Chapter 06: Health and Wellness
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MULTIPLE CHOICE ra
1. A nursing attendant is following the goals of Healthy People 2030 to provide care. Which acti
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on should the nursing attendant take?
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a. Allowing people to continue current behaviors to reduce the stress of change. ra ra ra ra ra ra ra ra ra ra ra
b. Focusing only on health changes that will lead to better local communities. ra ra ra ra ra ra ra ra ra ra ra
c. Promoting a society in which all people live long, healthy lives. ra ra ra ra ra ra ra ra ra ra
d. Focusing on illness treatment to provide fast recuperation. ra ra ra ra ra ra ra
ACCURATE ar
ANSWER:-C
Healthy People sets objectives to help the United States increase its focus on health promotion an
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d disease prevention (instead of illness care) and encourages cooperation among individuals,
ra ra ra ra ra ra ra ra ra ra ra ra
communities, and other public, private, and nonprofit organizations to improve health. The c ra ra ra ra ra ra ra ra ra ra ra ra
urrent publication, Healthy People 2030, promotes a society in which all people live long, health
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
y lives. The goals do not include continuing current behaviors to reduce stress, focusing only o
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n health changes for communities, or focusing on fast recuperation.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain how Healthy People guides public health goals for Americans. ra ra ra ra ra ra ra ra ra
TOPIC:-Implementation MSC: Health Promotion and Maintenance ra ra ra ra
2. A nursing attendant is using the World Health Organization definition of health to provid
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e care. Which area will the nursing attendant focus on while providing care?
ar ra a. ra ra ra ra ra ra ra ra ra ra
Focusing on helping hospital client s be disease free ra ra ra ra ra ra ra ra
b. Providing care that involves the whole person ra ra ra ra ra ra
c. Assuring that care is strictly personal in nature ra ra ra ra ra ra ra
d. Directing focus only on the pathological state ra ra ra ra ra ra
ACCURATE ar
ANSWER:-B
The World Health Organization (WHO) defines health as a ―state of complete physical, me
ra ra ra ra ra ra ra ra ra ra ra ra ra
ntal, and social wellbeing, not merely the absence of disease or infirmity.‖ Therefore, nursing atte
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ndant s’ attitudes ra ra
toward health and illness should consider the total person, as well as the environment in whi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ch the person lives. All people free of disease are not necessarily healthy. Strictly personal and
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
a focus only on pathological states do not correlate to WHO’s definition.
ra ra ra ra ra ra ra ra ra ar ra
DIF:Understand (comprehension) ra
OBJ:Discuss how individuals define health. ra ra ra ra ar
TOPIC:-Implementation MSC: Management of Care ra ra ra
3. The nursing attendant is preparing a smoking cessation class for family members of hospital
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
client s with lung cancer. The nursing attendant believes that the class will convert many s
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
mokers to nonsmokers once they realize the benefits of not smoking. Which health care mo
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
del is the nursing attendant following? a. Health belief model
ra ra ra ra ra ra ra
b. Holistic health model ra ra
c. Health promotion model ra ra
d. Maslow’s hierarchy of needs ra ra ra
, ACCURATE ra
ANSWER:-A
The health belief model addresses the relationship between a person’s beliefs and behaviors.
ra ra ra ra ra ra ra ra ra ra ra ra ra
The holistic health model recognizes the natural healing abilities of the body and incorporates
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
complementary and alternative interventions such as music therapy. The health promotion m ra ra ra ra ra ra ra ra ra ra ra
odel focuses on the following three areas: (1) individual characteristics and experiences, (2) b
ra ra ra ra ra ra ra ra ra ra ra ra ar
ehavior-
specific knowledge and affect, and (3) behavioral outcomes, in which the hospital client com
ra ra ra ra ra ra ra ra ra ra ra ra ra
mits to or changes a behavior. Maslow’s’ hierarchy of needs is based on the theory that all peopl
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
e share basic human needs, and the extent to which basic needs are met is a major factor in de
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
termining a person’s level of health. ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation MSC: Health Promotion and Maintenance
ar ra ra ra ra
4. A nursing attendant is using Maslow’s hierarchy to prioritize care for an anxious hospit
ra ra ra ra ra ra ra ra ra ra ra ra ra
al ar
client that is not eating and will not see family members. Which area should the nursing
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attendant address first? a. Anxiety
r ra ra
b. Not eating ra
c. Mental health ra
d. Not seeing family members ra ra ra
ACCURATE ANSWER:-B ra
According to Maslow, in all cases an emergent physiological need takes precedence over a
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
higher-
level need. Nutrition is a physiological need and should be addressed first. Anxiety, mental
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
health, and not seeing family members (need for love and belonging) are all higher-
ra ra ra ra ra ra ra ra ra ra ra ra
level needs. ra
DIF:Analyze (analysis) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation MSC: Management of Care
ar ra ra ra
5. The hospital client is reporting moderate incisional pain that was not relieved by the las
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t dos
ra
e of pain medication. The hospital client is not due for another dose of medication for an
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
other 2 1 ra ar
/2 hours. The nursing attendant repositions the hospital client , asks what type of music
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
the h ra
ospital client likes, and sets the television to the channel playing that type of music. Wh
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ich h ealth care model is the nursing attendant using? a. Health belief model
ra ra ra ra ra ra ra ra ra ra
b. Holistic health model ra ra
c. Health promotion model ra ra
d. Maslow’s hierarchy of needs ra ra ra
ACCURATE ANSWER:-B ra
The holistic health model recognizes the natural healing abilities of the body and incorporates c
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
omplementary and alternative interventions such as music therapy. The health belief model a
ra ra ra ra ra ra ra ra ra ra ra ra
, ddresses the relationship between a person’s beliefs and behaviors. The health promotion mo
ra ra ra ra ra ra ra ra ra ra ra ra
del notes that each person has unique personal characteristics and experiences that affect su
ra ra ra ra ra ra ra ra ra ra ra ra ra
bsequent actions. The basic human needs model believes that the extent to which basic need
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s are met is a major factor in determining a person’s level of health. Maslow’s hierarchy of nee
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ds is a model that nursing attendant s use to understand the interrelationships of basic huma
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n needs.
ra
DIF:Apply (application) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation
ar MSC: Management of Care ra ra ra
6. A nursing attendant is assessing internal variables that are affecting the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra
’s health status. Which area should the nursing attendant assess? a.
ar ra ra ra ra ra ra ra ra
Perception of functioning ra ra
b. Socioeconomic factors ra
c. Cultural background ra
d. Family practices ra
ACCURATE ANSWER:-A ra
Internal variables include a person’s developmental stage, intellectual background, perception
ra ra ra ra ra ra ra ra ra ar
of functioning, and emotional and spiritual factors. External variables influencing a person’s
ra ra ra ra ra ra ra ra ra ra ra ra
health beliefs and practices include family practices, socioeconomic factors, and cultural bac
ra ra ra ra ra ra ra ra ra ra ra
kground.
DIF:Understand (comprehension) ra
OBJ:Identify variables influencing health, health beliefs, and health practices.
ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
7. The nursing attendant is admitting a hospital client diagnosed with uncontrolled diab
ra ra ra ra ra ra ra ra ra ra ra
etes ra
mellitus. It is the fourth time the hospital client is being admitted in the last 6 months f
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
or h ra
igh blood glucose levels. During the admission process, the nursing attendant asks the
ra ra ra ra ra ra ra ra ra ra ra ra ra
hos
pital client about employment status and displays a nonjudgmental attitude. What is t
ra ra ra ra ra ra ra ra ra ra ra ra
he ra tionale for the nursing attendant ’s actions?
ar ra ra ra ra ra ra
a. External variables have little effect on adherence. ra ra ra ra ra ra
b. A person’s adherence is affected by economic status.
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c. Employment status is an internal variable that impacts compliance. ra ra ra ra ra ra ra ra
d. Noncompliant hospital client s thrive on the disapproval of authority figures. ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
A person’s adherence with treatment is affected by economic status. A person tends to give a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
higher priority to food and shelter than to costly drugs or treatments. External variables can h
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ave a major impact on compliance. Employment status is an external variable, not an internal va
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
riable. A person generally seeks approval and support from social networks, and this desire for
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
approval affects health beliefs and practices; noncompliance does not occur from thriving on
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
disapproval of authority figures. ra ra ra
DIF:Apply (application) ra
OBJ:Identify variables influencing health, health beliefs, and health practices.
ra ra ra ra ra ra ra ra
ra ra ra ra
MULTIPLE CHOICE ra
1. A nursing attendant is following the goals of Healthy People 2030 to provide care. Which acti
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
on should the nursing attendant take?
ra ra ra ra ra
a. Allowing people to continue current behaviors to reduce the stress of change. ra ra ra ra ra ra ra ra ra ra ra
b. Focusing only on health changes that will lead to better local communities. ra ra ra ra ra ra ra ra ra ra ra
c. Promoting a society in which all people live long, healthy lives. ra ra ra ra ra ra ra ra ra ra
d. Focusing on illness treatment to provide fast recuperation. ra ra ra ra ra ra ra
ACCURATE ar
ANSWER:-C
Healthy People sets objectives to help the United States increase its focus on health promotion an
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d disease prevention (instead of illness care) and encourages cooperation among individuals,
ra ra ra ra ra ra ra ra ra ra ra ra
communities, and other public, private, and nonprofit organizations to improve health. The c ra ra ra ra ra ra ra ra ra ra ra ra
urrent publication, Healthy People 2030, promotes a society in which all people live long, health
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
y lives. The goals do not include continuing current behaviors to reduce stress, focusing only o
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n health changes for communities, or focusing on fast recuperation.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain how Healthy People guides public health goals for Americans. ra ra ra ra ra ra ra ra ra
TOPIC:-Implementation MSC: Health Promotion and Maintenance ra ra ra ra
2. A nursing attendant is using the World Health Organization definition of health to provid
ra ra ra ra ra ra ra ra ra ra ra ra ra
e care. Which area will the nursing attendant focus on while providing care?
ar ra a. ra ra ra ra ra ra ra ra ra ra
Focusing on helping hospital client s be disease free ra ra ra ra ra ra ra ra
b. Providing care that involves the whole person ra ra ra ra ra ra
c. Assuring that care is strictly personal in nature ra ra ra ra ra ra ra
d. Directing focus only on the pathological state ra ra ra ra ra ra
ACCURATE ar
ANSWER:-B
The World Health Organization (WHO) defines health as a ―state of complete physical, me
ra ra ra ra ra ra ra ra ra ra ra ra ra
ntal, and social wellbeing, not merely the absence of disease or infirmity.‖ Therefore, nursing atte
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ndant s’ attitudes ra ra
toward health and illness should consider the total person, as well as the environment in whi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ch the person lives. All people free of disease are not necessarily healthy. Strictly personal and
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
a focus only on pathological states do not correlate to WHO’s definition.
ra ra ra ra ra ra ra ra ra ar ra
DIF:Understand (comprehension) ra
OBJ:Discuss how individuals define health. ra ra ra ra ar
TOPIC:-Implementation MSC: Management of Care ra ra ra
3. The nursing attendant is preparing a smoking cessation class for family members of hospital
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
client s with lung cancer. The nursing attendant believes that the class will convert many s
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
mokers to nonsmokers once they realize the benefits of not smoking. Which health care mo
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
del is the nursing attendant following? a. Health belief model
ra ra ra ra ra ra ra
b. Holistic health model ra ra
c. Health promotion model ra ra
d. Maslow’s hierarchy of needs ra ra ra
, ACCURATE ra
ANSWER:-A
The health belief model addresses the relationship between a person’s beliefs and behaviors.
ra ra ra ra ra ra ra ra ra ra ra ra ra
The holistic health model recognizes the natural healing abilities of the body and incorporates
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
complementary and alternative interventions such as music therapy. The health promotion m ra ra ra ra ra ra ra ra ra ra ra
odel focuses on the following three areas: (1) individual characteristics and experiences, (2) b
ra ra ra ra ra ra ra ra ra ra ra ra ar
ehavior-
specific knowledge and affect, and (3) behavioral outcomes, in which the hospital client com
ra ra ra ra ra ra ra ra ra ra ra ra ra
mits to or changes a behavior. Maslow’s’ hierarchy of needs is based on the theory that all peopl
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
e share basic human needs, and the extent to which basic needs are met is a major factor in de
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
termining a person’s level of health. ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation MSC: Health Promotion and Maintenance
ar ra ra ra ra
4. A nursing attendant is using Maslow’s hierarchy to prioritize care for an anxious hospit
ra ra ra ra ra ra ra ra ra ra ra ra ra
al ar
client that is not eating and will not see family members. Which area should the nursing
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra a
attendant address first? a. Anxiety
r ra ra
b. Not eating ra
c. Mental health ra
d. Not seeing family members ra ra ra
ACCURATE ANSWER:-B ra
According to Maslow, in all cases an emergent physiological need takes precedence over a
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
higher-
level need. Nutrition is a physiological need and should be addressed first. Anxiety, mental
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
health, and not seeing family members (need for love and belonging) are all higher-
ra ra ra ra ra ra ra ra ra ra ra ra
level needs. ra
DIF:Analyze (analysis) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation MSC: Management of Care
ar ra ra ra
5. The hospital client is reporting moderate incisional pain that was not relieved by the las
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t dos
ra
e of pain medication. The hospital client is not due for another dose of medication for an
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
other 2 1 ra ar
/2 hours. The nursing attendant repositions the hospital client , asks what type of music
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
the h ra
ospital client likes, and sets the television to the channel playing that type of music. Wh
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ich h ealth care model is the nursing attendant using? a. Health belief model
ra ra ra ra ra ra ra ra ra ra
b. Holistic health model ra ra
c. Health promotion model ra ra
d. Maslow’s hierarchy of needs ra ra ra
ACCURATE ANSWER:-B ra
The holistic health model recognizes the natural healing abilities of the body and incorporates c
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
omplementary and alternative interventions such as music therapy. The health belief model a
ra ra ra ra ra ra ra ra ra ra ra ra
, ddresses the relationship between a person’s beliefs and behaviors. The health promotion mo
ra ra ra ra ra ra ra ra ra ra ra ra
del notes that each person has unique personal characteristics and experiences that affect su
ra ra ra ra ra ra ra ra ra ra ra ra ra
bsequent actions. The basic human needs model believes that the extent to which basic need
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s are met is a major factor in determining a person’s level of health. Maslow’s hierarchy of nee
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ds is a model that nursing attendant s use to understand the interrelationships of basic huma
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n needs.
ra
DIF:Apply (application) ra
OBJ:Discuss the health belief, health promotion, basic human needs, and holistic health models to
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
understand the relationship between hospital client s’ attitudes toward health and health practi
ra ra ra ra ra ra ra ra ra ra ra ra
ces. TOPIC:-Implementation
ar MSC: Management of Care ra ra ra
6. A nursing attendant is assessing internal variables that are affecting the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra
’s health status. Which area should the nursing attendant assess? a.
ar ra ra ra ra ra ra ra ra
Perception of functioning ra ra
b. Socioeconomic factors ra
c. Cultural background ra
d. Family practices ra
ACCURATE ANSWER:-A ra
Internal variables include a person’s developmental stage, intellectual background, perception
ra ra ra ra ra ra ra ra ra ar
of functioning, and emotional and spiritual factors. External variables influencing a person’s
ra ra ra ra ra ra ra ra ra ra ra ra
health beliefs and practices include family practices, socioeconomic factors, and cultural bac
ra ra ra ra ra ra ra ra ra ra ra
kground.
DIF:Understand (comprehension) ra
OBJ:Identify variables influencing health, health beliefs, and health practices.
ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
7. The nursing attendant is admitting a hospital client diagnosed with uncontrolled diab
ra ra ra ra ra ra ra ra ra ra ra
etes ra
mellitus. It is the fourth time the hospital client is being admitted in the last 6 months f
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
or h ra
igh blood glucose levels. During the admission process, the nursing attendant asks the
ra ra ra ra ra ra ra ra ra ra ra ra ra
hos
pital client about employment status and displays a nonjudgmental attitude. What is t
ra ra ra ra ra ra ra ra ra ra ra ra
he ra tionale for the nursing attendant ’s actions?
ar ra ra ra ra ra ra
a. External variables have little effect on adherence. ra ra ra ra ra ra
b. A person’s adherence is affected by economic status.
ra ra ra ra ra ra ra
c. Employment status is an internal variable that impacts compliance. ra ra ra ra ra ra ra ra
d. Noncompliant hospital client s thrive on the disapproval of authority figures. ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
A person’s adherence with treatment is affected by economic status. A person tends to give a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
higher priority to food and shelter than to costly drugs or treatments. External variables can h
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ave a major impact on compliance. Employment status is an external variable, not an internal va
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
riable. A person generally seeks approval and support from social networks, and this desire for
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
approval affects health beliefs and practices; noncompliance does not occur from thriving on
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
disapproval of authority figures. ra ra ra
DIF:Apply (application) ra
OBJ:Identify variables influencing health, health beliefs, and health practices.
ra ra ra ra ra ra ra ra
