VNSG 1304: Chapter 4 Prep U UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Which nursing intervention is an example of tertiary preventative care? - CORRECT
ANSWER - Assisting with speech therapy with a traumatic brain injury.
The definition of chronic conditions can be complex. Which factors would a nurse expect to be
included in the definition of chronic conditions? - CORRECT ANSWER - - Diseases that
have a prolonged course
- Diseases that do not resolve spontaneously
- Diseases where complete cures are rare
According to Maslow, which category of needs represents the most basic on the hierarchy? -
CORRECT ANSWER - Physiologic needs
The nurse is explaining primary and secondary care to the client. Which nursing activity reflects
secondary care provided by the nurse? - CORRECT ANSWER - Ordering a
mammography
Which clients, at risk for health disparities, may require additional assistance from the nurse in
order to access healthcare services? - CORRECT ANSWER - - Older adult clients in a
senior citizen complex
- Clients who have been unemployed for several months
- Migrant Farm Workers
The nurse understands that an idiopathic illness is a condition whose cause is unexplained.
Which is an example of idiopathic illness? - CORRECT ANSWER - Fever of unknown
origin
, The body's attempt to restore balance through self-regulatory mechanisms is termed: -
CORRECT ANSWER - Homeostasis
Managed care organizations (MCO's) are insurers who carefully plan and closely supervise the
distribution of health care services. What factor is one of the goals of managed care? -
CORRECT ANSWER - Preventing illness through the screening and promotion of health
activities
What is a factor upon which the financial stability of health maintenance organizations
(HMO's)is based? - CORRECT ANSWER - Keeping clients healthy and out of the
hospital through periodic screening, health education, and preventative services
The Employee Health Nurse has been providing counseling to the client for the past year. The
client has exhibited all of the stages in the Stages of Change Model. Place in order the stages the
client established during the past year. - CORRECT ANSWER - - The client tells the nurse
that he does not know why he was referred to the nurse and does not have a drinking problem.
- The client informs the nurse that he has thought about obtaining literature on alcohol abuse.
- The client took written and verbal information from the nurse about alcohol cessation.
- The client attends AA meetings and discards alcohol from the home.
- The client maintains sobriety and provides support for another member of AA.
Explanation:
The first stage in the Stages of Change Model is the Precontemplation stage. In this stage, the
client is not even thinking about changing the behavior. In the Contemplation stage, the client
considers the need to change. The client has thought about obtaining information on alcohol use.
The third stage is the Determination: Commitment to action; the client has made the decision to
change and prepares for the change. That is, the client took written and verbal information about
alcohol cessation. The fourth stage is the Action: Implementing the plan stage. Here the client
implements the plan and begins to achieve success. The client is attending Alcoholics
Anonymous meetings and discards alcohol from the home. The last stage is Maintenance,
relapse, and recycling stage. The client focuses on sustaining the new behavior. This is the client
maintaining sobriety and providing support for another member.
ACTUAL Exam Questions and CORRECT
Answers
Which nursing intervention is an example of tertiary preventative care? - CORRECT
ANSWER - Assisting with speech therapy with a traumatic brain injury.
The definition of chronic conditions can be complex. Which factors would a nurse expect to be
included in the definition of chronic conditions? - CORRECT ANSWER - - Diseases that
have a prolonged course
- Diseases that do not resolve spontaneously
- Diseases where complete cures are rare
According to Maslow, which category of needs represents the most basic on the hierarchy? -
CORRECT ANSWER - Physiologic needs
The nurse is explaining primary and secondary care to the client. Which nursing activity reflects
secondary care provided by the nurse? - CORRECT ANSWER - Ordering a
mammography
Which clients, at risk for health disparities, may require additional assistance from the nurse in
order to access healthcare services? - CORRECT ANSWER - - Older adult clients in a
senior citizen complex
- Clients who have been unemployed for several months
- Migrant Farm Workers
The nurse understands that an idiopathic illness is a condition whose cause is unexplained.
Which is an example of idiopathic illness? - CORRECT ANSWER - Fever of unknown
origin
, The body's attempt to restore balance through self-regulatory mechanisms is termed: -
CORRECT ANSWER - Homeostasis
Managed care organizations (MCO's) are insurers who carefully plan and closely supervise the
distribution of health care services. What factor is one of the goals of managed care? -
CORRECT ANSWER - Preventing illness through the screening and promotion of health
activities
What is a factor upon which the financial stability of health maintenance organizations
(HMO's)is based? - CORRECT ANSWER - Keeping clients healthy and out of the
hospital through periodic screening, health education, and preventative services
The Employee Health Nurse has been providing counseling to the client for the past year. The
client has exhibited all of the stages in the Stages of Change Model. Place in order the stages the
client established during the past year. - CORRECT ANSWER - - The client tells the nurse
that he does not know why he was referred to the nurse and does not have a drinking problem.
- The client informs the nurse that he has thought about obtaining literature on alcohol abuse.
- The client took written and verbal information from the nurse about alcohol cessation.
- The client attends AA meetings and discards alcohol from the home.
- The client maintains sobriety and provides support for another member of AA.
Explanation:
The first stage in the Stages of Change Model is the Precontemplation stage. In this stage, the
client is not even thinking about changing the behavior. In the Contemplation stage, the client
considers the need to change. The client has thought about obtaining information on alcohol use.
The third stage is the Determination: Commitment to action; the client has made the decision to
change and prepares for the change. That is, the client took written and verbal information about
alcohol cessation. The fourth stage is the Action: Implementing the plan stage. Here the client
implements the plan and begins to achieve success. The client is attending Alcoholics
Anonymous meetings and discards alcohol from the home. The last stage is Maintenance,
relapse, and recycling stage. The client focuses on sustaining the new behavior. This is the client
maintaining sobriety and providing support for another member.
