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VNSG 1304; CHAPTER 4 PREP U QUESTIONS WITH ANSWERS
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VNSG 1304; CHAPTER 4 PREP U QUESTIONSWITH ANSWERS 2024-2025
Which nursing intervention is an example of tertiary preventative care? -
ANSWER Assisting with speech therapy with a traumatic brain injury.
The definition of chronic conditions can be complex. Which factors would
a nurse expect to be included in the definition of chronic conditions? -
ANSWER - Diseases that have a prolonged course
- Diseases that do not resolve spontaneously
- Diseases where complete cures are rare
According to Maslow, which category of needs represents the most
basic on the hierarchy? - ANSWER Physiologic needs
The nurse is explaining primary and secondary care to the client. Which
nursing activity reflects secondary care provided by the nurse? -
ANSWER Ordering a mammography
Which clients, at risk for health disparities, may require additional
assistance from the nurse to access healthcare services? - ANSWER -
Older adult clients in a senior citizen complex
- Clients who have been unemployed for several months
- Migrant Farm Workers
The nurse understands that an idiopathic illness is a condition whose
cause is unexplained. Which is an example of idiopathic illness? -
ANSWER Fever of unknown origin
The body's attempt to restore balance through self-regulatory
mechanisms is termed: - ANSWER Homeostasis
Managed care organizations (MCO's) are insurers who carefully plan
and closely supervise the distribution of health care services. What
factor is one of the goals of managed care? - ANSWER Preventing
illness through the screening and promotion of health activities
, What is a factor upon which the financial stability of health maintenance
organizations (HMO's)is based? - ANSWER Keeping clients healthy and
out of the hospital through periodic screening, health education, and
preventative services
The Employee Health Nurse has been providing counseling to the client
for the past year. The client has exhibited all of the stages in the Stages
of Change Model. Place in order the stages the client established during
the past year. - ANSWER - The client tells the nurse that he does not
know why he was referred to the nurse and does not have a drinking
problem.
- The client informs the nurse that he has thought about obtaining
literature on alcohol abuse.
- The client took written and verbal information from the nurse about
alcohol cessation.
- The client attends AA meetings and discards alcohol from the home.
- The client maintains sobriety and provides support for another member
of AA.
Explanation:
The first stage in the Stages of Change Model is the Precontemplation
stage. In this stage, the client is not even thinking about changing the
behavior. In the Contemplation stage, the client considers the need to
change. The client has thought about obtaining information on alcohol
use. The third stage is the Determination: Commitment to action; the
client has made the decision to change and prepares for the change.
That is, the client took written and verbal information about alcohol
cessation. The fourth stage is the Action: Implementing the plan stage.
Here the client implements the plan and begins to achieve success. The
client is attending Alcoholics Anonymous meetings and discards alcohol
from the home. The last stage is Maintenance, relapse, and recycling
stage. The client focuses on sustaining the new behavior. This is the
client maintaining sobriety and providing support for another member.
The nurse is performing a routine assessment of a male client who has
an artificial arm as a result of a small plane crash many years earlier.
How should the nurse BEST understand this client's health? - ANSWER
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