NUR 204 Exam 1 Test Bank Questions and Answers 2024
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Course
NUR 204
Institution
NUR 204
NUR 204 Exam 1 Test Bank Questions and Answers 2024
In an effort to promote health, the home health nurse opens the clients bedroom
windows to let in fresh air and sunlight, washes her hands often, and teaches the
patient and family about the importance of hygiene and cleanliness. This most clos...
NUR 204 Exam 1 Test Bank Questions and Answers 2024 In an effort to promote health, the home health nurse opens the clients bedroom windows to let in fresh air and sunlight, washes her hands often, and teaches the patient and family about the importance of hygiene and cleanliness. This most closely illustra tes the ideas of which of the following people? 1) Jean Watson 2) Jurgen Moltmann 3) Florence Nightingale 4) Robert Louis Stevenson - Answer -ANS: 3 Florence Nightingale believed that health was prevention of disease through the use of fresh air, pure water, efficient drainage, cleanliness, and light. Jean Watson believes that health has three elements: a high level of overall physical, mental, and soc ial functioning; a general adaptive -maintenance level of daily functioning; and the absence of illness (or the presence of efforts that lead to its absence). Jurgen Moltmann believes that true health is the strength to live, the strength to suffer, and the strength to die. He also stated that health is not a condition of my body; it is the power of my soul to cope with the varying condition of that body. Robert Louis Stevenson wrote that health is not a matter of holding good cards; it is playing a poor han d well. Which of the following is known to be a healthy strategy for coping with stress? 1) Performing meaningful work 2) Consuming simple carbohydrates 3) Drinking three glasses of red wine each day 4) Weight training - Answer -ANS: 1 Many individuals find that meaningful work is a healthy way to cope with stressors. Consuming simple carbohydrates is not a healthy way to cope with stress. Drinking more than one glass of red wine each day is considered unhealthy. Weight training has been shown to increase bone density and reduce the risk of osteoporosis and heart disease but not necessarily to reduce stress. Which family would most likely be helpful in encouraging the client to experience a high level of wellness? A family who: 1) Controls feelings in order to avoid conflict. 2) Teaches negotiation skills and independence. 3) Encourages risk -taking and adventure. 4) Views themselves as helpless victims. - Answer -ANS: 2 Families who promote independence and teach good negotiation skills enable family members to experience a high level of wellness by thinking for themselves. In contrast, families who tend to squelch personal feelings to avoid conflict may not allow a high level of wellness. Families who emphasize caution in new situations are more beneficial than those who encourage risk -taking. Families who view themselves as capable and successful are more advantageous than those who view themselves as helpless victims. The client is a 76 -year-old man who is experiencing chronic illness. He has a genetic -
linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat and vegetables. Which of the following dimensions of health can the nurse most likely influence by teaching and counseling him? 1) Age -related changes 2) Genetic anemia 3) Eating habits 4) Gender -related issues - Answer -ANS: 3 The nurse is most likely to influence the patients eating habits because those are the dimension over which he has the most control and, therefore, has the most potential for changing. Although people consider biological factors when they describe themselv es as well or ill, they are not entirely within our control. Biological factors include age and developmental stage, genetic makeup, and gender. What type of loss is most common among patients who are hospitalized for complex health conditions? 1) Privacy 2) Dignity 3) Functional 4) Identity - Answer -ANS: 2 Hospitalized patients commonly experience the loss of dignity. Wearing a hospital gown, having their body exposed, invasive procedures, loss of control over body functions all of these contribute to loss of dignity, and all are very common among hospitaliz ed patients. Healthcare providers have a duty to protect privacy and confidentiality of patients, even though it is certainly threatened by some situations during hospitalization. Some patients lose functioning and identity during hospitalization, but they are not common occurrences. A 62-year-old patient is admitted to the hospital with hypertension. Which question by the nurse is most important when performing the initial assessment interview? 1) What medications do you take at home? 2) Do you have any environmental, food, or drug allergies? 3) Do you have an advance directive? 4) What is the greatest concern you are dealing with today? - Answer -ANS: 4 It is most important for the nurse to ask the patient about his greatest concern. His concern can then be incorporated into the plan of care, making sure that his needs are met. Asking about medications, allergies, and an advance directive is also importan t but does not take priority over asking about the patients greatest conc When developing goals, which guideline should the nurse keep in mind? Goals should be: 1) Realistic so that progress is recognized by the patient 2) Developed solely by the healthcare team 3) Developed without family input, to maintain confidentiality 4) Valued by the multidisciplinary care providers - Answer -ANS: 1 Goals should be realistic so that progress is recognized by the patient. They should be valued by both the patient and family. The nurse should develop goals with input from the patient and his family. Which one of the following important nursing actions is a hospitalized patient likely to experience on an emotional level and remember long after this hospitalization has ended? 1) Administering her medications according to schedule 2) Allowing flexible visitation by her family and friends 3) Explaining treatment options in terms she can understand
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