C HAPTER 6: H EALTH AND W ELLNESS
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The client who recentl y received a kidney transplant is worried about her
husband si nce he has taken over the physical tasks of running their home.
The client is in the process of adapting to a change in:
A. Body image
B. Self-concept
C. Illness behavior
D. Famil y dynamics
ANS:
The effects of illness on the client and famil y have created a change in
famil y dynamics. Famil y dynamics is the process by which the famil y
functions, makes decisions, gives support to individual members, and
copes with everyday changes and challenges.
Body image is the subjective concept of physical appearance. The
client did not express concerns regarding body image.
Self-concept is a mental self -image of strengths and weaknesses in all
aspects of personality. The client did not express a change in self -
concept.
Illness behavior refers to how people monitor their bodies, d efine and
interpret their symptoms, take remedial actions, and use the health care
s ystem. The client did not express change in illness behavior.
, DIF: A REF: 81 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance
2. Client assessment provides the nurse with necessary information for the
development of an effective plan of care. When determining the influence
of an internal variable on the clients health status, the nurse will
specificall y l ook for:
A. Anxiet y level present
B. Famil y remedies used
C. Location and t ype of occupation
D. Available health insurance coverage
ANS: A
Emotional factors, such as the clients degree of anxiet y, is an internal
variable that can influence the clients health status.
An example of an external variable that can influence the clients health
status is the use of famil y remedies.
Socioeconomic factors, such as location and t ype of occupation, are
external variables that can influence the clients health status.
Available health insurance coverage is an example of an external
socioeconomic factor that can influence the clients health status.
DIF: C REF: 73-74 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance
, 3. A nurse understands that illness behavior means:
A. Each distinct illness will cause the client to behave in a specific
manner
B. Nursing care provides interventions that are behavior oriented
C. The clients behaviors will have a direct impact on his illness
D. When ill, a clients perception of illness will result in unique
behaviors
ANS: D
Medical sociologists call the reaction to illness, illness behavior.
Nurses who understand how clients react to illness can minimize the
effects of illness and assist clients and their families in maintaining or
returning to the highest level of functioning. While the other options
may be true, they do not define illness behavior.
DIF: A REF: 79 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designatio n:
Health Promotion and Maintenance
4. A client tells the nurse that his illness is a result of his failure to live a
good life. The nurse recognizes this statement as an example of the
clients:
A. Risk factor
B. Health belief
C. Illness behavior
D. Negative health beha vior
ANS: B
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The client who recentl y received a kidney transplant is worried about her
husband si nce he has taken over the physical tasks of running their home.
The client is in the process of adapting to a change in:
A. Body image
B. Self-concept
C. Illness behavior
D. Famil y dynamics
ANS:
The effects of illness on the client and famil y have created a change in
famil y dynamics. Famil y dynamics is the process by which the famil y
functions, makes decisions, gives support to individual members, and
copes with everyday changes and challenges.
Body image is the subjective concept of physical appearance. The
client did not express concerns regarding body image.
Self-concept is a mental self -image of strengths and weaknesses in all
aspects of personality. The client did not express a change in self -
concept.
Illness behavior refers to how people monitor their bodies, d efine and
interpret their symptoms, take remedial actions, and use the health care
s ystem. The client did not express change in illness behavior.
, DIF: A REF: 81 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance
2. Client assessment provides the nurse with necessary information for the
development of an effective plan of care. When determining the influence
of an internal variable on the clients health status, the nurse will
specificall y l ook for:
A. Anxiet y level present
B. Famil y remedies used
C. Location and t ype of occupation
D. Available health insurance coverage
ANS: A
Emotional factors, such as the clients degree of anxiet y, is an internal
variable that can influence the clients health status.
An example of an external variable that can influence the clients health
status is the use of famil y remedies.
Socioeconomic factors, such as location and t ype of occupation, are
external variables that can influence the clients health status.
Available health insurance coverage is an example of an external
socioeconomic factor that can influence the clients health status.
DIF: C REF: 73-74 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance
, 3. A nurse understands that illness behavior means:
A. Each distinct illness will cause the client to behave in a specific
manner
B. Nursing care provides interventions that are behavior oriented
C. The clients behaviors will have a direct impact on his illness
D. When ill, a clients perception of illness will result in unique
behaviors
ANS: D
Medical sociologists call the reaction to illness, illness behavior.
Nurses who understand how clients react to illness can minimize the
effects of illness and assist clients and their families in maintaining or
returning to the highest level of functioning. While the other options
may be true, they do not define illness behavior.
DIF: A REF: 79 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designatio n:
Health Promotion and Maintenance
4. A client tells the nurse that his illness is a result of his failure to live a
good life. The nurse recognizes this statement as an example of the
clients:
A. Risk factor
B. Health belief
C. Illness behavior
D. Negative health beha vior
ANS: B
