Exam (elaborations)
Chapter 7. Promoting Health and Wellness
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 7. Promoting Health and Wellness
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Chapter 7. Promoting Health and WellnessMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse explains to the patient that health is measured on a continuum scale and that
A. It proves that health is constant and rarely fluctuates.
B. The higher the measurement is, the better one’s health is.
C. It measures only the physical aspects of health.
D. It would be more accurate if mental and emotional aspects could be measured.
2. A male patient with severe chronic obstructive pulmonary disease (COPD) was brought to the
hospital by emergency personnel. He lives alone, has no relatives or friends living nearby, and
lives on a fixed income, which prevents him from purchasing all of the medications that he needs.
Based on Dunn’s wellness grid, the nurse determines that the quadrant that the patient is in is
A. High-level wellness in a favorable environment.
B. Emergent high-level wellness in an unfavorable environment.
C. Protected poor health in a favorable environment.
D. Poor health in an unfavorable environment
3. The nurse educator explains to student nurses Fitzpatrick’s rhythm model theory. According to
this theory, the patient’s health
A. Is only a state of mind over matter and is controlled by the patient.
B. Is always changing and fluctuates throughout four wellness quadrants.
C. Defines how well the individual promotes his or her physical well-being.
D. Is the result of the interaction between an individual and the environment.
4. The nurse discusses with the patient ways to improve health and prevent disease. The nurse suggests
that the patient
A. Use emergency and urgent care facilities for routine care.
B. Worry less about food groups and more about calories.
C. Eliminate certain food groups from the diet.
D. Participate in stress-management techniques.
5. The nurse educates the patient in ways to prevent long-term illnesses or diseases. The nurse states,
A. “It is important that you receive the flu vaccination every year.”
B. “Your diet should be moderate in calories and include a variety of foods.”
C. “Running at least 4 to 5 miles per day will ensure that you do not develop cancers
or heart diseases.”
D. “Smoking cigarettes that are low in tar and nicotine will greatly decrease your risk
of developing respiratory problems.”
6. A patient being seen in the clinic tells the nurse, “The pain is in my right side.” The patient’s
phase of illness is
A. Prodromal.
B. Symptomatic.
, C. Seeking help.
D. Dependency.
7. The nurse instructs the patient, “You can decrease your risks for developing many diseases and
illnesses by developing healthy habits and participating in health screenings.” The patient validates
understanding when he or she states,
A. “As long as I begin to limit the amount of bad carbohydrates in my diet and begin
exercising by the age of 50, I probably will not develop type 2 diabetes.”
B. “Performing monthly breast self-exams if I have a family history of breast cancer
will decrease my chances of developing it.”
C. “I can take responsibility for reducing risks by eating a well-balanced diet and
seeing my primary care physician for routine health screenings.”
D. “Since I am at risk for developing high cholesterol, it will be important for me to
ask my primary care physician for medications to prevent it.”
8. The patient told the nurse, “I can’t remember anything right before or after my wreck, but the officer
told me that I left lots of black marks trying to stop.” The nurse explains to the patient,
A. “When scared, the parasympathetic system stimulates the fight-or-flight response.”
B. “Your fight-or-flight response pumps adrenaline into your system, which enhances
your ability to react quickly.”
C. “Cortisol, a natural hormone, ceases production and, as a result, we are able to
respond quickly in an emergency.”
D. “The sympathetic nervous system blocks your endocrine glands, resulting in
additional hormones enabling a quick response.”
9. A patient who is admitted for observation following an episode of chest pain relieved by rest and two
nitroglycerin tabs, tells the nurse that his job as CEO of a large firm is becoming too much to handle.
According to Selye, the nurse suspects that the patient most likely is experiencing
A. An interaction between the individual and the environment.
B. Protected poor health in a favorable environment.
C. The seeking help phase of illness.
D. The exhaustion phase of stress.
10. A 42-year-old female patient who was just admitted states, “I must be under too much stress. I just
do not feel well.” The nurse understands that her complaint could be a symptom of stress and is not
surprised to find that
A. Her blood pressure is 178/96.
B. She sets aside some time each day to relax.
C. Her pupils are constricted and reactive to light.
D. She is limiting fats and sugar in her diet.
11. The elderly patient with a history of congestive heart failure was just admitted for chest pain. The
patient asks the nurse, “Why did my chest pain begin after I thought someone was trying to break
into my house?” The best response by the nurse is:
A. “Response to fear increases the body’s demand for oxygen, which can
place additional stress on your damaged heart and cause chest pain.”
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