Chapter 02: Concepts of Health, Illness, Stress, and Health Promotion
Williams: Fundamental Concepts and Skills for Nursing, 6th Edition
MULTIPLE
... [Show More] CHOICE
1. The nurse is aware that any description of health would include the concept that:
a. health is the absence of illness, and illness is the presence of chronic disease.
b. culture, education, and socioeconomic status influence one’s definition of health or
illness.
c. illness is a biological malfunction, and health is biological soundness.
d. lifestyle factors are the major determinants of health or illness.
ANS: B
The concept of health is influenced by culture, education, and socioeconomic factors.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: Theory #1
TOP: Views of Health and Illness KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease
2. The nurse takes into consideration that the patient with an admitting diagnosis of Type 2
diabetes mellitus and influenza is described as having:
a. two chronic illnesses.
b. two acute illnesses.
c. one chronic and one acute illness.
d. one acute and one infectious illness.
ANS: C
Chronic illnesses can be controlled but not cured and are long-lasting. Acute illnesses
develop suddenly and resolve in a short time. Type 2 diabetes mellitus would be considered
chronic, whereas influenza would be considered acute.
DIF: Cognitive Level: Application REF: p. 15 OBJ: Theory #1
TOP: Classification of Illnesses KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease
3. The nurse explains that an idiopathic disease is one that:
a. is caused by inherited characteristics.
b. develops suddenly, related to new viruses.
c. results from injury during labor or delivery.
d. has an unknown cause.
ANS: D
Idiopathic disease is defined as disease whose cause is unknown.
DIF: Cognitive Level: Knowledge REF: p. 15 OBJ: Theory #1
TOP: Classification of Illnesses KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Test Bank For deWits Fundamental Concepts and Skills for Nursing 6th Edition by Williams
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Disease
4. The nurse assesses a terminal illness in:
a. a 76-year-old admitted to a nursing home with Alzheimer disease who is pacing
and asking to go home.
b. a 43-year-old with Lou Gehrig’s disease who is refusing food and fluid.
c. a 2-year-old child who burned her esophagus by drinking drain cleaner and who is
being fed by a tube.
d. a 52-year-old diagnosed with lung cancer who had part of one lung removed and
has a closed chest drainage device in place.
ANS: B
A terminal illness is defined as one in which a person will live only a few months, weeks, or
days. A person who refuses food and hydration will generally not live more than a few days.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: Theory #1
TOP: Stages of Illness KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. The nurse clarifies to a patient who now has an abscess following a ruptured appendix that
the abscess is considered to be:
a. a secondary illness.
b. a life-threatening complication.
c. an expected event following any surgery.
d. a disorder easily treated with antibiotics.
ANS: A
A secondary illness is an illness that arises from a primary disorder.
DIF: Cognitive Level: Comprehension [Show Less]