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NCLEX Health Promotion Review Exam Prep Questions And Answers ()
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NCLEX Health Promotion Review Exam Prep Questions And Answers(202472025)
1. Which of the following statements, if made by a male cancer patient with hair loss secondary to
chemotherapy, indicates the goal for new coping patterns is being met?
a. I think I'll get some new barrettes for my hair
b. I washed my wig today
c. I asked my mom to bring my shampoo
d. I'm thinking about changing my hair color - ✔✔1. B. One of the two indicators that the goal for
implementing new coping patterns has been met is a willingness and ability to resume self-care
responsibilities. Statement B shows that the client is taking care of their wig, a new self-care
responsibility.
2. A client has experienced a traumatic amputation and subsequent body image disturbance. In the
record, nurse Janine documents the nursing diagnosis of body image disturbance related to changes
in appearance secondary to:
a. chronic disease
b. severe trauma
c. loss of body part
d. loss of body function - ✔✔2. C. The client lost a limb. The most appropriate secondary cause is
loss of body part. This will be a chronic condition, not necessarily a disease, but the most
immediate cause of the body image disturbance is loss of body part. The body part was lost because
of trauma, but using loss of body part is much more specific and immediately communicates to all
other nurses the cause of the body image disturbance. There will be loss of body function as well
that relates back to the loss of the body part.
3. Which of the following statements, when made by a client with anorexia nervosa, would indicate
body image distortion instead of body image dissatisfaction?
a. I don't like how my body looks
b. I wish I looked like my sister
c. I'm sad I can't wear halter tops
d. I am so overweight - ✔✔3. D. Statement D is the only statement that reflects a distorted image
of the body. Clients with anorexia nervosa look in the mirror and see someone a lot heavier than
they really are. They cannot see that they are too thin.
, 4. Which of the following questions, when asked by nurse Jessica, assesses for the major defining
characteristic of disturbed body image?
a. How do you feel about this disability?
b. How would you describe your usual mood?
c. How does your family feel about your illness?
d. Do you feel fearful, anxious, or nervous? - ✔✔4. C. The major defining characteristic of body
image disturbance is verbal or nonverbal negative responses to actual or perceived changes in
structure and/or function of the body. Asking how the client feels about their disability will give
them a chance to assess whether there is a negative or positive response to the change that has
occurred.
5. Which of the following clinical manifestations of the aging immune system should alert nurse
Therese to increased susceptibility to illness in elder clients?
a. increased autoimmune responses
b. increased production of T and B cells
c. increased lymphoid tissue
d. increased circulating lymphocytes - ✔✔5. A. Elders experience an increased autoimmune
response that puts them at increased risk for such diseases as rheumatoid arthritis and other
collagen diseases. The number of T and B cells produced by the body is decreased, making the
immune system less efficient. The reduction in T cells may play a role in increased malignancy
rates in the elderly. Lymphoid tissue in the elderly is decreased, resulting in lower immune
responses. The number of circulating lymphocytes in the elderly is reduced by about 15 percent
along with a decline in antibody-antigen reaction making the elder more susceptible to infection.
6. Nurse Jessie should include all of the following information in a teaching plan for elders with
altered immune responses except:
a. Let me go over some ways to manage stress
b. It is normal for seniors to run a low grade temperature
c. It is important to eat a balanced diet
d. If your arthritis starts bothering you, we can give you something for pain - ✔✔6. B. Elders tend
to have masked signs of inflammation and infection and may not respond to them with as high a
temperature or white blood count as a middle age person would. Therefore, nurses need to observe
carefully for masked signs of infection and encourage the elder clients to contact their doctor even
if they have a low grade temperature.
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