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1. A nurse is recommending relaxation techniques and music therapy to a client
with insomnia. Which health model is the nurse applying?
A) Health Belief Model
B) Holistic Health Model
C) Pender's Health Promotion Model
D) Transtheoretical Model
Correct answer B) Holistic Health Model
Expert-Explanation The Holistic Health Model considers the patient as a whole
being, addressing emotional and spiritual well-being in addition to physical
symptoms. By using relaxation techniques and music therapy, the nurse is
attempting to soothe the patient's mind and spirit to promote physical sleep,
which goes beyond just treating a physical symptom with medication. This
model creates an environment conducive to healing by recognizing the
interconnection of mind, body, and spirit . In contrast, the Health Belief Model
focuses on predicting health behaviors based on perceived susceptibility and
severity , Pender's model focuses on increasing well-being through specific
behaviors, and the Transtheoretical Model addresses stages of change.
2. A public health nurse is advocating for policies to improve clean air and
water in a community. Which level of prevention is the nurse primarily engaging
in?
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Quaternary Prevention
Correct answer A) Primary Prevention
,Expert-Explanation Primary prevention aims to prevent disease or injury before
it ever occurs. This is done by reducing exposure to hazards, altering unhealthy
or unsafe behaviors, or increasing resistance to disease should exposure occur
. Advocating for clean air and water removes environmental hazards that cause
illness, effectively reducing the incidence of disease in the entire population.
Secondary prevention involves screening to catch disease early (e.g.,
mammograms), and tertiary prevention involves rehabilitation to reduce the
impact of an existing illness (e.g., physical therapy after a stroke) .
3. According to Maslow's Hierarchy of Needs, a patient experiencing acute
shortness of breath and chest pain would have their nursing care prioritized
based on which level of needs?
A) Safety and Security
B) Love and Belonging
C) Physiological
D) Self-Actualization
Correct answer C) Physiological
Expert-Explanation Maslow's Hierarchy of Needs is a motivational theory in
psychology comprising a five-tier model of human needs, often depicted as a
pyramid. The most fundamental and basic needs are at the bottom:
Physiological needs (air, water, food, shelter, sleep, clothing, reproduction).
According to this theory, higher-level needs like safety, love, or self-esteem
cannot be addressed until these basic survival needs are met . Since breathing
(oxygen) is the most critical physiological need, a patient with respiratory
distress requires immediate intervention to stabilize their airway and breathing
before any other psychosocial concerns can be effectively addressed.
4. The nurse is educating a patient who states, "I know smoking is bad, but I'm
healthy now so I don't need to quit." According to the Health Belief Model,
which component is this patient lacking?
A) Perceived Susceptibility
B) Perceived Benefits
C) Self-Efficacy
D) Cues to Action
Correct answer A) Perceived Susceptibility
, Expert-Explanation The Health Belief Model predicts health behaviors by
evaluating an individual's perceptions of health threats and the value of actions
to reduce those threats . One of its key components is Perceived Susceptibility,
which is a person's subjective perception of the risk of developing a health
problem. This patient acknowledges the general danger of smoking ("I know
smoking is bad") but does not feel personally at risk ("I'm healthy now").
Without a perceived personal threat, the patient is unlikely to take action.
Perceived benefits would involve believing quitting would improve health, and
self-efficacy is the confidence in one's ability to quit .
5. A patient with diabetes who attends a cardiac rehabilitation program
following a heart attack is receiving which level of prevention?
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Health Promotion
Correct answer C) Tertiary Prevention
Expert-Explanation Tertiary prevention focuses on managing long-term,
complex health problems and preventing further deterioration or complications.
The goal is to improve the patient's quality of life and functional ability as much
as possible . In this scenario, the patient has an established disease (diabetes)
and has already experienced a complication (heart attack). Cardiac
rehabilitation aims to help the patient recover, prevent another heart attack,
and manage their chronic condition to slow disease progression, which
perfectly aligns with the definition of tertiary prevention .
6. According to Pender's Health Promotion Model, a patient's belief in their
ability to successfully perform a specific health behavior, such as exercising
regularly, is known as:
A) Perceived Barriers
B) Interpersonal Influences
C) Self-Efficacy
D) Commitment to a Plan of Action
Correct answer C) Self-Efficacy
Expert-Explanation Pender's Health Promotion Model identifies Self-Efficacy as
a central behavior-specific cognition. It is defined as the personal conviction