AND CORRECT VERIFIED ANSWERS (complete solutions)
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A nurse has volunteered to give influenza immunizations at a local clinic. What
level of care is the nurse demonstrating?
Tertiary
Secondary
Primary
Promotive - CORRECT ANSWER-c. Giving influenza injections is an example of
primary health promotion and illness prevention.
A patient in a community health clinic tells the nurse, "I have a high temperature,
feel awful, and I am not going to work." What stage of illness behavior is the
patient exhibiting?
Stage 1: Experiencing symptoms
Stage 2: Assuming the sick role
Stage 3: Assuming a dependent role
Stage 4: Achieving recovery and rehabilitation - CORRECT ANSWER-b. Stage 2:
Assuming the sick role. When people assume the sick role, they define themselves
as ill, seek validation of this experience from others, and give up normal activities.
In stage 1: Experiencing symptoms, the first indication of an illness usually is
,recognizing one or more symptoms that are incompatible with one's personal
definition of health. The stage of assuming a dependent role is characterized by
the patient's decision to accept the diagnosis and follow the prescribed treatment
plan. In the achieving recovery and rehabilitation role, the person gives up the
dependent role and resumes normal activities and responsibilities.
Based on the components of the physical human dimension, the nurse would
expect which clinic patient to be most likely to have annual breast examinations
and mammograms?
Jane, whose best friend had a benign breast lump removed
Sarah, who lives in a low-income neighborhood
Tricia, who has a family history of breast cancer
Nancy, whose family encourages regular physical examinations - CORRECT
ANSWER-c. The physical dimension includes genetic inheritance, age,
developmental level, race, and biological sex. These components strongly
influence the person's health status and health practices. A family history of
breast cancer is a major risk factor.
Nurses perform health promotion activities at a primary, secondary, or tertiary
level. Which nursing actions are considered tertiary health promotion? Select all
that apply.
A nurse runs an immunization clinic in the inner city.
A nurse teaches a patient with an amputation how to care for the residual limb.
A nurse provides range-of-motion exercises for a paralyzed patient.
A nurse teaches parents of toddlers how to childproof their homes.
A school nurse provides screening for scoliosis for the students.
,A nurse teaches new parents how to choose and use an infant car seat. -
CORRECT ANSWER-b, c. Tertiary health promotion and disease prevention
begins after an illness is diagnosed and treated to reduce disability and to help
rehabilitate patients to a maximum level of functioning. These activities include
providing ROM exercises and patient teaching for residual limb care. Providing
immunizations and teaching parents how to childproof their homes and use an
appropriate car seat are primary health promotion activities. Providing screenings
is a secondary health promotion activity.
A nurse working in a primary care facility assesses patients who are experiencing
various levels of health and illness. Which statements define these two concepts?
Select all that apply.
Health and illness are the same for all people.
Health and illness are individually defined by each person.
People with acute illnesses are actually healthy.
People with chronic illnesses have poor health beliefs.
Health is more than the absence of illness.
Illness is the response of a person to a disease. - CORRECT ANSWER-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 his or her maximum potential. An illness is the response of
the person to a disease.
A nurse working in a hospital setting cares for patients with acute and chronic
conditions. Which disease states are chronic illnesses? Select all that apply.
Diabetes mellitus
Bronchial pneumonia
, Rheumatoid arthritis
Cystic fibrosis
Fractured hip
Otitis media - CORRECT ANSWER-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.
Despite a national focus on health promotion, nurses working with patients in
inner-city clinics continue to see disparities in health care for vulnerable
populations. Which patients are considered vulnerable populations? Select all
that apply.
A White male diagnosed with HIV
An African American teenager who is 6 months pregnant
A Hispanic male who has type II diabetes
A low-income family living in rural America
A middle-class teacher living in a large city
A White baby who was born with cerebral palsy - CORRECT ANSWER-b, c, d, f.
National trends in the prevention of health disparities are focused on vulnerable
populations, such as racial and ethnic minorities, those living in poverty, women,
children, older adults, rural and inner-city residents, and people with disabilities
and special health care needs.