BSNC 1000 Midterm Exam - Questions and Answers (Complete Solutions) The world health organization now defines health as a. A way of life for individuals
... [Show More] and people b. The absence of disease or infirmity c. The ability to function in a new environment d. Complete physical, mental and social wellbeing Primary prevention activities include one of the following a. Retraining to maximize remaining capacities b. Prompt treatment after early diagnoses c. Treatment to arrest the disease process d. Health education and promotion of wellness Immunization and water purification are examples of a. Intermediate prevention b. Primary prevention c. Secondary prevention d. Tertiary prevention Which of the following is an example of high-level wellness? a. Following and imposing physical training regimen for someone else's benefit b. Managing one's chronic illness while living a happy life by doing the most one can c. Recovering quickly from a broken arm or leg in a hospital environment d. Keeping up a level of perfect physical health at a community center You are caring for a 78 year-old female cardiac patient. In preconference, your clinical instructor asks you what is an age-related change in the cardiac system of the older adult? 1. Decreased blood pressure 2. Decreased cardiac output 3. Increase ability to respond to stress 4. Increased heart recovery rate The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented. One of the basic concepts in epidemiology is the concept of risk. Risk refers to the: A. prevalence of an event occurring over a lifetime B. probability that an event will occur within a specified time period. C. the proportion of the population most likely to develop a disease. D. rate of development of new cases. A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of plaque on arterial walls When caring for an older adult patient, the nurse uses the following interventions to accommodate visual changes with age: A. Eye glasses in the bedside table. B. Adequate lighting and uncluttered walkways. C. Draw drapes in room to prevent glare. D. Keep bedside rails down. Which nurse will best understand the mission of population health nursing? The nurse who: a. Understands the needs of the individuals and families that comprise the populations with which they work b. Focuses on the population rather than on individuals. c. Is diligent about keeping abreast of new treatments and technologies. d. Applies a single population-based strategy to achieve health and wellness The definition of population health is evolving, but at present it can be defined as the attainment of the greatest possible biologic, psychological, and social well-being of the total population as an entity and of its individual members. The nurse is gathering community assessment data about concerns of the elderly. Which term best describes the group of elders in this situation? a. Community b. Neighborhood c. Population d. Aggregate Aggregates are subpopulations that possess some common characteristics, which are often related to high risk for specific health problems. A community health nurse assists clients with planning a wellness clinic that will include screening and immunizations. This is an example of which level of prevention? a. Primary and tertiary b. Secondary c. Primary d. Some primary as well as secondary Secondary prevention activities include screening and early diagnosis, as well as treatment for existing health problems. Primary prevention can include increasing people's resistance to illness (as in the case of immunization); decreasing or eliminating the causes of health problems; or creating an environment conducive to health rather than health problems. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of the nurse's statements reflects an accurate view of the relationship between aging and wellness? a. it's important that the individual knows this is an expected part of growing older b. we need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis c. we need to make sure our teaching is not too detailed for someone of his age d. we need to ensure his expectations of continuing to live alone are realistic A nurse is teaching an older person about the concept of successful aging. Which of the nurse's questions addresses an important contributor to successful aging? a. are you largely free of acute or chronic illnesses? b. do you feel financially secure? c. do you feel like you actively engage with life? d. do you have a reliable support network? A nurse who provides care to many older adults recognizes the importance of implementing a wellness approach to care. What principle underlies this approach to the health care of older adults? a. older adults have decreasing expectations for wellness as they move through the aging process b. health problems are a western cultural construct that has no objective, physiologic basis c. older adults must come to accept a decline in wellness as they age [Show Less]