Nursing 122 Exam 1 Questions With
Complete Answers
The nurse is participating at a health fair at the local mall giving influenza
vaccines to senior citizens. What level of prevention is the nurse
practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ANSWER Primary prevention is aimed at health
promotion and includes health-education programs, immunizations, and
physical and nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving the general
health of individuals, families, and communities. It also includes specific
protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness
center. In what level of prevention is the patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ANSWER Tertiary prevention involves
minimizing the effects of long-term disease or disability by interventions
directed at preventing complications and deterioration following the
myocardial infarction. Tertiary-prevention activities are directed at
rehabilitation rather than diagnosis and treatment. Care at this level aims to
help patients achieve as high a level of functioning as possible, despite the
limitations caused by illness or impairment. This level of care is called
preventive care because it involves preventing further disability or reduced
functioning.
,Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I haven't done
that since junior high gym class, and I hated it then!"
A) "That's fine. Exercise is bad for you anyway."
B) "OK. I want you to walk 3 miles 4 times a week, and I'll 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." - ANSWER The patient's response indicates
that the patient is in the precontemplation stage and does not intend to
change his behavior in the next 6 months. In this stage the patient is not
interested in information about the behavior and may be defensive when
confronted with it. Asking an open-ended question may stimulate the
patient to identify a reason to begin a behavior change. Nurses are
challenged to motivate and facilitate change in health behavior when
working with individuals.
A patient comes to the local health clinic and states: "I've noticed how
many people are out walking in my neighborhood. Is walking good for
you?" What is the best response to help the patient through the stages of
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." - ANSWER The
patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months.
The nurse's statement reinforces the behavior and provides a specific goal
for the patient to begin a walking plan.
A male patient has been laid off from his construction job and has many
unpaid bills. He is going through a divorce from his marriage of 15 years
and has been seeing his pastor to help him through this difficult time. He
does not have a primary health care provider because he has never really
been sick and his parents never took him to the physician when he was a
,child. Which external 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 - ANSWER External factors
impacting health practices include family beliefs and economic impact. How
patients' families use health care services generally affects their health
practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how
patients will think about health. Economic variables may affect a patient's
level of health by increasing the risk for disease and influencing how or at
what point the patient enters the health care system.
The nurse is conducting a home visit with an older adult couple. She
assesses that the lighting in the home is poor and there are throw rugs
throughout the home and a low 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 - ANSWER The teaching addresses the need for
safety and security. The throw rugs, low lighting, and low stool are hazards
that can cause falls in the elderly. Preventing falls is a priority safety issue
for older adults.
When taking care of patients, the nurse routinely asks them if they take any
vitamins or herbal medications, encourages family members to bring in
music that the patient likes to help the patient relax, and frequently prays
with her patients if that is important to them. The nurse is practicing which
model?
A) Holistic
B) Health belief
C) Transtheoretical
D) Health promotion - ANSWER The nurse is using a holistic model of care
that considers emotional and spiritual well-being and other dimensions of
an individual to be important aspects of physical wellness. The holistic
health model of nursing attempts to create conditions that promote optimal
health. Nurses using the holistic nursing model recognize the natural
, healing abilities of the body and incorporate complementary and alternative
interventions such as music therapy, reminiscence, relaxation therapy,
therapeutic touch, and guided imagery because they are effective,
economical, noninvasive, nonpharmacological complements to traditional
medical care.
When illness occurs, different attitudes about it cause people to react in
different ways. What do medical sociologists call this reaction to illness?
A) Health belief
B) Illness behavior
C) Health promotion
D) Illness prevention - ANSWER Illness behavior involves how people
monitor their bodies, define and interpret their symptoms, take remedial
actions, and use the resources in the health care system. Personal history,
social situations, social norms, and past experiences can affect illness
behavior.
A patient at the community clinic asks the nurse about health promotion
activities that she can do because she is concerned about getting diabetes
mellitus since her grandfather and father both have the disease. This
statement reflects that the patient is in what stage of the 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. - ANSWER The health belief
model addresses the relationship between a person's beliefs and
behaviors. It provides a way of understanding and predicting how patients
will behave in relation to their health and how they will comply with health
care therapies. In the perceived susceptibility to the disease phase, the
patient recognizes the familial link to the disease.
A nurse works in a special care unit for children with severe immunology
problems and is caring for a 3-year-old boy from Greece. The boy's father
is with him while his mother and sister are back in Greece. The nurse is
having difficulty communicating with the father. What action does the nurse
take?
A) Care for the boy as she would any other patient
B) Ask the manager to talk with the father and keep him out of the unit
Complete Answers
The nurse is participating at a health fair at the local mall giving influenza
vaccines to senior citizens. What level of prevention is the nurse
practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ANSWER Primary prevention is aimed at health
promotion and includes health-education programs, immunizations, and
physical and nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving the general
health of individuals, families, and communities. It also includes specific
protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness
center. In what level of prevention is the patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ANSWER Tertiary prevention involves
minimizing the effects of long-term disease or disability by interventions
directed at preventing complications and deterioration following the
myocardial infarction. Tertiary-prevention activities are directed at
rehabilitation rather than diagnosis and treatment. Care at this level aims to
help patients achieve as high a level of functioning as possible, despite the
limitations caused by illness or impairment. This level of care is called
preventive care because it involves preventing further disability or reduced
functioning.
,Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I haven't done
that since junior high gym class, and I hated it then!"
A) "That's fine. Exercise is bad for you anyway."
B) "OK. I want you to walk 3 miles 4 times a week, and I'll 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." - ANSWER The patient's response indicates
that the patient is in the precontemplation stage and does not intend to
change his behavior in the next 6 months. In this stage the patient is not
interested in information about the behavior and may be defensive when
confronted with it. Asking an open-ended question may stimulate the
patient to identify a reason to begin a behavior change. Nurses are
challenged to motivate and facilitate change in health behavior when
working with individuals.
A patient comes to the local health clinic and states: "I've noticed how
many people are out walking in my neighborhood. Is walking good for
you?" What is the best response to help the patient through the stages of
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." - ANSWER The
patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months.
The nurse's statement reinforces the behavior and provides a specific goal
for the patient to begin a walking plan.
A male patient has been laid off from his construction job and has many
unpaid bills. He is going through a divorce from his marriage of 15 years
and has been seeing his pastor to help him through this difficult time. He
does not have a primary health care provider because he has never really
been sick and his parents never took him to the physician when he was a
,child. Which external 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 - ANSWER External factors
impacting health practices include family beliefs and economic impact. How
patients' families use health care services generally affects their health
practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how
patients will think about health. Economic variables may affect a patient's
level of health by increasing the risk for disease and influencing how or at
what point the patient enters the health care system.
The nurse is conducting a home visit with an older adult couple. She
assesses that the lighting in the home is poor and there are throw rugs
throughout the home and a low 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 - ANSWER The teaching addresses the need for
safety and security. The throw rugs, low lighting, and low stool are hazards
that can cause falls in the elderly. Preventing falls is a priority safety issue
for older adults.
When taking care of patients, the nurse routinely asks them if they take any
vitamins or herbal medications, encourages family members to bring in
music that the patient likes to help the patient relax, and frequently prays
with her patients if that is important to them. The nurse is practicing which
model?
A) Holistic
B) Health belief
C) Transtheoretical
D) Health promotion - ANSWER The nurse is using a holistic model of care
that considers emotional and spiritual well-being and other dimensions of
an individual to be important aspects of physical wellness. The holistic
health model of nursing attempts to create conditions that promote optimal
health. Nurses using the holistic nursing model recognize the natural
, healing abilities of the body and incorporate complementary and alternative
interventions such as music therapy, reminiscence, relaxation therapy,
therapeutic touch, and guided imagery because they are effective,
economical, noninvasive, nonpharmacological complements to traditional
medical care.
When illness occurs, different attitudes about it cause people to react in
different ways. What do medical sociologists call this reaction to illness?
A) Health belief
B) Illness behavior
C) Health promotion
D) Illness prevention - ANSWER Illness behavior involves how people
monitor their bodies, define and interpret their symptoms, take remedial
actions, and use the resources in the health care system. Personal history,
social situations, social norms, and past experiences can affect illness
behavior.
A patient at the community clinic asks the nurse about health promotion
activities that she can do because she is concerned about getting diabetes
mellitus since her grandfather and father both have the disease. This
statement reflects that the patient is in what stage of the 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. - ANSWER The health belief
model addresses the relationship between a person's beliefs and
behaviors. It provides a way of understanding and predicting how patients
will behave in relation to their health and how they will comply with health
care therapies. In the perceived susceptibility to the disease phase, the
patient recognizes the familial link to the disease.
A nurse works in a special care unit for children with severe immunology
problems and is caring for a 3-year-old boy from Greece. The boy's father
is with him while his mother and sister are back in Greece. The nurse is
having difficulty communicating with the father. What action does the nurse
take?
A) Care for the boy as she would any other patient
B) Ask the manager to talk with the father and keep him out of the unit
