Fundamentals of Nursing

Amy Hall, Anne Griffin Perry, Patricia A Potter, Patricia Stockert

Chapter 6 Health and Wellness - all with Video Answers

Educators

Chapter Questions

Problem 1

The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention

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Problem 2

A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention

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Problem 3

Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: “Me, exercise? I haven’t done that since junior high gym class, and I hated it then!”
a. “That’s fine. Exercise is bad for you anyway.”
b. “OK. I want you to walk 3 miles 4 times a week, and I’ll see you in 1 month.”
c. “I understand. Can you think of one reason why being more active would be helpful for you?”
d. “I’d like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day.”

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03:51

Problem 4

A patient comes to the local health clinic and states: “I’ve noticed how many people are out walking in my neighborhood. Is walking good for you?” What is the best response to help the patient through the stages of change for exercise?
a. “Walking is OK. I really think running is better.”
b. “Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?”
c. “Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables.”
d. “They probably aren’t walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good.”

Kayla Laughman

Numerade Educator

Problem 5

A male 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 seeing his pastor 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 the physician when he was a child. Which external variables influence the patient’s health practices? (Select all that apply.)
a. Difficulty paying his bills
b. Seeing his pastor as a means of support
c. Family practice of not routinely seeing a health care
provider
d. Stress from the divorce and the loss of a job

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Problem 6

The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool
in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is addressing which level of need according to Maslow?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization

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01:10

Problem 7

When taking care of patients, the nurse routinely asks them if 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?
a. Holistic
b. Health belief
c. Transtheoretical
d. Health promotion

Asma Venkitta

Numerade Educator

03:21

Problem 8

When illness occurs, different attitudes about it cause people to react in different ways. What do medical sociologists call this reaction to illness?
a. Health belief
b. Illness behavior
c. Health promotion
d. Illness prevention

Emily Himsel

Numerade Educator

01:46

Problem 9

A patient at the community clinic asks the nurse about health promotion activities that she can do because she is concerned about getting diabetes mellitus since her grandfather and father both have the disease. This statement reflects that the patient is in what stage of the health belief model?
a. Perceived threat of the disease
b. Likelihood of taking preventive health action
c. Analysis of perceived benefits of preventive action
d. Perceived susceptibility to the disease.

Aparna Shakti

Numerade Educator

Problem 10

A nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy’s father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. What action does the nurse take?
a. Care for the boy as she would any other patient
b. Ask the manager to talk with the father and keep him out of the unit
c. Have another nurse care for the boy because maybe that nurse will do better with the father
d. Search for help with interpretation and understanding of the cultural differences by contacting someone from the local Greek community

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01:46

Problem 11

A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that he is experiencing a problem with body image?
a. “I just don’t have any energy to get out of bed in the morning.”
b. “I’ve been attending church regularly with my wife since I got out of the hospital.”
c. “My wife has taken over paying the bills since I’ve been in the hospital.”
d. “I don’t go out very much because everyone stares at me.”

Aparna Shakti

Numerade Educator

Problem 12

The patient states she joined a fitness club and attends the aerobics class three nights a week. The patient is in what stage of behavioral change?
a. Precontemplation
b. Contemplation
c. Preparation
d. Action

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01:46

Problem 13

The nurse is developing a health promotion program on healthy eating and exercise for high school students using the health belief model as a framework. Which statement made by a nursing student is related to the individual’s perception of susceptibility to an illness?
a. “I don’t have time to exercise because I have to work after school every night.”
b. “I’m worried about becoming overweight and getting diabetes because my father has diabetes.”
c. “The statistics of how many teenagers are overweight is scary.”
d. “I’ve decided to start a walking club at school for interested students.”

Aparna Shakti

Numerade Educator

Problem 14

The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient. Which factors are classified as genetic and physiological? (Select all that apply.)
a. Sedentary lifestyle
b. Father died from CAD at age 50
c. History of hypertension
d. Eats diet high in sodium
e. Elevated cholesterol level
f. Age is 44 years

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Problem 15

Which activity represents secondary prevention?
a. A home health care nurse visits a patient’s home to change a wound dressing
b. A 50-year-old woman with no history of disease attends the local health fair and has her blood pressure checked.
c. The school health nurse provides a program to the first-year students on healthy eating.
d. The patient attends cardiac rehabilitation sessions weekly

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