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Health & Illness Exam 1 Questions & Answers, All Correct

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Health & Illness Exam 1 Questions & Answers, All Correct-A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of prevention is the patient p...

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Health & Illness Exam 1 Questions &
Answers, All Correct
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in
an outpatient setting. In what level of prevention is the patient participating?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Transtheoretical prevention - c

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!"
a) "That's fine. Some people who smoke live a long life."
b) "OK. I want you to decrease the number of cigarettes you smoke by one each day, and
I'll see you in 1 month."
c) "What do you think is the greatest reason why stopping smoking would be challenging
for you?"
d) "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed." - c

A nurse working on a medical patient care unit state, "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 diphenhydramine 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?" - b, d, e

,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 - a, e

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 - a

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 - a

Using the Transtheoretical Model of Change, order the steps that a patient goes through
to make a lifestyle change related to physical activity.
a) The individual recognizes that he is out of shape when his daughter asks him to walk
with her after school.

, b) Eight months after beginning walking, the individual participates with his wife in a
local 5K race.
c) The individual becomes angry when the physician tells him that he needs to increase
his activity to lose 30 pounds.
d) The individual walks 2 to 3 miles, 5 nights a week, with his wife.
e) The individual visits the local running store to purchase walking shoes and obtain
advice on a walking plan. - c, a, e, d, b

Which of the following are symptoms of secondary traumatic stress and burnout that
commonly affect nurses? (Select all that apply.)
a. Regular participation in a book club
b. Lack of interest in exercise
c. Difficulty falling asleep
d. Lack of desire to go to work
e. Anxiety while working - b,c,d,e

As part of a faith community nursing program in her church, a nurse is developing a
health promotion program on breast self-examination for the women's group. Which
statement made by one of the participants is related to the individual's accurate perception
of susceptibility to an illness?
a) "I have a hanging tag on my bathroom door to remind me to do my breast self-
examination monthly."
b) "Since my mother had breast cancer, I know that I am at increased risk for developing
breast cancer."
c) "Since I am only 25 years of age, the risk of breast cancer for me is very low."
d) "I participate every year in our local walk/run to raise money for breast cancer
research." - b

A nurse enters a patient's room at the beginning of a shift to assess his condition
following a blood transfusion. The nurse cared for the patient on the previous day as well.
The patient has several issues he wishes to share with the nurse, who takes time to
explore each issue. The nurse also assesses the patient and finds no signs or symptoms of
a reaction to the blood product. The nurse observed the patient the prior day and sees a
change in his behavior—a reluctance to get out of bed and ambulate. Which of the
following actions improve the nurse's ability to make clinical decisions about this
patient? (Select all that apply.)

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