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 ~CORRECT 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 ~CORRECT 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." ~CORRECT 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." ~CORRECT
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 ~CORRECT
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 ~CORRECT 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
vaccines to senior citizens. What level of prevention is the nurse practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention ~CORRECT 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 ~CORRECT 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." ~CORRECT 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." ~CORRECT
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 ~CORRECT
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 ~CORRECT 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
