Ch 6 Review Questions Flashcards
A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is the nurse practicing?
- Primary prevention
- Secondary prevention
- Tertiary prevention
- Quaternary prevention
1
A patient had surgery for a total knee replacement a week ago and is currently participating in daily physical rehabilitation sessions at the surgeon’s office. In what level of prevention is the patient participating?
- Primary prevention
- Secondary prevention
- Tertiary prevention
- Quaternary prevention
3
Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: “Me, stop smoking? I’ve been smoking since I was 16!”
- “That’s fine. Some people who smoke live a long life.”
- “OK. I want you to decrease the number of cigarettes you smoke by one each day, and I’ll see you in 1 month.”
- “I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?”
- “I’d like you to attend a smoking cessation class this week and use nicotine replacement patches as directed.”
3
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?
- “Walking is OK. I really think 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 begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables.”
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- “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.”
2
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 a physician when he was a child. Which external variables influence the patient’s health practices? (Select all that apply.)
- Difficulty paying his bills
- Seeing his pastor as a means of support
- Age of patient (46 years)
- Stress from the divorce and the loss of a job
- Family practice of not routinely seeing a health care provider
1, 5
A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow?
- Physiological
- Safety and security
- Love and belonging
- Self-actualization
1
When taking care of patients, a nurse routinely asks 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?
- Holistic
- Health belief
- Transtheoretical
- Health promotion
1
Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a lifestyle change related to physical activity.
- The individual recognizes that he is out of shape when his daughter asks him to walk with her after school.
- Eight months after beginning walking, the individual participates with his wife in a local 5K race.
- The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lbs.
- The individual walks 2 to 3 miles, 5 nights a week, with his wife.
- The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan.
3, 1, 5, 4, 2
Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with secondary traumatic stress and burnout?
- “I don’t need time for lunch since I am not very hungry.”
- “I am enjoying my quilting group that meets each week at my church.”
- “I am going to drop my gym membership because I don’t have time to go.”
- “I don’t know any of the other nurses who met today to discuss hospital-wide problems with nurse satisfaction.”
2
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.)
- Regular participation in a book club
- Lack of interest in exercise
- Difficulty falling asleep
- Lack of desire to go to work
- Anxiety while working
- 5
After a class on Pender’s health promotion model, students make the following statements. Which statement does the faculty member need to clarify?
- “The desired outcome of the model is health-promoting behavior.”
- “Perceived self-efficacy is not related to the model.”
- “The individual has unique characteristics and experiences that affect his or her actions.”
- “Patients need to commit to a plan of action before they adopt a health-promoting behavior.”
2
A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change?
- Precontemplation
- Contemplation
- Preparation
- Action
3
As part of a faith community nursing program in her church, a nurse is developing a health promotion program on breast self-examination for the women’s group. Which statement made by one of the participants is related to the individual’s perception of susceptibility to an illness?
- “I have a door hanging tag in my bathroom to remind me to do my breast self-examination monthly.”
- “Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer.”
- “Since I am only 25 years of age, the risk of breast cancer for me is very low.”
- “I participate every year in our local walk/run to raise money for breast cancer research.”
2
The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? (Select all that apply.)
- Sedentary lifestyle
- Mother died from CAD at age 48
- History of hypertension
- Eats diet high in sodium
- Elevated cholesterol level
2, 3, 5
Which activity shows a nurse engaged in primary prevention?
- A home health care nurse visits a patient’s home to change a wound dressing.
- A nurse is assessing risk factors of a patient in the emergency department admitted with chest pain.
- A school health nurse provides a program to the first-year students on healthy eating.
- A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions weekly.
3
