Term
| A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client? |
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Definition
| The client is having an exacerbation of the COPD. |
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Term
| When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about their health beliefs based primarily on the basis of what factors? |
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Definition
| Age and developmental stage |
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Term
| The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of? |
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Definition
Secondary
Screenings, such as those for blood pressure, cholesterol, glaucoma, HIV, and skin cancer, are considered nursing activities that fall under the category of secondary health promotion. Secondary health promotion and illness prevention focus on screening for early detection of disease, with prompt diagnosis and treatment of those found. Secondary health promotion involves measures that actually help prevent disease from occurring in the first place, such as a presentation to school children about healthy food choices and the importance of being active. Tertiary health promotion involves rehabilitation following the development of a chronic condition, to help prevent further progression and associated complications of the condition, such as cardiac exercise classes for clients recovering from a heart attack. |
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Term
| A nurse is immunizing children against measles. This is an example of what level of preventive care? |
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Definition
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Term
| What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply. |
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Definition
Maintaining an ideal body weight
Eating regular healthy meals
Sleeping 7 to 8 hours each night |
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Term
| An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation? |
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Definition
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Term
| When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about their health beliefs based primarily on the basis of what factors? |
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Definition
| Age and developmental stage |
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Term
| As part of a prenatal class, the nurse is educating a group of clients on car seat safety. The nurse is providing which of the following? |
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Definition
| Primary illness prevention |
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Term
| The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement? |
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Definition
| "I cannot possibly ever be considered as healthy." |
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Term
| A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area? |
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Definition
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Term
| When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept? |
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Definition
| Focus on what is possible. |
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Term
| Chronic illness may be characterized by periods of remission. Remission is best defined as: |
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Definition
| the presence of a disease with the absence of symptoms. |
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Term
| Why are health promotion and illness prevention a key responsibility of nurses? |
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Definition
| Chronic illnesses are the leading health problem in the world. |
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Term
| Which are factors that impact how a client defines health? Select all that apply. |
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Definition
| Society Culture Community Family |
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Term
| Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? |
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Definition
| Environmental risk factor |
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Term
| Which nursing activity reflects secondary prevention? |
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Definition
| Making a referral for a mammogram |
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Term
| Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? |
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Definition
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Term
| A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? |
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Definition
| provide care transition at discharge for speech therapy |
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Term
| The nurse is preparing to talk to a local community group regarding chronic illness. The nurse informs the group that both external and internal factors influence a person's health. When discussing the fact that the male client has a higher chance of developing lung cancer due to his gender, which dimension is the nurse referring to? |
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Definition
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Term
| The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion? |
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Definition
| Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy. |
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Term
| Which of the oncology nurse's interventions best demonstrates primary health promotion? |
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Definition
Teaching clients how they can manage their exposure to known carcinogens
Primary prevention refers to health promotion and illness prevention, such as educating clients how to lower their risk of a disease. Secondary prevention includes screening for those at risk to develop illness. Tertiary prevention refers to rehabilitation or prevention of complications after diagnosis with a disease, such as chemotherapy or surgery. |
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Term
| What have the models of health promotion and illness prevention been used for? |
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Definition
| To help health care providers understand health-related behaviors. |
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Term
| Which is an example of tertiary health promotion? |
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Definition
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Term
| A nurse is immunizing children against measles. This is an example of what level of preventive care? |
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Definition
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Term
| A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client? |
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Definition
Tertiary prevention
Tertiary prevention in health care deals with rehabilitation of the client. Teaching the client to walk with a walker is tertiary prevention. Primary prevention refers to health promotion or illness prevention. Secondary prevention refers to screening and early detection of disease. |
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Term
| The nurse instructor has completed a session detailing major factors differentiating exacerbations from remissions. The instructor determines the session is successful when the students point out which factor(s) can contribute to exacerbations? Select all that apply. |
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Definition
immune system is functioning poorly
sleep has been disrupted due to family issues
client is facing a potential eviction |
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Term
| The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention? |
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Definition
| Teaching about adhering to a low-sodium diet |
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Term
| The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model? |
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Definition
| What people believe to be true about their health |
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Term
| Which are characteristics of chronic conditions? (Select all that apply.) |
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Definition
Have a prolonged course
Require lifelong management |
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Term
| What is the definition of wellness? |
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Definition
| An active state of being healthy |
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Term
| Which model is most useful in examining the cause of disease in an individual, based upon external factors? |
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Definition
The Agent-Host-Environment Model
The Agent-Host-Environment Model is useful for examining the cause of disease in an individual. The agent, host, and environment interact in ways that create risk factors. The Health-Illness Continuum is a way to measure a person's level of health. The High-Level Wellness Model is characterized by functioning to one's maximum potential while maintaining balance and purposeful direction in the environment. The Health Belief Model is used to describe health behaviors. |
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Term
| When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model? |
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Definition
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Term
| A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address? |
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Definition
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Term
| A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? |
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Definition
| provide care transition at discharge for speech therapy |
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Term
| What is a misconception about chronic disease? |
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Definition
| Chronic illnesses cannot be prevented. |
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Term
| A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the: |
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Definition
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Term
| The client is admitted with a gastrointestinal bleed. The health care provider ordered a colonoscopy. Which level of care encompasses this procedure? |
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Definition
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Term
| A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event? |
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Definition
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Term
| The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking? |
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Definition
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Term
| A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease? |
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Definition
| It has a gradual onset and lasts for a long time. |
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Term
| Consultation and diagnostic tests are included in which level of health care? |
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Definition
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Term
| The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care? Select all that apply. |
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Definition
a client who is a migrant and works on a farm
an older adult client living independently
a client who has been unemployed for 6 months |
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Term
| A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client? |
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Definition
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Term
| The nurse is explaining the purpose of the Healthy People 2030 initiative to a client. Which goal(s) will the nurse point out as included? Select all that apply. |
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Definition
increase the number of people with health insurance
decrease incidence of client with new cancer diagnosis
increase the number of various medical degrees among the underrepresented racial and ethnic groups
improve hearing and visual health with prevention education |
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Term
| The nurse is implementing the principles of the high-level wellness model to plan the care of a client with complex needs. What characteristic of the client will best support their wellness within this model of health? |
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Definition
| The client is willing and able to accept responsibility for their own life |
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Term
| A community health nurse in a rural area is concerned that the community needs better health care promotion after reading the statistics published by the state health department. Which factor should the nurse find alarming in the report? |
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Definition
| increased use of emergency departments for nonemergency issues |
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Term
| An older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation center where the client had to relearn how to perform activities of daily living, including feeding and dressing. The client has often voiced a desire to be as active as possible. The client now expresses a strong desire to go home. The nurse recognizes that these statements made by the client indicate that the client is: |
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Definition
| giving up the dependent role. |
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Term
| A nurse who is working in a long-term care facility is talking with a group of health care workers. One of the health care workers asks about current trends in health care. Which trend should the nurse mention? |
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Definition
| An increase in the incidence of chronic illnesses |
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Term
| Which scenario is an example of a characteristic of Stage 2 of illness? |
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Definition
| A person tells his family that he is sick and allows family members to take care of him. |
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Term
| A client who recently underwent a coronary artery bypass graft is taking furosemide and metoprolol following the procedure. While developing a plan for a heart-healthy diet with the nurse, the client states that diet did not contribute to the heart disease and that the client should be fine just continuing to take the medications. According to the Stages of Change Model, which stage of change is the client in related to diet? |
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Definition
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Term
| A client, who has just been diagnosed with a chronic condition, asks the nurse what a "chronic condition" means. What would be the nurse's best response? |
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Definition
| “Chronic conditions usually come on slowly and may have periods of remission and exacerbation.” |
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