A

B. Intimacy vs. isolation

26
Q

Which cultural group defines illness as a price that is being paid for the past of the future?

A. African
B. Native American
C. Arabian
D. Asian

A

B. Native American

27
Q

A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group?

A. African
B. Alaska native
C. Asian
D. Hispanic

A

D. Hispanic

28
Q

Which of the following statements as it pertains to patient assessment is accurate?

A. Patient perceptions are subjective thus not reliable data for the assessment purposes
B. Previous compliance to regimens introduces prejudice thus should not be included.
C. Means to access health (finance, insurance, etc.) is best delegated to the social worker
D. Exploring values can identify health hazards and unrealistic expectations

A

D. Exploring values can identify health hazards and unrealistic expectations

29
Q

A care recipient who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns? Select all that apply.

A. Health perception - health management
B. Cognitive-perceptual
C. Elimination
D. Values-beliefs

A

A. Health perception-health management
B. Cognitive-perceptual
D. Values-beliefs

30
Q

Which individual is at risk for a dysfunction in elimination pattern? Select all that apply.

A. 46-year old mother of two
B. 32-year old male who eats primarily burgers, sandwiches, and pizza
C. 15-year old girl
D. 72-year old white woman

A

A. 46-year old mother of two
B. 32-year old male who eats primarily burgers, sandwiches, and pizza
C. 15-year old girl
D. 72-year old white woman