C HAPTER 06: H EALTH AND W ELLNESS
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. The patient is admitted to the emergency department of the local hospital
from home with reports of chest discomfort and shortness of breath. The
patient is placed on oxygen, has labs and blood gases drawn, and is given
an electrocardiogram and breathing treatm ents. Which level of preventive
care is this patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
ANS: B
Secondary prevention focuses on individuals who are experiencing
health problems or illnesses and who are at risk for developing
complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physicall y
and emotionall y healthy. Health pr omotion includes health education
programs, immunizations, and physical and nutritional fitness activities
for healthy people. Tertiary prevention occurs when a defect or
disabilit y is permanent and irreversible. It involves minimizing the
effects of long-term disease or disabilit y through interventions directed
at preventing complications and deterioration.
, DIF: Understand (comprehension) OBJ: Compare the three
levels of preventive care. TOP: Evaluation MSC: Management of
Care
2. A patient is admitted to a rehabilitation facilit y following a stroke. The
patient has right -sided paral ysis and is unable to speak. The patient will
be receiving physical therapy and speech therapy. Which level of
preventive care is the patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
ANS: C
Tertiary prevention occurs when a defect or disabilit y is permanent and
irreversible. It involves minimizing the effects of long -term disease or
disabilit y through interventions directed at preven ting complications
and deterioration. Secondary prevention focuses on individuals who are
experiencing health problems or illnesses and who are at risk for
developing complications or worsening conditions. Activities are
directed at diagnosis and prompt in tervention. Primary prevention
precedes disease or dysfunction and is applied to people considered
physicall y and emotionall y healthy. Health promotion includes health
education programs, immunizations, and physical and nutritional
fitness activities.
DIF: Understand (comprehension) OBJ: Compare the three
levels of preventive care. TOP: Evaluation MSC: Management of
Care
, 3. Upon completing a history, the nurse finds that a patient has risk factors
for developing lung disease. How should the nurse interpret t his finding?
a. A person with the risk factor will get the disease.
b. The chances of getting the disease are increased.
c. Risk modification will have no effect on disease prevention.
d. The disease is guaranteed not to develop if the risk factor is
controlled.
ANS: B
The presence of risk factors does not mean that a disease will develop,
but risk factors increase the chances that the individual will experience
a particular disease or dysfunction. Control of risk factors does not
guarantee that a disease will not de velop. However, risk factor
modification can assist patients in adopting activities to promote health
and decrease risks of illness.
DIF: Understand (comprehension) OBJ: Compare and contrast
nonmodifiable and modifiable risk factors that threaten health.
TOP: Assessment MSC: Health Promotion and Maintenance
4. The nurse is caring for a patient who has been trying to quit smoking. The
patient has been smoke free for 2 weeks but had two cigarettes last night
and at least two this morning. What should the nurs e anticipate?
a. The patient does not want to and will never quit smoking.
b. The patient must pick up the attempt right where the patient left off.
c. The patient will return to the contemplation or precontemplation
phase.
d. The patient will need to adopt a new life style for change to be
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. The patient is admitted to the emergency department of the local hospital
from home with reports of chest discomfort and shortness of breath. The
patient is placed on oxygen, has labs and blood gases drawn, and is given
an electrocardiogram and breathing treatm ents. Which level of preventive
care is this patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
ANS: B
Secondary prevention focuses on individuals who are experiencing
health problems or illnesses and who are at risk for developing
complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physicall y
and emotionall y healthy. Health pr omotion includes health education
programs, immunizations, and physical and nutritional fitness activities
for healthy people. Tertiary prevention occurs when a defect or
disabilit y is permanent and irreversible. It involves minimizing the
effects of long-term disease or disabilit y through interventions directed
at preventing complications and deterioration.
, DIF: Understand (comprehension) OBJ: Compare the three
levels of preventive care. TOP: Evaluation MSC: Management of
Care
2. A patient is admitted to a rehabilitation facilit y following a stroke. The
patient has right -sided paral ysis and is unable to speak. The patient will
be receiving physical therapy and speech therapy. Which level of
preventive care is the patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
ANS: C
Tertiary prevention occurs when a defect or disabilit y is permanent and
irreversible. It involves minimizing the effects of long -term disease or
disabilit y through interventions directed at preven ting complications
and deterioration. Secondary prevention focuses on individuals who are
experiencing health problems or illnesses and who are at risk for
developing complications or worsening conditions. Activities are
directed at diagnosis and prompt in tervention. Primary prevention
precedes disease or dysfunction and is applied to people considered
physicall y and emotionall y healthy. Health promotion includes health
education programs, immunizations, and physical and nutritional
fitness activities.
DIF: Understand (comprehension) OBJ: Compare the three
levels of preventive care. TOP: Evaluation MSC: Management of
Care
, 3. Upon completing a history, the nurse finds that a patient has risk factors
for developing lung disease. How should the nurse interpret t his finding?
a. A person with the risk factor will get the disease.
b. The chances of getting the disease are increased.
c. Risk modification will have no effect on disease prevention.
d. The disease is guaranteed not to develop if the risk factor is
controlled.
ANS: B
The presence of risk factors does not mean that a disease will develop,
but risk factors increase the chances that the individual will experience
a particular disease or dysfunction. Control of risk factors does not
guarantee that a disease will not de velop. However, risk factor
modification can assist patients in adopting activities to promote health
and decrease risks of illness.
DIF: Understand (comprehension) OBJ: Compare and contrast
nonmodifiable and modifiable risk factors that threaten health.
TOP: Assessment MSC: Health Promotion and Maintenance
4. The nurse is caring for a patient who has been trying to quit smoking. The
patient has been smoke free for 2 weeks but had two cigarettes last night
and at least two this morning. What should the nurs e anticipate?
a. The patient does not want to and will never quit smoking.
b. The patient must pick up the attempt right where the patient left off.
c. The patient will return to the contemplation or precontemplation
phase.
d. The patient will need to adopt a new life style for change to be
