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NUR 304 ( LATEST 2024 / 2025 ) EXAM 4 | COMPLETE ANSWERS 100% CORRECT
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NUR 304 ( LATEST 2024 / 2025 ) EXAM 4 | COMPLETE ANSWERS 100% CORRECT
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NUR 304 Exam 41. primary prevention
Answer
reduce incidence of disease. prevent sickness/disease ex
vaccines, education
2. secondary prevention
Answer
preventing spread of disease after infection occurs
3. tertiary prevention
Answer
minimizing the effects of long term disease or disability and occurs after a defect or disability is
permanent
4. health promotion
Answer
focuses on helping individuals maintain or enhance their present health. Motivates people to
engage in healthy activities such as exercise and good nutrition
5. health education
Answer
providing information on topics suchs as physical awareness, stress management, and self-
responsibility to enable individuals
to to improve their health
6. illness prevention
Answer
immunizations, BP screenings, activities to protect people from risks to health
,7. A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and regis- tered dietitians in an
outpatient setting. In what level of prevention is the patient participating?
- primary prevention
- secondary prevention
- tertiary prevention
- transtheoretical prevention
Answer
tertiary prevention
8. 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!"
- "That's fine. Some people who smoke live a long life."
-"OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you
in a month."
-"What do you think is the greatest reason why stopping smoking would be challenging for
you?"
-"I'd like you to attend a smoking-cessation class this week and use nicotine replacements
patchesas directed."
Answer
"What do you think is the greatest reason why stopping smoking would be challenging for
you?"
9. 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)
a. "I'm sure this is just a phase you are going through. hang in there.You'll feel better soon."
b. "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?"
c. "You can take diphenyldramine over the counter to help you sleep at night"
d. "Describe for me what you do with your time when you are not working."
,e. "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?
Answer
b. "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?"
d. "Describe for me what you do with your time when you are not working.
e. "The hospital just started a group where nurses get together to talk about their
10. 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.)
a. Difficulty paying his bills
b. Praying daily
c. Age of patient (46 years)
d. Stress from the divorce and the loss of a job
e. Family practice of not routinely seeing a health care provider
Answer
a. difficulty paying his bills
d. stress from the divorce and the loss of a job
11. 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 30-minute walk every day. The nurse is addressing which level of need, according
to Maslow's Hierarchy of Needs?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization
Answer
a. physiological
12. 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 patients like to help the
, patients 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
Answer
a. holistic
13. Using the Transtheoretical Model of Change, order the steps that a patient goes through to
make a lifestyle change related to physical activity.
1. The individual recognizes that he is out of shape when his daughter asks him to walk with
her after school.
2. Eight months after beginning walking, the individual participates with his wife in a local 5K
race.
3. The individual becomes angry when the physician tells him that he needs to increase his
activity to lose 30 pounds.
4. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
5. The individual visits the local running store to purchase walking shoes and obtain advice on
a walking plan.
Answer
3, 1, 5, 4, 2
14. Which of the following are symptoms of secondary traumatic stress and burnout that
commonly affect nurses? (Select all that apply.)
1. Regular participation in a book club
2. Lack of interest in exercise
3. Difficulty falling asleep
4. Lack of desire to go to work
5. Anxiety while working
Answer
2, 3, 4, 5
15. As part of a faith community nursing program in her church, a nurse is developing a
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