Chapter 16 Health And Wellness Promotion

Chapter 16  Health And Wellness Promotion

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is planning the care for a client with several needs. According to Maslow’s hierarchy of needs, the need with the greatest priority would be the client:
a.
has a severe toothache.
b.
wonders if her parents really love her.
c.
is worried about making the honor roll in school.
d.
has concerns about her career choices.

ANS: A
According Maslow’s hierarchy of needs, physiological needs are to be addressed first. For this client, the severe toothache should be addressed first. After this is addressed, the need about the parents loving the client can be addressed. Making the honor roll in school would be the third need. The final need in this list would be to address the concerns about career choices.

PTS: 1 DIF: Application REF: Needs and Health

2. If the goal of empowerment is to assist a client to make healthy choices about lifestyle and activities, which nursing behavior exemplifies empowerment?
a.
Encouraging the confused client with breast cancer to accept without question the physician’s advice for an immediate mastectomy.
b.
Teaching a client with a family history of heart disease about exercise and diet to help prevent heart disease.
c.
Taking a client to his doctor’s appointment.
d.
Giving the client his prescribed medications.

ANS: B
The nursing behavior that assists a client to make healthy choices about lifestyle and activities would be to teach a client with a family history of heart disease about exercise and diet to help prevent heart disease. The other choices do not support the concept of empowerment and are incorrect.

PTS: 1 DIF: Analysis REF: Health Promotion

3. The nurse is working in a women’s health clinic in which Pap smears and mammograms are performed on select clients. This is an example of:
a.
primary prevention.
c.
tertiary prevention.
b.
secondary prevention.
d.
health promotion.

ANS: B
The goal of secondary prevention is early detection of disease to initiate early intervention. An example of this type of prevention is screening for particular diseases. The purpose of primary prevention is to decrease the person’s vulnerability to disease. Tertiary prevention is used to minimize the effects of a disease process to prevent further disability. Health promotion activities are those that foster lifestyle behaviors conducive to optimum health status.

PTS: 1 DIF: Application
REF: Disease Prevention Activities| Health Promotion Activities

4. The nurse is asking a client to describe his current health status. Which statement is true regarding health?
a.
The absence of disease indicates the client is healthy.
b.
Health is a global term referring to every aspect of a person’s life.
c.
Health exists independently of culture.
d.
The health of an individual is defined by the caregiver.

ANS: B
Health is a global term because it refers to every aspect of a person’s life. These aspects are: physical status; emotional well-being; social relationships; intellectual functioning; spiritual condition; and sexuality. Health is more than the absence of disease. Health is influenced by culture. A caregiver cannot define another’s health.

PTS: 1 DIF: Analysis REF: Health, Illness, and Wellness| Models of Health

5. Which statement made by the client indicates an internal locus of control?
a.
I have found that when I eat a high-fiber, low-fat diet my diabetes is easier to regulate.
b.
My wife fixes all my meals. You’ll have to talk to her about that diet you want me to be on.
c.
I can’t exercise the way the doctor told me to because I don’t make enough money to join a health club.
d.
My mother and my father both had heart disease. I guess I can expect it, too.

ANS: A
Locus of control refer to individuals’ sense of being able to influence events and situations affecting their lives. The client who states “I have found that when I eat a high-fiber, low-fat diet, my diabetes is easier to regulate” is demonstrating an internal locus of control. The other statements demonstrate an external locus of control, which means the person feels like a victim with little, if any, control over life events.

PTS: 1 DIF: Analysis REF: Locus of Control