NUR 204 Exam 1 TestBank Questions
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In an effort to promote health, the home health nurse opens the clients bedroom
windows to let in fresh air and sunlight, washes her hands often, and teaches the
patient and family about the importance of hygiene and cleanliness. This most closely
illustrates the ideas of which of the following people?
1) Jean Watson
2) Jurgen Moltmann
3) Florence Nightingale
4) Robert Louis Stevenson - SOLVED ANSWER-ANS: 3
Florence Nightingale believed that health was prevention of disease through the use of
fresh air, pure water, efficient drainage, cleanliness, and light. Jean Watson believes
that health has three elements: a high level of overall physical, mental, and social
functioning; a general adaptive-maintenance level of daily functioning; and the absence
of illness (or the presence of efforts that lead to its absence). Jurgen Moltmann believes
that true health is the strength to live, the strength to suffer, and the strength to die. He
also stated that health is not a condition of my body; it is the power of my soul to cope
with the varying condition of that body. Robert Louis Stevenson wrote that health is not
a matter of holding good cards; it is playing a poor hand well.
Which family would most likely be helpful in encouraging the client to experience a high
level of wellness? A family who:
1) Controls feelings in order to avoid conflict.
2) Teaches negotiation skills and independence.
3) Encourages risk-taking and adventure.
4) Views themselves as helpless victims. - SOLVED ANSWER-ANS: 2
,Families who promote independence and teach good negotiation skills enable family
members to experience a high level of wellness by thinking for themselves. In contrast,
families who tend to squelch personal feelings to avoid conflict may not allow a high
level of wellness. Families who emphasize caution in new situations are more beneficial
than those who encourage risk-taking. Families who view themselves as capable and
successful are more advantageous than those who view themselves as helpless
victims.
The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-
linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat
and vegetables. Which of the following dimensions of health can the nurse most likely
influence by teaching and counseling him?
1) Age-related changes
2) Genetic anemia
3) Eating habits
4) Gender-related issues - SOLVED ANSWER-ANS: 3
The nurse is most likely to influence the patients eating habits because those are the
dimension over which he has the most control and, therefore, has the most potential for
changing. Although people consider biological factors when they describe themselves
as well or ill, they are not entirely within our control. Biological factors include age and
developmental stage, genetic makeup, and gender.
Which of the following is known to be a healthy strategy for coping with stress?
1) Performing meaningful work
2) Consuming simple carbohydrates
3) Drinking three glasses of red wine each day
4) Weight training - SOLVED ANSWER-ANS: 1
Many individuals find that meaningful work is a healthy way to cope with stressors.
Consuming simple carbohydrates is not a healthy way to cope with stress. Drinking
more than one glass of red wine each day is considered unhealthy. Weight training has
been shown to increase bone density and reduce the risk of osteoporosis and heart
disease but not necessarily to reduce stress.
,What type of loss is most common among patients who are hospitalized for complex
health conditions?
1) Privacy
2) Dignity
3) Functional
4) Identity - SOLVED ANSWER-ANS: 2
Hospitalized patients commonly experience the loss of dignity. Wearing a hospital
gown, having their body exposed, invasive procedures, loss of control over body
functions all of these contribute to loss of dignity, and all are very common among
hospitalized patients. Healthcare providers have a duty to protect privacy and
confidentiality of patients, even though it is certainly threatened by some situations
during hospitalization. Some patients lose functioning and identity during hospitalization,
but they are not common occurrences.
A 62-year-old patient is admitted to the hospital with hypertension. Which question by
the nurse is most important when performing the initial assessment interview?
1) What medications do you take at home?
2) Do you have any environmental, food, or drug allergies?
3) Do you have an advance directive?
4) What is the greatest concern you are dealing with today? - SOLVED ANSWER-ANS:
4
It is most important for the nurse to ask the patient about his greatest concern. His
concern can then be incorporated into the plan of care, making sure that his needs are
met. Asking about medications, allergies, and an advance directive is also important but
does not take priority over asking about the patients greatest conc
When developing goals, which guideline should the nurse keep in mind? Goals should
be:
1) Realistic so that progress is recognized by the patient
, 2) Developed solely by the healthcare team
3) Developed without family input, to maintain confidentiality
4) Valued by the multidisciplinary care providers - SOLVED ANSWER-ANS: 1
Goals should be realistic so that progress is recognized by the patient. They should be
valued by both the patient and family. The nurse should develop goals with input from
the patient and his family.
Which one of the following important nursing actions is a hospitalized patient likely to
experience on an emotional level and remember long after this hospitalization has
ended?
1) Administering her medications according to schedule
2) Allowing flexible visitation by her family and friends
3) Explaining treatment options in terms she can understand
4) Providing a healing presence by listening and being attentive - SOLVED ANSWER-
ANS: 4
The nurse can contribute meaningfully to the patients hospitalization by providing a
healing presence. The nurse can do this by listening to the patient and being attentive.
Administering medications according to schedule, allowing flexible visitation, and
explaining treatment options are important contributions that the nurse can make, but
they will not be most meaningful to the patient. Patients may be impressed, even
amazed, by the healthcare technology used to diagnose and treat their illness.
However, often what they remember, perhaps through the rest of their lives, is the
person who connected with them in a personal way.
Which statement best describes the health illness continuum?
1) Health is the absence of disease; illness is the presence of disease.
2) Health and illness are along a continuum that cannot be divided.
3) Health is remission of disease; illness is exacerbation of disease.
4) Health is not having illness; illness is not having health. - SOLVED ANSWER-ANS: 2
With 100% Solved Solutions Scored
A+
In an effort to promote health, the home health nurse opens the clients bedroom
windows to let in fresh air and sunlight, washes her hands often, and teaches the
patient and family about the importance of hygiene and cleanliness. This most closely
illustrates the ideas of which of the following people?
1) Jean Watson
2) Jurgen Moltmann
3) Florence Nightingale
4) Robert Louis Stevenson - SOLVED ANSWER-ANS: 3
Florence Nightingale believed that health was prevention of disease through the use of
fresh air, pure water, efficient drainage, cleanliness, and light. Jean Watson believes
that health has three elements: a high level of overall physical, mental, and social
functioning; a general adaptive-maintenance level of daily functioning; and the absence
of illness (or the presence of efforts that lead to its absence). Jurgen Moltmann believes
that true health is the strength to live, the strength to suffer, and the strength to die. He
also stated that health is not a condition of my body; it is the power of my soul to cope
with the varying condition of that body. Robert Louis Stevenson wrote that health is not
a matter of holding good cards; it is playing a poor hand well.
Which family would most likely be helpful in encouraging the client to experience a high
level of wellness? A family who:
1) Controls feelings in order to avoid conflict.
2) Teaches negotiation skills and independence.
3) Encourages risk-taking and adventure.
4) Views themselves as helpless victims. - SOLVED ANSWER-ANS: 2
,Families who promote independence and teach good negotiation skills enable family
members to experience a high level of wellness by thinking for themselves. In contrast,
families who tend to squelch personal feelings to avoid conflict may not allow a high
level of wellness. Families who emphasize caution in new situations are more beneficial
than those who encourage risk-taking. Families who view themselves as capable and
successful are more advantageous than those who view themselves as helpless
victims.
The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-
linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat
and vegetables. Which of the following dimensions of health can the nurse most likely
influence by teaching and counseling him?
1) Age-related changes
2) Genetic anemia
3) Eating habits
4) Gender-related issues - SOLVED ANSWER-ANS: 3
The nurse is most likely to influence the patients eating habits because those are the
dimension over which he has the most control and, therefore, has the most potential for
changing. Although people consider biological factors when they describe themselves
as well or ill, they are not entirely within our control. Biological factors include age and
developmental stage, genetic makeup, and gender.
Which of the following is known to be a healthy strategy for coping with stress?
1) Performing meaningful work
2) Consuming simple carbohydrates
3) Drinking three glasses of red wine each day
4) Weight training - SOLVED ANSWER-ANS: 1
Many individuals find that meaningful work is a healthy way to cope with stressors.
Consuming simple carbohydrates is not a healthy way to cope with stress. Drinking
more than one glass of red wine each day is considered unhealthy. Weight training has
been shown to increase bone density and reduce the risk of osteoporosis and heart
disease but not necessarily to reduce stress.
,What type of loss is most common among patients who are hospitalized for complex
health conditions?
1) Privacy
2) Dignity
3) Functional
4) Identity - SOLVED ANSWER-ANS: 2
Hospitalized patients commonly experience the loss of dignity. Wearing a hospital
gown, having their body exposed, invasive procedures, loss of control over body
functions all of these contribute to loss of dignity, and all are very common among
hospitalized patients. Healthcare providers have a duty to protect privacy and
confidentiality of patients, even though it is certainly threatened by some situations
during hospitalization. Some patients lose functioning and identity during hospitalization,
but they are not common occurrences.
A 62-year-old patient is admitted to the hospital with hypertension. Which question by
the nurse is most important when performing the initial assessment interview?
1) What medications do you take at home?
2) Do you have any environmental, food, or drug allergies?
3) Do you have an advance directive?
4) What is the greatest concern you are dealing with today? - SOLVED ANSWER-ANS:
4
It is most important for the nurse to ask the patient about his greatest concern. His
concern can then be incorporated into the plan of care, making sure that his needs are
met. Asking about medications, allergies, and an advance directive is also important but
does not take priority over asking about the patients greatest conc
When developing goals, which guideline should the nurse keep in mind? Goals should
be:
1) Realistic so that progress is recognized by the patient
, 2) Developed solely by the healthcare team
3) Developed without family input, to maintain confidentiality
4) Valued by the multidisciplinary care providers - SOLVED ANSWER-ANS: 1
Goals should be realistic so that progress is recognized by the patient. They should be
valued by both the patient and family. The nurse should develop goals with input from
the patient and his family.
Which one of the following important nursing actions is a hospitalized patient likely to
experience on an emotional level and remember long after this hospitalization has
ended?
1) Administering her medications according to schedule
2) Allowing flexible visitation by her family and friends
3) Explaining treatment options in terms she can understand
4) Providing a healing presence by listening and being attentive - SOLVED ANSWER-
ANS: 4
The nurse can contribute meaningfully to the patients hospitalization by providing a
healing presence. The nurse can do this by listening to the patient and being attentive.
Administering medications according to schedule, allowing flexible visitation, and
explaining treatment options are important contributions that the nurse can make, but
they will not be most meaningful to the patient. Patients may be impressed, even
amazed, by the healthcare technology used to diagnose and treat their illness.
However, often what they remember, perhaps through the rest of their lives, is the
person who connected with them in a personal way.
Which statement best describes the health illness continuum?
1) Health is the absence of disease; illness is the presence of disease.
2) Health and illness are along a continuum that cannot be divided.
3) Health is remission of disease; illness is exacerbation of disease.
4) Health is not having illness; illness is not having health. - SOLVED ANSWER-ANS: 2
