Chapter 6 Health and Wellness Practice Questions Flashcards
An argument for passing “universal health care” legislation is that it would help fulfill the Healthy People 2020 goal of
a. Increasing quality of life in America.
b. Prolonging healthy life in America.
c. Eliminating health disparities in America.
d. Promoting healthy behaviors.
c. Eliminating health disparities in America.
To increase quality and years of healthy life, Healthy People 2020 focuses on four areas. One of those areas is
a. Allowing people to continue current behaviors to reduce the stress of change.
b. Focusing only on individual health changes that will lead to better communities.
c. Creating social and physical environments that promote good health.
d. Focusing on illness treatment to provide fast recuperation.
c. Creating social and physical environments that promote good health.
According to the World Health Organization, what is the best definition for “health”?
a. Simply the absence of disease
b. Involving the total person and environment
c. Strictly personal in nature
d. Status of pathological state
b. Involving the total person and environment
The nurse is preparing a smoking cessation class and is amazed at how many people still smoke even with the information on lung cancer so readily available. She believes that her class will convert many smokers to nonsmokers once they get all the latest information. The nurse is a believer in which of the following health care models?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model
a. Health Belief Model
The health care model that utilizes Maslow’s hierarchy as its base is the _____ Model.
a. Health Belief
b. Health Promotion
c. Basic Human Needs
d. Holistic Health
c. Basic Human Needs
The patient is describing moderate incisional pain that was not relieved by the last dose of hydromorphone (Dilaudid) given 90 minutes earlier. The patient is not due for another dose of medication for another 2 1/2 hours. The nurse repositions the patient, asks what type of music she likes, and puts on the music channel on the television, setting it to play that type of music. The nurse is attempting to utilize which health care model?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model
d. Holistic Health Model
Many variables influence a patient’s health beliefs and practices. Internal and external variables influence how a person thinks and acts. An example of an internal variable would be
a. Perception of functioning.
b. Family practices.
c. Socioeconomic factors.
d. Cultural background.
a. Perception of functioning.
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient about her employment status and displays a nonjudgmental attitude. Why does the nurse do this?
a. Noncompliant patients thrive on the disapproval of authority figures.
b. External variables have little effect on compliance.
c. A person’s compliance is affected by economic status.
d. Employment status is an internal variable that impacts compliance.
c. A person’s compliance is affected by economic status.
The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. In doing so, the nurse is fostering the concept of:
a. Illness prevention.
b. Active health promotion.
c. Wellness education.
d. Passive health promotion.
d. Passive health promotion.
The nurse is working in a clinic that is designed to provide health education and immunizations. As such, this clinic is designed to provide
a. Primary prevention.
b. Secondary prevention.
c. Tertiary prevention.
d. Diagnosis and prompt intervention.
a. Primary prevention.
Primary prevention precedes disease or dysfunction and is applied to people considered physically and emotionally healthy. Health promotion includes health education programs, immunizations, and physical and nutritional fitness activities. Secondary prevention focuses on individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions. Activities are directed at diagnosis and prompt intervention. Tertiary prevention occurs when a defect or disability is permanent and irreversible. It involves minimizing the effects of long-term disease or disability through interventions directed at preventing complications and deterioration.
The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. She is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. What level of preventive care is this patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
b. Secondary prevention
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. What are these examples of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
c. Tertiary prevention
Risk factors can be placed in the following interrelated categories: genetic and physiological factors, age, physical environment, and lifestyle. The presence of any of these risk factors means that
a. A person with the risk factor will get the disease.
b. The chances of getting the disease are increased.
c. The disease is guaranteed not to develop if the risk factor is controlled.
d. Risk modification will have no effect on disease prevention.
b. The chances of getting the disease are increased.
The nurse is caring for a patient who has been trying to quit smoking. She has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate?
a. The patient does not want to and never will quit smoking.
b. The patient will return to the contemplation or precontemplation phase.
c. The patient will need to adopt a new lifestyle for change to be effective.
d. The patient must pick up her attempt right where she left off.
b. The patient will return to the contemplation or precontemplation phase.
The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient who says that she wants to be “detoxified.” It is important for the nurse to
a. Identify the patient’s stage of change.
b. Realize that the patient is ready to change.
c. Instruct the patient that she will have to change her lifestyle.
d. Instruct the patient that relapses are not tolerated.
a. Identify the patient’s stage of change.
