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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 answers 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 answers 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 answers 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.
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 answers 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 answers 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 answers 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 answers 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.
The nurse uses the agent-host-environment model of health and illness to assess diseases in
patients. This model is based on what concept?
Risk factors
, Demographic variables
Behaviors to promote health
Stages of illness correct answers a. The interaction of the agent, host, and environment creates
risk factors that increase the probability of disease.
A nurse incorporates concepts from current models of health when providing health promotion
classes for patients. What is a key concept of both the health-illness continuum and the high-
level wellness models?
Illness as a fixed point in time
The importance of family
Wellness as a passive state
Health as a constantly changing state correct answers d. Both these models view health as a
dynamic (constantly changing state).
A nurse working in a long-term care facility personally follows accepted guidelines for a healthy
lifestyle. How does this nurse promote health in the residents of this facility?
By being a role model for healthy behaviors
By not requiring sick days from work
By never exposing others to any type of illness
By budgeting time and resources efficiently correct answers a. Good personal health enables the
nurse to serve as a role model for patients and families.
A nurse uses Maslow's hierarchy of basic human needs to direct care for patients on an intensive
care unit. For which nursing activities is this approach most useful?
Making accurate nursing diagnoses
Establishing priorities of care
Communicating concerns more concisely
Integrating science into nursing care correct answers b. Maslow's hierarchy of basic human needs
is useful for establishing priorities of care.