Questions for this set
Terms in this set (160)
,1. A nurse working in a primary care facility assesses patients who are
experiencing various levels of health and illness. Which statements define
these two concepts? Select all that apply.
Health and illness are the same for all people.
Health and illness are individually defined by each person.
People with acute illnesses are actually healthy.
People with chronic illnesses have poor health beliefs.
Health is more than the absence of illness.
Illness is the response of a person to a disease.: b, e, f. Each person defines health
and illness individually, based on a number of factors. Health is more than just the
absence of illness; it is an active process in which a person moves toward his or her
maximum potential. An illness is the response of the person to a disease.
2. A nurse working in a hospital setting cares for patients with acute and
chronic conditions. Which disease states are chronic illnesses? Select all that
apply.
Diabetes mellitus
Bronchial pneumonia
Rheumatoid arthritis
Cystic fibrosis
Fractured hip
Otitis media: a, c, d. Diabetes, arthritis, and cystic fibrosis are chronic diseases
because they are permanent changes caused by irreversible alterations in normal
anatomy and physiology, and they require patient education along with a long
period of care or support. Pneumonia, fractures, and otitis media are acute illnesses
because they have a rapid onset of symptoms that last a relatively short time.
,3. Despite a national focus on health promotion, nurses working with patients
in inner-city clinics continue to see disparities in health care for vulnerable
populations. Which patients are considered vulnerable populations? Select all
that apply.
A White male diagnosed with HIV
An African American teenager who is 6 months pregnant
A Hispanic male who has type II diabetes
A low-income family living in rural America
A middle-class teacher living in a large city
A White baby who was born with cerebral palsy: b, c, d, f. National trends in the
prevention of health disparities are focused on vulnerable populations, such as racial
and ethnic minorities, those living in poverty, women, children, older adults, rural
and inner-city residents, and people with disabilities and special health care needs.
4. A nurse has volunteered to give influenza immunizations at a local clinic.
What level of care is the nurse demonstrating?
Tertiary
Secondary
Primary
Promotive: c. Giving influenza injections is an example of primary health promotion
and illness prevention.
, 5. A patient in a community health clinic tells the nurse, "I have a high
temperature, feel awful, and I am not going to work." What stage of illness
behavior is the patient exhibiting?
Stage 1: Experiencing symptoms
Stage 2: Assuming the sick role
Stage 3: Assuming a dependent role
Stage 4: Achieving recovery and rehabilitation: b. Stage 2: Assuming the sick role.
When people assume the sick role, they define themselves as ill, seek validation of
this experience from others, and give up normal activities. In stage 1: Experiencing
symptoms, the first indication of an illness usually is recognizing one or more
symptoms that are incompatible with one's personal definition of health. The stage
of assuming a dependent role is characterized by the patient's decision to accept
the diagnosis and follow the prescribed treatment plan. In the achieving recovery
and rehabilitation role, the person gives up the dependent role and resumes normal
activities and responsibilities.
6. Based on the components of the physical human dimension, the nurse
would expect which clinic patient to be most likely to have annual breast
examinations and mammograms?
Jane, whose best friend had a benign breast lump removed
Sarah, who lives in a low-income neighborhood
Tricia, who has a family history of breast cancer
Nancy, whose family encourages regular physical examinations: c. The
physical dimension includes genetic inheritance, age, developmental level, race,
and biological sex. These components strongly influence the person's health status
and health practices. A family history of breast cancer is a major risk factor.