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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 6: Health and Wellness MULTIPLE CHOICE 1. When formulating a definition of “health,” the nurse should consider that health, within its current definition, is: 1. The absence of disease 2. A function of the physiological state 3. The ability to pursue activities of daily living 4. A state of well-being involving the whole person ANS: 4 When formulating a definition of “health,” a person should consider the total person, as wel
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 6: ealth and !ellness #$T%P$E C%CE 1.When formulating a definition of “health,” the nurse should consider that health, within its current definition, is:1.The absence of disease2.A function of the physiological state.The ability to pursue acti!ities of daily li!ing .A state of well#being in!ol!ing the whole personA$%: When formulating a definition of “health,” a person should consider the total person, as well as the en!ironment in which the person li!es. &ealth generally implies a state of well#being that is ultimately defined in terms of the indi!idual.&ealth is considered to be more than merely the absence of disease.The definition of health has broadened beyond the physiological state to include mental, social, and spiritual well#being.An indi!idual who has the ability to pursue acti!ities of daily li!ing may not define himself or herself as being healthy. 'ife conditions such as en!ironment, diet, and lifestyle practices may negati!ely impact one(s health long before the person is unable to  perform acti!ities of daily li!ing.)*+:A-+:/0:3omprehensionT04:$ursing 4rocess: Assessment5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance2.Which one of the following is the main, o!erarching goal for  Healthy People 2010 81.eduction of health care costs2.-limination of health disparities .*n!estigation of substance abuse .)etermination of acceptable morbidity ratesA$%:2Two o!erarching goals for  Healthy People 2010  are 91 to increase ;uality and years of healthy life and 92 to eliminate health disparities.educing health care costs was not a goal for  Healthy People 2010. *n!estigation of substance abuse was not one of the main, o!erarching goals for  Healthy  People 2010. )etermining acceptable morbidity rates was not one of the main, o!erarching goals for  Healthy People 2010. )*+:A-+:/0:3omprehensionT04:$ursing 4rocess: Assessment5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance 5osby items and deri!ed items < 2==/, 2==> by 5osby, *nc., an affiliate of -lse!ier *nc.  Test an? .A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic81.“* would li?e you to perform this e@ercise once a day.”2.“our physician has left orders that you are to follow.”.“The laboratory tests re!eal the need to reduce your daily percentage of fat inta?e.” .“Adapting to a low#fat diet and increasing your acti!ity will help lower your blood glucose le!els.”A$%: Bsing a holistic approach in!ol!es consideration of all factors that may impact a client(s le!el of well#being in all dimensions, not Cust physical health. +actors such as diet and e@ercise can influence one(s le!el of health.)irecting the client to e@ercise does not address the many factors that may impact one(s le!el of health. This response does not facilitate the client in seeing the connection  between lifestyle choices and well#being.)irecting the client to follow physician(s orders, though important, does not describe a holistic approach of nursing care. A holistic approach may include a discussion of diet and e@ercise and the effect these factors ha!e on blood glucose le!el. The aim is for the client to ta?e responsibility for their health and choices that may impact their health. Diewing laboratory test results is a part of the nursing assessment. To approach the client holistically, the nurse would need to also assess the client(s diet and acti!ity le!el.)*+:3-+:E20:AnalysisT04:$ursing 4rocess: *mplementation5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance .The client states, “&eart disease runs in our family. 5y blood pressure has always been high.” The nurse determines that this is an e@ample of the client(s:1.is? factors2.Acti!e strategy.&ealth beliefs .$egati!e health beha!ior A$%:1is? factors are anything that increases the !ulnerability of an indi!idual or group to an illness or accident. This client is identifying the physical ris? factor of genetic  predisposition to heart disease.An e@ample of an acti!e strategy would be weight reduction or smo?ing cessation, wherethe client is acti!ely in!ol!ed in measures to impro!e their present and future le!els of wellness.&ealth beliefs are a person(s ideas, con!ictions, and attitudes about health and illness. An e@ample of a health belief would be if the client stated, “&eart disease runs in our family. * ?now * will ha!e heart disease anyway, so why e@ercise8”A negati!e health beha!ior is a beha!ior that may negati!ely impact one(s health. An e@ample of a negati!e health beha!ior would be consistently drin?ing alcohol in e@cess. 5osby items and deri!ed items < 2==/, 2==> by 5osby, *nc., an affiliate of -lse!ier *nc. #2  Test an? )*+:A-+:EE0:3omprehensionT04:$ursing 4rocess: Assessment5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance>.A client is discharged following a heart attac?. *n using the %tages of &ealth eha!ior 3hange as a guide, the nurse recogniFes that the client is most li?ely to begin to accept information on diet changes and an e@ercise program during which stage81.Action 2.4reparation .5aintenance .3ontemplation A$%: )uring the contemplation stage, the client is considering a change within the ne@t  months. The client may be ambi!alent initially, but will more li?ely accept information ashe or she de!elops more belief in the !alue of change.)uring the action stage, the client is acti!ely engaged in strategies to change beha!ior. )uring the preparation stage, the client is ma?ing small changes in preparation for a change in the ne@t month. At this point, the client belie!es ad!antages outweigh disad!antages in beha!ior change.)uring the maintenance stage, the client has sustained change o!er time.)*+:A-+:EG0:HnowledgeT04:$ursing 4rocess: 4lanning5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance.When assessing the e@ternal !ariables that influence a client(s health beliefs and  practices, the nurse must consider his:1.*ncome status 2.eligious practices .-ducational bac?ground .eaction to the heart diseaseA$%:1-@ternal !ariables influencing a person(s health beliefs and practices include family  practices, cultural bac?ground, and socioeconomic factors, such as income. -conomic !ariables may affect a client(s le!el of health by increasing the ris? for disease and influencing how or at what point the client enters the health care system. A person(s compliance with the treatment to maintain or impro!e health is also affected by economicstatus. eligious practices are one way that people e@ercise spirituality. %pirituality is consideredto be an internal !ariable. -ducational bac?ground is an internal !ariable that can influence the health beliefs and  practices of a client.An e@ample of an internal !ariable that can influence health beliefs and practices of a client includes emotional factors, such as the reaction to heart disease. 5osby items and deri!ed items < 2==/, 2==> by 5osby, *nc., an affiliate of -lse!ier *nc. #  Test an? )*+:A-+:E 0:3omprehensionT04:$ursing 4rocess: Assessment5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenanceE.A paraplegic client is admitted for an electrolyte imbalance. ased on the le!els of  pre!ention, the client is recei!ing care at the le!el of:1.&ealth promotion 2.4rimary pre!ention .Tertiary pre!ention .%econdary pre!ention A$%: The secondary pre!ention le!el focuses on early diagnosis and prompt treatment as well as disability limitations. Ade;uate treatment for the electrolyte imbalance is sought to  pre!ent further complications.&ealth promotion is a focus of the primary pre!ention le!el. The primary pre!ention le!el focuses on health promotion and specific protection measures such as immuniFations and personal hygiene.The tertiary pre!ention le!el focuses on restoration and rehabilitation.)*+:A-+:E>0:3omprehensionT04:$ursing 4rocess: 4lanning5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenanceG.Which of the following nursing acti!ities is an e@ample of tertiary le!el caregi!ing81.Teaching a client how to irrigate a new colostomy2.4ro!iding a class on hygiene for an elementary school class.*nforming a client that her infant can be immuniFed at the health department .Arranging for a hospice nurse to !isit with the family of a client with lung cancer A$%: Tertiary pre!ention occurs when a defect or disability is permanent and irre!ersible. 3are of the hospice nurse at this le!el aims to help the client and the client(s family achie!e as high a le!el of functioning as possible despite the limitations caused by the cancer.Teaching a client how to irrigate a new colostomy would be an e@ample of secondary  pre!ention. *f the colostomy is to be permanent, care may later mo!e to the tertiary le!el of pre!ention.4ro!iding a class on hygiene for an elementary school class would be an e@ample of the  primary le!el of pre!ention.*nforming a client about a!ailable immuniFations would be an e@ample of primary  pre!ention.)*+:A-+:E>#E0:3omprehensionT04:$ursing 4rocess: 4lanningI*mplementation5%3:$3'-67 test plan designation: &ealth 4romotion and 5aintenance 5osby items and deri!ed items < 2==/, 2==> by 5osby, *nc., an affiliate of -lse!ier *nc. #

SOLUCION 6

Jul 23, 2017
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