TEST BANK
TEST BANK
,Chapter 1 Health, Wellness, and Illness
1. A nurse is performing a health assessment on a new client. The client states, "I
have lived with rheumatoid arthritis for years, but I still feel healthy because I can
do everything I need to do." The nurse recognizes this statement as an example
of which concept?
A) Disease as synonymous with illness
B) Health and wellness as unique to each individual
C) The client being in denial about her condition
D) Optimal functioning requiring the absence of disease
Ans: B
Feedback:
The level of health and wellness is unique to each individual and relative to the
individual's usual state of functioning. A person who has rheumatoid arthritis and a
positive outlook might consider herself healthy while functioning at an optimal level with
minimal pain. Disease and illness are not synonymous. The client is not in denial; she is
expressing her perception of her own health. Optimal functioning does not require the
absence of disease.
2. The nurse is educating a community group on factors that influence health and
wellness. Which of the following is an example of a modifiable variable affecting
health?
A) Age
B) Sex
C) Genetic traits
,D) Smoking habits
Ans: D
Feedback:
Modifiable variables affecting health and wellness are those that can be changed, such
as smoking, nutrition, access to health education, sexual practices, and exercise. Age,
sex, developmental level, and genetic traits are non-modifiable variables that cannot be
changed. Identifying modifiable variables is essential because nursing interventions can
target these factors to promote health.
3. A nurse is assessing the overall wellness of a client. The nurse determines that
the client interacts successfully with family and friends and maintains positive
relationships. Which aspect of health and wellness does this finding represent?
A) Physical wellness
B) Intellectual wellness
C) Social wellness
D) Emotional wellness
Ans: C
Feedback:
Social wellness is defined as the ability to interact successfully with others. Physical
wellness refers to the ability to perform activities of daily living. Intellectual wellness
involves effectively learning and disseminating information. Emotional wellness involves
adapting to stress and expressing and identifying emotions. Each aspect of wellness
contributes to an individual's overall state of health.
, 4. A nurse is caring for a client who recently lost his job and is living in a high-crime
neighborhood. The nurse recognizes that these factors belong to which
component of the client's environment?
A) Internal environment
B) Physical external environment
C) Social external environment
D) Cultural internal environment
Ans: C
Feedback:
The social external environment includes factors such as crime vs. safety, poverty vs.
prosperity, peace vs. social unrest, and the presence or absence of support from social
networks. The physical external environment includes access to health care, sanitation,
availability of clean water, and geographic location. The internal environment includes
cumulative life experiences, cultural and spiritual beliefs, age, developmental stage,
gender, and emotional factors. Cultural beliefs are part of the internal environment, not
a separate category.
5. The nurse is using the Illness‑ Wellness Continuum as an assessment tool with a
client. The nurse understands that the center of the continuum represents which
of the following?
A) Optimal wellness
B) Severe illness
C) The client's normal state of health
D) Premature death
Ans: C
TEST BANK
,Chapter 1 Health, Wellness, and Illness
1. A nurse is performing a health assessment on a new client. The client states, "I
have lived with rheumatoid arthritis for years, but I still feel healthy because I can
do everything I need to do." The nurse recognizes this statement as an example
of which concept?
A) Disease as synonymous with illness
B) Health and wellness as unique to each individual
C) The client being in denial about her condition
D) Optimal functioning requiring the absence of disease
Ans: B
Feedback:
The level of health and wellness is unique to each individual and relative to the
individual's usual state of functioning. A person who has rheumatoid arthritis and a
positive outlook might consider herself healthy while functioning at an optimal level with
minimal pain. Disease and illness are not synonymous. The client is not in denial; she is
expressing her perception of her own health. Optimal functioning does not require the
absence of disease.
2. The nurse is educating a community group on factors that influence health and
wellness. Which of the following is an example of a modifiable variable affecting
health?
A) Age
B) Sex
C) Genetic traits
,D) Smoking habits
Ans: D
Feedback:
Modifiable variables affecting health and wellness are those that can be changed, such
as smoking, nutrition, access to health education, sexual practices, and exercise. Age,
sex, developmental level, and genetic traits are non-modifiable variables that cannot be
changed. Identifying modifiable variables is essential because nursing interventions can
target these factors to promote health.
3. A nurse is assessing the overall wellness of a client. The nurse determines that
the client interacts successfully with family and friends and maintains positive
relationships. Which aspect of health and wellness does this finding represent?
A) Physical wellness
B) Intellectual wellness
C) Social wellness
D) Emotional wellness
Ans: C
Feedback:
Social wellness is defined as the ability to interact successfully with others. Physical
wellness refers to the ability to perform activities of daily living. Intellectual wellness
involves effectively learning and disseminating information. Emotional wellness involves
adapting to stress and expressing and identifying emotions. Each aspect of wellness
contributes to an individual's overall state of health.
, 4. A nurse is caring for a client who recently lost his job and is living in a high-crime
neighborhood. The nurse recognizes that these factors belong to which
component of the client's environment?
A) Internal environment
B) Physical external environment
C) Social external environment
D) Cultural internal environment
Ans: C
Feedback:
The social external environment includes factors such as crime vs. safety, poverty vs.
prosperity, peace vs. social unrest, and the presence or absence of support from social
networks. The physical external environment includes access to health care, sanitation,
availability of clean water, and geographic location. The internal environment includes
cumulative life experiences, cultural and spiritual beliefs, age, developmental stage,
gender, and emotional factors. Cultural beliefs are part of the internal environment, not
a separate category.
5. The nurse is using the Illness‑ Wellness Continuum as an assessment tool with a
client. The nurse understands that the center of the continuum represents which
of the following?
A) Optimal wellness
B) Severe illness
C) The client's normal state of health
D) Premature death
Ans: C
