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Exam (elaborations)

NCLEX Practice Questions Exam 1 questions and answers

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NCLEX Practice Questions Exam 1 questions and answers

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The student nurse learns that illnesses are classified as either acute or chronic. Which are
examples of chronic illnesses? Select all that apply.


a. Diabetes mellitus
b. Bronchial pneumonia
c. Rheumatoid arthritis
d. Cystic fibrosis
e. Fractured hip
f. Otitis media


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, a, c, d. Diabetes, arthritis, and cystic fibrosis are chronic diseases because they
are permanent changes caused by irreversible alterations in normal anatomy
and physiology, and they require patient education along with a long period
of care or support. Pneumonia, fractures, and otitis media are acute illnesses
because they have a rapid onset of symptoms that last a relatively short time.




. A nurse assesses patients in a physician's office who are experiencing different levels of
health and illness. Which statements best define the concepts of health and illness?
Select all that apply.


a. Health and illness are the same for all people.
b. Health and illness are individually defined by each person.
c. People with acute illnesses are actually healthy.
d. People with chronic illnesses have poor health beliefs.
e. Health is more than the absence of illness.
f. Illness is the response of a person to a disease.


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b, e, f. Each person defines health and illness individually, based on a number
of factors. Health is more than just the absence of illness; it is an active
process in which a person moves toward one's maximum potential. An illness is
the response of the person to a disease.




One of the four broad aims of nursing practice is to restore health. Which examples of
nursing interventions reflect this goal? Select all that apply.


a. A nurse counsels adolescents in a drug rehabilitation program.
b. A nurse performs range-of-motion exercises for a patient on bedrest.
c. A nurse shows a diabetic patient how to inject insulin.

, d. A nurse recommends a yoga class for a busy executive.
e. A nurse provides hospice care for a patient with end-stage cancer.
f. A nurse teaches a nutrition class at a local high school.


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a, b, c. Activities to restore health focus on the individual with an illness and
range from early detection of a disease to rehabilitation and teaching during
recovery. These activities include drug counseling, teaching patients how to
administer their medications, and performing range-of-motion exercises for
bedridden patients. Recommending a yoga class for stress reduction is a goal
of preventing illness, and teaching a nutrition class is a goal of promoting
health. A hospice care nurse helps to facilitate coping with disability and
death.




A nurse has volunteered to give influenza immunizations at a local clinic. What level of
care is the nurse demonstrating?


a. Tertiary
b. Secondary
c. Primary
d. Promotive


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c. Giving influenza injections is an example of primary health promotion and
illness prevention.




A nurse is practicing community-based nursing in a mobile health clinic. What would be
the central focus of this nurse's care?

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