mod 3 ch 6 health and wellness

Question 1

optimal health and overall wellness

Answer 1

absence of disease.. also include aspects of body, mind, spirit and social interactions within various environments

not the same for everyone, ensure rn assesses each individual pts definition of health

Question 2

wellness

Answer 2

1. wellness conscious, self-directed and evolving process achieving full potential
2. multidimensional and holistic, encompassing life, mental spiritual well-being, and environment
3. positive and affirming

Question 3

wellness

Answer 3

active pursuit of activities, choices, lifestyles lead to holistic health

1. physical
2. mental
3. spiritual
4. emotional
5. social
6. environmental

Question 4

health continuum

Answer 4

Question 5

Which definition best describes the concept of health?

Answer 5

state complete physical, mental, and social well-bring

Question 6

Which definition describes the concept of wellness from an individual’s perspective?

Answer 6

Active self-care achieved by making healthy lifestyle choices

Question 7

Which components are associated with the wellness paradigm?

Answer 7

individual responsibility

maintaining and improving health

holistic health

Question 8

Organizations define their own health in terms of which aspects?

Answer 8

goals and objectives

Question 9

holistic health model

Answer 9

whole person and how they interact w environment

Question 10

complimentary and alternative medicine (CAM)

Answer 10

natural remedies and that body can heal itself

5 Domains

1. Whole medical systems: homeopathy and naturopathic medicine
2. Mind–body interventions: meditation, art, music, and dance therapy
3. Biologically based therapies: use of herbs, special diets, etc.
4. Manipulative and body-based methods: chiropractic treatments, osteopathy, and massage
5. Energy therapies: therapeutic touch

Question 11

health promotion model

Answer 11

Health promotion efforts aim to increase well-being and optimal health. Health protection strives to prevent or stop illness before it impairs appropriate function of an individual’s body, mind, or spirit.

Areas associated with health promotion and health protection include:

Individual characteristics and experiences

Behavior-specific cognitions and affect

Behavioral outcome

The Health Promotion Model emphasizes that interactions that are multidimensional in nature occur between an individual and the environment. Health promotion and health protection are most effective when they are performed as intentional behaviors by the individual within the environment.

Question 12

Health belief model

Answer 12

How patients’ attitudes and beliefs predict health behaviors.

Key factors that influence health behaviors include an individual’s:

Perceived threat of sickness or disease (perceived susceptibility)

Belief of consequence (perceived severity)

Potential positive benefits of action (perceived benefits)

Perceived barriers to action

Exposure to factors that prompt action (cues to action)

Confidence in ability to succeed (self-efficacy)

Question 13

health and wellness interventions

Answer 13

Question 14

A patient working with a nurse regarding her diagnosis of diabetes wants emotional issues to be included in her plan of care. Which model would be appropriate for the nurse to use?

Answer 14

holistic health model

Question 15

Which patient action represents a health protection behavior?

Answer 15

obtaining vaccinations

Question 16

Match the construct of the Health Belief Model to its description.

Answer 16

Beliefs about the costs of taking action

—Perceived barriers

Beliefs about the seriousness of a disease

—-Perceived severity

Beliefs about the chances of developing a disease

—Perceived susceptibility

Beliefs about the effectiveness of taking action

—Perceived benefits

Question 17

Which patient statement best illustrates the concept of health?

Answer 17

i feel well mentally and physically, and well connected to others

Question 18

Which actions would the nurse suggest to a patient to achieve wellness?

Answer 18

• maintain health by proper diet
• comfortable expressing self to others
• consider volunteering to get involved w community
• obtain job passionate about

Question 19

A patient with high cholesterol states that he does not need to change his diet because there is no family history of heart disease. Which perception of the Health Belief Model is most important for the nurse to address?

Answer 19

susceptability

Question 20

Match the example to the appropriate domain of complementary and alternative medicine.

Answer 20

Mind–body interventions

Meditation

Manipulative and body-based methods

Massage

Biologically based therapies

Herbs

Energy therapies

Homeopathy

Question 21

Which activities depict health promotion behaviors?

Answer 21

exercise 3x week

increase sleep 8-10hrs a day

plant based diet

Question 22

Which example best illustrates the World Health Organization’s (WHO’s) expanded definition of health?

Answer 22

man commits to living healthy and volunteering to give back to community, and believes health gives him the desire and ability to do anything

Question 23

health belief model

Answer 23

Question 24

1. A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of prevention is the patient participating?

Answer 24

3. Tertiary prevention

Question 25

2. 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!”

Answer 25

3. “What do you think is the greatest reason why stopping smoking would be challenging for you?”

Question 26

3. A nurse working on a medical patient care unit states, “I am having trouble sleeping, and I eat nonstop when I get home. All I can think of when I get to work is how I can’t wait for my shift to be over. I wish I felt happy again.” What are the best responses from the nurse manager? (Select all that apply.)

Answer 26

2. “I know several nurses who feel this way every now and then. Tell me about the patients you have cared for recently. Did you find it difficult to care for them?”

4. “Describe for me what you do with your time when you are not working.”
5. “The hospital just started a group where nurses get together to talk about their feelings. Would you like for me to e-mail the schedule to you?”

Question 27

4. A 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 praying daily 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.)

Answer 27

1. Difficulty paying his bills
2. Family practice of not routinely seeing a health care provider

Question 28

5. A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse weighs each family member and reviews their 3-day food diary. She checks the mom’s blood pressure and encourages the mom to take the children for a 15- to 30-minute walk every day. The nurse is addressing which level of need, according to Maslow?

Answer 28

physiological

Question 29

6. When taking care of patients, a nurse routinely asks whether 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?

Answer 29

holistic

Question 30

7. Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a lifestyle change related to physical activity.

Answer 30

3. The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lb.
4. The individual recognizes that he is out of shape when his daughter asks him to walk with her after school.
5. The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan.
6. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
7. Eight months after beginning walking, the individual participates with his wife in a local 5K race.

Question 31

8. Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.)

Answer 31

2. Lack of interest in exercise
3. Lack of desire to go to work
4. Anxiety while working

Question 32

9. 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 accurate perception of susceptibility to an illness?

Answer 32

2. “Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer.”

Question 33

10. The nurse assesses the risk factors for coronary artery disease (CAD) in a female patient. Which of these factors are classified as genetic and physiological? (Select all that apply.)

Answer 33

2. Mother died from CAD at age 48
3. History of hypertension
4. Elevated cholesterol level