nursing 122 Exam 1 UPDATED ACTUAL Questions and
CORRECT Answers
The nurse is participating at a health fair at the local mall Primary prevention is aimed at health promotion and includes health-education
giving influenza vaccines to senior citizens. What level of programs, immunizations, and physical and nutritional fitness activities. It can be
prevention is the nurse practicing? provided to an individual and includes activities that focus on maintaining or
A) Primary prevention improving the general health of individuals, families, and communities. It also
B) Secondary prevention includes specific protection such as immunization for influenza.
C) Tertiary prevention
D) Quaternary prevention
A patient experienced a myocardial infarction 4 weeks Tertiary prevention involves minimizing the effects of long-term disease or
ago and is currently participating in the daily cardiac disability by interventions directed at preventing complications and deterioration
rehabilitation sessions at the local fitness center. In what following the myocardial infarction. Tertiary-prevention activities are directed at
level of prevention is the patient participating? rehabilitation rather than diagnosis and treatment. Care at this level aims to help
A) Primary prevention patients achieve as high a level of functioning as possible, despite the limitations
B) Secondary prevention caused by illness or impairment. This level of care is called preventive care
C) Tertiary prevention because it involves preventing further disability or reduced functioning.
D) Quaternary prevention
Based on the transtheoretical model of change, what is The patient's response indicates that the patient is in the precontemplation stage
the most appropriate response to a patient who states: and does not intend to change his behavior in the next 6 months. In this stage the
"Me, exercise? I haven't done that since junior high gym patient is not interested in information about the behavior and may be defensive
class, and I hated it then!" when confronted with it. Asking an open-ended question may stimulate the
A) "That's fine. Exercise is bad for you anyway." patient to identify a reason to begin a behavior change. Nurses are challenged to
B) "OK. I want you to walk 3 miles 4 times a week, and I'll motivate and facilitate change in health behavior when working with individuals.
see you in 1 month."
C) "I understand. Can you think of one reason why being
more active would be helpful for you?"
D) "I'd like you to ride your bike 3 times this week and eat
at least four fruits and vegetables every day."
A patient comes to the local health clinic and states: "I've The patient's response indicates that the patient is in the contemplative state,
noticed how many people are out walking in my possibly intending to make a behavior change within the next 6 months. The
neighborhood. Is walking good for you?" What is the best nurse's statement reinforces the behavior and provides a specific goal for the
response to help the patient through the stages of patient to begin a walking plan.
change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could
go for a 5-minute walk next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes
every day and start to eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far
enough. You need to spend at least 45 minutes if you are
going to do any good."
,A male patient has been laid off from his construction job External factors impacting health practices include family beliefs and economic
and has many unpaid bills. He is going through a divorce impact. How patients' families use health care services generally affects their
from his marriage of 15 years and has been seeing his health practices. Their perceptions of the serious nature of diseases and their
pastor to help him through this difficult time. He does not history of preventive care behaviors (or lack of them) influence how patients will
have a primary health care provider because he has think about health. Economic variables may affect a patient's level of health by
never really been sick and his parents never took him to increasing the risk for disease and influencing how or at what point the patient
the physician when he was a child. Which external enters the health care system.
variables influence the patient's health practices? (Select
all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care
provider
D) Stress from the divorce and the loss of a job
The nurse is conducting a home visit with an older adult The teaching addresses the need for safety and security. The throw rugs, low
couple. She assesses that the lighting in the home is poor lighting, and low stool are hazards that can cause falls in the elderly. Preventing
and there are throw rugs throughout the home and a low falls is a priority safety issue for older adults.
footstool in the living room. She discusses removing the
rugs and footstool and improving the lighting with the
couple. The nurse is addressing which level of need
according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
When taking care of patients, the nurse routinely asks The nurse is using a holistic model of care that considers emotional and spiritual
them if they take any vitamins or herbal medications, well-being and other dimensions of an individual to be important aspects of
encourages family members to bring in music that the physical wellness. The holistic health model of nursing attempts to create
patient likes to help the patient relax, and frequently conditions that promote optimal health. Nurses using the holistic nursing model
prays with her patients if that is important to them. The recognize the natural healing abilities of the body and incorporate
nurse is practicing which model? complementary and alternative interventions such as music therapy, reminiscence,
A) Holistic relaxation therapy, therapeutic touch, and guided imagery because they are
B) Health belief effective, economical, noninvasive, nonpharmacological complements to
C) Transtheoretical traditional medical care.
D) Health promotion
When illness occurs, different attitudes about it cause Illness behavior involves how people monitor their bodies, define and interpret
people to react in different ways. What do medical their symptoms, take remedial actions, and use the resources in the health care
sociologists call this reaction to illness? system. Personal history, social situations, social norms, and past experiences can
A) Health belief affect illness behavior.
B) Illness behavior
C) Health promotion
D) Illness prevention
, A patient at the community clinic asks the nurse about The health belief model addresses the relationship between a person's beliefs and
health promotion activities that she can do because she behaviors. It provides a way of understanding and predicting how patients will
is concerned about getting diabetes mellitus since her behave in relation to their health and how they will comply with health care
grandfather and father both have the disease. This therapies. In the perceived susceptibility to the disease phase, the patient
statement reflects that the patient is in what stage of the recognizes the familial link to the disease.
health belief model?
A) Perceived threat of the disease
B) Likelihood of taking preventive health action
C) Analysis of perceived benefits of preventive action
D) Perceived susceptibility to the disease.
A nurse works in a special care unit for children with The nurse needs to understand how the Greek culture impacts the father's health
severe immunology problems and is caring for a 3-year- beliefs and communication with health care providers. Cultural variables must be
old boy from Greece. The boy's father is with him while incorporated into the child's plan of care. Cultural background influences beliefs,
his mother and sister are back in Greece. The nurse is values, and customs. It influences the approach to the health care system,
having difficulty communicating with the father. What personal health practices, and the nurse-patient relationship. Cultural background
action does the nurse take? may also influence an individual's beliefs about causes of illness and remedies or
A) Care for the boy as she would any other patient practices to restore health. If nurses are not aware of their own and other cultural
B) Ask the manager to talk with the father and keep him patterns of behavior and language, they may not be able to recognize and
out of the unit understand a patient's behavior and beliefs and may have difficulty interacting
C) Have another nurse care for the boy because maybe with the patient.
that nurse will do better with the father
D) Search for help with interpretation and understanding
of the cultural differences by contacting someone from
the local Greek community
A patient with a 20-year history of diabetes mellitus had a The amputation resulted in a change in physical appearance that caused a change
lower leg amputation. Which statement made by the in body image. Reactions of patients and families to changes in body image
patient indicates that he is experiencing a problem with depend on the type of changes (e.g., loss of a limb or an organ), their adaptive
body image? capacity, the rate at which changes take place, and the support services available.
A) "I just don't have any energy to get out of bed in the When a change in body image such as results from a leg amputation occurs, the
morning." patient generally adjusts in the following phases: shock, withdrawal,
B) "I've been attending church regularly with my wife acknowledgment, acceptance, and rehabilitation. The patient's statement indicates
since I got out of the hospital." he is in the stage of withdrawal.
C) "My wife has taken over paying the bills since I've
been in the hospital."
D) "I don't go out very much because everyone stares at
me."
The patient states she joined a fitness club and attends The patient is in the action stage of behavioral change. In this stage the patient is
the aerobics class three nights a week. The patient is in actively engaged in strategies to change behavior. This stage may last up to 6
what stage of behavioral change? months.
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
CORRECT Answers
The nurse is participating at a health fair at the local mall Primary prevention is aimed at health promotion and includes health-education
giving influenza vaccines to senior citizens. What level of programs, immunizations, and physical and nutritional fitness activities. It can be
prevention is the nurse practicing? provided to an individual and includes activities that focus on maintaining or
A) Primary prevention improving the general health of individuals, families, and communities. It also
B) Secondary prevention includes specific protection such as immunization for influenza.
C) Tertiary prevention
D) Quaternary prevention
A patient experienced a myocardial infarction 4 weeks Tertiary prevention involves minimizing the effects of long-term disease or
ago and is currently participating in the daily cardiac disability by interventions directed at preventing complications and deterioration
rehabilitation sessions at the local fitness center. In what following the myocardial infarction. Tertiary-prevention activities are directed at
level of prevention is the patient participating? rehabilitation rather than diagnosis and treatment. Care at this level aims to help
A) Primary prevention patients achieve as high a level of functioning as possible, despite the limitations
B) Secondary prevention caused by illness or impairment. This level of care is called preventive care
C) Tertiary prevention because it involves preventing further disability or reduced functioning.
D) Quaternary prevention
Based on the transtheoretical model of change, what is The patient's response indicates that the patient is in the precontemplation stage
the most appropriate response to a patient who states: and does not intend to change his behavior in the next 6 months. In this stage the
"Me, exercise? I haven't done that since junior high gym patient is not interested in information about the behavior and may be defensive
class, and I hated it then!" when confronted with it. Asking an open-ended question may stimulate the
A) "That's fine. Exercise is bad for you anyway." patient to identify a reason to begin a behavior change. Nurses are challenged to
B) "OK. I want you to walk 3 miles 4 times a week, and I'll motivate and facilitate change in health behavior when working with individuals.
see you in 1 month."
C) "I understand. Can you think of one reason why being
more active would be helpful for you?"
D) "I'd like you to ride your bike 3 times this week and eat
at least four fruits and vegetables every day."
A patient comes to the local health clinic and states: "I've The patient's response indicates that the patient is in the contemplative state,
noticed how many people are out walking in my possibly intending to make a behavior change within the next 6 months. The
neighborhood. Is walking good for you?" What is the best nurse's statement reinforces the behavior and provides a specific goal for the
response to help the patient through the stages of patient to begin a walking plan.
change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could
go for a 5-minute walk next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes
every day and start to eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far
enough. You need to spend at least 45 minutes if you are
going to do any good."
,A male patient has been laid off from his construction job External factors impacting health practices include family beliefs and economic
and has many unpaid bills. He is going through a divorce impact. How patients' families use health care services generally affects their
from his marriage of 15 years and has been seeing his health practices. Their perceptions of the serious nature of diseases and their
pastor to help him through this difficult time. He does not history of preventive care behaviors (or lack of them) influence how patients will
have a primary health care provider because he has think about health. Economic variables may affect a patient's level of health by
never really been sick and his parents never took him to increasing the risk for disease and influencing how or at what point the patient
the physician when he was a child. Which external enters the health care system.
variables influence the patient's health practices? (Select
all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care
provider
D) Stress from the divorce and the loss of a job
The nurse is conducting a home visit with an older adult The teaching addresses the need for safety and security. The throw rugs, low
couple. She assesses that the lighting in the home is poor lighting, and low stool are hazards that can cause falls in the elderly. Preventing
and there are throw rugs throughout the home and a low falls is a priority safety issue for older adults.
footstool in the living room. She discusses removing the
rugs and footstool and improving the lighting with the
couple. The nurse is addressing which level of need
according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
When taking care of patients, the nurse routinely asks The nurse is using a holistic model of care that considers emotional and spiritual
them if they take any vitamins or herbal medications, well-being and other dimensions of an individual to be important aspects of
encourages family members to bring in music that the physical wellness. The holistic health model of nursing attempts to create
patient likes to help the patient relax, and frequently conditions that promote optimal health. Nurses using the holistic nursing model
prays with her patients if that is important to them. The recognize the natural healing abilities of the body and incorporate
nurse is practicing which model? complementary and alternative interventions such as music therapy, reminiscence,
A) Holistic relaxation therapy, therapeutic touch, and guided imagery because they are
B) Health belief effective, economical, noninvasive, nonpharmacological complements to
C) Transtheoretical traditional medical care.
D) Health promotion
When illness occurs, different attitudes about it cause Illness behavior involves how people monitor their bodies, define and interpret
people to react in different ways. What do medical their symptoms, take remedial actions, and use the resources in the health care
sociologists call this reaction to illness? system. Personal history, social situations, social norms, and past experiences can
A) Health belief affect illness behavior.
B) Illness behavior
C) Health promotion
D) Illness prevention
, A patient at the community clinic asks the nurse about The health belief model addresses the relationship between a person's beliefs and
health promotion activities that she can do because she behaviors. It provides a way of understanding and predicting how patients will
is concerned about getting diabetes mellitus since her behave in relation to their health and how they will comply with health care
grandfather and father both have the disease. This therapies. In the perceived susceptibility to the disease phase, the patient
statement reflects that the patient is in what stage of the recognizes the familial link to the disease.
health belief model?
A) Perceived threat of the disease
B) Likelihood of taking preventive health action
C) Analysis of perceived benefits of preventive action
D) Perceived susceptibility to the disease.
A nurse works in a special care unit for children with The nurse needs to understand how the Greek culture impacts the father's health
severe immunology problems and is caring for a 3-year- beliefs and communication with health care providers. Cultural variables must be
old boy from Greece. The boy's father is with him while incorporated into the child's plan of care. Cultural background influences beliefs,
his mother and sister are back in Greece. The nurse is values, and customs. It influences the approach to the health care system,
having difficulty communicating with the father. What personal health practices, and the nurse-patient relationship. Cultural background
action does the nurse take? may also influence an individual's beliefs about causes of illness and remedies or
A) Care for the boy as she would any other patient practices to restore health. If nurses are not aware of their own and other cultural
B) Ask the manager to talk with the father and keep him patterns of behavior and language, they may not be able to recognize and
out of the unit understand a patient's behavior and beliefs and may have difficulty interacting
C) Have another nurse care for the boy because maybe with the patient.
that nurse will do better with the father
D) Search for help with interpretation and understanding
of the cultural differences by contacting someone from
the local Greek community
A patient with a 20-year history of diabetes mellitus had a The amputation resulted in a change in physical appearance that caused a change
lower leg amputation. Which statement made by the in body image. Reactions of patients and families to changes in body image
patient indicates that he is experiencing a problem with depend on the type of changes (e.g., loss of a limb or an organ), their adaptive
body image? capacity, the rate at which changes take place, and the support services available.
A) "I just don't have any energy to get out of bed in the When a change in body image such as results from a leg amputation occurs, the
morning." patient generally adjusts in the following phases: shock, withdrawal,
B) "I've been attending church regularly with my wife acknowledgment, acceptance, and rehabilitation. The patient's statement indicates
since I got out of the hospital." he is in the stage of withdrawal.
C) "My wife has taken over paying the bills since I've
been in the hospital."
D) "I don't go out very much because everyone stares at
me."
The patient states she joined a fitness club and attends The patient is in the action stage of behavioral change. In this stage the patient is
the aerobics class three nights a week. The patient is in actively engaged in strategies to change behavior. This stage may last up to 6
what stage of behavioral change? months.
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
