A nurse identifies the 7 components of wellness as a useful tool in assessing health. Which are some of the components of wellness? Select all that
... [Show More] apply.
A) Physical
B) Environmental
C) Emotional
D) Financial
E) Spiritual
A, B, C, E
A nurse is preparing a workshop on the topics that are new to Healthy People 2020. Which of the topic areas should the nurse plan to address? Select all that apply.
A) Adolescent
B) Genomics
C) Lesbian, Gay, Bisexual, and Transgender Health
D) Mental Health and Mental Disorders
E) Healthcare-Associated Infections
Answers - A, B, C, E
The nurse is assessing a 24-year-old woman who recently found out she is pregnant. Which factor would the nurse identify as the most likely source of barrier to health promotion in this client?
A) Age of the client
B) Presence of the client's mother during the appointment
C) Pregnancy occurred as a result of rape
D) First pregnancy (primigravida)
Answer - C
While teaching a class on health status, the nurse educator reviews internal variables that affect health status. Which internal variables are appropriate for the nurse to include in the class? Select all that apply.
A) Gender
B) Diet
C) Exercise regimen
D) Developmental level
E) Age
Answers - A, D, E
A nurse is teaching a couples class at a local community center about building positive relationships. Today's session is on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of health wellness is the nurse focusing this session?
A) Physical
B) Social
C) Environment
D) Emotional
Answer - B
The nurse is providing teaching related to health promotion for a group of older adults. Several individuals describe their current health status. Which client is most in need of additional information related to health information?
A) A client who states that her daughter takes her to all of her medical appointments
B) A client who states that she was recently diagnosed with Parkinson disease
C) A client who states that she walks five times a week at the community center to hep prevent osteoporosis
D) A client who states that her husband has been suffering from hypertension for the past 12 years
Answer - B
The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus. At the conclusion of the session, which client statement indicates that teaching has been effective?
A) "I will take medication for a week for this acute illness"
B) "I will have to take insulin for this disease every day for the rest of my life"
C) "This chronic disease will become worse and lead to death"
D) "I will have to make dietary changes to manage this chronic disease"
Answer - D
An occupational health nurse for a large corporation is planning programs to address health problems identified in the Healthy People 2020 report. Which programs should the nurse include for the company employees at the worksite? Select all that apply.
A) A blood disorder and blood safety education program
B) A seminar about the components of wellness
C) A cultural competence program related to LGBT health
D) An informational program about genomics
E) An education program about the importance of sleep health
Answers - A, B, C, E
After conducting a physical assessment for an adult client, the nurse discusses the assessment with a coworker and states that the client's beliefs and actions regarding common health practices are unfamiliar to her. Based on this data, which action by the nurse is the most appropriate?
A) Repeat the assessment later in the day
B) Determine the culture with which the client identifies
C) Write a nursing diagnosis to address the unfamiliar beliefs and actions
D) Communicate the findings to the healthcare team
Answer - B
For a client with chronic obstructive pulmonary disease (COPD), the nurse may provide health promotion teaching about what other major health concepts?
A) Safety
B) Elimination
C) Immunity
D) Development
Answer - A
Which nursing intervention exemplifies the nurse working in a health promotion role? Select all that apply.
A) Administering a prescribed antibiotic
B) Reinforcing desirable changes to the client's lifestyle
C) Administering vaccines to a well child
D) Administering an inhaler to a client with asthma
E) Obtaining a blood glucose sample on a client with hypoglycemia
Answers - B, C
A community health nurse is education a group of clients on the difference between illness and disease. Which statements are appropriate for the nurse to include in the educational session? Select all that apply.
A) "An individual can have disease and not feel ill"
B) "Illness is synonymous with disease"
C) "Illness is an alternation in body function, where disease is highly objective"
D) "An individual can feel ill without disease"
E) "Illness and disease are never related to one another"
Answers - A, D
A critical nursing concept that a nurse uses with every client that allows the nurse to identify habits of health and wellness and the effects of illness and injury is
A) Assessment
B) Collaboration
C) Teaching and learning
D) Advocacy
Answer - A
For many clients, health promotion requires nursing assessment of and implementation of changes in
A) Culture
B) Lifestyle
C) Spiritual beliefs
D) Socioeconomic status
A nursing diagnosis that indicates that a client wants to implement steps to promote health and wellness usually includes the word(s)
A) Impaired
B) Ineffective
C) Risk for
D) Readiness for
Answer - D
Physical activity and exercise improve the functioning of many body systems. Exercise improves what normal body function of the gastrointestinal system?
A) Use of fatty acids
B) Insulin responsiveness
C) Peristalsis
D) Metabolic rate
Answer - C
A nurse is providing wellness teaching to a client who is interested in beginning an exercise program to reduce certain health risks. The nurse determines that the client understands the teaching when the client selects which health risks that can be reduced by regular exercise? Select all that apply.
A) Liver disease
B) Type 2 diabetes
C) Cardiovascular disease
D) Falling
E) Renal disease
Answers - B, C, D
The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis. Which intervention is most appropriate for the nurse to implement with this client?
A) Providing the client with assisted range of motion exercising twice daily
B) Instituting an exercise plan that includes weight-bearing activities
C) Protecting the client's bones with strict bedrest
D) Increasing the amount of calcium in the client's diet
Answer - B
A school nurse is reviewing the physical activity for adolescent high school students. Which student has met the outcome for physical activity set by the CDC?
A) An 18-year-old who speed-walks 60 minutes once per week
B) A 16-year-old who lifts moderately heave weights 15 minutes 3 times per week
C) A 15-year-old who runs at a fast pace for 20 minutes 2 times per week
D) A 17-year-old who alternates aerobic activities for 60 minutes daily and lifts weights 2 times per week
Answer - D
The pulmonary rehabilitation nurse is teaching a group of clients about both isotonic and isometric exercises. At the conclusion of the session, which client statements indicate effective teaching has occurred? Select all that apply.
A) "Isotonic exercises are also called dynamic exercises"
B) "Isotonic exercises are static movements"
C) "Isometric exercises involve exerting pressure against a sold object"
D) "Isotonic exercises produce a mild increase in heart rate and cardiac output, but no appreciable increase in blood flow to other parts of the body"
E) "Isometric exercises are useful for endurance training"
Answers - A, C, E
A nurse is caring for a 50-year-old client performing aerobic exercises in the cardiac rehabilitation office. The nurse calculates the client's target heart rate as ________ - ________
102 bpm - 145 bpm
Explanation - (220 - client's age) x 60% and 85%
220 - 50 = 170 x .60 = 102 bpm
220 - 50 = 170 x .85 = 145 bpm
The nurse is planning physical fitness and exercise recommendations for a 27-year-old pregnant woman to 16 weeks gestation. The woman states that before coming pregnant, she ran 3.5 miles to 4 miles on four days a week at a pace of 11 minutes per mile. She enjoys competing in 5K races and has a goal to complete a 10K race before the age 30. Which exercise recommendation should the nurse include for the client at this stage of her pregnancy?
A) Continue exercising the same amount of time, but decrease the intensity of the workout to a jog or walk
B) Continue engaging in vigorous activity as much as possible, with a goal of at least 150 minutes of moderate to vigorous activity per week
C) Decrease the amount of exercise to 60 minutes on most days of the week, most of it aerobic exercise
D) Decrease the amount of exercise to 30 minutes three times per week, engaging in moderate to vigorous activity
Answer - B
A young school-age-child is seen in a pediatric clinic for a well-child checkup. The parent tells the nurse that they live in the country ans use well water. Based on this data, which statement by the nurse is the priority when conducting client teaching?
A) "Your child will need to use a teeth whitener in the future because well water is your primary water source"
B) "Your child will need to be placed on a fluoride supplement because your primary water source is from a well"
C) "I will recommend some mouthwashes that are appropriate for clients who drink well water"
D) "It will be very important that your child does not eat sugary food because you drink well water.
Answer - B
The portion of the tooth that wears away, allowing dental decay, is the
A) Pulp cavity
B) Enamel
C) Gingiva
D) Root [Show Less]